The Centric Health Model 1 st  National Primary Care Conference – Examples of Innovation in General Practice Dr Ray Power ...
Centric Health – Business Structure Ireland Australia Medical Recruitment Primary Care Diagnostic Imaging UK Ireland
<ul><li>1988 - Qualified University College Dublin </li></ul><ul><li>1993 – Australian General Practice </li></ul><ul><li>...
What sums up Centric ’ s approach <ul><li>Infrastructure or  ‘Practice Hardware’  is critical but only one part of the sto...
Looks great but now …but nearly broke our hearts! Ranelagh Medical
Time for the professionals… <ul><li>PJ Monaghan, Managing Director </li></ul><ul><li>Quantity Surveyor by profession, B.Sc...
First project under new structure - Newbridge Newbridge Medical - Jan 2013
Getting a balanced funding structure has been key <ul><li>Senior Debt – Bank of Ireland </li></ul><ul><ul><li>80% Loan to ...
What sums up Centric ’ s approach <ul><li>Infrastructure or  ‘Practice Hardware’  is critical but only one part of the sto...
The Continuum of Primary Care Reactive and Proactive Reactive  Proactive GP Practices
- Clear Patient Proposition <ul><li>Doctor  </li></ul><ul><li>Surgery  </li></ul><ul><li>Hospital  </li></ul><ul><li>A&E  ...
Community Diagnostics <ul><li>Community-referred X-ray and Ultrasound service in Arklow Primary Care Centre, Co Wicklow, o...
Health Risk Assessments <ul><li>Patient Coaching  </li></ul><ul><li>Chronic Disease Management  </li></ul>BLISSFULLY IGNOR...
What sums up Centric ’ s approach <ul><li>Infrastructure or  ‘Practice Hardware’  is critical but only one part of the sto...
Our Quality Agenda <ul><li>Clinical Governance structures </li></ul><ul><li>Accreditation (CHKS UK & ISO9001) </li></ul><u...
What sums up Centric ’ s approach <ul><li>Infrastructure or  ‘Practice Hardware’  is critical but only one part of the sto...
<ul><li>These guide our day to day behaviours & underpin our company culture </li></ul>Pride in what we do – humility in h...
People development – The emerging GP job description Clinical & Admin Skills Patient Relationship Practice Building Team  ...
<ul><ul><li>Associate Salaried +/- performance bonus </li></ul></ul><ul><ul><li>may be sessional </li></ul></ul><ul><ul><l...
The future of Centric Health –  The 1 st  Fellowship programme graduates
<ul><ul><ul><li>Dr Ray Power  [email_address]   </li></ul></ul></ul><ul><ul><ul><li>Tel: 087-6677555 </li></ul></ul></ul><...
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  • Ray power

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