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Practice and PCN Assessments


Both the PCN and practice team Patient's Medical Home assessment tools were adapted from the Safety Net Medical Home Initiative (SNMHI) to fit the Alberta context. The Safety Net Medical Home Initiative was a national Patient-Centered Medical Home (PCMH) demonstration to help 65 primary care safety net sites become high-performing medical homes and improve quality, efficiency and patient experience

NOTE: the assessment has been designed to be administered with the support of a facilitator. Please speak with your PCN to learn more about local supports available to physicians and practice teams.

Capacity for Improvement

Each practice teams journey will be unique. To support these teams with the work of becoming medical homes for their patients, PCNs will invest in quality improvement and facilitation capacity to support members in making meaningful, sustainable and continuous improvements.

Practice Assessment Tool

The assessment is divided into 3 parts:

  • Readiness - to begin a practice leader should complete this assessment to help them gauge their practices “current readiness” in moving towards a Patient's Medical Home.
  • Phase 1 - focuses on the first 3 implementation elements for the Patient's Medical Home. With the support of a facilitator, practices will work as a team to determine next steps based on their consensus scores from this assessment.
  • Phase 2 - focuses on the 5 remaining implementation elements for the Patient's Medical Home. Similar to phase 1, teams will work with a facilitator to determine next steps based on their consensus scores.

Supporting Resources for the Practice Assessment

Introduction to the Patient's Medical Home Package - a set of resources intended to guide leaders in introducing the value of becoming a Patient's Medical Home to practice teams

Improvement Facilitator Training - sessions and ongoing support to develop quality improvement and facilitation knowledge and skills needed to guide practice teams through their improvement work (including guidance on facilitating the assessment with teams)

Patient's Medical Home Action Plan - a workbook for practice team members to assist them to identify and plan for improvements based on priorities identified when completing the Patient's Medical Home Assessment

Facilitation Guide - a practical how-to guide to support those individuals who are facilitating the Patient's Medical Home Assessment and action planning with practice teams

PCN Assessment Tool

The PCN Assessment Tool is located on the pcnpmo website.