Comprehensive Care Mode

  • Fee-for-service + some incentives and bonuses
     

  • Designed for solo primary care physicians 
     

  • Regular office hours plus one three-hour session of extended hours 
     
  • Sign agreement to join

Family Health Groups (FHG)

  • Fee-for-service + some incentives for patient enrollment and bonuses
     

  • Three or more physicians practicing together
     

  • Regular office hours plus three to five sessions of extended hours (at least three hours in duration) based on number of physicians in group
     

  • Sign agreement to join

Family Health Networks (FHN)

  • Blended capitation model: age- and sex-adjusted base rate remuneration plus bonuses and incentives
     
  • Three or more physicians practicing together
     
  • Physicians commit to enroll patients
     
  • Regular office hours plus three to five sessions of extended hours (at least three hours in duration) based on number of physicians in group
     
  • Sign governance and FHN agreements to join
     
  • FHNs can apply to the MOHLTC for funding to add allied health professionals if they are successful in their application for a Family Health Team (FHT)

Family Health Organizations (FHO)

  • Blended capitation model: age- and sex-adjusted base rate remuneration plus bonuses and incentives
     
  • Three or more physicians practicing together
     
  • Physicians commit to enroll patients
     
  • Regular office hours plus three to give sessions of extended hours (at least three hours in duration) based on number of physicians in group
     
  • Sign governance and FHN agreements to join
     
  • FHOs can apply to the MOHLTC for funding to add allied health professionals if they are successful in their application for a FHT
     

  • The major difference between an FHN and an FHO is their defined basket of services for enrolled patients

Family Health Team (FHT)

  • Blended capitation model or blended salary model
     
  • Work in interdisciplinary teams
     
  • Patient enrolment strongly encouraged
     
  • Regular and extended hours
     
  • Must become a member of a primary care group (FHN, FHO) affiliated with an existing FHT to join

Rural-Northern Physician Group Agreement (RNPGA)

  • Complement-based remuneration plus bonuses and incentives
     
  • Serves rural and northern communities with a complement of one to seven physicians
     
  • Regular hours and one to five sessions of extended hours based on the size of the RNPGA
     
  • Nurse-staffed, after-hours Telephone Health Advisory Service provides advice to enrolled patients

Community Health Centres 

  • Salaried model
     

  • Interdisciplinary teams serve hard-to-serve communities and populations that may have trouble securing health services
     

  • Focus on addressing the underlying conditions that affect people’s health, such as social determinants of health, poor diet and literacy
     

  • Regular extended hours

     

For further information on Family Practice Models, CLick Here