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Family Practice

Primary care practices and the EMRs they run on

A rostered panel, a phone line that never clears, and documentation that follows the clinician home. The parts of that which are re-typing rather than medicine get designed out, and the EMR stays the source of truth.

Where the week actually goes

Four things a family practice loses hours to. Not a feature list: these are the places the same work gets done twice.

  • 01

    Documentation after hours

  • 02

    Phone lines nobody can answer

  • 03

    Referral letters

  • 04

    Form and note backlog

Ontario in 2026

What changed for a family practice this year, each with its source, and the fixed first slice that answers it.

  • AI scribe accuracy

    The Auditor General found that the 20 approved AI scribes were not evaluated adequately. In procurement testing, 9 of 20 produced fabricated information, 12 of 20 recorded a different drug from the one prescribed, and 17 of 20 missed key mental health details in at least one of two tests.

    Auditor General of Ontario, Use of AI in the Ontario Government, May 12, 2026

  • eReferral by March 31, 2027

    Primary care providers not yet using eReferral Ontario must adopt it by March 31, 2027. As of March 31, 2026, 62% of family physicians had done so.

    Ontario Health, operational direction on eReferral, June 8, 2026

  • FHO+ hourly billing

    FHO+ took effect on April 1, 2026. Hourly work is billed under codes Q310 to Q313 in 15-minute units, capped at 14 hours a day and 240 hours per 28 days, with indirect care and clinical administration limited to 25% of billable hours.

    OMA, FHO+ hourly rate FAQ, August 6, 2026

  • A provincial primary care EMR

    In July 2026, Ontario began a Supply Ontario procurement for a provincewide Primary Care Medical Record system, part of the $3.4 billion Primary Care Action Plan. The province is working closely with OntarioMD.

    Canadian Healthcare Technology, July 22, 2026

Worked examples in family practice

All industries

Each one takes the workflow as it runs today and works it end to end. Every one is labelled a concept, and every number in them is either sourced or marked a design target.

A dense block of stacked lines resolving into a few clean blocks, with a document between them. Cover art for The Drawer of Forms: Drafting Sick Notes, Insurance Forms and Referral Letters From the Chart. A dense block of stacked lines resolving into a few clean blocks, with a document between them. Cover art for The Drawer of Forms: Drafting Sick Notes, Insurance Forms and Referral Letters From the Chart.
Family Practice Concept

The Drawer of Forms: Drafting Sick Notes, Insurance Forms and Referral Letters From the Chart

A family practice runs a second, invisible practice made of paperwork nobody was trained for: insurance forms, disability paperwork, school notes and referral letters. This is the transformation that drafts each one from the chart that already holds the answer, and leaves the clinical opinion to the clinician.

About 3 hrs/wk

Two blocks separated by a dashed line, with a clock face in the space between them. Cover art for The Phone, the Portal, and the Empty Slot: A Patient Access Desk for a Family Practice. Two blocks separated by a dashed line, with a clock face in the space between them. Cover art for The Phone, the Portal, and the Empty Slot: A Patient Access Desk for a Family Practice.

Primary care (family medicine) 6 physicians, 2 nurse practitioners, 4 admin staff, about 11,000 rostered patients Concept

The Phone, the Portal, and the Empty Slot: A Patient Access Desk for a Family Practice

A family health organization has appointments nobody can book and patients who cannot get through. This is the transformation that turns four incoming channels into one triaged queue, fills the gap a cancellation leaves, and keeps a human on every booking that matters.

No-shows, 27%

Top patient-access priority named by practice leaders

How it starts here

Most practices start at stage one or two, because that is where the risk is cheapest to remove. You can stop after any of them, and the first slice is a fixed fee.

  1. 01

    Practice Audit

    A one-page list of what to fix first What it costs
  2. 02

    Working Pilot

    A working tool your staff can actually use What it costs
  3. 03

    Built and Live

    A live tool and the keys to it What it costs
  4. 04

    Scale Across Sites

    Every location on one standard What it costs

Your practice is the custodian. Under PHIPA the practice holds the personal health information and the responsibility for it. The agreement covering this work names Yantrax Labs as an agent of the practice under section 17, the privacy impact assessment is finished before anything touches a live chart, and every access to a record is logged and auditable. How the roles work.

Will it work with your system? Your software vendor sets the ceiling, not the studio you hire, and the four systems these practices run differ by who is allowed to build at all. What each one actually allows.

Questions a family practice asks first

What can AI actually do in a family practice?

The four things that cost a family practice the most hours are documentation after hours, phone lines nobody can answer, referral letters, and the form and note backlog. AI does the reading and the drafting in each: it pulls what the chart already holds into a draft sick note, insurance form or referral letter, and it turns phone, portal, fax and walk-in into one triaged queue. Your physician still signs. Nothing clinical is decided by a model.

Will AI write clinical notes or make decisions about my patients?

No. Drafting is not deciding. A draft is assembled from what is already in the chart and a clinician reviews, edits and signs it, which is the same relationship a physician already has with a resident or a scribe. Anything diagnostic, anything about dosing, and anything that changes a plan of care stays with the clinician, and the site says so on every page rather than only in the small print.

Do we have to replace our EMR?

No, and we would advise against it. Your EMR stays the source of truth and keeps the longitudinal chart. The work sits alongside it, reads what it needs and writes back through whatever interface your EMR supports, so there is no migration, no data conversion, and no month where the practice runs on two systems. If the EMR is the bottleneck, that is a separate conversation and a much larger one.

Is this PHIPA compliant?

The privacy file is completed before deployment rather than after: a privacy impact assessment, Canadian data residency, and a written agreement naming the processor as an agent under section 17 of PHIPA. Personal health information stays in your environment, processing runs with zero data retention, and every access is logged. Your practice remains the health information custodian throughout.

Do you sell an AI scribe?

No. We do not sell one. Scribe Check tests the scribe your clinic already uses, on your own consented, de-identified visits, and tells you how often it is wrong. Forms Desk handles the paperwork a scribe does not touch: sick notes, insurance and disability forms, and referral letters, drafted from the chart for the physician to sign.

Are you on the Ontario AI Scribe vendor list?

No, and we do not sell a scribe. The list is Supply Ontario's pre-qualified AI scribe vendors under the Ontario AI Scribe Program, and the CPSO points physicians to it. What we offer alongside it is a measurement: Scribe Check scores the scribe you chose on your own visits and reviews its privacy file against the IPC checklist.

Before anything touches a chart

  • Canadian data residency

    Records and processing stay in Canada.

  • Privacy impact assessment first

    Completed before any patient record is used.

  • PHIPA s.17 agent agreement

    Written into the service agreement.

  • Zero data retention

    Nothing is stored after processing or used to train models.

  • An audit log on every access

    Every access to a record is logged.

  • A clinician approves

    Nothing enters a chart without review.

These are commitments in every engagement, not badges on a wall. We are a studio, not a certified platform, so we will not show you a logo we have not earned. What we can put in writing is how the work is built, where your records live, who is accountable for it, and what goes in the contract before a single patient record is touched.

Ready to see where the hours go?

Run a practice where the notes get finished at 9pm? A free consult maps where the hours actually go, and which one a patient would feel back first.

The founder is on every engagement. Specialists join for the stage that needs them, never an account manager.

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