Text size
Home / PMH Test/ Person-Centred Care

Where to Start

Best Practice Guides

College of Family Physicians of Canada

Best Advice Guide: Patient-Centred Care in a Patient’s Medical Home

This tool for family physicians and their teams provides specific steps to make their practices more focused on and structured around the needs of their patients. The document offers concrete suggestions on how to make family practices more patient-centred by engaging patients in planning and delivery of their care.


Safety Net Medical Home Initiative

Change Concepts: Patient-Centered Interactions

These strategies help to measure patient experience, communicate with diverse patients and actively engage and support patients and their families before, during and after office visits. Key changes for patient-centred interactions include the following:

  • Respect patient and family values and expressed needs.
  • Encourage patients to expand their role in decision-making, health-related behaviours and self-management.
  • Communicate with patients in a culturally appropriate manner in a language and at a level that the patient understands.
  • Provide self-management support at every visit through goal-setting and action-planning.
  • Obtain feedback from patients and families about their healthcare experience and use this information to improve quality.


Further Resources

Experience Survey

Health Quality Ontario

Quality Improvement: Quality Improvement in Primary Care–Primary Care Patient Experience Survey

Primary care providers can measure their patients’ experiences in their practices with the Primary Care Patient Experience Survey. The survey was developed by Health Quality Ontario in collaboration with the Association of Family Health Teams of Ontario, the Association of Ontario Health Centres, the Ontario College of Family Physicians and the Ontario Medical Association. Understanding patient perspectives can help provide insight into current strengths and opportunities for improvement and inform the practice’s annual Quality Improvement Plan.


The survey is available in 12 languages at http://www.hqontario.ca/Quality-Improvement/Quality-Improvement-in-Action/quality-improvement-in-primary-care


Health Literacy

College of Family Physicians of Canada

Best Advice Guide: Health Literacy in the Patient’s Medical Home

This tool describes ways in which family physicians can support their patients’ understanding of health information by enhancing their own communication skills, by increasing use of health literacy assessment tools in the practice and by making better use of appropriate resources to match patients’ literacy needs during clinical interactions.



Social Determinants of Health

Best Advice Guide: Social Determinants of Health

This tool provides family physicians with concrete steps for considering and improving patients’ social determinants of health. The document provides background on the social determinants of health and a practical component with suggested clinical, community and population-level interventions.




Centre for Effective Practice and the Ontario College of Family Physicians

Poverty: A Clinical Tool for Primary Care Providers (ON)

A 3 page clinical pathway tool for screening patients for poverty and how to education, intervene and connect appropriate supports.



Shared Decision Making

Patient-Centered Primary Care Collaborative

1 hour 25 minute Video Webinar: Care Coordination and the Patient’s Role in Shared Decision Making and Team Communication

The webinar explores the definitions of “care team” and “care coordination” as well as the key elements of care coordination. It also talks about the patient’s perspective by reviewing Christine Bechtel’s research on patients and the delivery system as a whole—its challenges and potential solutions—including care coordination and the medical home.


PDF presentation can be found here:


Institute for Healthcare Improvement

Videos: What Is Shared Decision Making

4 minute 7 second Video 1 is about the idea of shared decision-making and how it can change health care.

5 minute 35 second Video 2 is about how to use some innovative tools with chronic care patients.