The deployment of clinic level Physician Champions in the field is largely managed through PCNs. The AMA supports the deployment of Physician Champions through providing an evidence-based approach to change at the clinic level, including tools such as the Patient’s Medical Home Assessment package and the Sequence to Achieve Change, as well as through the development of Change Packages that provide an evidence-based and structured approach to change at the clinic level.
The 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.
This is a tool to help clinic teams, along with the practice facilitators and physician champions that support them, to move reliably through multiple cycles of improvement. It is based on the Institute for Healthcare Improvement’s Model for Improvement.
A change package is an evidence-informed set of changes that, if applied, are anticipated to have high impact in the improvement of an identified care process. They are meant to provide information from literature, clinical practice guidelines, and expert recommendations that can be considered and adapted within the unique context of a clinic. The suite of Change Packages are focused on provincial priority areas and/or associated with Toward Optimized Practice Clinical Practice Guidelines.