INSPIRE PHC - Primary Health CAre Program:INnovations Strengthening PrImary Healthcare REsearch
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Trillium PHC Research Day

Research Rounds

Patient Engagement



Dr. Clare Liddy (INSPIRE-PHC investigator) and Dr. Erin Keely will lead the Ontario eConsult Centre of Excellence. Click here for more information and contacts.






PHC Resources Shared with the INSPIRE-PHC Network 2013-2017



The INSPIRE-PHC Network has over 100 members consisting of the following:
  Primary health care oriented researchers and clinician scientists
  Decision makers in the primary health care field (associations related to primary care, MOHLTC)
Members represent:
  Many disciplines including: family medicine, nursing, epidemiology, sociology, respiratory therapy, health services, occupational therapy, health policy, education, health economics, psychology, nutrition, social work, information and media studies, physiotherapy, pharmacy
  24 organizations related to PHC

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Consider becoming an INSPIRE-PHC Network member

As a member you would:

  • Receive emails with relevant PHC Resources approximately monthly, including events and funding opportunities
  • Be informed of opportunities to present research/project results to the MOHLTC
  • Opportunity to reply to requests for research based on expertise (which may include funding)
  • Also, if you have an important project/research/opportunity to share you can provide information to be sent to the full network of ~100 members

If interested, please contact and she will be pleased to add you to our network.

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Events and Conferences

Date Sent Title Description
Annually Trillium Primary Health Care Research Day

Trillium Primary Health Care Research Day is an annual event that gives an opportunity to share one's primary health care relevant research in a welcoming and constructive atmosphere to an audience of PHC researchers, trainees, decision makers, clinicians and patients.

Annually North American Primary Care Research Group (NAPCRG) NAPCRG is an annual event, where research/health care professionals throughout North America and the rest of the world showcase their proposals on any topic relating to primary care research.
Annually Primary Health Care Research Rounds An opportunity for Ontario primary health care researchers interested in presenting recent or ongoing primary health care relevant research to a policy audience. Individuals are also asked to highlight the research proposal's relevance to primary health care patients and policy makers. From the applications, 10 abstracts annually will be chosen to present. This opportunity is facilitated by the INSPIRE-PHC Program and hosted by the MOHLTC PHC Branch as part of the Primary Health Care Research Rounds.
Annually CAHSPR (Canadian Association for Health Services and Policy Research)

Themes for this Health Services and Policy research conference vary from year to year. Usually held in May each year with a rotating location within Canada.

Annually Association of Family Health Teams of Ontario (AFHTO) Conference Different themes each year all in the area of primary health care in Ontario including policy, health services and clinical issues. Interdisciplinary in nature.

Annually Labelle Lecture Series In autumn of each year a health services researcher with emerging recognition and an inter-disciplinary approach to research, gives a general interest lecture on a topic in the broadly defined areas of health economics and/or health policy. The Labelle Lecturer is also available for consultations with individuals in and outside McMaster University during the period of his/her visit.

Annually Family Medicine Forum The Family Medicine Forum (FMF) is the largest gathering of family physicians in Canada. It features four days of hands-on, state-of-the-art and reflective training, impressive plenaries and a major exhibition hall.
Biennial Canadian Association of Community Health Centres (CACHC)

The Canadian Association of Community Health Centres is the federal voice for Community Health Centres and community-oriented, people-centred primary health care across Canada.

2017 Bringing 'Living Systematic Reviews' to Life Cochrane Canada Symposium 2017: EVIDENCE & IMPACT Engaging consumers, practitioners, researchers and policy makers
2017 International Conference on Humanizing Health Care: Enhancing Lives. Transforming Care This conference will explore emerging trends and best practices that include relationship centred care and highlight innovative ways to build capacity through community engagement, education, research and technology; cultivating compassion and dignity in an aging society.

2017 Open Call for Innovations in Palliative and End-of-Life Care Prospectus Are you an individual or part of a team with a demonstrated or emerging innovation in palliative care? Then we want to hear from you! If your innovation is selected, you will have an opportunity to: Receive a 2017 CFHI Innovation Award and be recognized as an innovator; Present your innovation at the CFHI CEO Forum (June 21, 2017 in Toronto); Benefit from CFHI support to identify opportunities to spread your innovation. Questions about this open call for innovations? Contact Jessie Checkley, Senior Improvement Lead at or 613-728-2238 (x356). Please click the link given, to find more information and deadlines. Presented by the Canadian Foundation for Healthcare Improvement (CFHI).
2017 EPION's 2017 Join the Early Psychosis Intervention Ontario Network (EPION) for a two-day conference where we will explore different ways to define and understand success. You will: Connect with your colleagues to share and learn about innovations in EPI practice that help bring us closer to our visions of success as clinicians, program managers, persons with lived experience of psychosis and family members. Find out about the learnings and successes from programs that have implemented new practices, including those inspired by EPION's recent think tanks on education and outreach, family work, metabolic monitoring, psychological therapies, knowledge exchange, evaluation and monitoring, and psychosis and cannabis. Understand the latest data and evidence emerging within EPI and what it means for clinical practice and how we understand success in this field. Do you have an idea for a conference session? If yes, let us know! We are inviting proposals for papers, oral presentations, panel discussions, workshops and poster presentations as we plan for EPION's 2017 Conference!


Women and Opioid Use- Trauma Informed Care Presenter: Dr. Jesleen Rana is a Family Physician who completed her residency training at St Michael's Hospital after attending Medical School at Queen's University. She has a GP Focused Designation in Addiction Medicine and is currently working in Canada's first clinic specifically for women with opioid use disorder.
2016 Multimorbidity Symposium sponsored by PACE in MM You are invited to attend a Multimorbidity Symposium sponsored by PACE in MM. PACE in MM is Community Based Primary Health Care Team grant funded by the Canadian Institutes of Health Research (CIHR). Speakers include: Dr. Natasha Lane – Multimorbidity and Disability in Long-Term Care Residents: Where do Geriatric Syndromes Fit in this Clinical Story? Dr. Carri Hand – Measuring Holistic, Patient Reported Outcomes in Interprofessional Primary Care. Kathryn Nicholson – Examining the Prevalence, Patterns and Progression of Multimorbidity among Adult Primary Health Care Patients in Canada. Dr. Pauline Boeckxstaens – Goal Oriented Care for Multimorbidity: From Measuring Multimorbidity as a Clinician-Researcher towards the Development of an Interdisciplinary Clinical Approach that can be Measured.
2016 Caring for Caregivers: Bridging the Care Gap This symposium features leading academic and policy experts. It tackles key assumptions around caregiving including the assumption that caregivers are going to be willing and able to step up as more individuals require care and as more care shifts from hospital and institutional settings to home and community where caregivers play the lead role.
2016 Hot Talks on Health (The Change Foundation)- Caregivers: Lessons from the UK, Opportunities for Ontario Join leading experts as they discuss what is being done to recognize the role of caregivers in the United Kingdom and Ontario. For more information, please contact: Jeff Junke, Communications Associate, 416-205-1325

2015 8th Annual Conference on the Science of Dissemination and Implementation A forum for discussing the science of dissemination and implementation, the 8th Annual Conference aims to grow the research base by bridging the gap between evidence, practice, and policy in health and medicine. Researchers, evaluators and implementers who are interested in identifying opportunities, challenges, and strategies for disseminating the findings and implementation of research to key stakeholders should attend the meeting to discuss, debate, and explore in-depth approaches to advance dissemination and implementation science.
2015 Canadian iphYs - 'Keeping the Body in Mind, in Youth with Psychosis' Satellite Symposium

During this one-day event on improving the physical health of young people with psychosis, you'll have the opportunity to interact with world-renowned experts on managing weight gain, metabolic syndrome and diabetes in persons receiving early psychosis intervention (EPI).

