Comprehensive Primary Care

Comprehensive Primary Care (CPC) is a systemic approach in general practice that WA Primary Health Alliance co-designed and developed with GPs.

It is a GP-led, integrated place-based approach that aligns to the principles of the Patient Centred Medical Home (PCMH) model.

The principles that underpin PCMH are universally relevant and fundamental to strong primary care. The model plays a pivotal role in achieving improved health of populations, enhanced patient experiences, healthcare cost reductions and better support for health professionals – also known as the Quadruple Aim.

For more information, please contact your Primary Health Liaison or mary.haughton@wapha.org.au.

Quadruple Aim

WA Primary Health Alliance will use the underpinning principles of the PCMH to inform its development of a CPC model for WA general practice.

10 Building blocks of high performing primary care

PCMH is in its early stages of adoption within Australia, however it has made significant inroads in areas such as Boston, USA where the Cambridge Health Alliance (CHA) leads a changing approach to primary care.

The CPC model that WA Primary Health Alliance has adopted is based on the Bodenheimer PCMH Model, a well-documented and researched model, and advocates enhanced patient access to comprehensive, coordinated, evidence-based, interdisciplinary care.

We have begun the the first stage in our CPC journey, partnering with selected local general practices across metropolitan Perth and country WA, to see PCMH principles applied within the Australian context. As part of the project, we have a dedicated support team, working across the involved practices and will facilitate an ongoing education program around the model’s 10 critical building blocks.

Select one of the 10 building blocks below to find out more.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.

Engaged Leadership

High performing practices have leaders fully engaged in the process of change. Even natural leaders learn the science of how to facilitate organisational transformation. High-performing practice have leadership at all levels of the organisation, medical assistants, receptionists, clinicians, and other staff take on the mantle of changing how they and their colleagues do their work. Some engage patients in leadership roles calling upon them as experts in the health care experience to identify priorities for improvement. Leaders create concrete, measurable goals and objectives, such as, the percentage of our patients with diabetes who have glycated haemoglobin (HbA1c) levels greater than 9% will decrease from 20% to 10% by December 31, 2013.

Sourced:

Bodenheimer, T., Ghorob, A., Willard-Grace, R. & Grumbach, K. (2014).
The 10 building Blocks of High Performing Primary Care.
Annals of Family Medicine, 12(2), 166-171.