Inpatient Care

Updated June 11, 2024

The Family Practice Services Committee is evolving its funding supports for inpatient care to align with the LFP Payment Model (Doctors of BC login required) which will include these services in June 2024.

For the divisions of family practice and physicians, the changes mean:

  • New and ongoing funding (via the LFP Payment Model) for clinical services. Divisions will no longer be required to rely on annual FPSC funding announcements to support critical clinical services in their communities.
  • Enhanced role of divisions in supporting physician networks, such as call groups for inpatient and long-term care.
  • Division autonomy in how funds are spent while ensuring equity throughout the province.
  • Support for divisions to transition their inpatient and long-term care programs from current funding structures to a new payment model.

For details about the changes visit:

For more information about FPSC support, please email fp.billing@doctorsofbc.ca.

New funding to support family doctors providing inpatient care

  • Additional transitional support for divisions. FPSC has agreed to provide one-time transitional funding and supports to high-risk communities on a case-by-case basis for the period of October 1 to December 31, 2024. FPSC will work with individual communities to help mitigate the risk of significant service reductions after FPSC bridge and stabilization funding ends on September 30, 2024. With family physicians providing inpatient care able to bill under the new payment schedule as of June 24, 2024, this additional support over the next several months will allow:
    • Family physicians to better understand LFP Payment Model compensation, the ways in which is differs from fee-for-service, as well as potential impacts and opportunities related to service delivery.
    • Communities to undertake local planning in partnership with their health authority to evolve existing delivery models or develop new models as needed in response to the new funding model and FPSC supports. Doctors of BC, BC Family Doctors, and the Ministry of Health to discuss longer-term solutions to concerns raised by physicians.
       
  • FPSC On-call/Availability Funding for Inpatient Care. Starting July 2024. Each division will receive an annual amount of $182,000 per eligible hospital for 24 hours per day/7 days per week/365 days per year. The divisions of family practice will administer this funding. More details, including payment parameters and application process, will be released in June 2024.

Reallocated funding

  • Assigned Inpatient Care Network (MSP fee code 14086). $2100 per quarter per physician paid directly to individual physicians. This fee is payable to physicians who enrol in the LFP Payment Model for inpatient care as well as those physicians compensated by fee-for-service/AP models. The payment has been extended to December 31, 2024. The last quarterly date of billing is October 1, 2024the payment extension covers networking activities from October 1 to December 31, 2024.
  • Unassigned Inpatient Care Network (“GU” payment). Quarterly payment administered by divisions of family practice or self-organizing groups. The final GU payment was paid in May 2024, intended to support inpatient care services from July to September 2024.

Unchanged funding

  • FPSC Inpatient Care Bridge/Stabilization Funding. Bridge/stabilization funding will be available to September 30, 2024 to support communities, as needed, to transition inpatient care programs from existing funding to new payment model.
  • Unassigned Inpatient Care Fee (MSP fee code 14088). 14088 pays $150 per hospital admission to the physician who accepts MRP status for the unassigned inpatient’s hospital stay. 14088 will remain payable to family physicians who do not opt into the LFP Payment Model for inpatient care and remain on fee-for-service.

Direct funding to family physicians

Inpatient Care Network Incentives

The inpatient care incentives (14086, 14088) recognize the importance of continuous family physician-patient relationships including inpatient care and coordination of patient transitions between hospitals and community. The inpatient care incentives promote and support family physicians who participate in FPSC's Inpatient Care Initiative by providing inpatient care to their own patients, and those family physicians who additionally care for unassigned inpatients.

The Assigned Inpatient Care Network Payment (14086) has been extended to December 31, 2024. The last quarterly date of billing is October 1, 2024. The payment extension covers networking activities from October 1 to December 31, 2024. 

From July 2024, the new FPSC Inpatient Care On-Call/Availability Funding will be available and administered by divisions of family practice to compensate for family physicians on call. While a physician is on-call, all patient services they provide will be compensated by the LFP Payment Model or any other payment model (e.g., fee-for-service or AP contract) that the physician is compensated by.

