What is Comprehensive Primary Care?

    Comprehensive Primary Care (CPC) is a systemic approach in general practice that:

    ·  has been co-designed and developed with GPs, and is a place-based approach that is:

    ·  Person-centred

    ·  Co-ordinated

    ·  Accessible

    ·  Committed to quality and safety

    ·  Comprehensive

    ·  builds capacity and capability in general practices to respond to the Commonwealth policy direction for primary care, by developing sustainable business models and improved models of care;

    ·  recognises each practice is at different points of the journey and therefore it is not a one size fits all model; and

    ·  is evolutionary, and its design is built around the needs of primary care, in consultation with GPs.

    Practices which become CPC Partnership Practices are supported to select from a tailored ‘CPC Menu of Service Offerings’ – which includes a range of support, tools, resources, education and training programs and networking opportunities that are based on Bodenheimer’s 10 building blocks of high performing care.

    Why Change?

    ·  The Primary Health Care Advisory Groups report Better Outcomes for People with Chronic and Complex Health Conditions reported that:

    o  35% of Australians, over 7 million people, have a chronic condition, and an increasing number have multiple conditions, making care more complex and requiring input from several health providers or agencies;

    o  Very high general practice (GP) attenders saw three times as many different GPs compared to low attenders; and 

    o  Just one third (34%) of very high and frequent GP attenders combined saw three to four GPs in 2012–13, while a further 36% of very high and frequent GP attenders saw five or more.

    ·  Commonwealth and State government policy points to a new landscape for primary care that is based on co-ordinated care, underpinned by the principles of the Patient Centred Medical Home (PCMH), and the commencement of the Heath Care Home (HCH) Stage 1 Implementation.

    ·  By becoming a CPC Partnership Practice, you will be supported to position your practice to be responsive to the future changes in policy direction.

    How will your practice be supported to implement CPC?

    ·  CPC offers a range of ongoing support, in line with your needs, and will work in partnership with your practice to support the implementation of your CPC initiatives; and

    ·  Your CPC Practice Support Facilitator will:

    o  work directly with you and your team;

    o  assess your level of PCMH readiness; and

    o  develop a partnership plan that clearly articulates your identified CPC planned activities, timeframes and outcome measures.

    What are the benefits of your practice participating in CPC?

    As a partnership practice you will:

    ·  Have a dedicated CPC Practice Support Facilitator;

    ·  Be supported to:

    o  cleanse, manage and assess practice data to optimise business performance;

    o  develop, and improve, sustainable quality improvement systems and processes;

    o  build stronger, more engaged teams who are responsive to improving quality, and are able to implement and sustain change;

    ·  Have an opportunity to influence, co-design and trial new models of primary health care;

    ·  Have access to professional development activities that build the capacity and capability of the practice team;

    ·  Have access to a regional Community of Practice – a support network of other CPC Partnership Practices, to share lessons learned and best practice; and

    ·  Be informed of, and assisted in how to respond to current and emerging health policy direction.

    What is your practice committing to?

    As a partnership practice you will be required to:

    ·  Dedicate time, personnel and resources to the implementation of CPC;

    ·  Be accredited, and maintain accreditation against the Royal Australian College of General Practitioners’ Standards for General Practices;

    ·  Register and connect to the My Health Record System, and contribute to and maintain clinical information for your patients’ My Health Record;

    ·  Collect, maintain and share de-identified data with the PHN for evaluation and quality improvement purposes, using PenCS;

    ·  Promote and support the use of HealthPathways in your practice;

    ·  Take part in ongoing formal evaluations of the CPC approach, in line with the Quadruple Aim framework; and

    ·  Implement patient feedback mechanisms, and use the outcomes for quality improvement purposes. 

    How will the success of the CPC be measured?

    CPC will use the Quadruple Aim framework to measure the performance the success of the CPC using the four domains:

    1.  Improved patient experience of care

    2.  Improved health outcomes and population health management

    3.  Improved cost efficiency and sustainability

    4.  Improved health provider experience

    Is CPC the same as the Health Care Home Stage 1 implementation?

    No, the CPC program is discrete from, but aligned with, the Commonwealth’s Health Care Home Stage 1 Implementation, which is being implemented in the Perth North PHN.  While CPC has a number of similarities with the HCH initiative, but is inherently different.