2015 Collaborative Conversations: On the Road Systems Improvement through Service Collaborative is hosting seven knowledge exchange events across the province that will focus on specific topics related to system change. Check out the calendar for the events dates, time and location.
click here for more information
2014 Learning from Health Links: Integrating Care in the Ontario Context The Symposium will focus on exemplar Health Links, their novel approaches to integrating care, as well as their development and ongoing evolution. Research from the Health System Performance Research Network (HSPRN) will offer frameworks for measuring the implementation and success of Health Links at the local level and within the broader health system, providing conference attendees with a clearer understanding of how to initiate and nurture a successful Health Link that integrates care for complex populations.
2014 Primary Care Engagement and Integration: Current and Future Trends

The Ontario Hospital Association had primary care engagement and integration as a theme in a 2014 conference. It was intended to help providers and administrators in hospitals, primary care, community and home care understand how they can work in partnership for better integration of care.


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Webinars / Workshops

Date Sent Title Description
2017 Unnecessary Care in Canada Hosted by: The Canadian Institute for Health Information (CIHI) and Choosing Wisely Canada (CWC). This event will host a conversation on unnecessary care, the importance of measurement and on the suggested recommendations that will be featured in the new CIHI and CWC report. The event will include: A moderated panel discussion featuring David O'Toole, President and CEO CIHI, Dr. Wendy Levinson, Chair and Co-Founder, CWC and Dr. Laurent Marcoux, President-Elect Canadian Medical Association. Speakers from the Canadian Partnership Against Cancer, North York General Hospital and others who will share their success stories about addressing unnecessary care.
2017 Rent Assistance- Housing First approach Presented by The Ontario Housing First Regional Network Community of Interest (OHFRN‐CoI). Rent assistance is a cornerstone of the Housing First approach to ending chronic homelessness. Yet many Ontario communities do not have rent assistance or enough rent assistance to meet the needs of the homeless population. Furthermore, when available, rent assistance is often implemented in many different ways. Communities vary in terms of the dollar amounts of rent assistance per person and whether the rent assistance is portable or tied to a specific housing unit.
2017 Planning for Implementation and Sustainability workshop This 3-day workshop will target professionals who are interested in learning more about applying implementation theories, models, and frameworks for effective implementation and sustainability of evidence-based programs. The workshop will be from April 10-12th 2017 at the Li Ka Shing Knowledge Institute, St. Michael's Hospital in Toronto, Canada.
2016 Partnering for Success

This is an interactive, practical and hands on workshop, here you will discover the critical criteria every partnership must have to be successful. One of topics we will be discussing about are on the three most pressing issues leaders deal with around partnering and they are improving engagement and performance, partnering under pressure, and knowing when to dissolve a partnership. The goal of this session is to arm you with the insights you need to create meaningful conversations with your partners that immediately transform your results.

2016 Transforming Regions Into High Performing Health Systems- Free webinar provided by Canadian Foundation for Healthcare Improvement (CFHI)

Senior Canadian Health Policy Advisor Dr. Yves Bergevin will present his findings from a literature review and interviews with 30 health leaders he conducted on regionalization in Canada. Take part in this interactive webinar to understand the impacts of regionalization and a way forward for health authorities to achieve the 'Triple Aim' and improve healthcare for Canadians. We will also hear from health leaders in Manitoba and Ontario who will reflect on Dr. Bergevin's report and regionalization in these two provinces. Presenter: Yves Bergevin, MD, MSc, CCFP, FRCPC, FCFP, Senior Canadian Health Policy Advisor; Helga Bryant; Paul Huras.

2016 The Ontario SPOR SUPPORT Unit (OSSU) conducting pragmatic randomized trials This one-day, immersive, and interactive course will provide participants with the basics of conducting pragmatic randomized trials. The course focuses on the proper implementation and use of the PRECIS-2 tool.

2016 Knowledge Mobilization, Research Impact, and the Changing Nature of Academic Work This KTECOP webinar will feature presentations by David Phipps (ResearchImpact-RéseauImpactRecherche) and Matthew McKean (Conference Board of Canada) and then a conversation between them to dig into each of the four conclusions from Matthew's research article.
2016 The Toronto and Ottawa Supervised Consumption of Assessment (TOSCA) Project

TOSCA is a supervised consumption facility that legally sanctions public health facility that offers a hygienic environment where people can inject illicit drugs under the supervision of trained staff. This webinar helps the audience to learn about the Toronto and Ottawa Supervised Consumption Assessment (TOSCA) Project, recipient of the 2016 Paula Goering Collaborative Research & Knowledge Translation (KT) Award. The Goering Award acknowledges innovative KT projects in mental health and addictions. Please join us for an address from the TOSCA team, along with brief overviews of other innovative projects in the 2016 competition.

2016 Scientist Knowledge Translation Training (SKTT)

The Scientist Knowledge Translation Training (SKTTTM) course is a two-day knowledge translation (KT) training opportunity. The program, which has been offered for over ten years, was developed on the premise that scientists, clinicians and educators, are agents of change in creating research impact, promoting research utilization, and ensuring that research findings reach the appropriate audiences. There is a fundamental skill set surrounding KT practice, and it is these competencies that form the basis of the SKTT course.

2016 Integrated Primary Health Care

The Toronto Central Local Health Integration Network (LHIN) is aiming to improve access to and integration of primary and community care at the local level. Toronto Central LHIN has identified a group of primary care leaders and local champions, our Primary Care Clinical Leads, to co-design a way forward that will meet community needs.

2015 Webinars from Clinical Trials Ontario CTO is leading the movement for a single provincial ethics review for multi-centred clinical trials. It's all part of enhancing the climate for clinical research in Ontario. The CTO Streamlined Research Ethics Review System (SRERS) provides an efficient approach to conducting research ethics reviews for clinical research in Ontario. The SRERS supports any single 'CTO Qualified' Research Ethics Board (REB) in Ontario to provide ethical review and oversight for multiple research sites participating in the same clinical trial. CTO are hosting more webinars to help you get better acquainted with the CTO Streamlined Research Ethics Review System. CTO are hosting more webinars to help you get better acquainted with the CTO Streamlined Research Ethics Review System, you download the calendar.
2015 Paula Goering Collaborative Research and Knowledge Translation Award: Linking Sectors & Linking Data to Improve Mental Health of Individuals with Developmental Disabilities

The Health Care Access Research and Development Disabilities (H-CARDD) program is a research program whose primary goal is to enhance the overall health and well-being of people with developmental disabilities through improved health care policy and services.

2015 Winter 2015 IHSPR Policy Round Line-Up CIHR's Institute of Health Services and Policy Research (IHSPR) Policy Rounds are webinars that disseminate research results and foster knowledge exchange among researchers, health care policy and decision makers, and other stakeholders. IHSPR Policy Rounds showcase current research evidence on high priority topics and promote evidence-informed decision making. Through IHSPR Policy Rounds we hope to spark opportunities to identify and address knowledge gaps and foster collaboration. There will be two webinars that will be running, Caring for Caregivers and Team-Based Primary Health Care.
2015 Ontario Community Health Research Rounds Please join us for a new bimonthly research webinar series to highlight research done in and about Ontario Community Health Centres, Aboriginal Health Access Centres, Nurse Practitioner Led Clinics and Community FHTs. Webinars will take place Wednesdays from 12-1 pm every other month.
2014 Learning from Health Links: Integrating Care in the Ontario Context

The Symposium will focus on exemplar Health Links, their novel approaches to integrating care, as well as their development and ongoing evolution. Research from the Health System Performance Research Network (HSPRN) will offer frameworks for measuring the implementation and success of Health Links at the local level and within the broader health system, providing conference attendees with a clearer understanding of how to initiate and nurture a successful Health Link that integrates care for complex population.

