| Enable integration of patient-oriented care across
primary care, behavioural health, public health, and social services |
Building data collection infrastructure and analysis to support continuous
quality and outcome improvement Planning and training a work force that will support team-based care Expanding capacity for coordination across systems, including interoperable
health records and data linkages
|
| Support a culture shift: from provider-centred to
patient-centred care; physician-based to team-based care; disease-focused to
health-focused care; and individual- based care only to individual-based and
population-based care |
Engaging the community in local solutions through health system governance
structures that include community representation Having meaningful patient and family engagement in redesign and quality
improvement Emphasizing measures of patient experience, engagement, and outcomes Basing outcome measures on individual goals and preferences, as well as the
population served; and basing payment on performance on these measures
|
| Invest in implementation, evaluation, and mechanisms for
spread and scale of successful primary care innovations and models |
Evaluating the innovation of implementation projects and their contribution
to the overarching policy vision for primary care Aligning new payment incentives across payers to support scaling up Funding implementation and coaching to spread learning systems and rapidly
bring effective models to scale, such as through practice facilitation, local
learning collaboratives, health professionals’ training and virtual
mentoring, and networked implementation laboratories or incubators like the
Centers for Medicare and Medicaid Services in the United States
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