Working with doctors, local divisions, and partners, the GPSC supports local, regional, and provincial evaluation of innovations and projects that help create an integrated system of care through the implementation of patient medical homes (PMH) and primary care networks (PCN).


Click here for details about
the PMH evaluation
framework –including key
outcomes, guiding princples,
and methods– and about 
evaluation work underway.

The goal of evaluation is to learn from experiences to help divisions, doctors and partners adopt innovations, make strategic decisions, and support knowledge and health system improvement. Evaluation also helps the GPSC to support the spread of success and identify and address needs in practices, communities, and the system.

Get involved

  • Reflect on practice opportunities using PMH Assessment and Patient Experience Tool.
  • Co-develop evaluations and case studies experiences and innovations.
  • Share community voices through stories of most significant change.
  • Contribute to the provincial understanding about PMH and PCN implementation and outcomes.

To learn more or to participate, contact or a local division of family practice.

Work underway

Click on the following titles for more information on the work to date on key evaluation activities.

PMH Asessement

The voluntary self-assessment supports family doctors to reflect on their practice in relation to the 12 PMH attributes. Doctors can complete the assessment independently, one-on-one with support from PSP, or in a group division event.

Work to date: 2,000+ GPs (34% of all GPs) have completed the electronic PMH self-assessment at least once.
(Updated: August 2019)

Case studies

The case studies provide an in-depth exploration of PMH innovations across the province.

Work to date: 12 mixed-method evaluations completed or underway
(Updated: August 2019)


Kootenay Boundary: PMH/PCN Proof of Concept
Pros/cons of establishing a health care cooperative, and development of a quality improvement framework in team-based care
Full | Summary

Thompson: FP Network Development
Enablers of FP networking activities, and PSP and the local division working together to support the creation of FP networks
Full | Summary

Sunshine Coast: Community Health Centre
Enablers of effective team-based care in a CHC setting
Full | Summary

Vancouver Island:PCN Steering Group Structure
Social network analysis of an Interdivisional Collaborative Services Committee, and enablers of effective networks for PMH/PCN implementation
Full | Summary

In progress

Burnaby: Family Physician Networks
Enablers of FP networking activities, and development of governance framework to enable networking

Central Interior Rural: Nurse Practitioner in Practice
Enablers of effective team-based care with a nurse practitioner in a government funding context

Central Okanagan: Nurse in Practice
Integration of a nurse into practice in a government funding context, and enablers of effective team-based care with a nurse

Mission: Converting to a Population-based Funding Model
Enablers of development and transition from fee-for-service to population-based funding

Nanaimo: First Nations Health and Team-based Care (Snuneymuxw Wellness Centre)
Division support of effective GP integration into a pre-existing health care team within a First Nations context, and cultural safety in a team-based care setting

South Okanagan Similkameen: Nurse in Practice
Integration of a nurse into practice in a fee-for-service context

Sunshine Coast: EMR Database Integration
Merger of five MedAccess EMR databases from five independent clinics into one database for all patients

Victoria/South Island: Patient Summaries for Transitions in Care
Improvements to the flow of information between physicians, hospitals, and the community

Most significant change stories

These stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province.

Work to date: 28+ stories collected
(Updated: August 2019)


  • Central Okanagan
  • Kootenay Boundary
  • North Peace
  • North Shore
  • South Island
  • South Okanagan Similkameen
  • Sunshine Coast


  • Family doctors
  • MOAs
  • Patients
  • Division staff
  • Peer mentors
  • PSP team members
  • Pharmacists
  • Registered nurses
  • Social workers
  • School principals & students