In the past few days AFHTO has had meetings with the Ministry’s FHT Unit, the Ontario Hospital Association (OHA), the Ontario Medical Association (OMA) and the Association of Ontario Health Centres (AOHC). In all cases primary care is recognized as key to improving quality of care for patients and sustainability of the health system. FHTs are recognized for their potential to significantly advance both quality and sustainability. With the FHT Unit we examined how we work together to support FHTs in achieving these ends. In particular we focussed on how to progress in strengthening FHT governance, recruitment and retention, and capacity to get the full benefit from EMRs and data for quality care. Getting traction requires stepping forward in bite-size chunks:
- To develop governance capacity, the FHT Unit is developing an RFP as the first step in response to AFHTO’s detailed proposal for web-based learning modules on the core set of knowledge and skills required for governance, strategic planning and risk management.
- The framework for FHT governance is likely to be shaped by the Ministry’s “Strengthening Primary Care” initiative. AFHTO has been participating in the working groups, along with a number of other stakeholders.
- With recruitment and retention, the next step is to understand the patterns and drivers underlying vacancy rates. AFHTO has struck a working group that will look into questions such as time to recruit, turnover, and reasons for leaving. Working in partnership with AOHC and HOOPP, AFHTO has compiled comparative data on compensation packages.
- Supporting use of EMRs and data is a more complex undertaking. AFHTO has exchanged ideas with some thought leaders from within the FHTs and from key organizations such as the Canadian Institute for Health Information (CIHI), the Institute for Clinical Evaluative Sciences (ICES), and Health Quality Ontario (HQO). This may crystallize into another proposal in 6 – 9 months’ time.
The FHT Unit continues to look to AFHTO to assemble small groups of FHT volunteers to provide feedback on implementation issues such as the revised NP-SERT program (renamed Nurse Practitioner Access Reporting or NPAR) and the new SRI templates replacing WERS. With the OHA our focus was on what our respective associations could do to foster greater understanding and collaboration among hospitals, primary care and other key components such as CCACs. With the OMA and AFHTO we discussed a number of ideas for working together to strengthen primary care. This exploration will continue in a meeting with NPAO in a few weeks, and other associations over the course of the summer. Ideas are percolating. Some will result in highly stimulating content for the 2011 AFHTO Conference on Oct. 25-26. Other interesting collaborations are likely to emerge. Stay tuned.