Family Practice Sustainability Resources and Strategies

The purpose of this page is to act as a repository for resources and strategies to help support and sustain your medical practice.  If you are aware of information that would be useful to this page, please contact the Pacific Northwest Division of Family Practice. 

GPSC Logo and Link

 $1,000 GPSC PAYMENT AVAILABLE TO FAMILY DOCTORS WHO COMPLETE PANEL MANAGEMENT AND ENROLL IN THE HEALTH DATA COALITION DISCOVER PLATFORM

Family doctors who have completed panel management are eligible for a new $1,000 GPSC payment if they enroll in the HDC Discover tool and complete the orientation for the software. The payment supports family doctors to utilize the tool to make data-informed quality improvements in their practices.

HDC Discover is a physician-led data platform that supports quality improvement in primary care. As more physicians use the tool, communities and family doctors will increasingly be able to conduct primary care network planning and make data-informed decisions on a local or regional level.

The GPSC will email eligible physicians information about applying for the payment. Application and enrollment deadline for HDC Discover is March 30, 2022.

Read the full details of the payment, and email questions to the Doctors of BC.

GPSC GRANT SUPPORTS DOCTORS TO FORM GROUP FAMILY PRACTICES

The GPSC has introduced a new grant to help cover expenses incurred when family doctors join or form a new or expanded group practice. The Group Family Practice Development Grant, which provides up to $30,000 per eligible physician, addresses feedback from family doctors that significant expenditures of closing and/or merging offices are holding them back from forming or consolidating group practices.

HOW DO I APPLY?

Applications for the grant are made after the new or expanded group family practice has been formed. The group family practice will submit an online application form on behalf of the eligible family physicians. On the application form, the family practice will list expenses incurred by each doctor – individual physicians should not submit separate applications.

WHERE CAN I LEARN MORE?

Doctors who are considering joining or forming a consolidated group family practice and claiming this grant are encouraged to contact the GPSC billing team to clarify eligibility. Please email the Doctors of BC for inquiries. The FAQ provides more details about the grant.

THE COMMUNITY LONGITUDINAL FAMILY PHYSICIAN (CLFP) PAYMENT 

The Community Longitudinal Family Physician (CLFP) Payment recognizes community-based family physicians who work under fee-for-service and who care for a panel of patients for providing long-term, relationship-based care.

Longitudinal care includes providing patients with ongoing medical care, maintaining patients’ medical records, and coordinating referrals to other health care providers when needed. The CLFP Payment recognizes the additional, non-clinical responsibilities required to provide ongoing, coordinated care for which fee-for-service physicians are not compensated.

This year’s Community Longitudinal Family Physician (CLFP) payment will increase by an average of $6200 over last year’s average payment. This includes a one-time payment (an average of $5000) to eligible family physicians, along with an ongoing increase (an average of $1200). 

Throughout 2022, look for additional supports from the General Practice Services Committee (GPSC) for family physicians such as enhanced maternity fees and workflow supports that will be aimed at reducing the administrative burdens that consume much of your time.

As part of its supports for longitudinal family medicine, the GPSC provides eligible family physicians with the CLFP payments, which recognize the additional responsibilities of CLFP physicians to maintain or enhance relational continuity between doctors and patients.

About the CLFP increases

Doctors will receive an annual payment that will be ongoing into the future and a one-time payment. 

Increase in annual payment

  • The average annual payment will increase by about $1200 from last year, and this increase is expected to continue in future years. This means that the majority of eligible doctors will receive a payment amount between $5000 to $8000 for the year.
  • The minimum CLFP 2021 payment amount will increase by $1000 to $4000 (last year’s minimum was $3000). The maximum payment amount will remain at $12,000.
  • The payment amount to eligible new-to-practice physicians will also increase from $3000 in previous years to $4000.

One-time payment

  • In addition to the annual CLFP payment increases, eligible family doctors will receive a one-time payment of $3000 to $7000 based on the number and complexity of Majority Source of Care (MSOC) patients associated with the family doctor.
  • The one-time payment is only available to family doctors who receive the regular CLFP 2021 payment and is not available to doctors receiving the CLFP 2021 new-to-practice payment.
  • This one-time payment likely won’t be available in future years.

More information

Eligible physicians, including new-to-practice physicians, will receive an email from GPSC with payment details. 

​Additional information about the CLFP payment can be found on the GPSC website. If you have questions, please contact gpsc.billing@doctorsofbc.ca

PRACTICE SUPPORT PROGRAM SUPPORTS FOR EXPANDING IN-PERSON CARE – As family practices expand in-person care as the COVID-19 restrictions ease, the GPSC’s Practice Support Program (PSP) can help the clinic develop a work safe restart plan, and also support physicians in transitioning their practices into a hybrid delivery model combining virtual and in-person care. PSP offers flexible and tailored coaching and mentoring support. 

For questions or more information about eligibility requirements for PSP compensation and certification, please email the Practice Support Program at the Doctors of BC or Northern Health.

Stabilization funding: Application process

On Tuesday, September 6, family doctors received emails detailing the funding application process for the primary care stabilization funding announced by Doctors of BC and the BC government in late August.

