Case Analysis of Value-Based Solution

Case Analysis of Value-Based Solution Student's Name Institution Course Code & Title Professor's Name Submission Date Case Analysis of Value-Based Solution In recent years, quality improvement and patient safety have emerged as significant operational and academic sectors in health care, including emergency medicine. In Ontario, medical professionals, nurse practitioners, and pharmacists work together to provide primary care. These medical specialists offer patients complete care, emphasizing chronic illness management, health promotion, and prevention. Improving the quality and safety of emergency department care can significantly impact patient outcomes. It is a critical factor in determining the standard of care, patient satisfaction, and clinical efficacy. Purpose This briefing note aims to provide information and recommendations to the Ministry of Health of Ontario regarding strengthening the primary care funding model and expanding access to primary care in the province. The recommendations are based on the analysis of two reports, namely the recent report published in the Canadian Medical Association Journal (CMAJ) and the findings of the pan-Canadian project "Priorities Panels - OurCare." Context The Shahaed et al. (2023) report states that compared to the average of OECD nations, Canada spends a smaller portion of its overall health budget on primary care. Canada's healthcare system performs poorly when compared to other high-income nations. The pan-Canadian project highlights the primary care system's need for radical change (OurCare, 2023). After gathering public feedback on primary care preferences, they discovered that prompt access to care, continuity of care, and a solid patient-provider relationship are essential to Canadians. Ontario residents can utilize various primary healthcare models that employ diverse organizational and financial structures. The prevailing approach in the past was FFS, in which Family Physicians practiced alone or in teams. Key Considerations and Options Option 1 Providers of EM operate in a fast-paced, frequently disorganized setting where there is a greater chance of patient safety disasters and treatment inadequacies. According to Chartier et al. (2018), a Canadian study revealed that for every hundred hospital admissions, there were 7.5 adverse events, and more than one-third were avoidable. Over the past two decades, some provinces have implemented primary healthcare policies to improve quality and availability. These improvements include new payment methods, interdisciplinary groups, and patient navigators. Physicians are paid per service under Fee-for-Service. Family Health Groups provide complete primary care and after-hours services to enrolled or assigned patients for three or more clinicians. FHGs also provide doctors additional practice freedom. Providers may not get reimbursed for all their services, putting them at risk. Option 2 In the Family Health Organization capitation model, doctors receive a set payment for each patient, irrespective of the number of visits. A developed FFS payment system with further benefits and motivations is called the Comprehensive Care Model (Sheng et al., 2023). Higher compensation is offered for independent practice using this method. Primary care practice models and compensation fo...