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

Change Package and Tools


All practice improvements require changes to be implemented.  The RIFS change package is intended to help physicians and team members implement practice changes that improve care for patients living with financial strain. The change package tools were designed to work best in conjunction with quality improvement training to maximize the impact. 

The potentially better practices listed are derived from a review of the literature, clinical practice guidelines, and from expert recommendations. They are anticipated to improve the care of patients living with financial strain. However, the list of practices is not exhaustive and should be customized, tested, and evaluated in your own clinical setting before you will know whether they are truly "better".

The RIFS change package was developed by the Alberta Medical Association (AMA) Accelerating Change Transformation Team (ACTT). Input was sought from patients who have lived experience with financial strain and providers with experience treating patients who are experiencing financial strain.

RIFS Change Package
Change Package


Evidence for Potentially
Better Practices

Sequence to Achieve
Change Workbook

Sequence to Achieve
Change Workbook Blank

Change Package Tools

These are the tools that are referenced in the Change Package Summary

Improve the Patient Experience

Sequence To Achieve Change

Patient Partner on Improvement Team Care Planning Template

Poster Samples

Scripting Samples

Identify Paneled Patients

HQCA Primary Health Care Panel Report

EMR Guide

Standardize Documentation

EMR Guide

Optimize Care Management

Poverty Screening Tool

PCN Screening Tool Samples
ACTT PDSA Template

Scripting Samples

Patient Resource Handouts
Care Planning Template

Coordinate Care in Medical Home

Roles & Responsibilities Guide Introductions with
Introductions with
Intentions - RIFS

Team Assessment

Sample Process Maps

Coordinate Care in Health Neighbourhood

Process Mapping Guide Home to Hospital to Home Change Package
Collaborative Agreements Home to Hospital to Home Implementation Guideline