Primary Care - Fraser Health

Integrated Health Network Teams(Enhanced Family Practices)Easing GP workload while improving patienthealth outcomes in group practices“Enhanced Family Practices have made all of us betterdoctors, because we now have a way of following our patientsvery accurately. I would say the EFP has probably given meanother 5 to 10 years of practice. I’m less stressed than I wastwo years ago, and now have more time to spend with mypatients. I am a much happier person.”− Dr. Glenn Anderson, GP, White Rock MedicalPhysicians in group practices are providing enhanced, comprehensive care for patients with chronicconditions, with the support of an electronic medical record and dedicated, CDM-focused nurse. Thisapproach has resulted in measurable improvements in the health status of many patients.What is its purpose?Its aim is to expand the capacity of a group practice to optimize the health of patients with chronic illnesses,and achieve key goals, called Triple Aim +:• Improve population health.• Optimize the patient experience.• Ensure the effective use of health system resources.+ Enhance provider satisfaction.How does it work?Participating practices are provided one-time funding and support from a Fraser Health project coordinator toimplement key enhancements to the practice, including the integration of:• A CDM-focused Nurse, who provides education, coordinates care and arranges follow-up.• An Electronic Medical Record that enables the flow of information and tracks patients’ progress.• An optimized Chronic Disease Management system that supports GPs with guidelines andinformation.… continued on reverse →PC.04.21.09