Government

Quick access to information based on government's structure



Ministry of Health

PHCO - Operations Manual

Alternative Forms of Physician Payment

Version 1, October 2004

This operations manual is for the use of Primary Health Care Organizations, health authorities and other health care providers interested in the set-up and management of primary health care organizations under the blended funding model.

View the document online by clicking on the individual section links in the table below. If you prefer, you can open the  PHCO Operations Manual (PDF 3.9M) - a very large file, as well. Please note, the documents are designed for printing double-sided.

Section/Link Section Description Last Updated
Table of Contents
(PDF 171K)
Table of Contents September 29, 2004
Section 1 - Introduction
(PDF 371K)
An overview of primary health care renewal and the PHCO concept. It also offers contact information useful to both existing and potential PHCOs September 29, 2004
Section 2 - Establishing a PHCO
(PDF 313K)
The overall funding model for PHCOs and the process for setting up a new site September 29, 2004
Section 3 - Managing a Patient Register
(PDF 1.2M)
Information on managing the register of patients who get the majority of their primary health care services from the PHCO September 29, 2004
Section 4 - Submitting Claims
(PDF 546K)
Information on how PHCOs report patient services September 29, 2004
Section 5 - PHCO Payments Process
(PDF 316K)
The processes by which payments are made and specific information on payment/funding calculations September 29, 2004
Section 6 - Resources
(PDF 147K)
An overview of complementary programs, funding opportunities and sources of health information PHCOs may use to enhance their practice September 29, 2004
Appendix A - Local Health Areas
(PDF 130K)
Maps of Local Health Areas used to define the catchment areas for PHCOs September 29, 2004
Appendix B - Information Require for Site Analysis
(PDF 176K)
Listing of information required by the Ministry to assess the fit of a new PHCO under the blended funding model September 29, 2004
Appendix C - PHCO Site Analysis Report
(PDF 100K)
A sample of the report comparing the potential funding of a PHCO under blended funding versus fee-for-service September 29, 2004
Appendix D - Outflow Reduction Strategies
(PDF  93K)
Tips on how to optimize the proportion of care a PHCO provides to its registered patients September 29, 2004
Appendix E - Patient Registration Reports
(PDF 107K)
Examples of regular reports PHCOs receive regarding patient registrations and de-registrations September 29, 2004
Appendix F - Quarterly/Annual Reports
(PDF 1.0M)
Examples of the funding, diagnostic and service delivery reports provided to PHCOs September 29, 2004
Glossary
(PDF 143K)
Glossary of Terms September 29, 2004
Index
(PDF 134K)
An alphabetical Index of subjects September 29, 2004
Complete PHCO Operations Manual
(PDF 3.9M)
One document containing the Table of Contents, All Sections, Appendices, Glossary and Index September 29, 2004