{"id":481,"date":"2021-01-28T11:31:55","date_gmt":"2021-01-28T11:31:55","guid":{"rendered":"http:\/\/assistanceservicesgroup.com\/?post_type=health-case-studies&#038;p=481"},"modified":"2021-03-24T18:46:11","modified_gmt":"2021-03-24T18:46:11","slug":"helping-unattached-patients","status":"publish","type":"health-case-studies","link":"https:\/\/assistanceservicesgroup.com\/healthcare-case-studies\/helping-unattached-patients\/","title":{"rendered":"Helping Unattached Patients"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">The Situation&nbsp;<\/h3>\n\n\n\n<p>According to Health Canada, Primary Health Care is key to maintaining and improving Canadians&#8217; health, and to the quality and sustainability of the health care system. Across Canada, over 95% of people say that they have access to or are under the care of a primary care provider (family doctor, nurse practitioner or a primary care team). On the other hand, according the the Health Council of Canada, 25% of Canadians felt that it was too difficult to see their physicians and many felt that this access was a key reason why they visited the hospital emergency department.\u00a0In its report, the New Brunswick Primary Care Advisory Committee (PCAC) \u00a0identified that 93% of New Brunswickers had access to a primary care provider (usually a GP). The New Brunswick Health Council (NBHC)\u00a0surveyed New Brunswick residents and found that while 93 per cent of citizens have a family doctor,\u00a0only 30% can get an appointment on the same or next day.\u00a0This meant that up to\u00a060,000 New Brunswick citizens may not have had ready and continuous access to primary care (walk in clinics and even emergency departments can provide primary care but do not support the continuity that is the hallmark of effective primary healthcare). This is in light of the fact that the province actually has more physicians per 100,000 people than the Canadian average. \u00a0While it was impossible to accurately measure the extent of this issue, everyone concerned agreed that it needed to be addressed. The PCAC\u00a0 further stated that young people and especially those with young families seem to have the hardest time to find a doctor. Since the recommended portal to the health system takes place in primary care the Committee stated that it is important that every New Brunswicker that wants one should have access to a primary care provider.\u00a0<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The Problem&nbsp;<\/h3>\n\n\n\n<p>Several regions within the province had been making significant efforts to identify and then to match people who did not have a family healthcare provider. \u00a0The usual process was to capture some information on the person and their families over the phone and to store that in an electronic record so that they could be contacted when providers were ready to take on new patients. Several thousand of these records were created for many years. \u00a0Unfortunately this information was not completely accurate, was not standardized across regions, and only covered regions that supported 60-70% of the people in the province. Many rural communities did not have access to the lists and therefore the province and the health regions had no way of knowing how many unattached patients resided in these areas.\u00a0<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The Solution&nbsp;<\/h3>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p>The Department of Health \u00a0began discussions to create a provincial registry. Working with partners across the health system the Department identified several key objectives for the program and began its implementation.\u00a0ASG was asked to coordinate the launch of the program and to operate the telephonic registration and back end patient matching services. To accomplish this, the Patient Connect NB program team set up a one time transfer of the existing databases, created a real time link to the Province&#8217;s on line registration portal and set up an integration process with the Tele-Care 811 program so that people could access immediate care and advice when needed.\u00a0<\/p>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How it Works<\/h3>\n\n\n\n<p>When people visit the Provincial web site or call the Patient Connect toll free number they are invited to register for the program. \u00a0They are then asked a series of questions to support sorting of people who may have an urgent requirement to be seen. \u00a0All placement of people is performed using a first in first out approach. People are also asked about their preference for language and how far they would be prepared to travel to see a family healthcare provider. When practices have room to take new patients they contact the service and provide the program with the number of patients and the timing of the proposed onboarding process. The team then queries the list to identify potential candidates and their families and a letter is prepared inviting the patient to contact their new \u00a0provider. To ensure that the list is kept current people are encouraged to check back if they have a change in status such as a move or a new diagnosis. \u00a0Finally, every four months, an automated messaging system reaches out to participants to check to see if they are still looking or have any new information to share.\u00a0<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Results<\/h3>\n\n\n\n<p>After the first year of operation, several milestones have been met. The first and most important is that people now have a place to go when they are trying to get connected to a family practice. &nbsp;In terms of statistical success the program&nbsp;has matched over 17,000 people to a primary care provider in locations throughout the province.&nbsp;<\/p>\n\n\n\n<p><\/p>\n","protected":false},"featured_media":453,"parent":0,"template":"","industry_service":[11],"class_list":["post-481","health-case-studies","type-health-case-studies","status-publish","has-post-thumbnail","hentry","industry_service-healthcare-nav"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Helping Unattached Patients - Assistance Services Group (ASG)<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/assistanceservicesgroup.com\/healthcare-case-studies\/helping-unattached-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Helping Unattached Patients - Assistance Services Group (ASG)\" \/>\n<meta property=\"og:description\" content=\"The Situation&nbsp; 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