strategic clinical networks' research connections 2014

Post on 21-Jul-2016

214 Views

Category:

Documents

0 Downloads

Preview:

Click to see full reader

DESCRIPTION

SCN Research Connections 2014 summarizes a conference that took place September 11 - 13, 2014. Its focus is on Alberta's innovative Strategic Clinical Networks, and builds on the previous year's activities.

TRANSCRIPT

PATIENTS

PARADIGM SHIFTS

BUILDING A LEARNING SYSTEM

NEXT STEPS

BUILDING SUPPORT

SCN RESEARCHCONNECTIONSMEETING SUMMARYSeptember 11–13, 2014

TOOLS, TIPS & TACTICS

SCN RESEARCHCONNECTIONSMEETING SUMMARYSeptember 11–13, 2014

(PAGES 4–9)

(PAGES 28–33)

(PAGES 10–17)

(PAGES 34–43)

(PAGES 18–27)

(PAGES 44–50)

Introduction / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 3

SCN CONNECTS

SCN Connects is a collaboration between Alberta Innovates-Health Solutions

and Alberta Health Services.

;OL�ÄYZ[�:[YH[LNPJ�*SPUPJHS�5L[^VYRZ�*VUULJ[Z�*VUMLYLUJL�PU������L_WSVYLK�^H`Z�(SILY[H�JHU�IYPUN�P[Z�YLZLHYJO��PUUV]H[PVU��HUK�OLHS[O�JHYL�HNLUKHZ�[VNL[OLY�[V�JYLH[L�VUL�PU[LNYH[LK�MVYJL�[V�HK]HUJL�[OL�OLHS[O�HUK�^LSSILPUN� VM�HSS�(SILY[HUZ�PU�H�Z\Z[HPUHISL�^H �̀

0U�������WHY[PJPWHU[Z�L_WSVYLK�LHYS`�Z\JJLZZLZ�VM�[OL�UL^S`�LZ[HISPZOLK�:*5Z�HUK�SLHYULK�MYVT�[OL�<2�L_WLYPLUJLZ�VM�JVTIPUPUN�[OL�L_WLY[PZL�VM�JSPUPJPHUZ��WH[PLU[Z�HUK�YLZLHYJOLYZ�[V�KYP]L�Z`Z[LT�PTWYV]LTLU[Z�HUK�KPYLJ[�YLZLHYJO�X\LZ[PVUZ�[V�[OL�HYLHZ�[OH[�TH[[LYLK�TVZ[�[V�WH[PLU[Z�HUK�JSPUPJPHUZ�

;OL������:*5�*VUULJ[Z�*VUMLYLUJL�I\PS[�VU�[OH[�SLHYUPUN�HZ�+Y��)YLU[�1HTLZ�V\[SPULK�[OL�WV^LYM\S�YLZ\S[Z�^OLU�HKTPUPZ[YH[VYZ�HUK�KH[H�HYL�HKKLK�[V�[OL�[LHT�VM�YLZLHYJOLYZ��JSPUPJPHUZ�HUK�WH[PLU[Z�HUK�Z`Z[LT�^PKL�SLHYUPUN� SVVWZ�ILJVTL�[OL�UL^�WYHJ[PJL�

�����HSZV�ZH^�ZPNUPÄJHU[�WYVNYLZZ�PU�KL]LSVWTLU[�VM�(SILY[H»Z�:769�:<7769;�<UP[Z�HUK�WYV]PKLK�KLSLNH[LZ� ^P[O�[OL�VWWVY[\UP[`�[V�PKLU[PM`�ULLKZ��IHYYPLYZ��HUK�HJ[PVUZ�ULLKLK�MVY�LHJO�VM�[OL�WSH[MVYTZ�

-PUHSS �̀�^OPSL�H�SVUL�WH[PLU[�KLSLNH[L�WHY[PJPWH[LK�PU�[OL������JVUMLYLUJL�������ZH^�L]LY`�KH`�HUK�L]LY`�ZLZZPVU�PUMVYTLK�I`�WH[PLU[Z��MHTPS`�HK]VJH[LZ�HUK�[YHPULK�WH[PLU[�VYPLU[LK�YLZLHYJOLYZ�

)\PSKPUN�HU�LULYN`�WPWLSPUL�[V�JVUULJ[�[OL�KPZWHYH[L�ZPSVZ�VM�OLHS[O�JHYL�YLZLHYJO��PUUV]H[PVU�HUK�KLSP]LY`�PZ�H� ]PZPVU�KYP]LU�I �̀�HUK�HY[PJ\SH[LK�ILZ[�I`�[OL�SH[L�+Y��*`�-YHUR��(0/:�WYLZPKLU[�HUK�*,6��ILMVYL�OPZ�\U[PTLS`� death in March 2015.

;OL�THU`�YLZLHYJOLYZ��JSPUPJPHUZ��WH[PLU[Z�HUK�HKTPUPZ[YH[VYZ�UV^�JVUULJ[LK�[V�[OL�^VYR�VM�[OL�:*5Z�HYLZOHWPUN�PUUV]H[PVU�HUK�X\HSP[`�PTWYV]LTLU[�WYV]PUJL�^PKL��;OLPY�JVSSHIVYH[PVUZ�HUK�Z\JJLZZLZ�^PSS�ZLY]L�HZ�H�[LZ[HTLU[�[V�+Y��*`�-YHUR»Z�]PZPVUHY`�SLHKLYZOPW�MVY�NLULYH[PVUZ�[V�JVTL�

“I contend that all health professionals believe they know what their patients want and need, that they are working for the good of patients as they see it.” But how do they know? Who did they ask? These are the questions usually left on the table.”

Sylvia Teare, patient engagement researcher

PARADIGM SHIFTS

PARADIGM SHIFTS

FROM TO

7YV]PKPUN�JHYL�[V�WH[PLU[Z +LZPNUPUN�JHYL�^P[O�WH[PLU[Z

1\Z[�[YLH[PUN�WH[PLU[Z 9LZLHYJOLYZ�SLHYUPUN�MYVT�L]LY`�WH[PLU[

:PSVZ�VM�WH[PLU[Z��HKTPUPZ[YH[VYZ�HUK�JSPUPJPHUZ 0U[LNYH[LK�[LHTZ�VM�WH[PLU[Z��administrators and clinicians

Research questions determined by researchers9LZLHYJO�X\LZ[PVUZ�NLULYH[LK�I`�WH[PLU[Z�HUK�MYVU[�SPUL�JHYLNP]LYZ

*VUZPKLYPUN�JVZ[�HUK�JHYL�ZLWHYH[LS` 9LJVNUPaPUN�JVZ[�HUK�JHYL�HZ�[^V�ZPKLZ�VM�[OL�ZHTL�JVPU

;PURLYPUN�^P[O�[OL�WHY[Z 9LKLZPNUPUN�Z`Z[LTZ�HZ�H�^OVSL

(�Q\KNTLU[�Z`Z[LT (�SLHYUPUN�Z`Z[LT

7LYZVUHS�H\[VUVT` 7YVMLZZPVUHS�H\[VUVT`

;VV�T\JO�KH[H�HUK�UV[�LUV\NO�TLHUPUN *SPUPJHS�PUMVYTH[PVU�[OH[�THRLZ�[OL�YPNO[�choice the easiest choice

3VVRPUN�H[�[OL�OLHS[O�Z`Z[LT�HZ�OVZWP[HSZSee the health system as a continuum

[OH[�ZWHUZ�[OL�JVTT\UP[ �̀�WYPTHY`�JHYL�HUK�ZWLJPHSPaLK�JHYL

����7(9(+0.4�:/0-;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 6

1HUL[�+H]PKZVU��KLW\[`�TPUPZ[LY�VM�OLHS[O��KPZJV]LYLK�H�ZPTPSHY�HUHSVN`�H[�H�>OHY[VU�:JOVVS�JVUMLYLUJL�H�ML^�`LHYZ�HNV��¸/LHS[O�JHYL�PZ�UV^�KLÄULK�HZ�H�^OP[L�^H[LY�^VYSK�¹�ZOL�ZHPK�

¸0[�\ZLK�[V�IL�`V\»K�NL[�PU[V�[OPZ�YV\NO�WH[JO�HUK�[OLU�`V\»K�NL[�PU[V�ZTVV[O�^H[LYZ�HUK�L]LY`[OPUN�^V\SK�IL�ÄUL��;OH[»Z�UV[�[OL�^H`�HU`TVYL��0[»Z�HS^H`Z�NVPUN�[V�IL�^OP[L�^H[LY�¹�ZOL�ZH`Z��(UK�[OH[»Z�UV[�IHK��I\[�`V\�OH]L�[V�IL�WYLWHYLK�[V�UH]PNH[L�[OH[�LU]PYVUTLU[��

([�[OL�ZHTL�[PTL��ZOL�ZH`Z��^L�ULLK�[V�IL�H^HYL�[OH[�^L�HYL�^VYRPUN�VU�H�UH[PVUHS�[YLHZ\YL��¸;OLYL�PZ�H�YLHZVU�[OPZ�JV\U[Y`�ZWLUKZ�ZV�T\JO�TVUL`�VU�OLHS[O�JHYL�¹�ZOL�ZH`Z��¸0[»Z�ILJH\ZL�OLHS[O�JHYL�PZ�H�KLÄUPUN�JOHYHJ[LYPZ[PJ�VM�^OV�^L�HYL�HZ�*HUHKPHUZ¯/LHS[O�JHYL�

[V�*HUHKPHUZ�PZ�SPRL�[OL�YPNO[�[V�ILHY�HYTZ�[V�(TLYPJHUZ��/V^�^L�HWWYVHJO�P[�HUK�OV^�^L�^HU[�[V�JOHUNL�P[�PZ�HSS�JV\JOLK�^P[OPU�[OH[�MYHTL^VYR�¹

(SILY[HUZ�KLTVUZ[YH[L�H�O\NL�JVTTP[TLU[�[V�OLHS[O�JHYL�^P[O�[OLPY�PU]LZ[TLU[��ZH`Z�+H]PKZVU��¸(SILY[H»Z�OLHS[O�JHYL�I\KNL[�PZ������)��HU�PUJYLHZL�VM�TVYL�[OHU�����4�PU�[OL�SHZ[�`LHY���;OPZ�PZ�HSTVZ[����WLY�JLU[�VM�[OL�WYV]PUJL»Z�I\KNL[¯,]LY`�OV\Y�^L�ZWLUK�����4��ZV����4�H�KH �̀�[V�THPU[HPU�HUK�OVWLM\SS`�PTWYV]L�[OL�OLHS[O�JHYL�Z`Z[LT�

¸)\[�OPZ[VY`�OHZ�[H\NO[�\Z�[OH[�W\TWPUN�TVYL�TVUL`�PU[V�[OL�Z`Z[LT�PZU»[�NVPUN�[V�HJOPL]L�IL[[LY�YLZ\S[Z�ULJLZZHYPS �̀¹�ZH`Z�+H]PKZVU��¸;OL�PZZ\L�PZ�OV^�[V�MVJ\Z�[OLZL�YLZV\YJLZ�MVY�TVZ[�PTWHJ[¯(UK�0�[OPUR�[OH[�PZ�[OL�ULLKZ�VM�[OL�WH[PLU[�¹

¸/LHS[O�JHYL�PZ�PUOLYLU[S`�¸ZPSVPaLK�¹�ZH`Z�+H]PKZVU��/H]PUN�H�ZPUNSL�OLHS[O�H\[OVYP[`�HUK�[OL�:*5�Z[Y\J[\YLZ��OV^L]LY��PZ�H�\UPX\L�HK]HU[HNL�HSSV^PUN�(SILY[H�[V�TVUP[VY�V\[JVTLZ�HUK�WLYMVYTHUJL�HUK�[V�HWWS`�ÄUKPUNZ�[V�PTWYV]LTLU[��

¸9LHS�PUUV]H[PVU�[HRLZ�JHYLM\S�[OV\NO[�HUK�ZVTL�YPZR��;V�IL�IS\U[��P[�[HRLZ�N\[Z�¹�ZOL�ZH`Z��¸>OLU�0»]L�SVVRLK�H[�[OL�^VYR�[OL�:*5Z�HYL�KVPUN��`V\�KV�OH]L�H�SV[�VM�JV\YHNL�HUK�`V\»YL�WYLWHYLK�[V�[HRL�ZVTL�YPZR�HUK�[OH[�PZ�^OH[�^L�ULLK�¹

“Real innovation takes careful thought and some risk. To be blunt, it takes guts,”

SUSTAINING INNOVATION

*`�-YHUR�VWLULK�[OL�JVUMLYLUJL�^P[O�H�JVTPJ�]PKLV�VM�H�WYV\K�JYL^�I\PSKPUN�HU�HPYWSHUL¶PU�[OL�HPY¶H�MLH[�UV[�\USPRL�YLI\PSKPUN�H�OLHS[O�JHYL�Z`Z[LT�^OPSL�P[»Z�VWLYH[PUN�H[�M\SS�JHWHJP[ �̀

����7(9(+0.4�:/0-;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 7

EVIDENCE OF A BETTER TODAY

=PJRPL�2HTPUZRP��WYLZPKLU[�HUK�*,6�VM�(SILY[H�/LHS[O�:LY]PJLZ��(/:���ZH`Z�:*5Z�^LYL�H�IPN�WHY[�VM�^OH[�WLYZ\HKLK�OLY�[V�SLH]L�5L^MV\UKSHUK�HUK�3HIYHKVY�HUK�come to Alberta to lead AHS.

>OH[�ZOL»Z�ZLLU�ZPUJL�HYYP]PUN�PU�4H`�PZ�:*5Z�PU�HJ[PVU!�Z[HUKHYKPaPUN�JHYL�WH[O^H`Z��WYV]PKPUN�]HS\L�MVY�[OL�KVSSHY��HUK�WVZP[PVUPUN�(SILY[H�HZ�H�UH[PVUHS�SLHKLY�PU�OLHS[O�JHYL�PUUV]H[PVU��¸,]LY`IVK`�PZ�^H[JOPUN�¹�ZOL�ZH`Z��

0[»Z�L_JP[PUN��ILJH\ZL��¸^L»YL�UV[�[HSRPUN�HIV\[�H�IL[[LY�[VTVYYV �̂�^L»YL�[HSRPUN�HIV\[�H�T\JO�IL[[LY�[VKH �̀¹�:OL�JP[LZ�PUP[PHS�Z\JJLZZLZ�[OH[�WYV]L�[OL�WVPU[!

Cardiovascular Heart and Stroke SCN – Stroke Action Plan�� 0TWSLTLU[LK�Z[HUKHYKPaLK�Z[YVRL�\UP[�JHYL�HJYVZZ����WYPTHY`�Z[YVRL�JLU[YLZ�

by March 2015.

�� 0TWSLTLU[LK�OVTL�IHZLK��M\SS`�Z\WWVY[LK�LHYS`�KPZJOHYNL�WYVNYHT�MVY�WH[PLU[Z�^P[O�TPSK�[V�TVKLYH[L�PTWHPYTLU[�H[�Ä]L�WYPTHY`�Z[YVRL�JLU[YLZ��^P[O�TVYL�[OHU�����WH[PLU[Z�OH]PUN�ILULÄ[LK�MYVT�PU�OVTL�YLOHIPSP[H[PVU�

�� 9LK\JLK�[OL�H]LYHNL�OVZWP[HS�Z[H`�MVY�WH[PLU[Z�PU�,KTVU[VU�HUK�*HSNHY`�I`�OHSM��MYLLPUN�\W�ULJLZZHY`�OVZWP[HS�ILKZ�

Diabetes, Obesity and Nutrition SCN supported by the Surgery SCN – Enhanced Recovery after Surgery�� 0U[YVK\JLK�H�WYVNYHT�MVY�����JVSVYLJ[HS�Z\YNLY`�WH[PLU[Z�H[�[OL�.YL`�5\UZ�/VZWP[HS�PU�,KTVU[VU�HUK�7L[LY�

3V\NOLLK�*LU[YL�PU�*HSNHY`�[OH[�JV]LYLK�U\[YP[PVU��TVIPSPaH[PVU��HULZ[OLZPH�HUK�WHPU�THUHNLTLU[��� ([�[OVZL�ZP[LZ��[OL�WYVNYHT�^HZ�HISL�[V�KLJYLHZL�[OL�H]LYHNL�OVZWP[HS�Z[H`�I`�TVYL�[OHU�[^V�KH`Z��ULHYS`����WLY�

JLU[����;OL�WYVNYHT�PZ�J\YYLU[S`�ILPUN�L_WHUKLK�[V�V[OLY�ZP[LZ�

Surgery SCN – Safe Surgery Checklist�� (SILY[H�PZ�[OL�ÄYZ[�*HUHKPHU�WYV]PUJL�[V�PTWSLTLU[�HUK�TVUP[VY�[OL�\ZL�VM�ZHML�Z\YNLY`�JOLJRSPZ[Z�HJYVZZ�� �

VWLYH[PUN�YVVTZ��^OPJO�YLWYLZLU[Z�TVYL�[OHU���������Z\YNPJHS�WYVJLK\YLZ��� ;OL�JVTWSPHUJL�YH[L�OHZ�KV\ISLK�MYVT����WLY�JLU[�[V� ��WLY�JLU[�PU�Q\Z[�[^V�`LHYZ��YLZ\S[PUN�PU�[OL�PKLU[PÄJH[PVU�

HUK�WYL]LU[PVU�VM�LYYVYZ�PU�MV\Y�WLY�JLU[�VM�Z\YNLYPLZ��� ;OPZ�TLHUZ�TVYL�[OHU��������LYYVYZ�^PSS�IL�WYL]LU[LK�L]LY`�`LHY�PU�VWLYH[PUN�YVVTZ�HJYVZZ�(SILY[H�

Seniors SCN with Addictions and Mental Health SCN – The Use of Antipsychotic Medications in Long-Term Care�� ;OL�WYVQLJ[��WPSV[LK�PU����ZP[LZ��WYVTV[LZ�[OL�HWWYVWYPH[L�\ZL�VM�HU[PWZ`JOV[PJ�TLKPJH[PVUZ�PU�SVUN�[LYT�JHYL�I`�

WYV]PKPUN�Z[HMM�^P[O�V[OLY�JHYL�VW[PVUZ��PUJS\KPUN�T\ZPJ�HUK�L_LYJPZL��� ;OL�WYVNYHT�ZH^�[OL�PUJPKLUJL�VM�PUHWWYVWYPH[L�\ZL�VM�HU[PWZ`JOV[PJ�KY\NZ�J\[�PU�OHSM�HUK�PZ�UV^�L_WHUKPUN�[V�

HSS�����SVUN�[LYT�JHYL�MHJPSP[PLZ�PU�[OL�WYV]PUJL��

����7(9(+0.4�:/0-;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca �

HOW WE’LL KNOW WE’RE THERE

(�[OV\ZHUK�`LHYZ�MYVT�UV^�^OLU�M\[\YL�OPZ[VYPHUZ�HUK�HYJOLVSVNPZ[Z�ZPM[�[OYV\NO�[OL�Y\PUZ�VM�LHYS`���Z[�*�JP]PSPaH[PVU��OV^�^PSS�[OL`�RUV^�:*5Z�THKL�H�KPMMLYLUJL��HZRZ�:[L]LU�3L^PZ��JVUMLYLUJL�TVKLYH[VY��>OH[�^V\SK�[OL�L]PKLUJL�IL&

Attachment and presence in the system:�¸;OL�[`WPJHS�(SILY[H�JSPUPJPHU�^V\SK�SVVR�[V�HU�:*5�HZ�H�WYPTHY �̀�PM�UV[�[OL�WYPTHY`�ZV\YJL�VM�N\PKHUJL�HUK�LUNHNLTLU[�MVY�PTWYV]LTLU[�HJ[P]P[PLZ�¹�HUK�:*5�PU]VS]LTLU[�^V\SK�IL�HU�PU[LNYHS�WHY[�VM�WYHJ[PJL�

Change in the mindset of clinical practice in all disciplines:�¸;OLYL�^V\SK�IL�H�YLÅL_P]L�PUZ[PUJ[�[OH[�`V\�^HU[�H�JHYL�WH[O^H �̀�[OH[�`V\�LTIYHJL�[OL�UV[PVU�VM�L]PKLUJL�Z\WWVY[LK�Z[HUKHYKPaH[PVU�VM�JHYL��HUK�^OLYL�`V\�^VYYPLK�HIV\[�]HYPH[PVU��IV[O�WLYZVUHSS`�HUK�HZ�H�Z`Z[LT�¹�

Collective ownership of the quality of care and the outcomes in your domain:�>OPSL�THPU[HPUPUN�WLYZVUHS�HUK�WYVMLZZPVUHS�HJJV\U[HIPSP[ �̀�¸[OL�Z`Z[LT»Z�WYVISLTZ�^V\SK�IL�`V\Y�

WYVISLTZ�HUK�V\Y�WYVISLTZ��@V\�^V\SK�OH]L�H�JVSSLJ[P]L�YLZWVUZPIPSP[`�[V�LHJO�V[OLY�HUK�[V�[OL�Z`Z[LT�[V�ZLL�[OH[�]HYPH[PVU�^HZ�YLK\JLK��HSSV^PUN�MVY�[OL�WVZP[P]L�KL]PHUJL�`V\�^V\SK�L_WLJ[�^OLYL�L]PKLUJL�PZ�UV[�ZV�JSLHY�¹

Changed research culture: ¸;OL�KPZ[PUJ[PVU�IL[^LLU�HUHS`[PJZ�HUK�YLZLHYJO�^V\SK�ILJVTL�TVYL�VY�SLZZ�TLHUPUNSLZZ�[V�`V\�HUK�[OL�YL^HYK�Z`Z[LTZ�^V\SK�IL�VYPLU[LK�ZV�IV[O�^LYL�LX\HSS`�OVUVYLK�¹

“Originality would be less prized than relevance and applicability. 7H[PLU[Z��[OL�W\ISPJ�HUK�MYVU[SPUL�WYHJ[PJPUN�JSPUPJPHUZ�^V\SK�NLULYH[L�H[�SLHZ[�HZ�THU`�X\LZ[PVUZ�HZ�YLZLHYJOLYZ�¹

Clinical practice and resource stewardship would be integrally related. ¸,]LY`IVK`�^OV�^HZ�[YHPULK�^V\SK�ZLL�[OLZL�[OPUNZ�HZ�QVPULK�H[�[OL�OPW�¹

Variation would be reduced.�¸5V�SVUNLY�^V\SK�^L�ZLL�\[PSPaH[PVU�YH[LZ�[OYLL�VY�MV\Y�[PTLZ�[OL�\[PSPaH[PVU�YH[LZ�PU�HUV[OLY�Q\YPZKPJ[PVU��0[�^V\SK�IL�ZLLU�HZ�VUL�VM�[OL�M\UKHTLU[HS�TL[YPJZ�PU�[OL�Z`Z[LT�[OH[�[OL�]HYPH[PVU�^V\SK�IL�ZTHSSLY��HUK�TVYL�PTWVY[HU[S �̀�^OLYL�[OLYL�^HZ�]HYPH[PVU��WLVWSL�^V\SK�YLÅL_P]LS`�NP]L�YLHZVUZ�¹

����7(9(+0.4�:/0-;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca

THE INNER WORKINGS OF A HIGH-PERFORMANCE SYSTEM

¸;OPZ�JVUMLYLUJL�ILNPUZ�HUK�LUKZ�^P[O�WH[PLU[Z�¹�ZH`Z�*`�-YHUR��WYLZPKLU[�HUK�*,6�VM�(SILY[H�0UUV]H[LZ�¶�/LHS[O�:VS\[PVUZ��(0/:���¸;OL`�HYL�¸H�JYP[PJHS�JVUZ[P[\LUJ`�[V�^OHJR�\Z�VU�[OL�ZPKL�VM�[OL�OLHK�HUK�[LSS�\Z�OV^�[V�NL[�P[�YPNO[�¹�

0U�MHJ[��JVUMLYLUJL�ZLH[Z�^LYL�PU�OPNO�KLTHUK�MYVT�HSS�X\HY[LYZ!�YLZLHYJOLYZ��JSPUPJPHUZ��HKTPUPZ[YH[P]L�SLHKLYZ��WVSPJ`�THRLYZ��HUK�KLJPZPVU�THRLYZ��¸@L[�Q\Z[�������WLY�JLU[�VM�HSS�(SILY[HUZ�HYL�PU�[OPZ�YVVT�¹�ZH`Z�-YHUR��¸,HJO�VM�`V\�YLWYLZLU[Z��������WLVWSL��>L»YL�^VYRPUN�VU�ILOHSM�VM�[OLZL�WLVWSL��HUK�[OL`�ZOV\SK�IL�PU�`V\Y�TPUK�HZ�`V\�THRL�KLJPZPVUZ�V]LY�[OL�UL_[�ML^�KH`Z�¹

;OLYL�HYL�J\YYLU[S`����� �YLZLHYJOLYZ�PU�[OL�WYV]PUJL�^OV�PKLU[PM`�[OLTZLS]LZ�HZ�PU]VS]LK�^P[O�H�Z[YH[LNPJ�JSPUPJHS�UL[^VYR��:*5���ZH`Z�-YHUR��(�ML^�HYL�IHZPJ�IPVTLKPJHS�YLZLHYJOLYZ�HUK�YV\NOS`�OHSM�JHU�IL�KLZJYPILK�HZ�HWWSPLK�JSPUPJHS�YLZLHYJOLYZ��;OLYL�HYL�ML^LY�PU�OLHS[O�ZLY]PJLZ�HUK�Z`Z[LTZ�YLZLHYJO��HUK�ZVJPHS��J\S[\YHS��LU]PYVUTLU[HS��HUK�WVW\SH[PVU�OLHS[O�YLZLHYJO�

¸;OLZL�YLZLHYJOLYZ�HYL�UV[�HSS�Q\Z[�PU�[OL�\UP]LYZP[PLZ�¹�ZH`Z�-YHUR��¸(�SV[�HYL�O`IYPKZ�IL[^LLU�\UP]LYZP[PLZ�HUK�[OL�OLHS[O�Z`Z[LT��;OH[»Z�L_HJ[S`�^OH[�^L�^HU[�[V�ZLL�OHWWLU�¹�

;OL�\S[PTH[L�NVHS�VM�:[YH[LNPJ�*SPUPJHS�5L[^VYRZ��:*5Z��PZ�[V�PTWYV]L�[OL�OLHS[O�VM�(SILY[HUZ�HUK�[OL�OLHS[O�VM�[OL�Z`Z[LT��ZH`Z�-YHUR��¸(SILY[H�ZOV\SK�IL�RUV^U�MVY�ILPUN�[OL�ILZ[�H[�WYV]PKPUN�]HS\L�MVY�TVUL �̀�HUK�YLPU]LZ[PUN�P[�^OLYL�P[�^PSS�OH]L�[OL�IPNNLZ[�PTWHJ[�VU�WH[PLU[�V\[JVTLZ�

“We need to synergize all the relevant resources…

and to do that, we need to understand where the assets lie.”

PATIENTS

“Call it awareness, call it being present, call it being mindful, call it being alert…we either saw it existing extremely well, or in a lot of cases, we saw it didn’t exist at all.”

Peter Oxland, family advisor

����7(;0,5;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 11

FIRST WORD – PATIENT

;V�7L[LY�6_SHUK��H�OPNO�WLYMVYTPUN�OLHS[O�JHYL�Z`Z[LT�PZ�JVUZPZ[LU[S`�TPUKM\S�VM�WH[PLU[Z�HUK�MHTPSPLZ�

/L�SLHYULK�[OPZ�[OL�OHYK�^H`�HZ�OL�HUK�OPZ�SH[L�^PML�)HYI�QV\YUL`LK�KPaa`PUN�WH[O^H`Z�[OYV\NO�WYPTHY`�JHYL��JVTWSLTLU[HY`�JHYL��/LHS[OSPUR��HTI\SHUJL�ZLY]PJL��LTLYNLUJ`�JHYL��ZWLJPHSPaLK�UL\YVSVNPJHS�HUK�JHUJLY�JHYL��HUK�\S[PTH[LS`�PU[LUZP]L�JHYL��;OL�LU[PYL�QV\YUL`�[VVR�ZJHYJLS`�TVYL�[OHU�H�`LHY��HUK�LUKLK�ZHKS`�^P[O�)HYI»Z�KLH[O��6J[VILY�����������MYVT�H�YHYL��JHUJLYV\Z��UHZHS�JH]P[`�[\TV\Y·VSMHJ[VY`�UL\YVISHZ[VTH�

:PTWSL�NLZ[\YLZ�TH[[LYLK��;OL�WO`ZPJPHU�^OV�Z[LWWLK�H^H`�MYVT�[OL�OPNO�ZWLLK��JOVYLVNYHWOLK�,9�YLZWVUZL��[V�HZR�6_SHUK�PM�OL�JVUZLU[LK�[V�)HYI�ILPUN�OVVRLK�\W�[V�H�]LU[PSH[VY�HUK�ZH`PUN��¸@V\»YL�VRH`�[V�Z[H �̀¹�;OL�ZVJPHS�^VYRLY�^OV�SPZ[LULK��UV[PJLK�7L[LY»Z�LUNPULLYPUN�YPUN��HUK�L_WSHPULK�[OH[�\USPRL�LUNPULLYPUN��¸PU�PU[LUZP]L�JHYL��`V\�KVU»[�Ä_�[OPUNZ�¹�;OL�^OP[L�YVZL�VU�[OL�0*<�YVVT�KVVY�ZPNUHSPUN�[OH[�7L[LY�HUK�OPZ�MHTPS`�ULLKLK�ZWHJL��X\PL[�HUK�NLU[SLULZZ�[V�ZH`�NVVKI`L�

([�V[OLY�[PTLZ��[OL�6_SHUKZ�MLS[�JVUM\ZLK��SL[�KV^U��PU]PZPISL�HUK�\UOLHYK�

;V�:`S]PH�;LHYL��[OL�Z[VY`�PZ�H�MHTPSPHY�VUL��¸>L�OH]L�ILLU�[HSRPUN�HIV\[�WH[PLU[�JLU[YLK�JHYL�MVY�H�SVUN�[PTL�¹�ZOL�ZH`Z��¸0U�[OL�� ��Z��U\YZPUN�LK\JH[PVU�J\YYPJ\SH�OHK�[OL�WH[PLU[�H[�[OL�JLU[YL�¹�(�YL[PYLK�U\YZL�^P[O�H�4�,K��PU�J\YYPJ\S\T�HUK�PUZ[Y\J[PVUHS�KLZPNU��;LHYL��HSVUN�^P[O�6_SHUK�HUK�THU`�V[OLYZ��PZ�UV^�H�WH[PLU[�LUNHNLTLU[�YLZLHYJOLY��7,9��^VYRPUN�[V�W\[�WH[PLU[�JLU[YLK�JHYL�PU[V�WYHJ[PJL�

¸0�JVU[LUK�[OH[�HSS�OLHS[O�WYVMLZZPVUHSZ�ILSPL]L�[OL`�RUV^�^OH[�[OLPY�WH[PLU[Z�^HU[�HUK�ULLK��[OH[�[OL`�HYL�^VYRPUN�MVY�[OL�NVVK�VM�WH[PLU[Z�HZ�[OL`�ZLL�P[�¹�)\[�OV^�KV�[OL`�RUV^&�>OV�KPK�[OL`�HZR&�;OLZL�HYL�[OL�X\LZ[PVUZ�\Z\HSS`�SLM[�VU�[OL�[HISL�¹�ZH`Z�;LHYL�

;OH[�PZ�JOHUNPUN��ZOL�ZH`Z��^P[O�PUUV]H[PVUZ�[OH[�HSSV^�[OL�WH[PLU[�]VPJL�[V�IL�YLÅLJ[LK�PU�L]LY`�KLJPZPVU!�� 7H[PLU[�PU]VS]LTLU[�PU�:[YH[LNPJ�*SPUPJHS�5L[^VYRZ�HSSV^Z�WH[PLU[Z�[V�PUMVYT�HU�LU[PYL�WH[O^H`�HUK�Z`Z[LT��YH[OLY�

[OHU�WVJRL[Z�VM�WYHJ[PJL��� 7H[PLU[Z�UV^�OH]L�ZLH[Z�H[�KLJPZPVU�THRPUN�[HISLZ��[OYV\NO�WYV]PUJPHS�HK]PZVY`�JV\UJPSZ��:*5�JVYL�JVTTP[[LLZ�

and advisory committees.

�� �(�[YHPULK�JHKYL�VM�WH[PLU[Z�HUK�MHTPS`�TLTILYZ�UV^�LTWSV`�Z[Y\J[\YLK�YLZLHYJO�TL[OVKZ�[V�PUMVYT�[OL�Z`Z[LT�^P[O�H�JVSSLJ[P]L�WH[PLU[�]VPJL�

¸0[�^PSS�ILJVTL�L]LU�TVYL�PUUV]H[P]L�HZ�^L�MVJ\Z�VU�WH[PLU[Z»�ZLSM�THUHNLK�OLHS[O�JHYL�HUK�SLZZ�VU�PSSULZZ�¹�ZH`Z�;LHYL��¸ILJVTPUN�H�[Y\L�OLHS[O�Z`Z[LT�¹

����7(;0,5;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 12

Donna Oswell-HTPS`�HK]PZVY��*HUJLY�:*5�7H[PLU[�HUK�JVTT\UP[`�LUNHNLTLU[�YLZLHYJO�PU[LYU�^P[O�7(*,9

+VUUH�6Z^LSS»Z�ZVU�(SL_HUKLY�^HZ�KPHNUVZLK�^P[O�SL\RLTPH�PU�������SH\UJOPUN�H�TLKPJHS�QV\YUL`�[OH[�SHZ[LK�[^V�`LHYZ��LPNO[�TVU[OZ�HUK����KH`Z��

;OL�JHYL�(SL_HUKLY�HUK�[OL�MHTPS`�YLJLP]LK�^HZ�HTHaPUN��ZH`Z�6Z^LSS��;OL�MHTPS`�YLJLP]LK�PUMVYTH[PVU�HUK�MYLX\LU[�\WKH[LZ��¸>L�^LYL�SPZ[LULK�[V�HUK�YLZWLJ[LK�¹��;OPZ�WHY[ULYZOPW�^P[O�[OL�JHYL�[LHT��ZOL�ZH`Z��¸NH]L�TL�JVTMVY[�HUK�JVUÄKLUJL¹�PU�JVWPUN�^P[O�(SL_»Z�SL\RLTPH�HUK�SVUN�[LYT�[YLH[TLU[�

>OLU�ZOL�YLJLP]LK�UV[PJL�PU�[OL�THPS�VM�H�YLZLHYJO�Z[\K`�[V�L]HS\H[L�[OL�WYVJLZZ�HUK�LMÄJPLUJ`�VM�SHIVYH[VY`�ISVVK�^VYR�[LZ[PUN��OLY�PU[LYLZ[�^HZ�WPX\LK��:OL�^HU[LK�[V�OLSW��UV[�Q\Z[�I`�WYV]PKPUN�KH[H�VY�ÄSSPUN�V\[�Z\Y]L`Z��I\[�I`�QVPUPUN�[OL�YLZLHYJO�[LHT��¸0�[OV\NO[�P[�^HZ�YLHSS`�PTWVY[HU[�[OL`�OHK�H�MHTPS`�WLYZWLJ[P]L�¹�:V�ZOL�HZRLK�[V�QVPU�HZ�H�YLZLHYJOLY��¸0�YLJLP]LK�UV�YLZWVUZL�¹�ZOL�ZH`Z��¸0�^HZ�ZV�KPZHWWVPU[LK�¹�

-SHZO�MVY^HYK�[V������HUK�6Z^LSS�HUK�[^V�7(*,9�JVSSLHN\LZ�HYL�ILNPUUPUN�[OLPY�V^U�PU[LYUZOPW�YLZLHYJO�Z[\K �̀�;OL`�HYL�JVSSHIVYH[PUN�^P[O�+Y��;VT�:[LSMV_�PU�L_HTPUPUN�L]PKLUJL�JHYL�NHWZ�PU�[OL�0*<��(Z�WHY[�VM�[OL�Z[\K �̀�6Z^LSS�HUK�OLY�JVSSLHN\LZ�^PSS�SVVR�H[�MHTPS`�L_WLYPLUJLZ�PU�[YHUZP[PVUPUN�MYVT�[OL�0*<�[V�H�^HYK�

>OPSL�H�MHTPS`�TLTILY�YLX\LZ[�[V�QVPU�H�TLKPJHS�YLZLHYJO�[LHT�^HZ�VUJL�PNUVYLK��6Z^LSS�ZH`Z��¸0[»Z�UV^�ILZ[�WYHJ[PJL�¹

“Being in a hospital is extremely stressful,” says Emery. “Please empower us by allowing us to give you our input and our experience in dealing with this illness.”

Isabel Emery0UZ\SPU�W\TW�\ZLY�MVY�ULHYS`����`LHYZ-V\UKPUN�TLTILY�HUK�WHZ[�JOHPY��*HSNHY`�0UZ\SPU�7\TW�:\WWVY[�.YV\W>OPSL�0ZHILS�,TLY`�JVUZPKLYZ�OLYZLSM�S\JR`�[V�OH]L�YLJLP]LK�¸ÄYZ[�JSHZZ�OLHS[O�JHYL�PU�(SILY[H�HUK�[V�OH]L�HS^H`Z�ILLU�JVUZPKLYLK�HU�PTWVY[HU[�TLTILY�VM�OLY�OLHS[O�JHYL�[LHT�¹�ZOL�OHZ�KPZJV]LYLK�Z`Z[LTPJ�IHYYPLYZ�[V�ZLSM�THUHNLTLU[��:OL�NP]LZ�[OL�L_HTWSL�VM�+PHUH��^OV�OHK�[V�KLJPKL�L]LY`�TVU[O�IL[^LLU�NHZ�HUK�LSLJ[YPJP[`�HUK�PUZ\SPU�W\TWZ�HUK�OLHS[O�Z\WWSPLZ��(UK�^OPSL�[OL�(SILY[H�NV]LYUTLU[�YLJLU[S`�PU[YVK\JLK�JVTWYLOLUZP]L�JV]LYHNL�MVY�PUZ\SPU�W\TWZ��¸[OL�LU]`�VM�KPHIL[PJZ�HSS�V]LY�*HUHKH�¹�VUS`�H�YLSH[P]LS`�ZTHSS�U\TILY�VM�KPHIL[PJZ�YLX\PYL�PUZ\SPU�W\TWZ��;OL�SHJR�VM�M\UKPUN�MVY�[LZ[�RP[Z�HUK�V[OLY�KPHIL[PJ�Z\WWSPLZ��JYLH[LZ�inequities.

-VY�L_HTWSL��,TLY`»Z�MYPLUK�=PJ��^OV�OHZ�ILLU�KPHIL[PJ�ZPUJL�[OL�HNL�VM�MV\Y��PZU»[�JV]LYLK�MVY�Z`YPUNLZ��¸,]LY`�`LHY�OL�[OYLH[LUZ�[V�NH[OLY�HSS�OPZ�\ZLK�KPHIL[PJ�Z`YPUNLZ��[HRL�[OLT�[V�H�KY\N�PUQLJ[PVU�ZP[L�HUK�KLTHUK�[V�L_JOHUNL�OPZ�\ZLK�Z`YPUNLZ�MVY�UL^�VULZ�¹�ZH`Z�,TLY �̀

¸(SS�KPHIL[PJZ�YLX\PYL�[LZ[�RP[Z�¹�I\[�[OL�JVZ[�PZ�UV[�JVUZPZ[LU[S`�JV]LYLK��¸3L[�TL�HZZ\YL�`V\��KPHIL[PJZ�KV�UV[�LUQV`�WYPJRPUN�[OLPY�ÄUNLYZ�PU�VYKLY�[V�KYH^�ISVVK��0UJYLHZLK�M\UKPUN�VM�[LZ[�RP[Z�^V\SK�UV[�YLZ\S[�PU�NYH[\P[V\Z�[LZ[PUN�¹

9LJLU[S`�HKTP[[LK�[V�H�WYV]PUJPHS�OVZWP[HS��,TLY`�KPZJV]LYLK�[OL�MVVK�OHK�UV�SHILSPUN��H�ULJLZZP[`�MVY�KPHIL[PJZ��,TLY`�HSZV�OHK�H�Z[HMM�TLTILY�JVUÄZJH[L�OLY�PUZ\SPU�W\TW��ILJH\ZL�[OL�Z[HMM�TLTILY�KPKU»[�RUV^�OV^�[V�\ZL�P[��HUK�KPKU»[�YLJVNUPaL�[OH[�,TLY`»Z�`LHYZ�VM�L_WLYPLUJL�THKL�OLY�HU�L_WLY[��¸0�OHK�[V�^H[JO�[OL�OVZWP[HS�TPZTHUHNL�T`�KPHIL[LZ�¹�

¸)LPUN�PU�H�OVZWP[HS�PZ�L_[YLTLS`�Z[YLZZM\S�¹�ZH`Z�,TLY �̀�¸7SLHZL�LTWV^LY�\Z�I`�HSSV^PUN�\Z�[V�NP]L�`V\�V\Y�PUW\[�HUK�V\Y�L_WLYPLUJL�PU�KLHSPUN�^P[O�[OPZ�PSSULZZ�¹

����7(;0,5;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 13

Jean Miller7H[PLU[�YLWYLZLU[H[P]L��)VUL�HUK�1VPU[�:*5�7(*,9�TLTILY1LHU�4PSSLY»Z�VZ[LVHY[OYP[PZ��6(��WYLZLU[LK�HZ�UPNO[�WHPU�PU�OLY�RULL�[OH[�^HZ�YLSPL]LK�I`�NL[[PUN�\W�HUK�^HSRPUN��¸UV[�JVUK\JP]L�[V�H�NVVK�UPNO[»Z�ZSLLW�¹�ZOL�ZH`Z��6UJL�4PSSLY�^HZ�KPHNUVZLK��ZOL�^HZ�HISL�[V�THUHNL�^P[O�HU�V]LY�[OL�JV\U[LY�KY\N��(SL]L��I\[�^VYYPLK�HIV\[�^OH[�JHTL�UL_[�

>VYRPUN�^P[O�V[OLY�7(*,9�YLZLHYJOLYZ��ZOL�^HZ�HISL�[V�Z[\K`�[OL�WH[PLU[�L_WLYPLUJL�VM�^HP[PUN�MVY�OLSW�^P[O�6(��¸>L�MV\UK�V[OLYZ�SPRL�\Z�HYL�Z[Y\NNSPUN��>L�KPZJV]LYLK�H�UHZ[`�ZWPYHS�VM�PUJYLHZPUN�WHPU��KLJYLHZPUN�TVIPSP[ �̀�PUJYLHZPUN�^LPNO[�HUK�PUJYLHZPUN�HNL�¹�ZH`Z�4PSSLY�

:OL�[OLU�QVPULK�[OL�)VUL�HUK�1VPU[�:*5��[VVR�[OL�YLZ\S[Z�VM�[OL�Z[\K`�[V�[OLT�HUK�MV\UK��¸[OL`�HYL�YLHSS`�SPZ[LUPUN�¹�0U�MHJ[��+Y��+LIVYHO�4HYZOHSS�HUK�OLY�[LHT�OH]L�I\PS[�WH[PLU[�LUNHNLTLU[�YLZLHYJO�PU[V�[^V�VM�[OLPY�NYHU[Z��¸7H[PLU[Z�HYL�OLSWPUN�[V�ZOHWL�[OL�OLHS[O�Z`Z[LT�YPNO[�H[�[OL�MYVU[�LUK��(Z�H�YLZ\S[��0�OH]L�ZVTL�JVUÄKLUJL�[OL�Z\WWVY[Z�0�^PSS�ULLK�^PSS�IL�[OLYL�KV^U�[OL�YVHK�¹

0U�VUL�VM�[OL�YLZLHYJO�WYVQLJ[Z�4PSSLY�^HZ�PU]VS]LK�PU��WH[PLU[Z�ZHPK�[OL`�^HU[�KPYLJ[�HJJLZZ�HUK�YL�HJJLZZ�[V�WLVWSL�^OV�OH]L�6(�L_WLY[PZL��0M�[OH[�^LYL�[V�ILJVTL�H�MVJ\Z��ZH`Z�4PSSLY��¸0�^VUKLY�PM�[OL�Z`Z[LT�^V\SK�Z[HY[�[V�TV]L�H^H`�MYVT�ZV�THU`�YLZV\YJLZ�NVPUN�PU[V�JVTWSL_�YLMLYYHS�HUK�YL�YLMLYYHS�Z`Z[LTZ�HUK�[OL�NH[L�RLLWPUN�WYVJLZZ��¸

“They haven’t really changed. But the answers are complex. “ What’s heartening, though, is looking around the room and seeing people “committed to doing it better and to remembering who it is that we serve.”

Geoff Tagg*OHPY��(KKPJ[PVU� �4LU[HS�/LHS[O�7YV]PUJPHS�(K]PZVY`�*V\UJPS�4LTILY�� Addiction and Mental Health SCN Core

committee

.LVMM�;HNN�L_WSHPUZ�[OL�YVSL�VM�[OL�(KKPJ[PVU� �4LU[HS�/LHS[O�7YV]PUJPHS�(K]PZVY`�*V\UJPS��HZ�]VS\U[LLY�HUK�HK]PZVY �̀�^OPSL�[OL�:*5»Z�YVSL�PZ�[V�PTWSLTLU[�JOHUNL���¸0[»Z�JSLHY�[OH[�^VYRPUN�[VNL[OLY�PZ�ZVTL[OPUN�^L�ZOV\SK�KV�TVYL�VM��¸

(�THQVY�MVJ\Z�VM�V\Y�JV\UJPS�PZ�[V�PKLU[PM`�ULLKZ��OL�ZH`Z��HUK�L_WLY[PZL�VU�[OL�JV\UJPS�Y\UZ�KLLW��¸,]LY`�ZPUNSL�WLYZVU�OHZ�ILLU�[OLYL��KVUL�[OH[�¹

¸>OLU�^L�[HSR�HIV\[�LTILKKPUN�WH[PLU[�VYPLU[LK�YLZLHYJO�PU[V�[OL�Z`Z[LT��0�JHU�ZLL�ZVTL�^VUKLYM\S�L_HTWSLZ�¹�OL�ZH`Z��¸0�JHU»[�ZLL�H�IL[[LY�L_HTWSL�[OHU�[OL�,47(;/@�WYVQLJ[��^OPJO�+Y��7L[LY�:PS]LYZ[VUL�PZ�OLHKPUN�\W�¹�;OL�WYVQLJ[�ZJYLLUZ�HSS�Z[\KLU[Z�PU�.YHKLZ���[V� �PU�[OL�9LK�+LLY�WPSV[�[V�PKLU[PM`�[OVZL�H[�YPZR��[OLU�WHZZLZ�[OL�PUMVYTH[PVU�VU�[V�WHYLU[Z�HUK�N\HYKPHUZ��HUK�WYV]PKLZ�PU[LY]LU[PVU�ZLY]PJLZ��¸>L»]L�NV[�[V�KV�ZV�T\JO�TVYL�VM�[OPZ�¹�OL�ZH`Z�

;OL�(KKPJ[PVU� �4LU[HS�/LHS[O�7YV]PUJPHS�(K]PZVY`�*V\UJPS�KVLZ�ZLL�:*5Z�HZ�[OL�M\[\YL��OL�ZH`Z���¸>L�ULLK�[V�IL�MHY�TVYL�YLZWVUZP]L�[OHU�^L�HYL�[V�[OL�ULLKZ�VM�WH[PLU[Z¯HUK�^L�OH]L�[V�YLKPZJV]LY�V\Y�WYPVYP[PLZ��YLTLTILYPUN�^OV�P[�PZ�[OH[�^L�ZLY]L��>OV�P[�PZ�[OH[�^L�ZOV\SK�IL�^VYRPUN�^P[O&�(UK�^OV�^L�HYL�UV[�ZLY]PUN��HUK�^O`&�0U�[OH[�ZLUZL��0�ZLL�[OL�JV\UJPS��[V�ZVTL�L_[LU[��HZ�[OL�:*5�JVUZJPLUJL�¹�ZH`Z�;HNN�

-HTPS`�TLTILYZ�KVU»[�JHYL�PM�^L�HYL�LTILKKPUN�WH[PLU[�VYPLU[LK�YLZLHYJO�PU�[OL�Z`Z[LT��ZH`Z�;HNN��0UZ[LHK��[OL�MHTPS`�TLTILY�ZH`Z��¸>OH[�KV�0�ULLK&�(YL�[OL�ZLY]PJLZ�0�ULLK�H]HPSHISL&�(YL�[OL`�HJJLZZPISL��UV�TH[[LY�^OLYL�0�SP]L�PU�[OPZ�WYV]PUJL&�(YL�[OL`�MYLL&�>PSS�[OL`�THRL�TL�IL[[LY&�(YL�[OL�WLVWSL�0�ULLK�^PSSPUN�[V�^VYR�[VNL[OLY�HUK�PUJS\KL�TL�PU�[OL�WYVJLZZ&¹

;OL�X\LZ[PVUZ�HYL�YLSH[P]LS`�ZPTWSL��OL�ZH`Z��¸;OL`�OH]LU»[�YLHSS`�JOHUNLK��)\[�[OL�HUZ^LYZ�HYL�JVTWSL_��¸�>OH[»Z�OLHY[LUPUN��[OV\NO��PZ�SVVRPUN�HYV\UK�[OL�YVVT�HUK�ZLLPUN�WLVWSL�¸JVTTP[[LK�[V�KVPUN�P[�IL[[LY�HUK�[V�YLTLTILYPUN�^OV�P[�PZ�[OH[�^L�ZLY]L�¹

����7(;0,5;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 14

Jennifer Anderson7H[PLU[�(K]PZVY��9LZWPYH[VY`�/LHS[O�:*5

1LUUPMLY�(UKLYZVU�OHZ�¸Z[YLL[�JYLK�¹�:OL�^HZ�KPHNUVZLK�^P[O�W\STVUHY`�LTIVSPZT�PU�������HUK�OHK�[OL�KPHNUVZPZ�\WKH[LK�H�`LHY�SH[LY�[V�W\STVUHY`�O`WLY[LUZPVU��H�[LYTPUHS�S\UN�YLSH[LK�PSSULZZ��

>OLU�L_WLYPTLU[HS�Z\YNLY`�PU�:HU�+PLNV�KPKU»[�^VYR��(UKLYZVU�ZWLU[�H�`LHY�HUK�H�OHSM�VU�[OL�^HP[PUN�SPZ[�MVY�H�KV\ISL�S\UN�[YHUZWSHU[��^OPJO�ZOL�YLJLP]LK�Ä]L�`LHYZ�HNV��

¸)LPUN�VU�H�[YHUZWSHU[�SPZ[�PZ�[OL�TVZ[�KPMÄJ\S[�[OPUN�0»]L�L]LY�OHK�[V�KV�¹�ZH`Z�(UKLYZVU��¸@V\�HYL�YLHSS`�OVWPUN�MVY�ZVTL[OPUN��I\[�\UMVY[\UH[LS �̀�ZVTL[OPUN�OHZ�[V�OHWWLU�[V�ZVTLIVK`�LSZL��@V\�MLLS�JVUÅPJ[LK��¸

(SVUN�[OL�^H`�[V�OLY�Z\JJLZZM\S�[YHUZWSHU[��(UKLYZVU�L_WLYPLUJLK�H�¸SHJR�VM�JVTT\UPJH[PVU�HUK�H�SV[�VM�HZZ\TW[PVUZ�HIV\[�TL�HZ�H�WH[PLU[�HUK�HZ�H�WLYZVU�¹�>OLU�[OL`�W\SSLK�V\[�OLY�JOLZ[�[\ILZ��MVY�L_HTWSL��HUK�ZOL�ZHPK��¸0�JHU»[�IYLH[OL�¹�[OL�YLZWVUZL�MYVT�JSPUPJPHUZ�^HZ��¸5V��P[»Z�VRH �̀�`V\»YL�Q\Z[�OH]PUN�H�WHUPJ�H[[HJR�¹�0U�MHJ[��IV[O�S\UNZ�OHK�JVSSHWZLK�HUK�ZOL�JVKLK��

¸(�JV\WSL�VM�KH`Z�SH[LY�H�JOLZ[�[\IL�MLS[�H^R^HYK��¸0�RLW[�ZH`PUN�[V�[OL�U\YZPUN�Z[HMM��0�[OPUR�[OLYL»Z�H�WYVISLT��;OL`�ZHPK�º5V��`V\»YL�Q\Z[�WHUPJRPUN�HNHPU�»�0�^VRL�\W�H�JV\WSL�VM�OV\YZ�SH[LY�PU�H�NPNHU[PJ�WVVS�VM�T`�V^U�ISVVK�¸��;OLYL�OHK�ILLU�H�ISVJRHNL�HUK��^P[OV\[�HULZ[OL[PJ��[OL�KVJ[VY�OHK�[V�W\SS�V\[�[OL�[\IL��^PKLU�[OL�OVSL�^P[O�OPZ�ÄUNLY��HUK�Z[PJR�[OL�[\IL�IHJR�PU�

¸:OVJRPUNS �̀�0�^HZ�KPHNUVZLK�^P[O�7;:+��WVZ[�[YH\TH[PJ�Z[YLZZ�KPZVYKLY�¹�ZH`Z�(UKLYZVU�^Y`S �̀�¸0[»Z�HU�VUNVPUN�Z[Y\NNSL�MVY�TL�¹

“Hospitals have their own routine and a ÅV �̂�(Z�WYVMLZZPVUHSZ��`V\�RUV^�^OLYL�`V\�Ä[�^P[OPU�[OH[�V]LYHSS�OPLYHYJO �̀� (Z�H�WH[PLU[��`V\�OH]L�[V�ÄN\YL�[OH[� out for yourself…”

¸0�OHK�[V�SLHYU�OV^�[V�IL�H�WH[PLU[�¹�ZH`Z�(UKLYZVU�� ¸0�^HZ�V]LY^OLSTLK��0�^HZ�KPZJV\YHNLK��0�^HZ�ZJHYLK�� 0�^HZ�PZVSH[LK�¹�

¸/VZWP[HSZ�OH]L�[OLPY�V^U�YV\[PUL�HUK�H�ÅV �̂�(Z�WYVMLZZPVUHSZ��`V\�RUV^�^OLYL�`V\�Ä[�^P[OPU�[OH[�V]LYHSS�OPLYHYJO �̀�(Z�H�WH[PLU[��`V\�OH]L�[V�ÄN\YL�[OH[�V\[�MVY�`V\YZLSM¯�0UZ[P[\[PVUHSPaH[PVU�JVTLZ�VU�]LY`�X\PJRS �̀�WH[PLU[Z�L_WLYPLUJL�SVZZ!�SVZZ�VM�MYLLKVT��SVZZ�VM�JOVPJL��(Z�0�SPRL�[V�JHSS�P[��^L�OH]L�[OL�PSS\ZPVU�VM�JOVPJL�PU�OVZWP[HSZ��º^V\SK�`V\�SPRL�`V\Y�KY\NZ�UV^�VY�PU�Ä]L�TPU\[LZ&»�(UK�\S[PTH[LS �̀�`V\�OH]L�H�SHJR�VM�WYP]HJ �̀¹�

)\[�(UKLYZVU�KPK�ÄUK�L_LTWSHY`�WH[PLU[�JLU[YLK�JHYL�HUK�JVTT\UPJH[PVU�HZ�H�S\UN�[YHUZWSHU[�WH[PLU[��¸5V[OPUN�^HZ�SLM[�[V�JOHUJL�PU�[OL�[YHUZWSHU[�^VYSK��>L�^LYL�NP]LU�H�IPUKLY��;OL`�THKL�Z\YL�^L�OHK�H�KVJ[VY»Z�HWWVPU[TLU[�[OL�UL_[�KH �̀�;OL�UL_[�[OYLL�TVU[OZ�0�^LU[�[V�[OL�OVZWP[HS�L]LY`�4VUKH`�[OYV\NO�-YPKH`�HUK�^L�OHK�H�ZL[�V\[SPUL�VM�^OH[�^L�OHK�[V�KV��

;OH[»Z�[OL�RPUK�VM�JHYL�WH[O^H`�L]LY`VUL�ULLKZ��ZH`Z�(UKLYZVU��¸:V�WH[PLU[Z�OH]L�H�ZLUZL�VM�Z\JJLZZPVU�WSHUUPUN��[OH[�[OL`�HYL�UV[�MLLSPUN�SPRL�[OL`�HYL�V\[�PU�[OL�^PUK��¸

0[»Z�OLY�NVHS�UV^�[V�ZLL�[OH[�RPUK�VM�JHYL�[OYV\NOV\[�[OL�Z`Z[LT�HUK�IL�PU�H�WVZP[PVU�[V�PUÅ\LUJL�WVSPJ`�H[�H�KL]LSVWTLU[HS�SL]LS��¸0�KVU»[�^HU[�[V�IL�[OL�[VRLU�WH[PLU[�^OV�Y\IILY�Z[HTWZ�WVSPJ`�H[�[OL�LUK��ILJH\ZL�0�OHK�[OH[�L_WLYPLUJL�WYL]PV\ZS �̀�>OLU�0�^HZ�HZRLK�[V�Y\IILY�Z[HTW�HU�PUP[PH[P]L��P[�THKL�TL�MLLS�T`�]VPJL�^HZU»[�PTWVY[HU[��^HZU»[�ILPUN�OLHYK��[OH[�0�^HZ��VU�ZVTL�SL]LS��ILPUN�KPZYLZWLJ[LK�HZ�H�WH[PLU[��

¸0»T�NSHK�[V�ZH`�^P[O�T`�:*5�[OPZ�PZ�UV[�H[�HSS�[OL�JHZL��4`�VWPUPVUZ�HYL�^LSJVTLK�L]LU�PM�[OPZ�ZVTL[PTLZ�TLHUZ�OH]PUN�KPMÄJ\S[�KPZJ\ZZPVUZ��0�TPNO[�ZH`�[OPUNZ�WLVWSL�HYLU»[�YLHK`�[V�OLHY��I\[�0�[OPUR�HYL�YLHSS`�PTWVY[HU[�[V�IL�OLHYK��0�NL[�[V�OH]L�HU�PTWHJ[�H[�[OL�ILNPUUPUN�HUK�MYVT�[OL�IV[[VT�\W��¸

����7(;0,5;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 15

:`S]PH�;LHYL�ZWLU[�OLY�JHYLLY�HZ�H�OLHS[O�JHYL�WYVMLZZPVUHS��5V^�[OH[�ZOL»Z�YL[PYLK��ZOL»Z�decided to set aside the usual

YL[PYLTLU[�W\YZ\P[Z�PU�MH]V\Y�VM�SLHYUPUN�H�^OVSL�UL^�ZRPSS�ZL[�HZ�H�WH[PLU[�LUNHNLTLU[�researcher.

;LHYL»Z�WH[PLU[�L_WLYPLUJL�J\STPUH[LK�PU�H�RULL�[YHUZWSHU[�PU�YLZWVUZL�[V�VZ[LVHY[OYP[PZ��6(���>OPSL�

[OL�UL^�RULL�OHZ�THKL�UH]PNH[PUN�;OL�)HUMM�*LU[YL�WVZZPISL��ZOL�RUV^Z�UH]PNH[PUN�[OL�OLHS[O�JHYL� system with osteoarthritis is not as easy.

6UL�VM�OLY�ÄYZ[�YLZLHYJO�WYVQLJ[Z�HZ�H�WH[PLU[�LUNHNLTLU[�YLZLHYJOLY�[H\NO[�OLY�[OH[�WH[PLU[Z� HUK�OLHS[O�WYVMLZZPVUHSZ�TLHU�KPMMLYLU[�[OPUNZ� ^OLU�[OL`�[HSR�HIV\[�^HP[�[PTLZ�

¸>L�OLHYK�HIV\[�^HP[PUN�[V�IL�OLHYK��^HP[PUN�[V�IL�ILSPL]LK��^HP[PUN�MVY�[OPUNZ�[V�NL[�IL[[LY��ZVTL[PTLZ�^HP[PUN�MVY�[OPUNZ�[V�NL[�^VYZL��^HP[PUN�MVY�H�YLMLYYHS��^HP[PUN�MVY�Z\YNLY �̀�^HP[PUN�MVY�HZZLZZTLU[Z��;OPZ�NYV\W�VM�WLVWSL�^HZ�UV[�^VYYPLK��SPRL�[OL�Z`Z[LT�PZ��HIV\[�^HP[�[PTLZ��>OH[�[OL`�^LYL�L_WYLZZPUN�PZ�[OL�MHJ[�[OH[�^L�HYL�HS^H`Z�^HP[PUN�¹�

;OLYL�HYL�[OPUNZ�[OH[�JV\SK�THRL�[OL�^HP[PUN�WLYPVK�TVYL�OLHS[O�VYPLU[LK�MVY�\Z��¸(UK�^L»YL�OHWW`�V\Y�^VYR�PZ�MLLKPUN�PU[V�^VYR�[OH[�PZ�ILPUN�KVUL�PU�[OL�IVUL�HUK�QVPU[�YLZLHYJO�HYLH�¹

7H[PLU[�LUNHNLTLU[�YLZLHYJOLYZ�\ZL�H�ZL[�X\HSP[H[P]L�YLZLHYJO�WYVJLZZLZ�[V�NH[OLY�L]PKLUJL��¸7H[PLU[Z�HYL�HZRLK�[V�PKLU[PM �̀�PU�H�NYV\W��^OH[�[OL`�ULLK�HUK�^HU[�MYVT�[OL�Z`Z[LT�¹�ZH`Z�;LHYL��¸(UK�P[�L]VS]LZ�PU[V�H�JVSSLJ[P]L�WH[PLU[�]VPJL�¹

