“BC’s health care system is undergoing changes that will connect more patients with primary care and enable physicians to help patients access additional services and support. This involves increasing team-based health care through the creation of patient medical homes (PMHs) in family practices and forming primary care networks (PCNs) in communities that support longitudinal care provided by PMHs. As of June 2019, nine divisions of family practice have announced plans to form PCNs in their communities. An additional 16 divisions are planning to undertake the PCN expression of interest process in the coming months.
Data from physician practices are key to taking a practice to the next level as a PMH and enabling participation in team-based care and PCNs. Strong EMR data help identify how many patients are in the practice, what conditions those patients have, and the kinds of in-practice and team-based supports (like allied health providers) that can help provide proactive care for these patients. This in turn helps divisions understand the needs of patient populations and the broader communities as they plan PCNs.”
Read more adopting PMH attributes and updating patient data at The Value of Data: Identifying Patient and Community Needs to Inform Primary Care Networks via BCMJ.