Physician Integrated Network (PIN)

PINThe Physician Integrated Network (PIN) has been part of primary care renewal efforts in Manitoba since 2006. Through PIN, Manitoba Health has worked with fee-for-service clinics to find ways to improve your primary care services. Lessons learned from PIN have informed the development of broader My Health Teams.

Development of PIN

Phase 1 of the PIN initiative began in 2006 with three participating clinics and one control site. In September 2008 Manitoba Health expanded the initiative by launching Phase 2. During Phase 2, the number of participating clinics grew from the original four to thirteen. The number of participating physicians grew from 65 to more than 130 physicians providing care to more than 155,000 Manitobans. In August, 2011, Phase 2 was extended to August 2015. This extension is sometimes referred to as Phase 2+. Twelve clinics continue to participate.

PIN is a demonstration initiative; learnings from each phase, including those derived from patient and physician feedback, are used inform changes to the initiative as it moves forward. These learnings also inform provincial policy development and broader strategies for improving primary care in Manitoba. For example, learnings from PIN have informed the development of broader My Health Teams.

The next Phase of PIN is expected to be integrated with the Province's Primary Care Network initiative.


PIN has four main objectives:

  1. To improve your access to primary care
  2. To improve primary care providers’ access to and use of information
  3. To improve the work life of all primary care providers
  4. To demonstrate high-quality primary care, with a focus on chronic disease

How are clinics doing this?

Practice Change Plans

Each participating clinic developed its own plan to meet the PIN objectives.

physicianElectronic Medical Records

All participating clinics use an electronic medical record system (EMRs). These EMRs remind doctors when someone is overdue for a needed test or procedure. This helps ensure that patients like you receive the care you need, when you need it. These EMRs also help the participating clinics track their performance on the Manitoba Primary Care Quality Indicators.

Manitoba Primary Care Quality Indicators

All participating clinics track and review how they are doing on a range of Primary Care Quality Indicators. Regular review of this information helps the clinics make sure they're providing you the best possible care. The Primary Care Quality Indicators used in PIN are based on a set of evidence-based measures developed by the Canadian Institute for Health Information (CIHI).  PIN clinics receive funding based on performance on a range of Primary Care Quality Indicators.

Interprofessional Practice

Many PIN clinics have used their funding to hire other providers, such as dietitians and nurses. This team approach can improve care and give doctors more time to see patients.

Physician Engagement

Doctors have been key partners in PIN at every step, from setting PIN's objectives, to selecting and refining quality indicators and developing the funding model. Physician engagement is a key part of PIN and has been a very important part of its success to date.

PIN Evaluation Reports 

Resources for Participating Clinics

Other Resources


Primary Health Care Branch
1090-300 Carlton Street
Tel:  204-788-6732
Fax: 204-943-5305