Every day, primary care providers are faced with the challenge of balancing supply and demand to meet their patients’ needs. Busy waiting rooms and stressful workplaces are common – but they don’t have to be.
As part of its work to foster quality improvement capacity in Ontario’s health system, Health Quality Ontario (HQO) has developed resources and strategies to assist your primary care practice to see patients on the day they call in or on a day of their choosing.
HQO’s Advanced Access & Efficiency resources are designed to streamline your day, enrich the health experiences of your patients, and increase staff satisfaction.
These modules are designed to help you and your improvement team learn, test, and implement best practices, change concepts, and innovative approaches to improvement that will enable you and your team to “do today's work today”.
Disclaimer Information and Conflict of Interest
Reference to a QI Virtual Coach
This reference is from the legacy program that McMaster’s MacHealth program offered in partnership with HQO. This program sun-setted in 2016, but the self-learning modules have been made available to you on HQO’s website. If you have questions about your advanced access and efficiency (AAE) work, here are a few options:
Contact your regional QI specialist
Contact your LHIN and inquire if they have any QI supports
Reference to MacHealth (Logo) Program
You will see this logo throughout the modules you will see this logo (insert logo) as well as on some of the worksheets. This is in reference to a legacy program in which HQO and McMaster’s MacHealth program partnered to provide support to primary care in implementing advanced access and efficiency principles. This program sunsetted in 2016, but MacHealth still is in operation and provides support to primary care in several other areas. Click here for access to MacHealth’s self-learning offerings.
Reference to ‘resource’ link
As these modules are simply screen recordings, any reference to clicking on the resource button or hyperlink are not available. The respective resources referenced in each module can be found in the
Reference to ‘Module Forum’
This references the MacHealth forum which is no longer actively monitored. Please feel free to read old posts here which may have the answers to your questions. Alternatively, you can visit HQO’s Quorum here (should we create one?) to post your question to Primary Care AAE discussion group
This overview of Health Quality Ontario's quality improvement initiative, including the principles of advanced access and efficiency, provides primary care practitioners and teams in Ontario a good orientation to the advanced practice model, the tools and resources available through this portal, and the benefits of implementing advanced access in their practices.
Advanced Access and Efficiency
Workbook for Primary Care
Answers to Your Questions About Same-Day Scheduling
Same-Day Appointments: Exploding the Access Paradigm
Learn the principles of advanced access and efficiency.
Learn how to assess your readiness and capacity to implement advanced access.
Team meeting tracker form
Learn the Model for Improvement and Plan Do Study Act (PDSA) cycles and how to apply them in your quality improvement work.
Form 2 - Tracking Daily Demand, Supply, Activity and No Shows by the Provider
Measures to Guide Your Decision Making Quick Tip Sheet
The Model for Improvement - PDSA cycles
Conduct an assessment of your practice and capacity for collecting data. Learn how to identify your starting point, areas for improvements and begin to make changes resulting in efficiency and sustainable improvements.
A Guide to Advanced Access and Efficiency for Primary Care Providers: Time for Change
Use the work completed in previous modules to build your improvement plan.
The 8 Sources of Waste
Learn to use the PDSA cycle to test change ideas before adopting them into your practice.
Predict the Expected: Contingency Plans to Manage Advanced Access Schedules
Sustainability Planner – Advanced Access and Efficiency for Primary Care
PDSA: Plan-Do-Study-Act TOOL
As part of our ongoing commitment to improving health quality across the province, Health Quality Ontario created e-learning modules.
The following courses are available via machealth, the online e-learning portal from McMaster University’s school of medicine:
Patients, families and the public are central to improving health quality.
Are you passionate about quality health care for all Ontarians? Stay in-the-know about our newest programs, reports and news.