2013 Patient Engagement (CFHI) The Canadian Foundation for Healthcare Improvement (CFHI) believes that patient engagement is an essential lever for healthcare transformation. Launched in 2010, CFHI's Patient Engagement Projects (PEP) initiative supports 17 decision-maker led teams across Canada who are either involving patients (and/or their families) in decisions about service design and delivery, or increasing capacity for more meaningful engagement in such decision-making.
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Date Sent Title Description
2016 Outcomes of CIHR Working Meeting with Research Community

This shows an overview of the CIHR Governing Council changes based on recommendations made at July meeting. Some of the decisions that have been made: Project Grant applications will be 10 pages (including figures and tables), and applicants can also upload unlimited references and letters of support.

2016 Health Equity Report organized by Health Quality Ontario

Income and Health shows how income is associated with health risks, health care and health outcomes among people in Ontario. With indicators covering everything from the smoking rate to prescription medication insurance to life expectancy, the report looks at variation between the poorest people in Ontario and the richest, across five income levels. Throughout the report, people from across the province share their personal stories on how their income relates to their health and the health care they receive.

2016 Care Coordination Report: Commonwealth Fund Survey of Family Doctors

The Health Quality Ontario report entitled Connecting the Dots for Patients looks at family doctors' views on coordinating care for their patients with home care, community services, hospitals and specialists in Ontario. The report, based on the 2015 Commonwealth Fund International Health Policy Survey of Primary Care Doctors compares the responses of Ontario's family doctors with those in other parts of Canada and 10 other countries. Poor care coordination can contribute to hospital admissions that could have been prevented, unnecessary emergency department visits, medical errors, repeated tests, and poor health outcomes for patients.

2016 Toolkit for Primary Care Providers - provides strategies and resources for providing Health Checks to primary care patients with developmental disabilities

The H-CARDD program is working with Family Health Teams to develop strategies to help adults with developmental disabilities (DD) increase their access to comprehensive primary care-based health assessments. They have created a Toolkit for Primary Care Providers, which provides strategies and resources for providing Health Checks to primary care patients with developmental disabilities. The resources (health check forms, screening tools, quick reference sheets) can be uploaded into EMRs as handouts or fillable forms, or be printed out as easy access materials for paper-based practices. The toolkit can be downloaded from the HCARDD website The web site also includes a brief video from a FHT lead in Kingston from Queen's University explaining the project and a snapshot summary of the work.

2016 Commonwealth Fund 2015 International Health Policy Survey of Primary Care Physicians The Commonwealth Fund survey polled primary care doctors in 10 countries on topics such as access to care, coordination of patient care, organization of practice, use of information technology and performance measurement. Highlights include: Access to care is improving but still a challenge for many Canadians. Coordination of patient care shows room for improvement, despite being above the international average in some areas. New models of primary care delivery appear to be making a difference. There was a big improvement in the use of electronic medical records (EMRs) in Canada
2016 Should registered nurses prescribe drugs?

In order to learn more about the benefits and challenges of RN prescribing, Ontario's Minister of Health and Long-Term Care has asked the Health Professions Regulatory Advisory Council (HPRAC) to investigate and make recommendations to the Province about RN prescribing. The Council has been tasked with figuring out which of the three different models for RN prescribing is best for Ontario. They are to evaluate the models on various criteria, including whether the form of RN prescribing would fill a public need and how easily the risks of each model could be mitigated. This article describes the models for RN prescribing.

2016 Health quality report: Measuring up 2016 In this 10th publication, the yearly report offers those who work within the health system and those who use it the most comprehensive overview of two key matters: Measuring Up 2016 looks at both how the health system is performing, and also looks at the health of those living in Ontario. "To broaden the lens on health care quality, Health Quality Ontario worked with experts and patients across the system to incorporate new areas to monitor and measure," says President and CEO, Dr. Joshua Tepper. "The significance of this latest report lies in this newfound perspective. Areas in need of attention emerge clearly, allowing the system to better focus its efforts.
2016 Health quality report: Under Pressure: Emergency Department Performance in Ontario

Ontarians are spending less time in Ontario's emergency departments and seeing emergency doctors more quickly than in previous years. In addition, the majority of people in Ontario appear satisfied with the emergency care they receive. Despite these successes, emergency departments are under a great deal of pressure. Titled, Under Pressure: Emergency Department Performance in Ontario, this Health Quality Ontario report shows that: Growth in emergency department visits is outpacing population growth. Visits by older patients – who tend to require more complex care – are increasing overall. Emergency department patients are becoming collectively sicker.

2016 2016 Canadian Index of Wellbeing National Report For more than 10 years, the Canadian Index of Wellbeing (CIW), based at the University of Waterloo, has provided comprehensive analyses of how we are really doing in the areas of our lives that matter most. It draws from almost 200 reliable data sources, primarily from Statistics Canada, that provide 64 indicators representing eight interconnected domains of vital importance to our quality of life. The CIW framework is the result of broad consultations with Canadians from across the country as well as with national and international experts. The CIW takes a systems approach and identifies key leverage points that have a positive impact on our wellbeing across several domains — Community Vitality, Democratic Engagement, Education, Environment, Healthy Populations, Leisure and Culture, Living Standards, and Time Use. When we tackle challenges in one part of the system, the improvements can translate across a number of domains and to overall wellbeing.
click here for more information
2016 A CIHI report entitled "Physicians in Canada, 2015"

Physicians in Canada, 2015 contains demographic information about the supply of physicians in Canada and information about the payments made to them that are administered through provincial and territorial medical care plans. Data includes the average cost per clinical service for family medicine physicians and other specialists at the national and provincial levels.

2016 A CIHI report entitled Regulated Nurses, 2015 This report highlights current trends in nursing practice in Canada across a variety of demographic, education, mobility and employment characteristics. The report highlights data from three groups of regulated nursing professions: Registered nurses (RNs, including nurse practitioners or NPs). Licensed practical nurses (LPNs) and registered psychiatric nurses (RPNs).
2015 Primary Health Care Performance Initiative (PHCPI) The Primary Health Care Performance Initiative (PHCPI) brings together country policymakers, practitioners, advocates and other development partners to catalyze improvements in primary health care in low- and middle-income countries through better measurement and knowledge-sharing. PHCPI was founded by the Bill & Melinda Gates Foundation, the World Bank Group and the World Health Organization, in partnership with Ariadne Labs and Results for Development.
2015 Patient Care Groups: A new model of population based primary health care for Ontario

A report on behalf of the Primary Health Care Expert Advisory Committee.

2015 National Health Expenditure Trends, 1975 to 2015

An overview of how much is spent on health care annually, in what areas money is spent and on whom, and where the money comes from. It features comparative expenditure data at the provincial/territorial and international levels, as well as Canadian health spending trends from 1975 to the present.

2015 Poverty: A Clinical Tool for Primary Care Providers

Poverty puts patients at higher risk for most chronic diseases, mental illnesses, and even accidents and trauma. A Statistics Canada study shows that income inequality is associated with the premature deaths of 40,000 Canadians per year. This Tool is one of several developed as part of the Knowledge Translation in Primary Care Initiative. This multi-year initiative is a collaboration between Centre for Effective Practice (CEP), the Ontario College of Family Physicians (OCFP), and Nurse Practitioners' Association of Ontario (NPAO). Funded by the Ministry of Health and Long-Term Care, this initiative will support primary care providers with a series of clinical tools and health information resources. Learn more about the Knowledge Translation in Primary Care Initiative.

2015 Patients First: A Roadmap to Strengthen Home and Community care

This is the first phase of our plan to remake the home and community care sector. It outlines the steps we are taking to improve the care our loved ones receive. It is informed by the work of the ministry's expert group on home and community care, led by Gail Donner, and its report. 

2015 Effect of Continuity of Care on Hospital Utilization for Seniors With Multiple Medical Conditions in an Integrated Health Care System

In an integrated delivery system with high informational continuity, greater continuity of care is independently associated with lower hospital utilization for seniors with multiple chronic medical conditions. Different subgroups of patients will benefit from continuity with primary and specialty care clinicians depending on their care needs.