Funding to divisions of family practice

On-Call Availability Funding for Inpatient Care

The FPSC On-Call Availability Funding for Inpatient Care is available from July 1, 2024. It is intended to compensate family physicians for providing on-call availability for assigned and unassigned hospital inpatients. Each division will receive a maximum annual amount of $182,000 (not inclusive of admin funding) per eligible hospital for 24 hours per day, 7 days per week, and 365 days per year. Funding amount will be prorated for 9 months (July 1, 2024 – March 31, 2025). 

Divisions may apply for additional funding (up to 10% of the eligible funding amount) to support administration of the on-call availability payment and the operational components of call groups (e.g. scheduling software or staff). 

Application deadline: FPSC's Primary Care Transformation team emailed divisions of family practice in June 2024 with instructions on how to apply. Divisions must submit their completed funding request form by July 31, 2024. 

Eligible divisions of family practice will determine the eligibility criteria for family physicians participating in the division’s inpatient care on-call program.

Proposed funding to physicians must adhere to the following requirements:

  • Each division will receive a maximum annual amount of $182,000 per eligible hospital for 24 hours per day, 7 days per week, and 365 days per year.
  • Divisions may pay a daily rate of $150 to $750, up to maximum of $3500 a week plus $210/statutory holiday/week.
  • Physicians receiving on-call funding must be organized in a call group of at least 4 physicians. Individual physicians providing on-call services alone (without participation in call group) are not eligible to receive on-call funding. Hospitals that are unable to meet the minimum call group size requirement should reach out to fp.billing@doctorsofbc.ca to discuss their circumstances.
  • Physicians can only receive one single on-call/availability payment while being on-call, even if the physician is providing on-call coverage for multiple services at the same time (e.g. Maternity, Long-term care).
  • Physicians must adhere to on-call service expectations. Based on MOCAP expectations for family physicians on-call:
    • Physicians must respond by telephone within 10 minutes of receiving a call.
    • Attendance on-site will be dependent on patient need and the clinical circumstances. (Schedule 1 to Appendix G MOCAP Contract).
  • Divisions can apply for additional funding (up to 10% of the eligible funding amount) to support the administration cost of operating call groups.
  • The funding must not be used to fund medical services provided by specialists or other health care providers.
  • The funding must not be used to fund capital or clinical equipment purchases or infrastructure upgrades.

For more information:

Inpatient Care Bridge Funding

FPSC Bridge Funding for Inpatient Care is available from April 1, 2024 to September 30, 2024. It is intended to help communities maintain inpatient care services until a long term payment model (e.g., LFP Payment Model) is implemented for inpatient care. The bridge funding is intended to be temporary financial support to maintain current service levels. It is not intended to fund a long-term model for inpatient care. 

Additional transitional support for divisions

FPSC has agreed to provide one-time transitional funding and supports to high-risk communities on a case-by-case basis for the period of October 1 to December 31, 2024. FPSC will work with individual communities to help mitigate the risk of significant service reductions after FPSC bridge and stabilization funding ends on September 30, 2024.

With family physicians providing inpatient care able to bill under the new payment schedule as of June 24, 2024, this additional support over the next several month will allow:

  • Family physicians to better understand LFP Payment Model compensation, the ways in which it differs from fee-for-service, as well as potential impacts and opportunities related to service delivery.
  • Communities to undertake local planning in partnership with their health authority to evolve existing delivery models or develop new models as needed in response to the new funding model and FPSC supports.
  • Doctors of BC, BC Family Doctors, and the Ministry of Health to discuss longer-term solutions to concerns raised by physicians.

Please have your local division of family practice connect with FPSC program staff by emailing fp.billing@doctorsofbc.ca to initiate planning if your community is at risk of significant service reductions.

Questions? Email FP.billing@doctorsofbc.ca.

Unassigned Inpatient Care ("GU") Incentive

The FPSC Unassigned Inpatient Care Network Incentive is a quarterly lump sum incentive based on the annual volume of unassigned inpatients and is available for each hospital with a community family-physician-run unassigned inpatient care model.

Important notice: The FP Unassigned Inpatient Care Network ("GU") Incentive will end in July 2024. The final GU payment was paid to divisions of family practice or self-organizing groups in May 2024.