• (More about the Quality Book of Tools)

    Praise for the Quality Book of Tools

    "Like the perfect sunflower with 8 petals symbolizing quality in Family Practice, this book flourishes by stimulating all practitioners to excellence in all that we do."


    "It is easy to assume and discuss quality. It is much harder to demonstrate and improve it. This well written and succinct book offers a clear pathway to better quality."

    Rich Roberts MD JD President Wonca 2010-2013

    "A key to quality improvement is a practice knowing where it is going. This Book of Tools provides a concrete and comprehensive set of goals for primary care practice teams and will also serve key stakeholder’s understanding of the reality of practice quality. I complement the authors for this excellent practical product."

    Jim Vause MBChB FRNZCGP (Dist) Dip GP RNZCGP Cornerstone Assessor
  • Welcome!

    The Quality Book of Tools by Cheryl Levitt and Linda Hilts is a comprehensive book of practice management and clinical care indicators for improving quality in primary care, family practice settings. It is designed for family practices in Ontario but could be useful in primary care settings throughout Canada and internationally.

    This Quality Book of Tools 2010 was developed following an international review and modified Delphi process in 2008-2009 and is the revised version of the 2003-2005 Quality in Family Practice Tool.

    The Quality Book of Tools is an open-source web-based tool and free access is available through this website. It is also available to purchase as a hard copy book. Free access to other electronic versions of the book is also available through this website in PDF, Flash and on your mobile.


    Cheryl Levitt

    Linda Hilts

    About the Authors

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  • Recent Posts:

    • Quality Book of Tools translated into Japanese

      We are delighted to announce today that the QBT has been translated by Dr. Shinji Matsumura and his family physician colleagues in the Japan Primary Care Association into Japanese. Dr. Shinji Matsumura saw a poster of the Quality Book of Tools at a WONCA conference and made a commitment to translate the book into Japanese. more »

    • Check out our new “Navigating the QBT” youtube video

      We have just posted our new “Navigating the QBT” video. It will help you move around the website and access all the resources and indicators. If you find it useful, please share it with others. Let us know how you like it!

    • 2014 Updated Links for Quality Book of Tools

      We are pleased to let you know that we have recently completed our annual update of the QBT links on the website and PDF versions of the QBT.  Also the further information at MacHealth has been updated. Please let us know if you have any problems with the links or any suggestions.

      We have 331 more »

    • Quality Book of Tools validation study published

      We are very excited to have published our validation study of the quality indicators in the Quality Book of Tools. In 2009, we did a systematic comparison of similar indicators that we found in other assessment tools. Forty-four indicators were valid. Of the remaining sixty-three indicators brought to a Delphi panel, thirty-seven were valid. This more »

  • Contact us with your feedback!

    • Criteria Symbols

      Legal and Safety – required by law*

      Essential – required to demonstrate best practice

      Desirable – required to demonstrate additional quality

      (*Assumptions about indicators are based on the nature of these indicators and the regulations that qualify them)