2015 Resources for Sex and Gender based analysis 

At Women's Xchange, we help investigators integrate sex and gender considerations into their research projects. The process begins with an initial consultation to determine whether or not sex and gender are, in fact, relevant to the research topic at hand. If so, we apply a sex and gender lens to the primary research question(s) and consider how best to capture SG differences throughout the research process.

2015 Accessing Health And Health-Related Data in Canada - Council of Canadian Academies Report

The Council of Canadian Academies released its newest Expert Panel report. "Accessing Health and Health-Related Data in Canada" examines the challenges of accessing data while ensuring privacy is protected and public trust is maintained. Overall, the Panel determined there is an important opportunity for Canada to move from a culture of caution to a culture of trust.

2015 Building primary care in a changing Europe

For many citizens primary care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary care is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.

2015 Pan-Canadian Vision & Strategy for Health Services & Policy Research Vision & Strategy Launch

The document sets out a vision, a suite of strategic directions and research priorities for Canada's HSPR community, developed by Canada's HSPR and stakeholder community. It establishes a context against which the HSPR community can plan, collaborate and act to optimize HSPR investments, strengthen the HSPR enterprise and position Canada as a leader in the evidence-informed improvement of health and health system outcomes.

2015 Canadian Health Services & Policy Research Alliance (CHSPRA)

An exciting outcome of the Strategy Development work has been the establishment of a Canadian Health Services and Policy Research Alliance (CHSPRA) of partners, stakeholders and HSPR leaders who are committed to advancing the vision, strategic directions and research priorities outlined in this document. The Alliance will aim to bring greater collaboration and coordination to HSPR activity and investment in Canada and optimize the relevance and impact of HSPR investments in high-priority areas of pan-Canadian interest. This Alliance provides an important vehicle for advancement of the Pan-Canadian Vision and Strategy for Health Services and Policy Research. 

2015 Patients First: Action Plan for Health Care

The next phase of Ontario's plan for changing and improving Ontario's health system, building on the progress that's been made since 2012 under the original Action Plan for Health Care. It exemplifies the commitment to put people and patients at the centre of the system by focusing on putting patients' needs first. The first Action Plan for Health Care promised to help build a health care system that was patient-centered. Patients First is the blueprint. It builds on that commitment and sets the framework for the next phase of health care system transformation. This plan is designed to deliver on one clear health promise – to put people and patients first by improving their health care experience and their health outcomes. This plan focuses on four key objectives:

  • Access: Improve access – providing faster access to the right care.
  • Connect: Connect services – delivering better coordinated and integrated care in the community, closer to home.
  • Inform: Support people and patients – providing the education, information and transparency they need to make the right decisions about their health.
  • Protect: Protect our universal public health care system – making evidence based decisions on value and quality, to sustain the system for generations to come.

2014 Family Health Team (FHT) evaluation Based on the results of a five-year evaluation initiative, this report explores the successes and challenges of the Family Health Team (FHT) model of primary care in Ontario.
click here for more information
2014 Development of methodological guidance, publication standards and training materials for realist and meta-narrative reviews: the RAMESES (Realist And Meta-narrative Evidence Syntheses - Evolving Standards) project

There is growing interest in theory-driven, qualitative and mixed-method systematic review approaches, such as realist and meta-narrative review. This British project developed methodological guidance, publication standards, and training resources for researchers undertaking realist and meta-narrative reviews.

2014 Developing a dashboard to help measure and achieve the triple aim: a population-based cohort study

Using a sample of 11.4 million Ontarians, this study evaluated whether categorizing individuals into adjusted clinical groups (ACGs) could help measure improvements in achieving the "triple aim" of reduced costs, improved population health and positive healthcare experience. Results showed the method could help track costs by showing a reduction or increase in total system costs associated with a particular ACG. It also appeared useful in measuring improvements in population health as it could identify how many people moved into healthier rather than sicker ACGs.

2014 Interprofessional Collaboration in Ontario's Family Health Teams: A Review of the Literature

In Ontario, 200 inter-professional Family Health Teams (FHTs) have been established since 2005 to improve primary healthcare access, patient outcomes and reduce costs. This review examines 11 studies to assess FHTs. It concludes they have generated improvements in healthcare access and outcomes.

2013 eGEMs

eGEMs (Generating Evidence & Methods to improve patient outcomes) is a free, open access, peer-reviewed publication produced by the Electronic Data Methods (EDM) Forum that shares innovative approaches to using electronic clinical data (ECD) for health research and quality improvement (QI). eGEMs facilitates publication and rapid dissemination of innovative methods and strategies that advance the science of using ECD.

2013 In pursuit of certainty: can the systematic review process deliver?

Clinical guidelines are largely based on the findings of systematic reviews (SRs). This paper from BMC Medical Informatics & Decision Making reviews 443 studies of hypertension and discusses the SR process. The authors find gaps in evidence as well as methodological limitations, and question the clinical utility of non-standardized SRs.

2013 Using and abusing evidence in science and health policy

This series of articles edited by Timothy Caulfield and published in BioMed Central investigates how evidence is used in a variety of health and science policy domains. It considers the ways in which it is has been used (or misused) and represented (or misrepresented) in relevant laws, policies and regulations, in addition to the numerous challenges and barriers to its use in policy development. Articles published in this series were invited from delegates at the meeting "Using and Abusing Evidence in Science and Health Policy" held in Banff in Spring 2012.


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Funding Opportunities

(if date has passed, link will be to those funded)


Date Sent Title Description
Annually Quick Strike applications

This opportunity is specifically for cross-provincial research projects. To access funds in this opportunity, applicants must be engaged with the Ontario SPOR PIHCI Network - BeACCoN. You are required to submit a letter of intent for this funding opportunity, and the network coordinating office will reach out to you to provide you with more information on SPOR.

Annually Partnerships for Health System Improvement (PHSI)

The purpose of this funding opportunity is to support teams of researchers and decision makers interested in conducting applied health services and policy research that will be useful to health system managers and/or decision makers.
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Women's Xchange: $15K Challenge

Women's Xchange invites you to apply for the $15K Challenge. The $15K Challenge will award $15,000 or more to individuals in organizations working to advance the health of women and girls. Funding is available for one year, and organizations must be based in Ontario.

2017 Health System Impact Fellowships

A NEW funding opportunity for PhD graduates (post-docs) who are interested in applying their research and analytic talents to critical challenges faced by health system and related organizations outside of the traditional scholarly setting, and who want to benefit from professional work experience, mentorship from health system and academic leaders, and professional development training in an expanded set of competencies (e.g., leadership, project management, change management) designed to accelerate professional growth. There are 37 fellowship awards.

2016 Patient-Oriented Research Capacity Building Initiatives Award

This is a call for Letters of Intent from the Ontario SPOR SUPPORT Unit's (OSSU) Working Group on Training and Capacity Building (WGTCB) for patient-oriented research capacity building initiatives. The purpose of these awards is to build capacity for the conduct and use of patient-oriented research in Ontario among patients and their families, health care providers, policy makers and managers, and researchers and research trainees. This call aims to solicit proposals for online patient-oriented research capacity building initiatives for patients, health care providers, policy makers and managers, researchers and research trainees to develop the knowledge, attitudes, and skills required for the conduct and use of patient-oriented research.

