The GPSC is introducing the residential care initiative to improve care for one of BC’s most vulnerable populations of patients. There is a downward trend in the number of physicians providing services to seniors in residential care. And with the senior population growing larger, the GPSC is supporting local groups of physicians through the residential care initiative to build local, scalable, and sustainable solutions.
In the last 10 years, the number of community-based family physicians has increased by about 10%. Over this same period, the number of family physicians delivering residential care services dropped by about 13%. It’s also anticipated that there will be a 120% growth in the residential care population in the next 20 years.
The GPSC’s residential care initiative is designed to address this challenge by enabling physicians to develop local solutions to improve care of patients in residential care services. Participants will also establish best practice expectations and system level outcomes to guide changes in the culture and systems of care.
With the GPSC’s commitment of up to $12m annually, the initiative is expanding to meet the needs of residential care patients in 96 communities across BC.
Beginning in 2011, the initiative was prototyped by five divisions of family practice (Abbotsford, Chilliwack, Prince George, South Okanagan Similikameen, and White Rock-South Surrey). Each division designed a local solution targeted at meeting the following five best practice expectations and three system-level outcomes:
- 24/7 availability and on-site attendance when required
- Proactive visits to residents
- Meaningful medication reviews
- Completed documentation
- Attendance at case conferences
- Reduced unnecessary or inappropriate hospital transfers
- Improved patient/provider experience
- Reduced cost/patient as a result of a higher quality of care
Designing a Local Solution: Get Started
The following information outlines supports for divisions of family practice and/or communities, self-organized groups of family physicians, to design and implement local solutions that deliver dedicated GP MRP services for all patients moving into residential care facilities. For the purposes of this initiative, a dedicated GP MRP is defined as one who delivers care according to five best practice expectations and who tries to support three system level outcomes, which are further described in the supporting guidelines.
Divisions who are interested in designing a local solution for dedicated GP MRP services for residential care can access funding for planning through a Request for Planning Funding.
Funding for planning is available as of April 1, 2015.
With the support of the funding for planning, the local division will convene at least once to discuss how to best achieve the dedicated GP MRP services locally. It is encouraged to engage with all local community family physicians about the proposed local solution and funding allocations, which both must cover all elements of the local program to meet the initiative’s best practice expectations and system level outcomes.
The local solution is to be articulated in a short Memorandum of Understanding (MOU) between the local division and the regional health authority.
As of July 1, 2015, divisions/communities that have completed the MOU can access a quarterly lump sum incentive to implement their local solutions. Funding will be provided to divisions/communities through a Funds Transfer Agreement (FTA) with the Doctors of BC, on behalf of the GPSC.
The GPSC will work with divisions and health authorities to introduce evaluation processes to help monitor and measure expectations and outcomes as well as establish a process to share these learnings with all stakeholders.
For additional information or for inquiries, please contact the GPSC Residential Care Working Group at firstname.lastname@example.org.