Medical Home Optimization ESPCN Webinar Series

Primary Care / Family Medicine

Enhancing primary care is foundational to improving patient outcomes, optimizing workflows, and ensuring evidence-based practice. The Edmonton Southside PCN, in collaboration with the PLP, successfully piloted a webinar series designed to strengthen the Medical Home model. This series featured physicians sharing real-world examples of successful QI initiatives, fostering a culture of peer learning and practical implementation. The 2024-25 series addressed critical clinical priorities, including fecal immunochemical testing (FIT), lung health screening, and panel management. While the webinar series has concluded, the momentum it created continues. 

To maximize impact amidst evolving PCN structures and resource considerations, the focus has shifted from large-scale webinars in this series and the Proactive Care Coordination Assistants (PCCAs) Webinar Series to more intensive, project-based support for QI. Launched in late 2024, a key focus of this work includes developing QI toolkits based on the foundational principles of the Patient Medical Home model, and implementing QI projects at participating ESPCN clinics, with support from improvement facilitators. These QI efforts are multidisciplinary, including physicians, nurses, dieticians, and behavioural health consultants. QI toolkits projects vary in scope and duration; among currently active initiatives, 15 projects focus on team-based care, 40 on preventive care and follow-up, and 7 on patient outcomes. To date, 59 unique ESPCN clinics are using the toolkits for QI projects. 73 projects have been initiated to date, with 26 data-driven projects completed this year, with 34 data-driven projects completed to date.