2016 Training Modernization Start-Up Grant in Health Services and Policy Research

The specific objectives of the Start-Up Grant funding opportunity are to: Establish new and/or deepen existing partnerships between university-based HSPR doctoral training programs and health system and related employer organizations around shared goals and priorities for the purpose of co-developing pilot experiential learning opportunities for post-doctoral individuals. Establish an initial national cohort of fellows ("Health System Impact Fellows") and leaders from academic and health system organizations with a shared commitment to experiential learning for the purpose of fostering mentorship; professional development; knowledge exchange regarding promising practices for experiential learning; and opportunities for ongoing collaboration. Contribute to the creation of an enriched pan-Canadian HSPR curriculum that provides fellows with training in an expanded set of competencies designed to accelerate their professional growth and better prepare them to embark on a wider range of career paths with greater impact.
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2016 Patient-Oriented Research Collaboration Grants

The objective of this funding opportunity is to catalyze research that aligns with the SPOR Capacity Development Framework and the SPOR Patient Engagement Framework by: Building capacity in Canada's health system for patient-oriented research through projects conducted by integrated teams; and. Increasing the number of clinician scientists meaningfully involved in patient-oriented research by integrating them in patient-oriented research teams.


Gambling Research Exchange Ontario (GREO), $15K funding program

Gambling Research Exchange Ontario (GREO) is committed to using the best available evidence to prevent and reduce gambling harm. We are launching a new $15K funding program. These grants are meant to help community organizations reduce harms related to gambling. This could be by building knowledge (small-scale research projects), engaging others (stakeholder consultations and collaborations), or by translating knowledge (evidence-informed practice).This award is available to Ontario based Community Organizations or to collaborations between community organizations. Academic organizations can only apply when partnered with a community organization. GREO will help organizations that are new to applying for funding through the application process. GREO has made funding available for six awards at this time.


CIHR Launches the SPOR Innovative Clinical Trials Initiative


As part of its commitment to support clinical research and strengthening the environment for clinical trials in Canada, CIHR is launching a new initiative to support the conduct of innovative trials in Canada under Canada's Strategy for Patient-Oriented Research (SPOR). The initiative will fund researchers to develop and/or adopt innovative methods for carrying clinical trials as alternatives to traditional randomized controlled trials. Methods for conducting innovative clinical trials offer the possibility of obtaining reliable results at lower cost than can be achieved by standard randomized controlled trials. They represent an opportunity to lever one of Canada's main health resources including data collected via a universally accessible health care system. The first funding opportunities under this initiative will provide funding for: catalyst grants, multi-year grants, and mentorship Chairs (anticipated launch date late July 2016). CIHR will work with its partners in the health research community to promote this new initiative. If you have any questions, please contact us at


Ontario Institute for Cancer Research (OICR) Health Services Research Program ‐ Knowledge Translation Research Network Request for Proposals

Funding Available: approximately $175,000. Please read the PDF file. Here are some important dates
2015 Health, Wellbeing & Extended Working Life

The objective of this call is to support innovative and interdisciplinary research into the drivers to, and constraints on, extending working life. Research is expected to cross the traditional boundaries of Government departments and occupational sectors and to examine the implications of extending working life for older workers (50+), new labour markets, health, wellbeing and intergenerational equity.

2015 SPOR PIHCI Network: Quick Strikes

This funding opportunity is a component of Phase II and will provide funding for cross-jurisdictional Quick Strike research projects. The Quick Strike concept will provide member networks in the pan-Canadian SPOR Network with research funding to conduct rapid turn-around research studies that align with the research priorities identified by the member networks and their partners for the Quick Strike Projects. Cross-jurisdictional research projects (involving a minimum of two member networks) to be funded through this opportunity must be feasible for completion during a time frame of up to 12 months and must have high potential to improve the effectiveness, efficiency, scalability and/or policy and program impact of primary and integrated health care innovations.

2014 CIHR's Roadmap Signature Initiative on Inflammation in Chronic Disease

Eve Adams, Parliamentary Secretary to the Minister of Health and Member of Parliament for Mississauga – Brampton South, today announced, on behalf of the Honourable Rona Ambrose, Minister of Health, the funding of nine new research projects that will investigate the relationship between inflammation and chronic disease. These projects will guide the development of new ways to diagnose, treat, and manage chronic diseases in which inflammation is a key feature, including arthritis, inflammatory bowel disease, asthma, and cardiovascular disease – ultimately improving the care of Canadians affected by these diseases. The projects will be supported with funding of $21.9 million over five years from the Government of Canada through the Canadian Institutes of Health Research (CIHR) and its partners – The Arthritis Society and Crohn's and Colitis Canada. The projects were funded under CIHR's Roadmap Signature Initiative on Inflammation in Chronic Disease.


SPOR Chronic Disease Networks


Ontario SPOR SUPPORT Unit – IMPACT awards
2014 Pan-Canadian SPOR Network in Primary and Integrated Health Care Innovations
2014 Patient Engagement – Collaboration Grants

The objective of this funding opportunity is to facilitate the realization of the goals of the SPOR Patient Engagement Framework for the development of active collaborations, specifically: Identify and implement inclusive engagement mechanisms, processes and approaches that value patient perspectives, experiences and skills throughout the research process. Facilitate opportunities for researchers and knowledge users, including patients, to work together to identify problems and gaps, set priorities for research, and produce and implement solutions.

2014 Child and Youth Health (2014)

New Investigator Research Grants is a jointly sponsored program of SickKids Foundation and the CIHR - Institute of Human Development, Child and Youth Health (IHDCYH). Grant recipients may obtain up to three years' support for research in biomedical, clinical, health systems and services, population and public health sectors. Application deadline: January 20, 2015

2014 Knowledge Synthesis Grant

The specific objectives of this funding opportunity are: To increase the uptake/application of synthesized knowledge in decision-making by supporting partnerships between researchers and knowledge users to produce scoping reviews and syntheses that respond to the information needs of knowledge users in all areas of health. And to extend the benefits of knowledge synthesis to new kinds of questions relevant to knowledge users and areas of research that have not traditionally been synthesized.

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Award Opportunities


Date Sent Title Description
Annually Article of the Year

This award is intended to recognize published research in a peer-reviewed journal that has significantly contributed to the advancement of the field of health services and policy research in Canada.

Annually Rising Star Award

The Rising Star Award is dedicated to supporting graduate students and post-doctoral Fellows and to recognizing the research excellence and knowledge translation initiatives of these emerging health services and policy researchers at an early stage in their career.

2017 Health System Impact Doctoral Awards

The Canadian Health Services and Policy Research Alliance (CHSPRA) identified modernizing the HSPR training enterprise as a top priority for pan-Canadian collaborative action. Our vision for successful training modernization is a learning health system that harnesses the full talents of PhD-trained individuals for continuous health system improvement. Help us design a Health System Impact Doctoral Award program that brings maximum value and impact.


Barer-Flood Prize for Health Services and Policy Research


CIHR Barer-Flood Prize for Health Services and Policy Research is a career achievement award that honours and recognizes an exceptional researcher in the area of health services and policy research who has created a seminal body of work that has had a substantial impact on health services and policy research, policy and/or care delivery.

2016 Clinician Researcher Salary Award

Seeking researchers applying to the award with a focus on transitions of care between hospital and community including quality of care or care redesign. Researchers should be based in Ontario and meet all the requirements for the award and align proposals with Health Quality Ontario's mandate and strategic plan. Any questions and applications should be directed to

2015 OCHSU launches IMPACT – Child Health Awards

These awards were created to address gaps in priority research areas in child health. They are designed to bring together diverse stakeholders such as patients, clinicians, researchers, policy makers, knowledge users, industry, and other health sector participants to develop and implement research activities that will improve child health outcomes and advance the health system. These strategic awards, directly aligned with Ontario's Action Plan for Health Care, will support patient-oriented research projects that are Innovative, Measurable, Patient-oriented, Appropriate, Collaborative and Transformative across three priority areas which are Prevention, High burden child health care in the hospital, community and at home and Child health system integration, sustainability and patient safety.


