Panel Development Incentive

The GPSC’s Panel Development Incentive recognizes the upfront time and effort that family doctors and their practice teams take to understand their patient data, develop patient registries, and establish new processes for ongoing panel management (a process of proactively managing a defined population of patients, using EMR data to identify and respond to patients’ chronic and preventative care needs).

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Panel Development Incentive

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To help family doctors and their teams implement and sustain panel management, the GPSC has developed the Panel Management Manual and Workbook, a step-by-step guide of how to complete the Phases of Panel Management. Once the Manual and Workbook is completed by the practice team, it is intended to serve as a clinic manual for current and future team members outlining specific panel management processes that have been implemented in each practice.

The Panel Management Manual and Workbook has been certified by the College of Family Physicians of Canada for up to 75 Mainpro+ credits, three credits per hour for up to 25 hours. Please see the FAQ section for tips on how to complete the Manual and Workbook.

Valued at $6,000, the Panel Development Incentive consists of three payments:

  • Payment 1 ($2,000) can be claimed after eligible family doctors commit to completing phase one, two, and three of the Phases of Panel Management within 12 months after claiming payment 1 of this incentive.
  • Payment 2 ($1,000) can be claimed after eligible family doctors have indicated that they have completed phase one and two of the Phases of Panel Management by submitting a copy of their GPSC Panel Management Manual and Workbook. Please see the FAQ section for tips on how to complete the Manual and Workbook.
  • Payment 3 ($3,000) can be claimed after eligible family doctors have indicated that they have completed phase three of the Phases of Panel Management by submitting a copy of their GPSC Panel Management Manual and Workbook. Please see the FAQ section for tips on how to complete the Manual and Workbook.

Contact panel.incentive@doctorsofbc.ca for support with the Panel Development Incentive and its payment claim forms.

Doctors interested in undertaking the Phases of Panel Management and claiming the Panel Development Incentive are encouraged to access in-practice supports, including coaching and EMR-based tools. To participate, contact your PSP Regional Support Team.

Eligibility

To be eligible for the Panel Development Incentive, doctors must:

  1. Be a full-service family physician* providing longitudinal general practice care to patients in BC. 
  2. Use an EMR system to manage patient information in the clinic where panel management is undertaken.
  3. Demonstrate commitment to the patient medical home by completing the GPSC PMH Assessment in the 12 months prior to claiming the incentive. The GPSC PMH Assessment is an electronic assessment that highlights practice strengths and suggests opportunities for improvements, in relation to the 12 PMH attributes. To request access to the GPSC PMH Assessment, please contact your PSP Regional Support Team
  4. Commit to completing phase one, two, and three of the Phases of Panel Management in the 12 months after claiming payment 1 of the incentive.

Each eligible family doctor can claim the Panel Development Incentive only once.

Doctors who have already completed some or all of the Phases of Panel Management with PSP support are eligible to receive the incentive, less any sessional payments already claimed for this work through PSP and provided that the incentive eligibility requirements noted above have been met.

*The GPSC defines a “full-service family physician” as the family physician who provides continuous comprehensive care to his/her patients and takes responsibility for the coordination of care needs for these patients.”

Claiming Payment

Eligible family doctors must complete and submit an online claim form to request incentive payment. The below claims forms must be submitted in the following sequence:

To confirm completion of phase one, two, and three of the Phases of Panel Management, doctors must upload a copy of their completed GPSC Panel Management Manual and Workbook with Payment Claim Form 2 and Payment Claim Form 3. Please see the FAQ section for tips on how to complete the Manual and Workbook. Once submitted, your Manual and Workbook will be reviewed for completion by GPSC staff. You may be contacted by GPSC staff if additional information or clarification is needed.

FAQs

Eligibility

Are doctors participating in Alternative Payments Program (APP) eligible for the Panel Development Incentive?
In general, APP doctors are eligible for the Panel Development Incentive provided that they meet all the eligibility requirements of the Panel Development Incentive. However, if doctors are paid by a sessional, service, or salary contract for work specifically covered by the incentive (e.g. to undertake the Phases of Panel Management), they are not eligible for the Panel Development Incentive.

I practice family medicine at multiple clinics. Can I claim the Panel Development Incentive more than once?
No. Family doctors are encouraged to complete the Phases of Panel Management for all the clinics in which they practice. However, each eligible doctor can claim the Panel Development Incentive only once.

Do I need to share my GPSC PMH Assessment data with my Division of Family Practice, PSP Regional Support Team, or other doctors in my practice to be eligible for the Panel Development Incentive?
No. The GPSC PMH Assessment is an electronic assessment that highlights practice strengths and suggests opportunities for improvements, in relation to the 12 PMH attributes. When completing the GPSC PMH Assessment, you can choose to opt-in or opt-out of sharing your GPSC PMH Assessment results with specific parties outside of the GPSC Provincial Office. You are not required to opt-in to this type of data sharing to be eligible for the Panel Development Incentive.

Where can I get help with questions about the payment claim forms or Panel Development Incentive?
Contact panel.incentive@doctorsofbc.ca for support with the Panel Development Incentive and its payment claim forms.

GPSC Panel Management Manual and Workbook

What is the Panel Management Manual and Workbook and how should I complete it?

The Panel Management Manual and Workbook provides a step-by-step guide to the Phases of Panel Management and is intended to serve as a clinic manual for current and future team members outlining specific panel management processes that have been implemented in each practice. When completing the Manual and Workbook, please consider the following questions:

  1. Would a new team member who does not know the context of your clinic be able to read the Manual and Workbook and understand how to implement and sustain panel management in your practice?
  2. Has your practice team implemented the tools and processes described by you in the Manual and Workbook? The Manual and Workbook should only outline tools and processes already implemented.
  3. Do your answers (or descriptions of processes) address the questions posed in the Manual and Workbook?

Once submitted, your Manual and Workbook will be reviewed by GPSC staff based on the questions above. You may be contacted by GPSC staff if additional information or clarification is needed.

The Manual and Workbook has been certified by the College of Family Physicians of Canada for up to 75 Mainpro+ credits, three credits per hour for up to 25 hours.

I work in a group practice with other doctors. Does each doctor in my practice have to submit a completed Panel Management Manual and Workbook of their own to claim payment two and payment three of the Panel Development Incentive?
Although doctors within a group practice may work together to undertake the Phases of Panel Management, each doctor must complete a Panel Management Manual and Workbook of their own to outline how particular tools and processes have been specifically implemented for their patient population. A copy of a completed Workbook must be submitted by each doctor along with Payment Claim Form 2 and Payment Claim Form 3.

When completing and submitting the Panel Management Manual and Workbook and the incentive claim forms, how is my information protected?
The data collected from physicians in the Panel Management Manual and Workbook and the incentive claim forms is owned and stored on servers at Doctors of BC with access limited to less than 10 authorized Doctors of BC staff doing software programming and analysis of aggregated results. Under BC privacy legislation, GPSC members, Ministry of Health staff/officials and health authority staff do not have access to individual or identifiable data except with the explicit consent of the participating physician. Without such consent, they only have access to aggregate evaluation and quality improvement reports prepared by authorized Doctors of BC staff. The GPSC is subject to and complies with the BC Personal Information Protection Act. For more information, contact privacyofficer@doctorsofbc.ca.

PSP Support

Can I request in-practice assistance from GPSC Practice Support Program (PSP) to help my practice complete the Phases of Panel Management?
Yes. In-practice assistance is free of charge and may be subject to availability in your community. PSP can provide in-practice coaching to support doctors and their teams on how to use their EMR, and implement the processes required to complete the Phases of Panel Management. To learn more, please contact your PSP Regional Support Team.

Can I claim the Panel Development Incentive without PSP in-practice assistance?
Yes. The eligibility requirements of the Panel Development Incentive do not require PSP in-practice assistance. With or without PSP in-practice assistance, the completion of the Phases of Panel Management involves family doctors working with practice teams to introduce and implement new tools and clinic processes to provide planned proactive care. To support this work, PSP’s Regional Support Teams can provide coaching, support with using simplified EMR reporting tools, and with implementing the processes required for completing the Phases of Panel Management. In addition, the GPSC has developed the Panel Management Manual and Workbook to help practice teams implement and sustain panel management. Doctors must upload a copy of their completed Manual and Workbook with Payment Claim Form 2 and Payment Claim Form 3.

My EMR vendor does not currently support PSP panel management tools. Am I eligible for the Panel Development Incentive?
If your EMR vendor does not have a PSP panel management tool, you are eligible for the Panel Development Incentive; however, you will have to manually complete the Phases of Panel Management. If you are interested in PSP in-practice supports to complete the Phases of Panel Management, please contact your PSP Regional Support Team.

PSP’s EMR-based panel management tools are available on: Med Access, Wolf, Intrahealth, and Osler. A panel management tool for OSCAR is expected to be available late 2018. Some of PSP’s EMR-based panel management tools are only available with certain EMR operating system versions.

Transitioning from Understanding Your Patient Panel

I have already participated (or am currently participating) in PSP’s Understanding Your Patient Panel and I have received sessional payments. Am I eligible for the new Panel Development Incentive?
Yes. If you have already received sessional payments for participating in PSP’s Understanding Your Patient Panel, you will be eligible for the new Panel Development Incentive minus the amount of previous sessional payments provided that you meet the requirements of the Panel Development Incentive.

Does the Panel Development Incentive replace currently available sessional payments for participation in the PSP’s Understanding Your Patient Panel?
On September 11, 2018, PSP’s Understanding Your Patient Panel (UYPP) was formally replaced by the Phases of Panel Management. As such, sessional payments for UYPP are no longer available and doctors interested in completing the Phases of Panel Management should claim the Panel Development Incentive if eligible. However, doctors whose participation in UYPP began before September 11, 2018 can claim UYPP sessional payments until March 31, 2019.

Does the Panel Development Incentive replace PSP sessional payments for GPSC PMH Assessment and other quality improvement (QI) activities?
No, the Panel Development Incentive is in addition to PSP sessional payments for GPSC PMH Assessment and other QI/EMR optimization activities. PSP sessional payments will continue to be available for action planning done through modules, Small Group Learning Sessions, and QI activities involving EMR optimization.

MOAs and Panel Management

Does the Panel Development Incentive include compensation for MOAs and/or other members of the practice team?
Although paid directly to doctors, the Panel Development Incentive is intended to compensate any practice team member for undertaking the Phases of Panel Management and completing the GPSC Panel Management Manual and Workbook. In most cases, significant MOA or other staff time is required to implement the tools and workflow processes required to enable panel management. As such, doctors may wish to consider appropriately recognizing MOAs and/or ensuring other staff are appropriately compensated for additional work performed to undertake the Phases of Panel Management and to complete the Manual and Workbook.