Governance and Management Structures/Models

Alberta Medical Association Practice Management Program

It provides business related advice to family physicians as they develop Primary Care Networks (LPCIs). Specifically developing physician leaders, governance structures, mitigating risk (legal, business, financial, tax), managing change and letters of intent/business plans. The AMA also has clinical practice guideline program. www.albertadoctors.org

Association of Ontario Health Centres FACT SHEETS

A collection of information about various Community Health Centre structures and issues such as the advantages of working in their models, collaborative practice and cost effectiveness. http://www.aohc.org/aohc/index_e.aspx?DetailID=39

Collaboration in Primary Care - Family Doctors & Nurse Practitioners Delivering Shared Care: Discussion Paper, Ontario

This paper is an initial paper or primer on collaborative models and describes a core model for establishing a successful collaborative practice. It consists of family physician and nurse practitioner questionnaires measuring collaborative experience.

ocfp paper handout.pdf

Family Medicine Groups, PQ

The implementation of family medicine groups follows one of the main recommendations of the Clair Commission, a commission of inquiry into health and social services. The Ministère de la Santé et des Services Sociaux is establishing family medicine groups to increase access to family physicians for all, improve the quality of general medical care and enhance the role of family physicians. http://www.msss.gouv.qc.ca/en/sujets/organisation/gmf.html

The Future of Family Medicine: A Collaborative Project of the Family Medicine Community

This U.S. based project identified core values, a new model of practice, and a process for development, research, education, partnership, and change with great potential to transform the ability of family medicine to improve the health and health care of the nation. The proposed new model of practice has the following characteristics: a patient-centered team approach; elimination of barriers to access; advanced information systems, including an electronic health record; redesigned, more functional offices; a focus on quality and outcomes; and enhanced practice finance . http://www.annfammed.org/cgi/reprint/2/suppl_1/s3

Integrated Service Delivery Model for the North West Territories Health and Social Services System

This report provides information on the Integrated Services Delivery Model, which fulfills Action Item 5.2.1 of the HSS System Action Plan. It describes the vision and philosophy of the Integrated Services Delivery Model and the three elements of integrated service: primary community care, agency integration and core services.
http://www.hlthss.gov.nt.ca/content/Publications/Reports/ISDM/isdmdetailedmarch2004.pdf.

Also a plain language summary at: http://www.hlthss.gov.nt.ca/content/Publications/Reports/ISDM/isdmsummarymarch2004.pdf

MAKER, Managers Taking Action on Knowledge and Effective Use of Resources to Achieve Results, World Health Organization

It provides an overview of health service management and program management functions. It is a portal to concepts and issues, tools and guidelines for health care managers. http://www.who.int/management/en/

New Brunswick Community Health Centre Framework

This framework is intended primarily for use by the Community Health Centers, Regional Health Authorities, and the Department of Health and Wellness. This framework is not intended to be prescriptive, but rather a resource that can be used to address the unique and individual health needs of your community. http://www.gnb.ca/0601/pdf/FrameworkEnglishOct251.pdf

Ontario Guides for Governance and Accountability and FHT Check List for Family Health Teams

This is a resource for those that have been approved to form a family health team in Ontario to guide them in creating localized plans for service. The FHT Check List tracks progress in planning a FHT. The Governance & Accountability guide provides information on common responsibilities, resources and governance models. http://www.health.gov.on.ca/transformation/fht/fht_guides.html