Improving Quality During COVID-19

High quality primary care is more important than ever. Here are a few initiatives we have underway to support family physicians in our sites – and beyond – to continue to improve quality in family medicine.

Measuring and improving the patient experience

In the summer of 2020, the Quality & Innovation Program launched a common patient experience survey across DFCM core teaching sites to better understand patient experience in primary care practice during COVID-19. The 13 participating sites are using a common core set of survey questions as well as a common survey distribution process. Questions relate to modes of access, timeliness and continuity of care, patient-centredness, privacy and security, and more. Results will directly inform site operations and will also provide a more general picture of patient experience of the changes in care during COVID-19.

We are sharing our survey questions and would love to support other primary care practices who are engaging in similar work.

For more details, contact Dr. Payal Agarwal.

View the survey:

A framework for balancing in-person and virtual care during COVID-19

As case counts go up and down, it’s a continual challenge for family physicians to adjust how we deliver care we to ensure it remains safe, effective, timely, patient-centred and equitable.

This framework, developed by Dr. Kiran and published in CMAJBlogs, can help primary care teams work through considerations for balancing in-person and virtual care during COVID-19.

A virtual-first approach to managing type 2 diabetes during COVID-19

Effective management of chronic conditions remains an important part of primary care but how deliver that care has had to change during the pandemic. This practical guidance published in Canadian Family Physician provides practical tips for what aspects of diabetes care should stay the same, what needs to change, and what can stop during the pandemic. It provides a recommended management schedule and points clinicians to helpful resources for their patients. The guidance was developed by faculty from the University of Toronto Department of Family and Community Medicine in partnership with Diabetes Canada and the Centre for Effective Practice to develop practical guidance.

A full copy of the recommendations for family doctors is available at and the accompanying article is available at: