Field Notes
Healthcare Insights
Perspectives on clinical infrastructure, physician workflows, and the technology reshaping primary care and specialist clinics.
Closing Care Gaps: What Research Reveals About Primary Care Patient Recall
Every medical practice maintains records containing individuals overdue for unscheduled follow-up care, whether that involves a diabetic requiring an A1C, a patient with high blood pressure who needs a checkup, or someone needing a medication response evaluation. Closing these gaps quickly represents a highly solvable challenge in primary medicine, backed by clearer, more promising evidence than many practices recognize.
Scaling Team-Based Primary Care: How Technology Serves as Operational Glue
Canada is investing billions in multidisciplinary care teams. But research across 63 Canadian practices found that larger teams and EMR-based coordination were both associated with worse team functioning, not better. Adding staff does not fix a handoff problem.
Rethinking Change Management in Primary Care: What Implementation Research Reveals
Failure rates for complex healthcare interventions run as high as 90 percent, and the research explains why: corporate change models ignore how deeply clinicians identify with professional autonomy over institutional hierarchy. What implementation science says about doing it differently.
How to Choose an AI Receptionist and Intake System for Your Clinic
Every clinic evaluating AI phone answering is being sold roughly the same pitch: fewer missed calls, less paperwork, happier staff. What actually separates a system that delivers on those promises from one that adds a new interface to an already crowded day.
How JOUD Health Integrates With TELUS CHR
If your clinic runs TELUS Collaborative Health Record, the question worth asking about any new software is not what it does — it is where the information it collects actually ends up. How calls, bookings, and intake are built to write back to the chart your staff already use.
What Alberta's AI Guidance Means for Clinics Choosing an AI Receptionist and Intake System
Alberta's September 2025 AI scribe guidance has received most of the attention, but the framework Alberta clinics most need to know about is nearly two years older and covers far more than scribes — including the AI receptionists and intake tools clinics are evaluating now.
The Point Solution Trap: Why Canadian Primary Care Needs a System, Not Just Tools
A February 2026 Fraser Institute study argues that AI only delivers real healthcare productivity gains when it changes how care is organised, not when it is dropped into a single step of an existing workflow. Most AI tools sold to Canadian clinics today do the latter.
How to Reduce No-Shows at Your Medical Clinic: What the Evidence Says
There is a particular quality to the silence of an empty appointment slot. No-shows are among the most financially damaging and consistently underestimated problems in Canadian primary care. They are also, with the right systems in place, largely preventable.
The Leaky Bucket: Calculating the Real ROI of Automating Clinic Forms and Bookings
There is a line item missing from almost every independent clinic's monthly financial review. The manual clinic is not a free clinic. It is an expensive one. The cost is simply distributed across enough small frictions that it never lands on a single line that demands attention.
The Anatomy of a Safe Handoff: How AI Recognizes Its Limits in Primary Care
The question physicians ask most often about patient-facing AI is not about data security. It is simpler and more visceral: what happens when the system gets something wrong? A wrong answer delivered with confidence is more dangerous than no answer at all.
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