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24 th January 2014

24 th January 2014. Welcome. Agenda. Overview of Primary Care Centres Development and Investment Advances in Services Potential for Future Development Implications for Relationship Between Primary, Secondary and Tertiary Care. MPHC History. 2001 Primary Care Strategy

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24 th January 2014

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  1. 24th January 2014

  2. Welcome

  3. Agenda • Overview of Primary Care Centres • Development and Investment • Advances in Services • Potential for Future Development • Implications for Relationship Between Primary, Secondary and Tertiary Care

  4. MPHC History • 2001 Primary Care Strategy • Blueprint for Primary Care Service Delivery • Teamwork - PCTs • HSE Primary Care Services/General Practice • New or Customised Buildings • Services To Patients • 3 PCT • History of GP Out of Hours Cooperation

  5. MPHC • General Practices • The Red House Family Practice • The Medical Centre • The Cork Road Clinic • 2005 Negotiations with HSE • Construction March 2009 • Opened May 4th 2010 • Created 25 New Jobs To Date

  6. MPHC • €25m Investment • 70,000 sq ft/320 Car Parking Spaces • 3 General Practices – 21 GPs – 30,000 Patients • The 4th Practice – 25 Specialist Services • HSE – 10 Services – 100,000 Patients • North Cork Community Mental Health • South Doc – GP Out of Hours Service • Pharmacy • 8 Ancillary Medical Services – Optician, Pain Clinic, Dentist • Cafe

  7. Living Health Clinic • €11 m Investment • Opened 24th Nov 2008 • 30,000 sq ft • 8 GPs - 22,000 Patients • HSE Services • Public Access Radiology • CUMH - Obs and Gynae • 15 Ancillary Medical Services • Pharmacy • Cafe

  8. Mission • Mallow Primary Healthcare Centre provides Caring, Considerate and Modern Primary Medical Care in a State of the Art Building • Open Access To All • 1,000 Patients a Day • 98% Satisfaction

  9. Standards • UK Technical Memorandum • Building Standard • Efficiency • OHSAS 18001:2007 • Incorporates ISO and JCI • Management Standard • Accredited June 2010 • Reaccredited August 2011 and October 2012 • Board of Governance • Community Involvement

  10. Research Educate Audit Develop(READ) • Full Time Researcher • Research and Ethics Committee • Academic, Legal, Community, Medical • Audit Processes and Practices • Multi Disciplinary Clinical Meetings • Active PCT Meetings • Community Involvement • Care of Elderly Week, One Small Change, Suicide Support, Stress Management, Healthy Heart, Dementia Friendly Building, Mallow Festival of Science

  11. Research - EARLI • Aim assess the likelihood of a patient being admitted to hospital, and providing proactive annualized risk reduction for very high and high risk patients through GPs and HSE Working Together • 1,100 Letters – Elderly Patients – 80% Response • 69 Patients – High/Very High Risk • Result • Very High Risk - 50% Reduction • High Risk - 30% Reduction • National Saving €60m - €100m

  12. Research – Skin Lesions • Aim -review the investigation and management of skin lesions performed in a GP practice over the course of one year and to compare this to the Primary Care Dermatology Society Skin Surgery Guidelines • Dermatological complaints reflect 12.4- 24% of presentations toGPs • 217 Patients in this Study • Conclusion - Of 35 biopsies, only 11 people(31.43%) ended up requiring referral to hospital specialists, a reduction of 24 on this sample or 68.57%. • 35 referrals = average 105 OPD visits • GP programme would save approx 83 visits • Saving €21,580 in this cohort alone

  13. Research - Retinopathy Screening Total saving by carrying out Retinopathy testing in MPHC:500 OPD Visits€108,000

  14. Paperless Warfarin Clinic • 4 step process, lasting 3 mins. • Near patient testing, capillary blood pippetted to warfarin machine, result automatically to CompleteGP and calculator with recommended result and label printed with each dose and next appointment date. • 5,440 Tests in 2012 • Average TTR - 66.9%. • Patient Satisfaction 70% gave 10/10. • Single patient complaint is cost.

  15. Education in MPHC • CME/CPD continuous-ICGP recognised • Fellowship • GP Vocational Training • Cork • South West • Intern Training • UCC • Final Medicine Students-42+pa • 2nd Year Clinical Skills Training • UL • 3rd Year

  16. Multi Disciplinary Training • PCT Training Course • Medical Secretary Training Course-Fetac 5 • Practice Nurse Training • Medical Undergraduate Training • Medical Postgraduate Training • HSE Training • Physio, OT, Psychology

  17. Innovation-CompleteGP • Paperless GP Care • Computer assisted Warfarin Clinic-nurse led • Near Patient Testing-results integrated • IT Link to Nursing Home/other Services • Emergency Patient Record (HP+patent) • Electronic Prescription (McLernons) • Health Innovation Hub Collaboration

  18. PCC Funding • Regional Diagnostic and Treatment Centre • Money Follows the Patient • To Work Properly Requires • Diagnostics • OPD/Community Specialist Clinics e.g. Diabetes • Possible Resources From Existing Budgets • Drug Budgeting • Laboratory Tests • We Can Deliver • Cutaneous and Subcutaneous Procedures, Dementia Care, Pre Hospital Screening, EARLI and much More

  19. The Future • Cooperation Between PCCs • MPHC • Living Health • Ayrfield, Kilkenny • Waterford Health Park • Ability to Run New Services • Trial • Audit • IT • Infrastructure • Mallow Health Hub – Microcosm of Health Service-Rapid Area • 300 Residential Beds + 2 PCCs • EARLI Study

  20. Thank You

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