Manitoba to test the use of physician
WINNIPEG – Manitoba has launched a pilot project to
start developing ‘Physician Integrated Networks’ (PIN), groups of
physicians who can deliver primary care to patients around the clock by
working in teams.
According to the Manitoba Health web site, a mailing of the project
information and an “Application of Interest” had been sent to primary
care physicians. Interested fee-for-service group medical practices were
asked to complete an Application of Interest form and to submit it by
June 30, 2006.
By July 21, 2006, Manitoba Health said it intended to have identified
the two (2) initial sites and would begin working with these groups in
developing an implementation plan. Other practice groups that are not
selected as the initial two implementation sites would still be invited to
participate in many of the planning and evaluation activities.
The goals of the PIN are:
• To improve access to primary care.
• To improve Primary Care Providers’ access to and use of information
• To improve the working environment for all primary care providers.
• To demonstrate high quality primary care with a specific focus on
Chronic Disease management.
The core elements of the Physician Integrated Network (PIN) project
• Structure & Practice – the grouping together of primary care
physicians into physician groups.
• Information Management – utilization of Electronic Medical Records to
populate an Outcome Data Repository with the ability to track objectives
and measure outcomes.
• Linkages to provincial information systems, including DPIN,
immunization records with future connectivity to such areas as lab
information systems, radiology information systems, public health
information systems, provider and client registry.
• Funding & Remuneration – predictable, stable, and direct funding to
autonomous Physician Groups.
• Ability to access services (e.g. hiring, contract, sub-contract) of
providers as determined by the Physician Group using information such as
Practice Population Profiles.
• Funding linked to measurable objectives and participation in
• Developmental approach to blended funding options.
• Monitoring & Evaluation – framework is to be designed in partnership
with the Manitoba Centre for Health Policy and the University of
Manitoba. To be measured are quality of care, preventive practices,
chronic disease management practices, utilization of other primary care
providers, patient and provider satisfaction (to address patient access
and provider lifestyle issues).
• Qualitative and quantitative evaluation approaches will be used.
The eligibility criteria for participating in the program requires that
each site has:
• A staff compliment of, at minimum, five (5) Full
Time Equivalent (FTE) family physicians or general practitioners in a
• Current patient roster of a minimum of 6,500 active clients.
• The capacity, in terms of both space and administration, to support
access to multidisciplinary providers.
• A fully operational electronic medical record (EMR) integrated into
• A commitment to the 3-year process; specifically a commitment to
participate actively in the development of the project, the evaluation
process and the project objectives:
1. To improve access to primary care;
2. To improve primary care provider’s access to and use of Information
3. To improve the working environment for all primary care providers;
4. To demonstrate high quality primary care with a specific focus on
Chronic Disease management.
Details of the program are available at: