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Centric Health

Centric Health

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    • 1. The Centric Health Model 1 st National Primary Care Conference – Examples of Innovation in General Practice Dr Ray Power 17 th November 2011
    • 2. Centric Health – Business Structure Ireland Australia Medical Recruitment Primary Care Diagnostic Imaging UK Ireland
    • 3.
      • 1988 - Qualified University College Dublin
      • 1993 – Australian General Practice
      • 1994 – Established Mediventure GP recruitment service
      • 1999 – Returned to Ireland to establish Locumotion
      • 2003 - The Well opened in the Beacon medical campus
      Dr Maurice Cox
      • 1993 - Qualified Trinity College, Dublin
      • 1994 -M.Phil Cambridge
      • 1994 -1998 Orthopedic residency, FRCSI
      • 1998-2004 - McKinsey and Co (Associate Principal)
      • 2004 - Joined Centric Health full time as CEO
      Dr Ray Power Dr Paul Carroll
      • 1992 - Qualified University of Western Australia
      • 2000 – FRACGP Australian GP qualification
      • 2001 – Worked as locum GP with Locumotion
      • 2003-2005 – The Well and Locumotion
      • 2002 & 2005-2006 – GP in Australia
      • 2006 – Returned to Ireland to head up GP Division of Centric Health
      • 2006 - MICGP
      The Centric Health GP Team
    • 4. What sums up Centric ’ s approach
      • Infrastructure or ‘Practice Hardware’ is critical but only one part of the story
    • 5. Looks great but now …but nearly broke our hearts! Ranelagh Medical
    • 6. Time for the professionals…
      • PJ Monaghan, Managing Director
      • Quantity Surveyor by profession, B.Sc. Surveying (Hons)
      • 2003 - to date; Managing Director of Leading Edge Project Directors
      • 2001 – 2003; Financial Director and Shareholder, Walsh Maguire & Co Ltd
      • 1995 – 2000; QS in Walsh Maguire & O ’ Shea Construction company
      • Conor Reilly, Director
      • Quantity Surveyor by profession, B.Sc. Surveying (Hons), Dip. Proj. Management
      • 2004 - to date; Project Director of Leading Edge Project Directors
      • 2000 - 2004; Senior Quantity Surveyor with Walsh Maguire & Co.
      • 1999 - 2000; Quantity Surveyor, Austin Reddy & Co
      • Fergus Gordan
      • B. Eng (Hons)
      • Post Grad. Project Management (Distinction)
      • Health & Safety Management
      CLARINGTON PROPERTIES LTD
    • 7. First project under new structure - Newbridge Newbridge Medical - Jan 2013
    • 8. Getting a balanced funding structure has been key
      • Senior Debt – Bank of Ireland
        • 80% Loan to cost
        • No more than 10x rent
        • Centric Health doctor continuity has provided comfort re opt out in HSE lease
      • Pension Funding
        • 10% of Costs
        • Pension fund annual paid coupon 12%
        • Refinanced at year 5
      • Risk Equity – Centric Health
    • 9. What sums up Centric ’ s approach
      • Infrastructure or ‘Practice Hardware’ is critical but only one part of the story
      • Pushing the definition of community care services
    • 10. The Continuum of Primary Care Reactive and Proactive Reactive Proactive GP Practices
    • 11. - Clear Patient Proposition
      • Doctor
      • Surgery
      • Hospital
      • A&E
      15-20% presentations could be seen in a GP practice 3-4% require referral onto secondary care 75-80% presentations are exactly consistent with the proposition
    • 12. Community Diagnostics
      • Community-referred X-ray and Ultrasound service in Arklow Primary Care Centre, Co Wicklow, on behalf of the HSE
      • Direct access for 30 GP’s
      • Over 6,000 X-rays and 2,500 Ultrasounds performed per annum
      • Average reporting turnaround time is 120 minutes (non-urgent)
      • VhiSwiftCare Clinics
      • Ennis General Hospital
    • 13. Health Risk Assessments
      • Patient Coaching
      • Chronic Disease Management
      BLISSFULLY IGNORANT TIME BOMBS WANNABES CHAMPS
      • 1
      • 2
      • 3
      • 4
      • 5
      • 6
      • 7
      • 1
      • 2
      • 3
      • 4
      • 5
      Increasing risk (No. Of risk factors)
      • Increasing willingness to change
      • HRA
    • 14. What sums up Centric ’ s approach
      • Infrastructure or ‘Practice Hardware’ is critical but only one part of the story
      • Need to push the definition of community care services
      • Embedding quality from the outset
    • 15. Our Quality Agenda
      • Clinical Governance structures
      • Accreditation (CHKS UK & ISO9001)
      • CME including Audit
      • Meducation
    • 16. What sums up Centric ’ s approach
      • Infrastructure or ‘Practice Hardware’ is critical but only one part of the story
      • Pushing the definition of community care services
      • Embedding quality from the outset
      • Nurturing our talent or ‘ Practice Software ’
    • 17.
      • These guide our day to day behaviours & underpin our company culture
      Pride in what we do – humility in how we do it Patient Centric Power of the team Courage to fulfil our potential Relationships based on trust Our values….
    • 18. People development – The emerging GP job description Clinical & Admin Skills Patient Relationship Practice Building Team leadership and communication
    • 19.
        • Associate Salaried +/- performance bonus
        • may be sessional
        • Junior Partner Salary + small profit share
        • shows commitment to practice
        • Partner Salary + 1/x profit share (x = no of partners)
        • owner of the business
        • Senior Partner Salary + overall profit share
      The Professional Partnership Journey
    • 20. The future of Centric Health – The 1 st Fellowship programme graduates
    • 21.
          • Dr Ray Power [email_address]
          • Tel: 087-6677555
          • Dr. Maurice Cox [email_address]
          • Tel: 087-2474391
    • 22. END