Fraserview Retirement Community

The Family Practice Services Committee (FPSC) Long-Term Care Initiative (LTCI) supports Divisions of Family Practice to work with Health Authority partners to design and implement local solutions that deliver quality dedicated Family Physician Most Responsible Physician (FP MRP) in long-term care homes according to the following five best practice expectations (BPEs) and promotes three system level outcomes.

1. 24/7 availability and on-site attendance, when required
2. Proactive visits to patients
3. Meaningful medication reviews
4. Completed documentation
5. Attendance at case conferences

1. Reduced unnecessary or inappropriate hospital transfers
2. Improved patient-provider experience
3. Reduced cost per patient, as a result of a higher quality of care

• Fraserview Residence
• Hamilton Village Care Centre
• Minoru Residence
• Pinegrove Place
• Richmond Lions Manor
• Rosewood Manor

The LTCI supports physicians throughout their LTC careers. When you join the LTCI, you will be provided with a:

• full orientation
• assistance with your contract and paperwork
• onboarding at your care home
• clinical mentorship support.

We also coordinate:

• your on-call availability
• special LTCI physician learning events, meetings, and mixers
• physician quality improvement activities collaboratively with our Health Authority partners.

Administration – LTCI physician after-hours on-call scheduling and funding is administered by local divisions. Call answering service used is the Personal Touch Telephone Answering Service.

Eligibility – On-call availability payable to all physicians participating in after hours on-call, regardless of their payment model. All FPs must participate in LTCI and the agreed upon call group structure in order to receive availability funding.

Response Expectation – Calls must be answered within 30 minutes.

Payment – Call payment rates are based on prorated MOCAP level 2 rates for call availability.

Simultaneous Coverage – A single physician may provide coverage simultaneously for more than one approved call group but can only receive payment on a daily basis for participating in one group. (Eg: If a FP is on-call for LTC and IPC, they may only be compensated for being on call for one program. If a FP is on-call for LTC and ER, they may only be compensated through the FPSC on-call availability funding or MOCAP).

VCH LTC Clinical Service Contract – Receive pay monthly based on a maximum annual rate for providing a minimum of 0.2 FTE (one day per week) of services per year to a minimum of 25 residents at an LTC home, up to a maximum of 50 residents.

Longitudinal Family Physician Payment for Long-Term Care – The LFP Payment Model is designed as a comprehensive payment model for longitudinal family physicians, incorporating several aspects of family medicine care. It includes clinic-based services that are provided via longitudinal family physician clinics, pregnancy & newborn clinics, and patients’ home settings. It also includes facility-based care in long-term care facilities and palliative care facilities, as well as inpatient care and pregnancy & newborn care in hospital.

The LFP Payment Model is a blended payment model that compensates a physician for:

1. physician time;
2. interactions; and
3. the size and complexity of a physician’s patient panel.

A physician bills for the total daily time they spend providing care, including time spent on direct care, indirect care and clinical administration. They also bill for each patient interaction and conferencing/communication. In addition, they receive a quarterly panel payment based on the number of patients on their panel and the complexity of those patients.

For more information, refer to the Longitudinal Family Practice (LFP) Payment Model Billing Schedule – https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/msp/physicians/longitudinal-family-physician-lfp-payment-model

FPSC Long-Term Care Initiative (LTCI) MRP Payment – for physicians who are not eligible for the LFP Payment Model for an amount of $290 per year per LTCI bed for which you are the Most Responsible Physician (MRP), to a maximum amount of $45,000. The maximum annual amount of $45,000 does not include payments you may receive for on-call availability or QI participation.

To be eligible for this payment, you must meet all the following requirements:

• Not be eligible for the LFP Payment Model, as outlined in the current LFP Payment Schedule.
• Actively participate in the FPSC Long-Term Care Initiative (LTCI) with your local division, including the community solution for 24/7 availability and approach to MRP coverage for the beds in the community.
• Provide long-term care services according to the 5 best practice expectations (BPEs
• Be MRP for a minimum of 5 LTC facility-based beds.
• Not be on an APP contract that includes payment for facility-based LTC services.

Eligible family physicians will receive an invitation email at the beginning of each quarter from fp.billing@doctorsofbc.ca, which will include a link to an online application form and instructions on how to claim the payment.

After FPSC has reviewed and approved your application, Doctors of BC will send you an email confirming the payment. The funds will then be remitted to the same bank account that you use to receive sessional payments from Doctors of BC. The payment will be remitted six weeks after the claim form deadline.