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Practice Management Program
Primary Care Networks Program Management Office
Toward Optimized Practice

PMH 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-Centred 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.

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
  • Practice Facilitator Training (postponed until further notice) - 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

PMH Measurement Tool (protoytpe)

This is a new quality improvement measurement tool co-designed by ACTT and primary care physicians to help clinics assess their progress on their PMH implementation journey. A literature review and environmental scan were conducted to inform the development of the tool. Initial testing of the tool was completed in June 2020. While more testing is planned before the tool is finalized, further development is currently paused. The initial version of the prototype is available for PCNs and clinics to use upon request. Please direct queries to Wanda Truong for more information.

PCN Assessment Tool

Use the Medical Home Assessment Tool below in your PCN to review programs and guide selection of future priorities: