PMH in Ontario
Pillars of the Patient’s Medical Home are being implemented in Ontario through various practice types and across geographic areas. The model that is most similar to the PMH framework is the Family Health Team (FHT) organizational model. FHTs are comprised of a team of family physicians, nurse practitioners, and other health care professionals, to provide community-centred primary care programs and services. Since 2005, 200 Family Health Teams (FHTs) have been serving over 3.5 million enrolled Ontarians across the province. Currently, the Ministry of Health and Long Term Care (MOHLTC) is not funding any new FHTs.
Other interprofessional team-based models in Ontario include Nurse Practitioner Led Clinics, Community Health Centres and Aboriginal Health Access Centres. Based on the results of a five-year evaluation initiative undertaken by the Conference Board of Canada, the evaluation released in 2014 demonstrated that despite their young age, FHTs have achieved improvements at the organizational and service-delivery levels.
While changes in terms of patient experience and outcomes were not yet evident in all domains, there were some early signs of improvement, particularly in chronic disease management. In October 2015, the Ontario College of Family Physicians (OCFP) released an evidence brief on Preparing for a Devolved, Population-Based Approach to Primary Care. The research in the evidence brief stresses the importance of physician engagement in order to advance the adoption of the Patients Medical Home in Ontario. In addition to this report, OCFP has conducted engagement sessions with health stakeholders and citizens to gather input from all perspectives on how to advance the PMH pillars.
Another important factor in the advancement of the PMH framework is the need for accessible data to inform quality improvement efforts and the skills and capacity to use the data in a meaningful way. To help address this issue, in May 2015, the OCFP developed a report in partnership with Health Quality Ontario on Advancing Practice Improvement in Primary Care.
Successful examples of practices operating as a PMH in the province
1261 Beaverbrook Ave
London ON N6H 0G6
25 Tapiola Crescent
Ottawa ON K1T2J7
88 Harwood Avenue South
Ajax ON L1S 2H6
Ready to get started? A tool kit for your province can be located here.