Health System Research Fund (HSRF) Program Awards


The Ministry of Health and Long-Term Care (MOHLTC) is pleased to announce the Call for Notice of Intent and Full Applications for the 2016/17 HSRF Program Awards competition. The HSRF Program Awards will provide strategic three-year investments ($0.5-$1.0M /year) to programs of health research and/or knowledge translation and exchange (KTE) that focus on identified government priorities. The term of the three-year award begins in April 2016. Proposals that address one or more of the following priority areas are required: Community- and Home- Based Care. Health Promotion. Health System Performance and Sustainability. Mental Health and Addictions. Quality Improvement and Safety. Long-Term Care.

2014 Ontario SPOR SUPPORT Unit (OSSU): IMPACT Awards

The new research funding competition will support patient-oriented research projects that advance the science of implementation research and facilitate knowledge translation and exchange in the areas of prevention, care in the community and at home, and health system sustainability. With a funding envelope of up to $15 million, IMPACT Award grants will be awarded to health researchers whose projects bring together diverse stakeholders—including patients, researchers and other health sector participants—to develop, refine and implement promising new knowledge and practices that will improve patient health outcomes and advance our health system.


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Resources and Articles

Date Sent Title Description
2017 Toward Patient-Centred Primary and Community Care: Maximizing the Potential of Virtual Care

White paper from the Women's College Hospital Institute for Health Systems Solutions and Virtual Care (WIHV).

2017 Ethical Implications of the Electronic Health Record: In the Service of the Patient
2017 Commentary. Embedding Research in the Learning Health System

"To make research more impactful in the evolution of Canadian healthcare, the Canadian Institutes for Health Research have prioritized creation of learning health systems where research rapidly informs healthcare finance and delivery and vice versa. To make this vision a reality, substantial changes are needed in how researchers are trained, the environments in which they work, and the reward systems that are in place. Attention is needed on training researchers with a broader array of skills, the creation of partnered environments, the evolution of our ethical frameworks, and the creation of integrated funding."

2017 Effect of comorbidities and medications on frequency of primary care visits among older patients

"To determine if comorbidities and high-risk medications affect the frequency of family physician visits among older patients".


2017 Implementation of data management and effect on chronic disease coding in a primary care organization: A parallel cohort observational study

"Consistent and standardized coding for chronic conditions is associated with better care; however, coding may currently be limited in electronic medical records (EMRs) used in Canadian primary care. Objectives To implement data management activities in a community-based primary care organization and to evaluate the effects on coding for chronic conditions."

2017 Emergency Department Use: Influence of Connection to a Family Physician on ED Use and Attempts to Avoid Presentation

The majority of emergency department patients (74.4%) in this study had a family physician, but the frequency of visits varied substantially. The variable frequency of patients' visits to these providers, calls into question the validity of linkage assumptions.

2017 Primary Care Collaborative Memory Clinics: Building Capacity for Optimized Dementia Care

Increasingly, primary care collaborative memory clinics (PCCMCs) are being established to build capacity for person-centred dementia care. This paper reflects on the significance of PCCMCs within the system of care for older adults, supported with data from ongoing evaluation studies. Results highlight timelier access to assessment with a high proportion of patients being managed in primary care within a person-centred approach to care.

2017 How Appropriate Is All This Data Sharing? Building Consensus Around What We Need to Know About Shared Electronic Health Records in Extended Circles of Care

The bulk of healthcare spending is on individuals who have complex needs. Their care involves many different professions which makes interoperable electronic health records increasingly essential. The objective of this paper is to describe the use of a nominal group technique to develop a stakeholder-centred research agenda for clinical interoperability in extended circles of care.

2017 Implementation of Behavioural Supports Ontario (BSO): An Evaluation of Three Models of Care

Behavioural Supports Ontario (BSO) was launched to enhance the healthcare services for Ontario's seniors, their caregivers and families living and coping with responsive behaviours associated with dementia and other neurological conditions. By 2015, there were three BSO models operating within the long-term care (LTC) home sector: in-home BSO teams, a mobile team that serves multiple LTC homes within a sub-area of an LHIN and an LHIN-wide mobile team that provides services to all homes. A survey was undertaken to identify the differences among the BSO models of care in relation to care planning, collaboration and team building and home-level resident outcomes.

2017 Establishing a Primary Care Performance Measurement Framework for Ontario

A systematic approach to Primary Care Performance Measurement is needed to provide useful information on a regular basis to inform planning, management and quality improvement at both the practice and system levels. Lessons learned in Ontario can assist other jurisdictions developing frameworks for monitoring and reporting on primary care performance. Cross-country alignment could lead to a coordinated approach to measure and target areas for primary care performance improvement in Canada.
click here for more information

2017 Health Quality Ontario (HQO) has refreshed their Primary Care Performance in Ontario indicators page

These indicators provide data about Ontario patients having access to a family doctor or other primary care provider, as well as primary care and system integration. Indicators include: Having a family doctor or other pc provider, access, patient involvement in decisions, follow up care, hospital readmission, medication review, diabetes complications, cancer screening.

2017 Emergency Department Use: Influence of Connection to a Family Physician on ED Use and Attempts to Avoid Presentation

The majority of emergency department patients (74.4%) in this study had a family physician, but the frequency of visits varied substantially. The variable frequency of patients' visits to these providers, calls into question the validity of linkage assumptions.

2017 Primary Care Collaborative Memory Clinics: Building Capacity for Optimized Dementia Care

Increasingly, primary care collaborative memory clinics (PCCMCs) are being established to build capacity for person-centred dementia care. This paper reflects on the significance of PCCMCs within the system of care for older adults, supported with data from ongoing evaluation studies. Results highlight timelier access to assessment with a high proportion of patients being managed in primary care within a person-centred approach to care.

2017 How Appropriate Is All This Data Sharing? Building Consensus Around What We Need to Know About Shared Electronic Health Records in Extended Circles of Care

The bulk of healthcare spending is on individuals who have complex needs. Their care involves many different professions which makes interoperable electronic health records increasingly essential. The objective of this paper is to describe the use of a nominal group technique to develop a stakeholder-centred research agenda for clinical interoperability in extended circles of care.

2017 Implementation of Behavioural Supports Ontario (BSO): An Evaluation of Three Models of Care

Behavioural Supports Ontario (BSO) was launched to enhance the healthcare services for Ontario's seniors, their caregivers and families living and coping with responsive behaviours associated with dementia and other neurological conditions. By 2015, there were three BSO models operating within the long-term care (LTC) home sector: in-home BSO teams, a mobile team that serves multiple LTC homes within a sub-area of an LHIN and an LHIN-wide mobile team that provides services to all homes. A survey was undertaken to identify the differences among the BSO models of care in relation to care planning, collaboration and team building and home-level resident outcomes.

Annually Transdisciplinary Understanding and Training on Research- Primary Health Care TUTOR-PHC TUTOR-PHC is a one-year, pan-Canadian interdisciplinary research capacity building program that has been training primary and integrated health care researchers and decision makers from family medicine, nursing, psychology, epidemiology, social work, education, policy and many other disciplines since 2003.
2016 Primary Health Care Research and Development Primary Health Care Research & Development is aimed specifically at both researchers and practitioners in primary health care, bridging the gap between academic primary care and practice. It provides a forum for the publication of international, interdisciplinary research and development in primary health care. It is essential reading for all involved in primary care and we welcome manuscripts from all disciplines: nurses, GPs, health service managers; professional and local groups in community health; researchers and academics; commissioners of primary health care services; allied health professionals including physiotherapy, occupational therapy, clinical psychology, and counselling and health-related consumer groups. PHCR&D welcomes papers across the full range of research and evaluation methodologies. In addition to typically clinical research papers we also wish to include research and evaluation of innovations in education for primary care and also studies that address the workforce issues that face the primary care environment in the context of population health needs and economic change. Implementation of research and evaluation into primary health care practice is also an area of significance to the journal and studies that directly address the challenges and successes of implementation are welcomed by the editors. In all papers, authors should demonstrate how their research or development study relates to primary care both in the context of their own country and internationally.
2016 Engaging with Patients: Stories and Successes from the 2015/2016 Quality Improvement Plans

A handbook designed to provide information on patient engagement and stories of improvement in the quality of primary health care.

