Inter-Professional Health Provider Funding Application For Primary Health Care Patient Enrolment Model Groups

The Ministry of Health and Long-Term Care (MOHLTC) and the Ontario Medical Association (OMA) are working collaboratively through the Primary Health Care Sub-Committee (PHCSC) on the Inter-Professional Health Provider (IHP) Funding initiative. The 2012 Physician Services Agreement (2012 PSA) includes a provision for IHP funding (Appendix D, s.9) to support the integration of IHPs into non-Family Health Team (FHT) affiliated patient enrolment model (PEM) groups.

2012 PSA, Appendix D, S. 9 states:

INTERPROFESSIONAL HEALTH PROVIDER FUNDING (April 1, 2013)

The Parties agree to expand the availability of Interprofessional Health Providers ("IHPs") for patients in the community with primary care needs. Full salary funding will be made available to support the integration of IHPs, including PAs, into non-Family Health Team affiliated PEM groups of three or more physicians. . The PHCC will work through the implementation details, which may include the following criteria: (a) the basis of community need; (b) roster size; (c) involvement in quality improvement initiatives; and (d) integration with other healthcare providers in the region to support population based planning and service provision.

The Ministry of Health and Long-Term Care will provide full salary funding to non-FHT affiliated PEM groups to promote the building of small interdisciplinary and collaborative teams to enhance the access to and the delivery of quality primary care within their communities. Please note that there is limited funding available for this initiative in this fiscal year.

Applicants are encouraged to work with their Local Health Integration Networks (LHINs) in the preparation of their applications in order to demonstrate how the IHP positions will support the specific need(s) of their community's patient population.

Successful applicants will enter into a funding agreement with the Ministry of Health and Long-Term Care, and will be expected to collect data and provide regular service encounter and financial reports to the ministry as specified in the agreement. Successful groups may wish to collaborate with community health care agencies for the recruitment of potential IHP candidates.

Successful physician groups are encouraged to create an environment where the inter-professional provider has the opportunity to reach his or her full scope of practice. Additional information on scope of practice can be found on the governing college websites for the inter-professional health providers.

Physician groups will be required to appoint a physician lead as the point of contact who will speak on behalf of your group for the purpose of this application process. This physician will be responsible for providing the ministry with any updates, supporting data, and reports as required in this application.

Eligible Applicants

In order to ensure a team based approach is used for IHPs, funding is available for:

  1. Non-FHT affiliated PEM groups of three (3) or more physicians who have or will acquire sufficient space and capital equipment to accommodate for the integration of inter-professional health providers hired through these funds.
  2. A maximum of three (3) full time equivalent (FTE) IHPs of varying disciplines will be allocated per non-FHT PEM group. A FTE is defined as a provider working 40 hours per week. Please ensure that you base your proposed number of FTE providers on the number of hours per week you anticipate the provider will be working. Partial FTEs are acceptable (a minimum of 0.2 FTE).
  3. A range of approved IHP providers includes: Nurse Practitioners, Physician Assistants, Registered Nurses, Registered Dietitians, Social Workers, Chiropodists, Occupational Therapist, Respiratory Therapist, Physiotherapist, Pharmacist, or Registered Practical Nurse. The application should demonstrate that an explicit need of the population will be met through their services.
  4. The ministry shall pay 100% of the cost of salary and 20% for benefits. Funding is not available to cover associated supplies or overhead costs.
  5. Participating physicians will not be permitted to bill OHIP for services that are delegated to inter-professional health providers for services funded under this program.

Existing inter-professional health providers who are currently funded by ministry sources, contributions from sponsors, and/or community partners are not eligible for funding through this program. The ministry is interested in funding new positions or increasing the contribution of existing providers as part of the Inter-professional Health Provider program.

Application Logistics

The application must be completed in Adobe and answers must be typed in point or paragraph form using the application form template provided at the following link:

The application process is now closed.

Please note that the boxes contained in the application will adjust to accommodate the length of your responses. Applications that are not submitted in Adobe may be disqualified.

Applicants are encouraged to answer each of the questions clearly, completely and concisely. Incomplete applications will be evaluated according to the information provided. Applicants may update their applications by resubmitting them up until the closing date. It is the applicant's responsibility to ensure that the ministry is aware of the new submission to ensure the most up-to-date application is evaluated.

Applicants must:

  • Affix any supporting documentation in clearly defined appendices at the end of the application. Where possible, please scan all supporting documents to create electronic copies.
  • Ensure that the application is complete prior to submitting it to the ministry.

In addition, applicants are strongly encouraged to include a letter of endorsement/support from their LHIN supporting their request.

Completed applications must be received by the ministry by 5:00 pm on August 16, 2013 by mail or email at:

Ministry of Health and Long-Term Care
Inter-Professional Provider Funding
80 Queen Street, 3rd Floor
Kingston, ON K7K 6W7
email: IHP@ontario.ca

Selection Process

Information must be complete and the application should clearly demonstrate how funding will help your team meet specific needs of your defined patient population to provide an enhanced model of comprehensive primary care.

The ministry will evaluate applications based on how the information provided in the application package meets the following criteria. The ministry may review a short list of potential applicants with the respective LHINs. The ministry will make the final decision on successful applicants.

Criteria for approval

  • Increased timely access to care. Where appropriate, increase the PEM roster size and existing level of IHP resources.
  • Rationale/evidence to support the request for specific IHPs including how specific need(s) of the community's patient population will be addressed.
  • Demonstrate involvement or commitment to participate in Quality Improvement Plans as set out in the 2012 PSA, Appendix D, S. 3.
  • Illustrate how integration and collaboration with other healthcare providers in the community to support population based planning and health system linkages
  • Demonstrate how the group will encourage an environment where the provider has the opportunity to reach his or her full scope of practice.

Next Steps

Once an application has been approved, the successful applicants will:

  • Be advised in writing that their application has been selected and asked to confirm their continued interest. If a successful applicant withdraws or fails to meet the condition of participation, the ministry will choose another eligible application.
  • If required, clarify specific aspects of their application and prepare an implementation plan.
  • Enter into a funding agreement with the Ministry of Health and Long-Term Care, and will be expected to collect data and provide regular service encounter and financial reports to the ministry as specified in the agreement.

Groups selected to receive IHP funding support will be advised no later than September 16, 2013

For More Information

Contact the Ministry of Health and Long-Term Care Inter-Professional Health Provider Funding Initiative by email at IHP@ontario.ca or by phone at 613-536-3219.

 

Alternatively you may contact the OMA by email at negotiations@oma.org or by phone at 1-800-268-7215.