Lessons in Sustainability: The Re-Imagination of Integrated Care in Ontario, Canada.

2019

Faced with rising healthcare costs and systemic inefficiencies, the Ministry of Health and Long-Term Care (MOHLTC) selected six programs, each a collection of acute/ post-acute care organizations, to implement bundled care across the province of Ontario, Canada in 2015. A […]

Abstracts Poster

Engaging in International Case Comparison: How Can We Learn Across Borders?

2019

Health systems globally are still struggling to roll out system-wide models of integrated health and social care. While pockets of innovation exist they often remain stuck within single jurisdictions, or, worse yet, never expand beyond the pilot phase. Researchers, providers, […]

Abstracts Poster

Distributed Leadership Enactment in the Implementation of Inter-Organizational Networks

2019

Providing care for increasingly medically and socially complex populations is a well-recognized challenge that necessitates coordinating services across multiple sectors and organizations. There is a need to re-organize how care is delivered to align with coordination efforts, in the form […]

Journal Article

Contextual Factors Influencing the Implementation of Innovations in Community-Based Primary Health Care: The Experience of 12 Canadian Research Teams

2019

The objectives of this paper are to: (1) identify contextual factors such as policy that impacted the implementation of community-based primary health care (CBPHC) innovations among 12 Canadian research teams and (2) describe strategies used by the teams to address […]

Journal Article

Patient and Caregiver Experience With Delayed Discharge From a Hospital Setting: A Scoping Review

2019

Background Delayed hospital discharge occurs when patients are medically cleared but remain hospitalized because a suitable care setting is not available. Delayed discharge typically results in reduced levels of treatment, placing patients at risk of functional decline, falls and hospital‐related […]

Journal Article

Combining Integration of Care and a Population Health Approach: A Scoping Review of Redesign Strategies and Interventions, and Their Impact

2019

Background and aim: Many health systems attempt to develop integrated and population health-oriented systems of care, but knowledge of strategies and interventions to support this effort is lacking. We aimed to identify specific redesign strategies and interventions, and to present […]

Journal Article

New Voices, New Power, New Ways of Working: Bringing Integrated Care to the National Health Service in England.

2019

his issue of Healthcare Quarterly features the third and final instalment in a three-part series developed by Ontario’s The Change Foundation featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. […]

Journal Article

Implementing Integrated Care for Older Adults with Complex Health Needs: iCOACH. An International Network Discussion

2018

iCOACH began in 2012 as research study funded by the Canadian Institute for Health Research and the New Zealand Health Research Council. The intention of iCOACH was to understand the steps to implementing Integrated Community-Based Primary Health Care (ICBPHC). The […]

Abstracts Presentation

Measuring the Extent and Drivers of Integration Within Primary Care Teams

2018

Given its core attributes as the gateway to the health system, the primary care sector is increasingly emphasized as a key player in the integration of care across providers and settings. Ontario’s primary care sector has evolved considerably with the […]

Abstracts Presentation

Adaptation and Standardization of Integrated Care Practices to Facilitate Scale-Up and Spread: Insights from Ontario Case Studies

2018

Varying models of integrated care have been successfully developed in different health systems to deliver value-based care; yet many of these models face challenges in scale-up and spread. One critical theme with limited consensus is the extent to which practices […]

Abstracts Presentation