Team-based primary care must be the foundation of an integrated care system, and the FHT contract can provide the best direction for strong primary care teams that are the fundamental base of a strong healthcare system.
In 2021, AFHTO began member and stakeholder consultations to develop recommendations for the next FHT contract. The current one is scheduled to expire on March 31, 2023.
AFHTO began work with McMurchy Consulting and formed a contract working group of eight team executive directors in 2021. These EDs brought a strong variety of voices to the table. After extensive internal and stakeholder consultations, discussion groups were established in 2022 for what were determined as the three major areas of consultation: governance, accountability and performance, and FHT/physician affiliation.
Through this work, we developed our recommendations for modernizing the FHT contract, Schedule A, the governance attestation, and the annual operating plan. This was submitted to the ministry in November 2022. We will keep members apprised of progress on contract reform.
Thank you to everyone who participated in AFHTO’s FHT contract work – our initial working group, the subsequent discussion groups, the AFHTO Leadership Council, physicians who joined physician consultations, and many stakeholders. Your advice and suggestions were critical for us to develop a thoughtful set of recommendations for the ministry.
The documents that the ministry has received are below. Please note these are all draft.
FHT Contract Submission (all are draft):
- Aspirations and Recommendations for the Contract Renewal Process
- FHT Governance and Compliance Attestation
- Governance Experience Matrix – Skills-based and Diverse Boards
- FHT-Physician MOU
- Performance and Accountability – Framework
- Performance and Accountability – Revised Schedule A and AOP
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