Provide the right care, at the right time, at the right cost |
Ensure patients can be seen by their family physician or a member of the care team whenever needed |
Assist patients with all of their health care needs |
Coordinate patients’ care across settings; integrate care for acute and chronic illness, mental health and prevention; and guide access to specialist care when needed |
Organize care within the care team to meet their patients’ needs and provide continuity of care across time |
Use technology to maintain and enhance access, continuity, and relationships |
Understand the effects of the community-level factors and social determinants of health on their patients’ well-being, and identify community resources available to meet their health needs |
Care for patients in the context of their family and the ways in which the health of each family member affects the others |