MSPE program overview

BC health authorities are aligning provincially on a system of feedback and supports for medical staff professional development. This collaboration is known as the Medical Staff Practice Enhancement (MSPE) project.

Patient safety and quality of care are optimized when medical staff are embedded in a culture of continuous learning and practice improvement. Recognizing this, BC health authorities are working toward a harmonized system to support their medical staff in practice enhancement.

Practice enhancement encompasses the activities that help medical staff to understand, reflect on, and improve their practice—such as quality improvement processes, performance reviews, and continuing education.

In time, the goal is to achieve regular evidence-informed practice appraisals, coaching and mentoring of physicians, nurse practitioners, midwives and dentists in the health authority system.

Why practice enhancement?

In addition to simply being good practice, the Hospital Act and medical staff rules include the expectation that medical staff will participate in quality activities.

It is a responsibility of the health authority boards to ensure that patient services are provided within a framework of professionalism and appropriate standards of medical care.

Development of the MSPE system is led by BC health authorities, as it will apply to the physicians, nurse practitioners, midwives and dentists in their facilities and programs.

The medical staff regulatory colleges are engaged as consulting partners and the BC Medical Quality Initiative provides project facilitation and support.

Why a provincial collaboration?

A consistent approach to practice enhancement offers benefits to all stakeholders.

Building on existing successes

Many well-developed instances of practice improvement are already flourishing in the BC health system. Building on these instances, the MSPE system will spread and harmonize the approach to practice enhancement for all health authority medical staff through:

  • Standard tools and timing for practice reviews
  • Supportive processes for practice enhancement
  • Supports for medical staff and their leaders to conduct the activities

An evidence-based and iterative system

The vision is for a system that can grow and be refined incrementally. To manage the pace of change, implementation will occur in phases. A phased approach also accommodates learning and improvement cycles along the way.

Visit the development hub for progress updates and opportunities to provide input.