Resources for Pii;A Guide to Integrating Quality Improvement
Into Family Medicine Residency Programs
Invitational Quality Improvement Symposium
September 24–25, 2018
Executive summary of the 2017
Family Medicine Residency Programs
Practice Improvement Essentials (PIE) Workshops
Practice Facilitation, Coaching, and Support
Using quality improvement, practice-level data, and research to improve everyday practiceThe College of Family Physicians of Canada’s (CFPC) Practice Improvement Initiative (Pii) harnesses quality improvement (QI) approaches, practice-level data, and research to continually improve care, the patient experience, efficiencies, and the work experience of health care providers (the Quadruple Aim). It enables family physicians, family medicine residents, and the teams
they work in to undertake QI within their practices and to use practice-level data. Working with partners, it aims to leverage, scale-up, and share existing QI resources and create new ones
where there are gaps.
The CFPC draws on the skills and expertise of partners, including:
CFPC members and QI champions and experts, CFPC Chapters, departments of family medicine, provincial health quality councils, the Royal College of Physicians and Surgeons of Canada (Royal College), the Canadian Foundation for Healthcare Improvement (CFHI), primary care research networks, and patients and their families.
Family medicine residency programs
Practices and primary care teams
As one of the Pii partners, the residency programs:
In addition to developing the introductory QI workshop "Practice Improvement Essentials (PIE), the teams:
The CFPC launched its Practice Improvement Initiative (Pii) in 2017 to promote quality improvement (QI) in family medicine.
One of the drivers was a request by several Departments of Family Medicine (DFM) for guidance and clarification on how incorporate QI in family medicine curricula as outlined in the CanMEDs-FM 2017 and the Red Book. The other is the need to promote QI as part of everyday practice. Moreover, there is also a need for the CFPC to support its members who are increasingly being required by regulatory bodies to demonstrate ongoing quality improvement work.
To this end, the CFPC conducted an in-depth needs assessment and undertook an environmental scan between February to May 2017 to explore the status of QI in different provinces and territories and to identify existing curricula approaches and programs as well as assess the respective needs, gaps and resources. It emerged that there was considerable variability across the country regarding resources and programs that support QI in primary care. Overall, the scans also identified the need to provide supports for already busy family physicians and their teams to undertake QI.
To address these needs, two streams were developed for Pii. One stream focusses on supporting the DFMs in developing the learning objectives, teaching and assessment methods for QI and Research. The second steam focusses on supporting family physicians in practice by developing an introductory workshop to QI called the Practice Improvement Essentials (PIE).
A Pii Advisory group was established to guide and advise on the overall project and provide input on deliverables of the two streams. The overall goal of the advisory group is to advance the work of the CFPC with respect to QI and Research at the frontlines of care by identifying and making recommendations for the broad and specific competencies in these areas required by family physicians and family medicine residents. It also provides advice on useful learning approaches for QI and Research as well as identify the most useful resources, including manuals, workshops and toolkits, for family physicians and residents.
For more information, please contact us at [email protected].
This section provides an overview of the resources available for QI, research, and practice facilitation.
The CFPC acknowledges that this list is not exhaustive; if you are aware of additional resources,
please contact us at [email protected].
Newfoundland and Labrador
Prince Edward Island
National and International
Agency for Healthcare Research and Quality (AHRQ)
Canadian Foundation for Healthcare Improvement (CFHI)
Canada Health Infoway
Canadian Institute for Health Information (CIHI)
Canadian Patient Safety Institute (CPSI)
Canadian Primary Care Sentinel Surveillance Network (CPCSSN)
Choosing Wisely Canada
Institute for Healthcare Improvement (IHI)
International Society for Quality in Health Care (ISQua)