2016 Giving voice to older adults living with frailty and their family caregivers: engagement of older adults living with frailty in research, health care decision making, and in health policy

The paper discusses engaging older adults living with frailty and their family caregivers. Frailty is a state that puts an individual at a higher risk for poor health outcomes and death. Understanding whether a person is frail is important because treatment and health care choices for someone living with frailty may be different from someone who is not (i.e., who is fit). In this review, we discuss strategies and hurdles for engaging older adults living with frailty across three settings: research, health and social care, and policy.

2016 Nose to Tail Tool (NTT)

The NTT is a comprehensive and consistent way of thinking of the entire innovation process with the belief that if you consider the end stages from the beginning you are more likely to achieve institutionalization. This tool helps innovation teams to identify barriers, both those that can be overcome, and those that cannot, early in the innovation process, giving teams an opportunity to re-design the innovation at an early stage, or the opportunity to cease work on the project before too many resources have been invested.

2016 Enabling the participation of marginalized populations: case studies from a health service organization in Ontario, Canada

...examined efforts to engage marginalized populations in Ontario Community Health Centers (CHCs), which are primary health care organizations serving 74 high-risk communities. Qualitative case studies of community participation in four Ontario CHCs were carried out through key informant interviews with CHC staff to identify: (i) the approaches, strategies and methods used in participation initiatives aimed specifically at engaging marginalized populations in the planning of and decision making for health services; and (ii) the challenges and enablers for engaging these populations.

2016 Creating Patient-Centered, Team-Based Primary Care - Agency for Healthcare Research and Quality, USA

Well-implemented team-based care has the potential to improve the overall quality and comprehensiveness of primary care. However, team-based approaches also may disrupt or change specific aspects of care, such as ongoing relationships, that are important to patients and providers. A new AHRQ white paper, "Creating Patient-Centered, Team-Based Primary Care," offers a conceptual framework as well as strategies that providers have used to ensure that team-based care in primary care settings is patient-centered. The conceptual framework emphasizes the importance of relationships—within teams, between teams, and with patients—as the foundation for high quality, patient-centered, team-based primary care. Strategies and resources provided in the white paper are intended to help create the culture, structure, and processes that support the development and maintenance of these relationships. The paper, developed through a contract with Mathematica Policy Research, is designed for primary care practices, practice facilitators, decision makers, and others committed to helping practices successfully transition to patient-centered team-based care.

2016 Barriers and Facilitators for Primary Care Reform in Canada: Results from a Deliberative Synthesis across Five Provinces

The aim of this study is to identify the factors that have facilitated or hindered implementation of primary care (PC) reforms in Canadian provinces between 2000 and 2010. The main perceived barriers to reform were the lack of financial investment, resistance from professional associations, too overtly prescriptive approaches lacking adaptability and an overly centralized governance model. The main perceived facilitators were a strong financial commitment using various allocation and payment approaches, the cooperation of professional associations and an incremental emergent change philosophy based on a strong decentralization of decisions allowing adaptation to local circumstances. So far the most beneficial results of the reforms seem to be an increase in patients' affiliation with a usual source of care, improved experience of care by patients and a higher workforce satisfaction.

2016 Characteristics of Early Recipients of Patient-Centered Outcomes Research Institute Funding

The ACA established the Patient-Centered Outcomes Research Institute (PCORI) to help accomplish these goals through patient-focused research. PCORI has a different charge than its federally supported counterpart, the National Institutes of Health (NIH)—to fund research that ultimately helps patients make better-informed health care decisions. The authors performed a retrospective review of publicly available datasets, supplemented by a short questionnaire to funded PCORI principal investigators (PIs). The authors found that PCORI is funding a more diverse cadre of PIs and biomedical departments than is NIH, but not a greater diversity of institutions, and that less than one-third of PCORI studies involve or are relevant to primary care.

2016 Primary Care Research in the Patient-Centered Outcomes Research Institute's Portfolio

Patient-Centred Outcomes Research Institute (PCORI) has a unique purpose and mission and suggest that it should therefore have a distinct portfolio of researchers and departments when compared with other funders such as the National Institutes of Health (NIH). Data found on PCORI's portfolio of researchers and departments is more diverse and more heavily populated with clinician researchers. The authors question whether the research of primary care departments is too narrowly focused and whether it sufficiently considers study of complex conditions in specialty care. Research on more complex conditions including heart failure, coronary artery disease, and multiple comorbid conditions could be highly valuable when approached from the primary care perspective, where many of the comparative effectiveness questions first arise.

2016 Continuity of Care With Family Medicine Physicians: Why It Matters

This study uses physician billing data, hospital discharge data and emergency department data from 2007 to 2013 to look at the relationship between continuity of care with a single family medicine physician and the use of avoidable hospital services in Saskatchewan and Alberta. In particular, the study focuses on hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) and visits to the emergency department for Family Practice Sensitive Conditions (FPSC).

2015 Patients First: A proposal to strengthen patient-centred health care in Ontario

Ontario is committed to developing a health care system that puts patients first. Make it easier for patients to find a primary health care provider, see that person quickly when they are sick, and find the care they need, closer to home. Improve communication and connections between primary health care providers, hospitals and home and community care. Ensure the province has the right number of doctors, nurses, and other health care providers, and plan locally to make sure they are available to patients where and when they are needed.

2015 Comparison of Family Health Teams to Other Primary Care Models, 2004/05 to 2011/12

This report compares outcomes of Family Health Team patients in relation to other major models of primary care in Ontario over time. Very few longitudinal analyses are available that compare Ontario's primary care models with each other, so this report serves to fill that knowledge gap.

2015 Community Engagement Studios: A Structured Approach to Obtaining Meaningful Input From Stakeholders to Inform Research

The Community Engagement Studio model facilitates project-specific input from community and patient stakeholders to enhance research design, implementation, and dissemination. The development and implementation of the program are described.

2015 Pursuing the Triple Aim: The First Seven Years

The concept of the Triple Aim is now widely used, because of IHI's work with many organizations and also because of the adoption of the Triple Aim as part of the national strategy for US health care, developed during the implementation of the Patient Protection and Affordable Care Act of 2010. Drawing on IHI's seven years of experience, this article describes the three major principles that guided the organizations and communities working with IHI on the Triple Aim: creating the right foundation for population management, managing services at scale for the population, and establishing a learning system to drive and sustain the work over time.

2015 Aging in the Community

Article of the following: Promising Ideas for Long-term Care – Dr. Pat Armstrong. Making Communities More Age-friendly – Dr. Verena Menec. Modifying Disease Risk with Exercise – Dr. Robert Petrella

2015 Choosing Your Partner for the PROM: A Review of Evidence on Patient-Reported Outcome Measures for Use in Primary and Community Care

Patient-reported outcome measures (PROMs) are assessments of health status from the patient's perspective. The systematic and routine collection and use of PROMs in healthcare settings adds value in several ways, including quality improvement and service evaluation. We address the issue of instrument selection for use in primary and/or community settings.

2015 Agency for Healthcare Research and Quality (United States)-Funded Studies Find Primary Care Health Risk Assessment Tool Lacks Patients’ Support and Increases Visit Times

Two Agency for Health care Research and Quality funded studies that examined the use of a health risk assessment tool in primary care found that the tool may be able to identify behavioral and psychological health risks and lead to improve counseling and behavioral change, and that assessments could be implemented in routine care. However, the studies also found that patients were generally unwilling to discuss their risk factors and that counseling by clinicians would require an additional 28 minutes per patient visit as well as additional staff time. The first study measured patients' readiness for behavior change to improve their health, desire to discuss their health risks and perceived importance of 13 health risk factors identified in the assessment, known as the My Own Health Report. The second study evaluated whether primary care practices could implement My Own Health Report, typically electronically, as part of providing routine care. The study and abstract titled "Frequency and Prioritization of Patient Health Risks from a Structured Health Risk Assessment," and the study and abstract titled "Adoption, Reach, Implementation and Maintenance of a Behavioral and Mental Health Assessment in Primary Care" appeared in the November/December 2014 issue of the Annals of Family Medicine.

