BC family doctors are laying the foundation for the patient medical home.

Click below to expand lists of stories about physician experiences in rural communities and about working in teams below.


Patient medical homes in rural BC

Engagement and collaboration set foundation for proof-of-concept journey

Life is better in team-based care

Resourcefulness supports teams and outreach to small communities

Doctors and community embrace alternative funding model

Strong leadership and engagement needed for real change

Collaboration starts with a conversation

Physician education and community collaboration build sustainability

Partners link services together to improve access to maternity care

Team-based care

Team-based care attracts new physician to South Okanagan-Similkameen region

New model and networks support better care for patients, attract new physicians

North Vancouver clinic supports vulnerable patients, showcases effective primary care

Family doctors come together at Mission Attachment Clinic to support vulnerable patients

Family doctors work with teams at Martin Street Outreach Clinic to help patients at risk get their health and lives on track

Sunshiners Network provides “one-stop shop” services and resources for vulnerable and homebound seniors

School-based Wellness Centre in Nanaimo breaks down barriers and helps adolescents access primary care

Chilliwack Primary Care Clinic reduces excessive hospital admissions by connecting vulnerable patients to family doctors

Social workers team up with family doctors in East Kootenay to help patients address unmet needs and improve health

Expectant and new moms in Hope get more access to care, closer to home

PMH work underway: Building capacity in practices

BC family physicians are strengthening the foundation for the patient medical home model by making continued improvements to their practices.

As part of this work, more than 380 physicians recently participated in the Practice Support Program’s panel assessment pilot project. These physicians worked with PSP’s Regional Support Team Coordinators to build capacity in their practices through more effective use of EMRs, and gain a better understanding of their patient populations. 

In addition to using EMRs to better understand patients’ needs, physicians are piloting the GPSC’s new Patient Experience Tool to get patients’ perspectives on their visits and interactions. This physician-driven tool collects data that can be used to inform practice improvements. Early results—from over 1,075 patients between November 2016 and July 2017—show that patients find the tool easy to use, and physicians find the data valuable. The pilot will be expanded from five clinics to 25 clinics in fall 2017.  

To learn more, please contact your PSP Regional Support Team, or email PSP Central.