Clinic Stabilization Payment

Community Longitudinal Family Practice (CLFP) payment from GPSC

Please note that there are six categories of CLFP funding and doctors received individualized emails according to their eligibility. Access the claim forms (login required) for: 

BUSINESS PATHWAYS – Business Pathways is a Doctors of BC initiative that helps physicians navigate the operational side of running a practice. It is a customizable, one-stop shop to access support based on your current needs. 

More information about Business Pathways including access to other supports, resources, and toolkits, can be found on the Business Pathways webpage

HEALTH AUTHORITIES ACCEPTING EXPRESSIONS OF INTEREST FOR COVID SERVICE CONTRACTS –  Health authorities are accepting Expressions of Interest (EOI) for the Simplified COVID Service Contract. Doctors who are interested in potentially transitioning to the contract should contact their health authority’s medical affairs department to formally express their interest and discuss next steps.  Physicians will be eligible only if they have experienced a decrease in their FFS (fee for service) billings of at least 20 per cent compared to the corresponding period in the previous year. Visit the Doctors of BC website for information on eligibility criteria and the EOI process.

PROVINCIAL PPE PORTAL – The Ministry of Health’s Health PPE Portal provides personal protective equipment (PPE) and critical supplies to family doctors and specialists in BC community clinics. 

Family physicians and specialists with community practices can place their next order of personal protective equipment (PPE) through the Health PPE Portal starting September 1. Doctors who have already ordered through the portal will soon receive an e-mail containing their unique customer identification number and an invitation to place their next order for up to three months of PPE and critical supplies. Please note: Hand sanitizer is out of stock and will not be replenished.

If you do not receive an email by September 15, 2022, or if have yet to order from the portal and are eligible, please email health.ppe@gov.bc.ca for assistance.

Due to significant order volumes, please allow for 12-15 business days to receive your delivery.   

The Ministry of Health continues to assess the approach to the PPE Portal and will provide updates as these discussions continue. If you have questions about the portal, please see the Health PPE Portal‘s FAQ section or email health.ppe@gov.bc.ca.

CONTRACT OPTIONS FOR BC’S PHYSICIANS – The BC Ministry of Health has introduced a number of new contract options for BC’s physicians. They provide more choice for established and new-to-practice family physicians who want to move away from Fee-for-Service (FFS) and practice in a different way, and support for physicians whose Fee-for-Service practices continue to be significantly destabilized due to conditions resulting from COVID-19. Group contracts will also continue to be offered to anesthesiologists and ER physicians.

The Ministry consulted with Doctors of BC during the development of the contracts. If you have questions please contact Doctors of BC staff.

HEALTH TECHNOLOGY RESOURCES  | Doctors of BC – The Doctors Technology Office has developed a number of resources and best practice guides to inform and educate physicians across the province in better navigating the health technology landscape. The links below are grouped by topic. For further information or to request additional resources, please email the Doctors Technology Office.

SMALL BUSINESS AND INDIVIDUAL INCOME SUPPORTS FOR PHYSICIANS DURING COVID-19  – a summary of the supports that both the federal and provincial government have put in.

BILLING CHANGES – COVID-19 – General Preamble changes; Section of General Practice Preamble changes New COVID-19 Office Visit Codes. Two new, temporary office visit fees have been introduced for physicians treating patients with suspected or active COVID-19 symptoms, one with test and one without test.

THE DOCTOR IS IN: SUPPORTING PHYSICIANS IN RE-OPENING OFFICES – “The Doctor is In: Recommendations for expanding in-person care in community-based physician practices” provides a one-stop source of information to support physicians in the gradual re-opening of offices and clinics.

BUSINESS COST PREMIUM EXPANDS TO INCLUDE TELEHEALTH – This article has been updated with answers to some of the questions we have been asked by physicians. Click here to read the Physician Q&As. Effective May 1, 2020, the Business Cost Premium (BCP) will be temporarily expanded to apply to telehealth fee items, including phone and video communication with patients. This change ensures the BCP is paid during the COVID-19 pandemic, given these services would have normally been provided in person in physician’s offices.

COVID-19 SAFETY PLAN (Generic) – A COVID Safety Plan requires you to assess the risks, implement protocols, develop policies, develop communications, monitor your workplace, and assess and address risk.  This plan was drawn up using the WorkSafeBC template & the Doctor Is In Safely Plan appendix.  

THE COVID-19 PIVOT: AN OPPORTUNITY TO RE-EVALUATE HIGH VALUE CARE & CLINICAL PREVENTIVE SERVICES – The COVID-19 pandemic has seen family physicians shift to more virtual care and less in-office services.

RE-OPENING YOUR PRACTICE DURING COVID-19 – This material is for general information only; please follow the direction provided by your regulatory college, the Chief Medical Officer of Health and your local public health unit. This guidance was developed for the CMA in conjunction with the Centre for Effective Practice (CEP), one of the largest independent knowledge translation organizations for primary care in Canada.

COVID-19 RESOURCES FOR HEALTH PROFESSIONALS  COVID-19 resources for health professionals. To support our Fellows who are providing high quality patient care under these challenging circumstances, the Royal College has compiled evidence-based information and resources about COVID-19.