Transforming Health with Integrated Care: Research Profiles
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Network for Integrated Care Excellence (NICE) CanadaResearch summary: The CIHR THINC initiative has funded upwards of 100 grants to address the complex challenges associated with implementing and sustaining integrated care at scale. The Network for Integrated Care Excellence (NICE) Canada will tie together these multiple projects into a coherent approach and to ensure that the new knowledge is amplified and impacts on the delivery of care across Canada. Principal Investigator(s) / Researchers:
Knowledge Mobilization and Impact Champion:
Contact information: Walter.Wodchis@utoronto.ca, Jodeme@me.com Twitter: @wwodchis, @JodemeGoldhar Funders: The CIHR Institute of Health Services and Policy Research (IHSPR) and the CIHR HIV/AIDS and STBBI Research Initiative. Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Digitizing Integrated Care – Aligning technology to valuesName(s): Dr. Carolyn Steele Gray, Dr. Jennifer Major, Dr. James Shaw Location (city, province): Toronto, ON Program: Catalyst Grant: Quadruple Aim and Equity |
Implementing and evaluating the ELEVATE innovation: an IntegratEd health care innovation to engage older patienTs and families within their home and communityName(s): Dr. Joan Tranmer, Dr. Kimberley Morrison Location (city, province): Kingston, ON Program: Catalyst Grant: Quadruple Aim and Equity |
Co-creating recommendations for strengthening coordinated intersectoral health promotion in British Columbia: Starting with physical activityName(s): Dr. Lori Baugh Littlejohns Location (city, province): Vancouver and Invermere, BC Program: 2021 Health System Impact Fellow |
An examination of how to design primary health care networks using a patient-centred, needs-based approachName(s): Mike Reid Location (city, province): Halifax, NS Program: 2021 Health System Impact Fellow |
Identifying service gaps between primary and speciaty care for patients with rheumatoid arthritisName(s): Dr. Xiaoxiao Liu Location (city, province): Calgary, AB Program: 2021 Health System Impact Fellow |
No quality without equity in the care of older adults with complex health issuesName(s): Dr. Amina Jabbar Location (city, province): Mississauga, ON Program: 2021 Health System Impact Fellow |
Developing a Sustainable and Evidence-Based Integrated Model of Care for Pain Management in AlbertaName(s): Dr. Elena Lopatina Location (city, province): Calgary, AB Program: 2021 Health System Impact Fellow |
Using Digital Health to Better Serve Rural Albertans living with Shoulder Pathology: Alberta's Remote Management of ShoUlders Program (ARMS UP)Research summary: Rural patients with shoulder pain have limited access to healthcare. Shoulder Rapid Assessment Clinics(RACs) reduce wait-times and improve outcomes; 25-45% of RAC patients are rural. ARMS UP will integrate 2 urban RACs (EDecision-makeronton, Lethbridge) with 8 rural TeleRehab sites to provide specialist care closer to home, improving patient health and experience (convenience/cost) and providers’ work-life to promote rural health equity. Principal Investigators:
Knowledge Mobilization and Impact Champion:
Contact information: Lauren.beaupre@ualberta.ca Funders: CIHR - Institute of Health Services and Policy Research (IHSPR), Strategy for Patient-Oriented Research (SPOR) and Institute of Musculoskeletal Health and Arthritis (IMHA) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
SPIRO: SPirometry for Improved Indigenous and Rural Respiratory OutcomesResearch summary: A spirometry test is used to diagnose chronic obstructive pulmonary disease (COPD). Most people don’t have access to spirometry, especially those in remote, rural, and Indigenous communities. There are many complex, multi-system barriers to increasing access to spirometry. The vision for the SPIRO team is to enhance spirometry and respiratory services and ultimately improve the health of people with COPD. Principal Investigators:
Knowledge Mobilization and Impact Champion:
Contact information: Pat.camp@hli.ubc.ca Twitter: @UBCPulmRehabRes Funders: CIHR - Institute of Health Services and Policy Research (IHSPR) and Strategy for Patient-Oriented Research (SPOR) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
ThiiNC-ECHO: Testing Healthcare innovations in integrated Networks for Chronic Pain: Evaluation of the Implementation of ECHO Chronic Pain in CanadaResearch summary: Chronic pain affects 20% of the population. In 2014, ECHO was implemented in Canada as a platform for rapid knowledge dissemination of best practices, clinical practice guidelines, and community resources using a hub-and-spoke model. Using implementation science methods and knowledge mobilization approaches, this research will guide, measure and support the successful spread and scale of ECHO chronic pain in Canada. Principal Investigators:
Knowledge Mobilization and Impact Champion