2014 Economic Evaluation of Complex Health System Interventions

A discussion paper on Economic Evaluation of Complex Health System Interventions: A Discussion Paper has been produced in response to a request from and in partnership with CIHR Institute of Health Services and Policy Research (CIHR IHSPR). The discussion paper provides guidance to those tasked with conducting an economic evaluation of complex health system interventions. The guidance will be an elaboration of existing National guidelines for economic evaluation and serve as a discussion paper to aid investigators conducting economic evaluations of complex health interventions. This paper is intended to be a starting point for health system and policy researchers who wish to understand some of the fundamentals of economic evaluation and its application complex interventions.

2014 Health policy - why research it and how: health political science

This study employs a political science approach to examine how to set parameters for research into health policy changes. It argues that the application of insights concerning process will enhance the understanding of how and why health policy is structured and implemented the way it is. The paper includes an overview of theories of policy processes for health promotion, and illustrates them with empirical evidence. (does not exist)



Prescribing Physical Activity through Primary Care: Does Intensity Matter? The Physician and Sports medicine.

Physical activity guidelines recommend engaging in moderate- and vigorous-intensity physical activity to elicit health benefits. Physical activity prescription of various intensities through the primary care setting improved cardio metabolic health status.

2014 The effect of physician supply on health status: Canadian evidence

This is an extremely important paper finding an important connection between the strength of primary care and population health outcomes, this time in Canada. In the past, Barbara Starfield's international and American studies have shown this connection - now we have rigorous Canadian data. You can use this paper in the opening paragraph of any grant proposal to justify the importance of primary care. Dr. Piérard presented these findings as a distinguished lecturer at Trillium.

2013 Physicians and Health Equity: Opportunities in Practice

Health equity is created when individuals have the opportunity to achieve their full health potential. Health equity is undermined when social and economic conditions, the social determinants of health, prevent or constrain people from taking actions or making decisions that would promote health. While the majority of these determinants fall outside of the traditional health sector, the implications for health services in Canada are enormous. Most major diseases including heart disease and mental illness follow a social gradient with those in lowest socio-economic groups having the greatest burden of illness. There remains, however, limited published material on opportunities for physicians to address these issues. This lack of literature does not denote a lack of action. Many physicians are engaged in innovative practices to help address the needs of the most vulnerable. Recognizing this, the Canadian Medical Association (CMA) interviewed a number of physicians across the country. It was hoped that their experiences would highlight work being done, and provide strategies and tools to physicians interested in opportunities to address health equity within their practices.
click here for more information

2013 A systematic review of the care coordination measurement landscape

Care coordination is recognized as an important aspect of healthcare delivery. This review from BMC Health Services Research examines 96 existing measures of care coordination and concludes that additional measures are needed to evaluate coordination in home health settings and for patients at the end of life.


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Programs and Websites of Interest

Date Shared Title Description
2016 The Centre for Family Medicine FHT eHealth Centre of Excellence

The eHealth Centre of Excellence (eCE) was established on April 2nd, 2014 and was the formalization of several years of digital health projects at the Centre for Family Medicine Family Health Team (CFFM FHT). The eCE was founded on a vision of creating a collaborative space to share knowledge and develop best practices and to enable technology to support improved clinical care.

2016 ARTIC Program

Health Quality Ontario (HQO) and the Council of Academic Hospitals of Ontario (CAHO) are thrilled to announce a new call for project funding for our Adopting Research to Improve Care (ARTIC) Program. The ARTIC Program is a proven model for accelerating the implementation of research evidence into broader practice. Originally designed for the research hospital sector, the ARTIC Program is now a provincial resource for the full health care system, supporting the province's quality agenda. The ARTIC Program is inviting proposals that will spread clinical interventions or practice changes that address the theme of Improving Integration of Care across care settings, specifically ensuring primary and community care are engaged. All proposed projects addressing the theme will be considered, however, the ARTIC Program is particularly interested in projects that focus on improving integration of care for two populations: Seniors with reduced functional ability and complex co-morbid conditions· Persons affected by mental health and/or addictions The proposed clinical interventions or practice changes must have already been proven and successfully implemented in at least one site, and are ready to be applied across multiple organizations and/or sectors within Ontario. The ARTIC Program will be funding at least one spread project over a 19–24 month period, with a maximum available funding of $1,000,000. You can find the 2016 Applicant Information Package on the Health Quality Ontario and CAHO websites. Letters of intent are due by July 4 and should be submitted to   and

2015 Health TAPESTRY

Older adults are a growing population. The primary health care system must evolve towards responding to the needs of older adults with multiple conditions, when needed. To best meet the needs of older adults living in our communities, it is essential that health care delivery evolve from being disease-focused to being more patient- and wellness-focused. The objective of Health TAPESTRY is to foster optimal aging for older adults living at home using an interprofessional primary health care team delivery approach that centres on meeting a person's health goals with the support of trained community volunteers, system navigation, community engagement, and use of technology. Early identification of problems such as nutritional deficiencies, inactivity, polypharmacy and social isolation will emphasize an informed and proactive approach to care and one that allows patients, their families and their health care providers' better access to health care so as to make changes before a crisis arises.


Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE)


The launch of the DEFINE website. DEFINE was developed to guide the comprehensive evaluation of diabetes prevention and management initiatives, and to facilitate policy innovations to improve diabetes care and reduce the clinical and financial burden of diabetes. The website includes questions and answers, an interactive user-guide with resources and worksheets, a PDF version of the user-guide and appendices for easy printing, and other great resource pages.

2016 Behavioural Supports Ontario

The Behavioural Supports Ontario (BSO) initiative was created to enhance health care services for older adults in Ontario with complex and responsive behaviours associated with dementia, mental health, substance use and/or other neurological conditions. The initiative also provides enhanced family caregiver support in the community, in long-term care or wherever the patient and/or caregiver(s) reside.


The Brain Exchange


The Brain Exchange is a key partner in the Behavioural Supports Ontario (BSO) Program. It has resource centre which offers over 4000 useful and latest resources within 80 searchable topic areas (including 150 archived webinars).

2016 Mount Sinai - Dementia Resources for Primary Care

A website designed to support practitioners in their work providing care for older adults with dementia and responsive behaviours and their caregivers.

2016 Ontario Primary Care Council

AOHC is proud to be a member of the Ontario Primary Care Council. The Council is a partnership of six provincial associations that represent primary care providers. OPCC's goal: To improve population health, deliver people-centred services and strengthen our publicly funded health system.

2014 Your Health System – Interactive tools to help you learn more about your health system and the health of Canadians

The Canadian Institute for Health Information (CIHI) has launched a website that allows the Canadian public to find accessible and easy-to-understand information about Canada's healthcare system. Information is available on access to care, quality of care, spending, health outcomes and much more. Interactive graphics enable comparison between Canada and other countries, between provinces, regions and even individual hospitals on the different measures.

2014 McMaster Optimal Aging Portal A trusted voice on how to stay healthy and active as we age

An online resource that will provide health professionals and the general public with trusted, evidence-based information about how to stay healthy, active and engaged as we grow older has been launched by McMaster University. The McMaster Optimal Aging Portal brings together research evidence about questions related to aging, and presents it in various ways that discuss the key messages from the research, how trustworthy it is, and how it can be acted upon. The Portal also includes links to a wide range of other online resources that have been rated for quality. The Portal has been developed to appeal to a broad range of audiences, including patients, caregivers, healthcare professionals, decision-makers, and anyone interested in optimal aging.



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