SStart
1Administration and Funding
2Appropriate Infrastructure
3Connected Care
4Accessible Care
5Community Adaptiveness and Social Accountability
6Comprehensive Team-Based Care with Family Physician Leadership
7Continuity of Care
8Patient- and Family-Partnered Care
9Measurement, Continuous Quality Improvement, and Research
10Training, Education, and Continuing Professional Development
VVoluntary Questions
RResults

* Scale:

1 = Not at all (practice has no experience, process, implementation) | 2= minimally achieved (practice has little experience, process, implementation) | 3 = moderate achieved (practice has some experience, process, implementation) | 4 = substantially achieved (practice has significant experience, process, implementation) | 5 = fully achieved (practice has great experience, process, implementation)

Voluntary Questions

How many people are part of your practice/health team?

(i) How many family physicians in your practice?

(ii) How many other health professionals in your practice?

Which best describes the location of your practice?

Urban Rural Northern Remote Reserve Other

What is the reason for participating in this assessment?

a) to assess how my practice aligns with the PMH pillars b) to obtain Mainpro+ certified credits c) to re-take the assessment and compare with previous results d) other

What stage in your career are you at?

first five years 5-10years 10-15 years 15-20 years 20-25 years 25+ years

How many learners is the practice supporting in each health profession?
(indicate how many medical students, nursing students, etc.)

What is your panel size?

What models or sources of funding does your practice use?

Fee for service Salary Capitation Sessional/per diem/hourly Service contract Incentives and premiums Blended Other

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Voluntary Questions

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