Contact information: andrea.furlan@uhn.ca Twitter: @adfurlan Funders: CIHR - Institute of Musculoskeletal Health and Arthritis (IMHA), Strategy for Patient-Oriented Research (SPOR), and Saskatchewan Health Research Foundation (SHRF) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Integrated Care Clinical Pathway Implementation using a Patient Oriented Learning Health System Approach: A Realist Process Evaluation of the Saskatchewan Long COVID PathwayResearch summary: A Long COVID (LC) clinical pathway (CPW), established by the Saskatchewan Health Authority (SHA), aims to improve care for patients suffering with LC. By taking a realist research approach, our team of patient partners, researchers, health care providers, and health system leaders can provide our SHA with evidence to understand what makes a successful, economically efficient, and sustainable LC CPW. Principal Investigators:
Knowledge Mobilization and Impact Champion:
Contact information: gary.groot@usask.ca Twitter: @Groot_Research Funders: CIHR - Institute of Health Services and Policy Research (IHSPR), Institute of Circulatory and Respiratory Health (ICRH), Strategy for Patient-Oriented Research (SPOR) and Saskatchewan Health Research Foundation (SHRF) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
PriCARE Integration – Case management in primary healthcare for people with complex healthcare needs to improve integrated care: a large-scale implementation studyResesarch Summary: To inform the implementation of case management (CM) intervention on a larger scale across similar and different health system contexts, the aim is to scale up CM in primary healthcare for people with complex needs and generate new evidence to inform policies and healthcare system transformation towards more integrated care, to positively impact many Canadians on the quintuple aim. Principal Investigator(s):
Knowledge Mobilization and Impact Champion:
Contact information: catherine.hudon@usherbrooke.ca Twitter: @V1SAGES Funders: CIHR - Strategy for Patient-Oriented Research (SPOR), Institute of Musculoskeletal Health and Arthritis (IMHA), Fonds de recherche du Québec – Santé (FRQS), and ResearchNB Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Improving sexual health for Canadians through a pharmacy-based sexual health services modelResearch summary: Access to testing, treatment and prevention services for sexually transmitted/bloodborne infections is challenging for many Canadians. Offering these services through pharmacies improves access and equity, is desired by clients, and cost-effective to find and prevent infections. Through this project we will work with stakeholders to assess readiness and support integration of PbSHS into healthcare systems in Atlantic Canada and Alberta. Principal Investigator(s):
Knowledge Mobilization and Impact Champion:
Contact information: dvkelly@mun.ca Twitter: @DebbieVKelly Funders: CIHR - HIV/AIDS and STBBI Research Initiative and Strategy for Patient-Oriented Research (SPOR) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Avoiding Diabetes After Pregnancy Together with Moms (ADAPT-M): Bridging Care from the Third to the Fourth TrimesterResearch summary: ADAPT-M is a virtual health coaching program that bridges prenatal and postpartum care for women with gestational diabetes, to help them prevent future type 2 diabetes. A trial of ADAPT-M has been completed, and we will design a strategy for implementation in 3 Ontario regions. ADAPT-M will reduce diabetes burden by transforming care and improving health for this high-risk population. Principal Investigator(s):
Knowledge Mobilization and Impact Champion:
Contact information: Lorraine.lipscombe@wchospital.ca Twitter: @LorraineLipsc17 Funders: CIHR - Institute of Health Services and Policy Research (IHSPR), Strategy for Patient-Oriented Research (SPOR), Institute of Musculoskeletal Health and Arthritis (IMHA), and Ontario Ministry of Health Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Tackling Eating Disorders early: Enhancing a new model for early intervention of Eating Disorders in Ontario through Integrated Youth ServicesResearch summary: Building off investments made by the Ontario government in testing an early intervention model to address Eating Disorders through Youth Wellness Hubs Ontario, we will partner with youth, family members, clinicians, researchers and others to synthesize, mobilize and adapt the First Episode Rapid Early Intervention for Eating Disorders (FREED) model for Integrated Youth Services throughout Canada. Principal Investigator(s):
Knowledge Mobilization and Impact Champion:
