The Practice Improvement Initiative (Pii)

Our approach to quality improvement



Using quality improvement, practice-level data, and research to improve everyday practice

The 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.

Our Partners

Includes: 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.


Pii activities


Family medicine residency programs

  • Identify learning objectives, learning methods, and assessment approaches that support CanMEDS-FM competencies related to QI, data use, and research
  • Develop a guide on the basics of conducting QI and harnessing practice-level data that can be used by family medicine residents, their teachers, and family physicians in general
  • Support curriculum development related to QI, data use, and research
  • Promote QI and research as scholarly activities


Practices and primary care teams

  • Spread and promote existing courses, programs and resources
  • Develop an introductory QI workshop (classroom and online) that qualifies for Mainpro+® credits
  • Promote Mainpro+® credits for activities related to QI and the use of practice-level data
  • Advocate for provincial support for practice facilitation programs
  • Promote Practice-Based Research Networks and the Canadian Primary Care Sentinel Surveillance Network to support QI and build research capacity
  • Promote collaborations within and across provinces regarding QI in family medicine and primary care
Read executive summary

For questions or additional information, please contact [email protected].

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