ADVANCE (Accountability, shareD leadership and goVernANCE): A program designed to support leaders of Ontario Health Teams


COVID-19 Update (August 31, 2020): The Ministry of Health is now encouraging OHTs to resume their implementation activities. As one of the Ministry’s Central Support Programs to OHTs, our ADVANCE faculty has redesigned our Programs to support your leadership team virtually.


ADVANCE Program Overview

As a Collaborative Leadership Group:

  • Do you have a shared understanding of the characteristics of authentic, effective collaborative leadership?
  • Are there power imbalances within your collaboration that may limit your effectiveness? And, if so, have you identified strategies for addressing these?
  • Have you discussed what each organization has to contribute to the OHT, and equally, how each might benefit?
  • Having identified your priority populations, have you agreed on clear aims, measures for success, and the roles and responsibilities of each partner?
  • Have you discussed what central supports will be required to advance your collaborative agenda, and what strategies, collectively, might be deployed to fund these supports?
  • Do you have a process for surfacing issues and concerns, and do all partners feel safe in doing so?

These and many other questions will be the focus of the ADVANCE Program – part of the suite of OHT supports organized and funded by the Ministry of Health. These offerings are available to approved OHTs.

This program will offer a series of webinars, and either additional virtual supports or small in-person sessions, depending on the region, to facilitate the building of trust, a foundation for leading effectively and achieving performance excellence! The ADVANCE offerings will focus on the questions above and many more, and will provide opportunities for each OHT Leadership Team to discuss issues of shared leadership, shared decision-making and shared accountability.  Through the delivery of core content and leadership reflection, OHT Leaders will assess opportunities for improvement and develop an associated Action Plan. The ADVANCE Team will work with each OHT to identify and recruit a local Coach(es), who will be trained through webinars and virtual coaching to support the OHT in working through their Action Plan locally.

Past Events

ADVANCE Special Topics Series – Population Health (November 30th, 2022)

Introductory Webinar (February 21, 2020)


Advance Program Faculty

G. Ross Baker is a professor in the Institute of Health Policy, Management and Evaluation at the University of Toronto and Program Lead in Quality Improvement and Patient Safety. Ross had led a number of projects in Quality Improvement and Patient safety and was Co-Lead for the IDEAS program (Improving and Driving Excellent Across Sectors).

Paula Blackstien-Hirsch is a consulting facilitator and coach who focuses on Governance, Leadership and Quality Improvement across multiple sectors. She is also core faculty for the Masters in Quality and Safety, University of Toronto, and is a member of the Sinai Health Board where she also Chairs the Board Quality Committee.

Michelle Nelson is a Scientist in the Collaboratory for Research and Innovation with Sinai Health and an Assistant Professor, Institute of Health Policy Management and Evaluation. She leads research on integrated care for people with complex care needs, and has a particular interest in collaborations between health care organizations and the voluntary sector (Voluncaring).

Andrew Pinto is a physician and scientist at the University of Toronto, who directs the Upstream Lab. His research is focused on integrating health and social care, and bringing a population health approach to health system evolution.

Heather Graham is a consultant, facilitator and coach who works in the not-for-profit sector to build capacity in the areas of collaboration, governance and leadership, strategic planning and community engagement. She has been involved in several collaboration research and policy initiatives including Strengthening Collaboration in the Not-for-Profit Sector including development of an online tool (

Lynne Sinclair is an Educational Consultant, Assistant Professor, Department of Physical Therapy & the External Development Lead at the Centre for Inter-professional Education, University of Toronto. She has expertise in integrated care, quality improvement/ safety, intersectoral communication & team-based practice and sits on the Board of the Canadian Interprofessional Health Collaborative (CIHC).



Access ADVANCE materials and addition resources here.


ADVANCE Program Coordinator –

Twitter: #advanceOHT