The primary PMH initiative in the Northwest Territories is occurring in Yellowknife, which is home to half of the territory’s population. In 2012 a project was launched to reform the Yellowknife Primary Health Care clinic service. The clinics were physically consolidated into two spaces and expected to function as a unified service with a single Electronic Medical Record system. In 2013, The Patient’s Medical Home was chosen as a model for service improvement. The tenets were converted into a scoring tool to evaluate the function of the Yellowknife Primary Health Care clinic service function. Evaluations of service delivery using this tool have shown steady improvement since, with implementation of formal teams, rostering of patients, innovations in service delivery and improved interdisciplinary collaboration.
Yellowknife physicians also serve surrounding remote communities and, as an extension of the PMH model, are working to improve continuity and access using technology. A single EMR is being deployed across the entire territory. It is expected that 80% of NWT residents will be served by a single EMR by the end of 2016, with the remainder coming on line in the following two years. A single EMR reduces geographic barriers to care, facilitates improved communication of patient information, continuity of care and access. Furthermore, nascent health analytics projects focused on chronic disease and cancer screening are promoting accountability to quality care across the territory.
Last updated: June 4, 2018