Contact information: nobeid@cheo.on.ca Twitter: @CHEO, #CHEOResearch Funders: CIHR - Institute of Health Services and Policy Research (IHSPR), Strategy for Patient-Oriented Research (SPOR), and Institute of Musculoskeletal Health and Arthritis (IMHA) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Project ECHO Autism Diagnosis and Integrated care Opportunities: ECHO AuDIOResearch summary: Autistic children and youth struggle to access timely autism diagnosis and ongoing integrated care. Project ECHO Autism is an evidence-based intervention for community health care providers to enhance their autism care. Project ECHO Autism Diagnosis and Integrated care Opportunities (ECHO AuDIO) will implement these critical elements in ECHO Autism programs across Canada, providing children with timely, integrated, community-based care. Principal Investigators:
Knowledge Mobilization and Impact Champion:
Contact information: mpenner@hollandbloorview.ca Twitter: @drmelpenner Funders: CIHR - Institute of Human Development, Child and Youth Health (IHDCYH), and Strategy for Patient-Oriented Research (SPOR) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
The Ontario Rheumatology Learning Health System for Transforming Integrated Care for Patients with Rheumatic & MSK DisordersResearch summary: Our team will develop a rheumatology learning health system to accelerate models of care evaluation, equity-focused quality improvement evaluations, and knowledge exchange of evidence-based practices in real-world clinical settings to generate actionable evidence to improve integrated care for individuals with rheumatic and musculoskeletal disorders, which will improve equity and patient outcomes, population health and support a more sustainable rheumatology workforce. Principal Investigators:
Knowledge Mobilization and Impact Champion:
Contact information: Jessica.widdifield@utoronto.ca, Celia.Laur@wchospital.ca Twitter: @Celia_Laur, @lihi_eder, @ORAexec Funders: CIHR - Institute of Musculoskeletal Health and Arthritis (IMHA) and Strategy for Patient-Oriented Research (SPOR) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Implementation and Impacts of the Quebec Action Plan for Chronic PainResearch summary: In 2021, the Quebec Health Ministry launched its Action Plan for Chronic Pain in order to significantly improve the access and quality of health services offered to people who experience chronic pain. The primary objective of this project, which uses a mixed method design, is to evaluate implementation processes and impacts of the Action Plan’s first phase. Principal Investigators:
Knowledge Mobilization and Impact Champion:
Contact information: gabrielle.page@umontreal.ca Funders: CIHR-Strategy for Patient-Oriented Research (SPOR) and Fonds de recherche du Québec – Santé (FRQS) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Paving a Road Map for Integrated Care Evaluation in Canada: A Mixed Methods Evaluation for Patients with Complex Care Needs in Ontario and AlbertaResearch summary: Our project refines and spreads an existing integrated health and social care pathway to hospitalized patients with complex care needs in Toronto, Ontario and Calgary, Alberta. Our research will create an evaluation pathway grounded in high quality patient experience during care transitions from hospital, support aging in place for vulnerable older adults and reduce the demand on acute care. Principal Investigators:
Knowledge Mobilization and Impact Champion:
Contact information: Karen.Okrainec@uhn.ca Twitter: @drkokrainec Funders: CIHR - Institute of Aging, Strategy for Patient-Oriented Research (SPOR), Institute of Circulatory and Respiratory Health (ICRH), and Ontario Ministry of Health Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
Adapting Walk the Talk Toolkit for Equity Deserving Groups: A Pan-Canadian StudyResearch summary: The aim of this study is to socially and culturally adapt Walk the Talk Toolkit for equity deserving groups across Canada. Walk the Talk Toolkit is an online bilingual toolkit designed to help organizations implement the Canadian Guidelines for Recovery-Oriented Practice. These Guidelines, published by the Mental Health Commission of Canada, do not provide a process that organizations can use to implement these guidelines. Walk the Talk Toolkit is a pragmatic implementation science-based approach to promote uptake and sustainability of recovery-oriented integrated care in Canada and a bridge between psychiatric and community-based services. Our focus is on adapting Walk the Talk Toolkit for organizations serving marginalized populations, including groups who are marginalized on the basis of their gender, heritage, nationality, race or ethnicity Principal Investigator(s) / Researchers:
Knowledge Mobilization and Impact Champion:
The Leadership Team includes 27 Knowledge Users and 8 researchers including: 6 Principal Knowledge Users (CEOs) and 20 other Knowledge Users from each site: service users, family members, service providers and policy makers. Contact information: myra.piat@douglas.mcgill.ca Twitter: @MyraPiat Funders: CIHR-Strategy for Patient-Oriented Research (SPOR) and Social Sciences and Humanities Research Council (SSHRC) Program: Transforming Health with Integrated Care (THINC) – Implementation Science Team (IST) |
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