Jack M. Colwill

Progress of Ontario's Family Health Team model: a patient-centered medical home.

Ontario’s Family Health Team (FHT) model, implemented in 2005, may be North America’s largest example of a patient-centered medical home. The model, based on multidisciplinary teams and an innovative incentive-based funding system, has been developed primarily from fee-for-service primary care practices. Nearly 2 million Ontarians are served by 170 FHTs. Preliminary observations suggest high satisfaction among patients, higher income and more gratification for family physicians, and trends for more medical students to select careers in family medicine. Popular demand is resulting in expansion to 200 FHTs. We describe the development, implementation, reimbursement plan, and current status of this multidisciplinary model, relating it to the principles of the patient-centered medical home. We also identify its potential to provide an understanding of many aspects of primary care.

Success Strategies For Departments Of Family Medicine

Strong departments of family medicine in academic medical centers help assure the future scope and quality of family practice patient care, the ongoing evolution of family medicine as a scholarly discipline, and a continued flow of qualified medical school graduates into family practice residency programs and eventually into practice. This report presents key strategies of six successful departments of family medicine and describes the methods and skills considered important by the leaders of these departments. Common themes that emerge are (1) recruit and mentor the best faculty, (2) build a reputation for clinical excellence of faculty and residents, (3) become part of schoolwide curriculum activities, (4) establish a scholarly presence, and (5) develop networks of support.

A Case Of ‘Medical Homelessness’

A physician yearns for patient-centered medicine as he watches his sister and severely ill brother-in-law search for a doctor who’s accessible and willing to coordinate care.

The Financial Impact of a Nursing Home Practice on an Academic Medical Center

This study reports the economic contributions of nursing home practice to an academic department of family practice as well as the fiscal impact of referrals from nursing home practice on an academic medical center. Payment to primary physician faculty for nursing home service did not fully compensate for faculty effort. Nevertheless, these services did result in significant revenues to consulting physicians and the University Hospital. In aggregate, an average nursing home visit was associated with

Patient Relationships and the Personal Physician in Tomorrow's Health System: A Perspective from the Keystone IV Conference

33 in charges for the visit by the primary physician,

THE LAST 5 YEARS OF THE MU/ADFM NEW CHAIRS WORKSHOP

15 for additional primary care services in the clinic and hospital,

UNIVERSITY OF MISSOURI’S “REINCARNATED” WORKSHOP FOR NEW CHAIRS OF DEPARTMENTS OF FAMILY MEDICINE

72 for services by consulting physicians, and

Will Generalist Physician Supply Meet Demands Of An Increasing And Aging Population

307 in charges by the University Hospital. The average nursing home patient provided

The Future Supply Of Family Physicians: Implications For Rural America

3,744 in charges and

Patient-Centered Medical Homes in Ontario

2,403 in income to the academic medical center per year, with