;OL�NYV\W�[OLU�KLJPKLZ�^OH[�LSZL�[OL`�ULLK�[V�RUV �̂�^OPJO�OLSWZ�[OLT�ZL[�[OL�Z[\K`�KPYLJ[PVU��¸;OL`�KLJPKL�^OH[�X\LZ[PVUZ�ULLK�[V�IL�KLS]LK�PU[V�TVYL�JSVZLS �̀¹�>OLU�[OL`�NH[OLY�[OL�KH[H��[OLPY�YLÅLJ[PVU�OLSWZ�KL[LYTPUL�UL_[�Z[LWZ��HZ�[OL`�ZH �̀�¸/LYL�HYL�[OL�[OLTLZ��/LYL�PZ�^OH[»Z�OHWWLUPUN��/LYL�HYL�[OL�HYLHZ�[OH[�ULLK�[V�IL�W\YZ\LK�¹�

;OL�WH[PLU[Z�;LHYL�OHZ�Z[\KPLK�PKLU[PM`�[OYLL rights:

Right information: ¸>L�^HU[�JVTWYLOLUZP]L��KL[HPSLK��UV�UVUZLUZL�PUMVYTH[PVU�HIV\[�[OL�Z[HNLZ�VM�VZ[LVHY[OYP[PZ��HUK�[OL�YLSH[LK�[YHKP[PVUHS�HUK�UVU�[YHKP[PVUHS��L]PKLUJL�IHZLK�THUHNLTLU[�Z[YH[LNPLZ�� >L�ULLK�[V�RUV^�^OLU�[V�ZLLR�M\Y[OLY�OLSW��HUK� MYVT�^OVT�¹

Right resources and support: ¸>L�ULLK�HJJLZZ�[V�TVYL�W\ISPJS`�M\UKLK�ZLY]PJLZ��WYPTHY`�JHYL�NP]LYZ�^OV�OH]L�H�[VVS�IV_�VM�H�M\SS�YHUNL�VM�THUHNLTLU[�Z[YH[LNPLZ��HUK�WYVMLZZPVUHSZ�^P[O�6(�L_WLY[PZL��6UL�VM�[OL�WLVWSL�PU�V\Y�ZLZZPVU�HZRLK��ºPZ�[OL�VUS`�L_WLY[�PU�VZ[LVHY[OYP[PZ�[OL�Z\YNLVU&»¹

¸>L�ILSPL]L�^L�KVU»[�HSS�ULLK�Z\YNLY �̀�@V\�HSS�RUV^�[OH[�^L�KVU»[�HSS�ULLK�Z\YNLY �̀�I\[�^OH[�KV�^L�KV�[V�Z[H`�OLHS[O �̀�^OH[�KV�^L�KV�[V�JVWL�^P[O�[OL�WHPU�[OH[�^L»]L�NV[�MYVT�V\Y�QVPU[Z&�;OVZL�WPLJLZ�VM�PUMVYTH[PVU�HYL�[OL�VULZ�[OH[�^L�ULLK�¹

Right relationship:�¸>L�ULLK�[V�IL�HISL�[V�JVTL�IHJR�[V�ZVTLVUL�^OV�YLTLTILYZ�\Z��^OV�YLTLTILYZ�^OH[�^LU[�VU�PU�H�WYL]PV\Z�]PZP[��HUK�JHU�OLSW�\Z�HKQ\Z[�V\Y�ZLSM�THUHNLTLU[��¸

;LHYL�PZ�HWWS`PUN�OLY�YLZLHYJO�[HSLU[Z�[V�OLY�YVSL�VU�[OL�core committee with the Seniors SCN as well.

¸>OH[�HU�OVUV\Y��WHY[PJPWH[PUN�PU�KPZJ\ZZPVUZ�^P[O�SLHKLYZ�PU�ZLUPVYZ�OLHS[O�MYVT�HSS�V]LY�[OL�WYV]PUJL��0�^HZ�LUJV\YHNLK�[V�ZWLHR�\W��0�OHK�VWWVY[\UP[`�[V�OH]L�PUW\[�PU[V�[OL�TPZZPVU��[OL�]PZPVU�VM�[OL�UL[^VYR�HUK�PU[V�[OL�[YHUZMVYTH[PVUHS�YVHK�THW��0�^HZ�PU]P[LK�[V�IL�WHY[�VM�[OL�YLZLHYJO�JVTT\UP[ �̀¹

;LHYL�^HZ�PU]VS]LK�PU�WYV]PKPUN�H�WH[PLU[�L_WLYPLUJL�[V�[OL�L]HS\H[PVU�X\LZ[PVUZ�VU�[OL�HWWYVWYPH[L�\ZL�VM�HU[PWZ`JOV[PJ�KY\NZ�PU�SVUN�[LYT�JHYL�YLZLHYJO�WYVQLJ[�HUK�^P[O�V[OLY�WH[PLU[�YLZLHYJOLYZ�OHZ�SH\UJOLK�H�ZLUPVYZ»�OLHS[O�PU]LZ[PNH[PVU�[V�OH]L�ZLUPVYZ�PKLU[PM`�RL`�issues within health care.

Sylvia Teare7H[PLU[�HUK�*VTT\UP[`�,UNHNLTLU[�9LZLHYJOLY�4LTILY��:LUPVYZ�/LHS[O�:[YH[LNPJ�*SPUPJHS�5L[^VYR�*VYL�*VTTP[[LL

����7(;0,5;:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 16

¸;OLYL�PZ�WV^LY�PU�Z[VY �̀¹�ZH`Z�3PH�3V\ZPLY��¸>L�HSS�OH]L�H�Z[VY`¯�HUK�^L�HSS�SVUN�[V� IL�OLHYK�¹

(�IPN�WHY[�VM�3V\ZPLY»Z�Z[VY`�PZ�OLY�ZVU�)YHKLU��VY�4Y��)�HZ�OL»Z�RUV^U�H[�[OL�(SILY[H�*OPSKYLU»Z�/VZWP[HS��4Y��)»Z�JVTWSL_�TLKPJHS�ULLKZ�OH]L�TLHU[�¸H�TLKPJHS�YVSSLY�JVHZ[LY�V]LY�[OL�WHZ[�[^V�`LHYZ�HUK����TVU[OZ��¸�ZH`Z�

3V\ZPLY��¸0[�PZ�H�QV\YUL`�VM�NYLH[�ZVYYV �̂�I\[�HSZV�VUL�VM�NYLH[�HU_PL[`�HUK�VM�[OL�NYLH[LZ[�SV]L�0»]L�L]LY�ILLU�ISLZZLK�[V�RUV �̂¹�ZOL�ZH`Z�

¸)LPUN�H�TLKPJHS�WHYLU[�PZ�UV[�HU�LHZ`�L_WLYPLUJL��P[»Z�]LY`�PZVSH[PUN��5V�VUL�PU�`V\Y�SPML�JHU�\UKLYZ[HUK�^OH[�`V\»YL�NVPUN�[OYV\NO��0U�H�^VYK��P[»Z�L_OH\Z[PUN��WO`ZPJHSS`�HUK�TLU[HSS �̀�@V\�LU[LY�PU[V�H�^VYSK�VM�VYNHUPaLK�JOHVZ��;V�ÄUK�`V\Y�JOPSK��`V\�ULLK�[V�^HKL�[OYV\NO�HSS�[OL�[\ILZ��^PYLZ�HUK�THJOPULZ��HUK�`V\�Z[PSS�may not be able to hold them or touch them.

¸@V\�OH]L�[V�[Y\Z[�PU�V[OLYZ��Z[YHUNLYZ�MVY�[OL�TVZ[�WHY[��[V�JHYL�MVY�HUK�SV]L�`V\Y�JOPSK�HZ�PM�OL�^LYL�[OLPY�V^U��@V\�OH]L�[V�^HSR�H^H`�H[�[PTLZ�[V�JHYL�MVY�`V\YZLSM��VY�[OL�YLZ[�VM�`V\Y�MHTPS �̀�HSS�[OL�^OPSL�ILHYPUN�[OL�JY\ZOPUN�N\PS[�VM�UV[�ILPUN�HISL�[V�K\WSPJH[L�`V\YZLSM��

¸)LPUN�H�TLKPJHS�WHYLU[�HSZV�TLHUZ�`V\�SP]L�`V\Y�SPML�PU�JVUZ[HU[�ÄNO[�VY�ÅPNO[�TVKL��H�SPML�^OLYL�`V\�^V\SK�JOHUNL�WVZP[PVUZ�^P[O�`V\Y�JOPSK�PU�H�OLHY[ILH[��,]LY`�ULLKSL��L]LY`�[LZ[��L]LY`�HKTPZZPVU��`V\�[HRL�\WVU�`V\YZLSM�HUK�P[�ILJVTLZ�H�WHY[�`V\��HZ�PM�`V\�[VV�^LYL�[OL�WH[PLU[��

¸)LPUN�H�TLKPJHS�WHYLU[�TLHUZ�`V\�ILJVTL�NPM[LK�H[�[HSRPUN�`V\Y�JOPSK��HUK�`V\YZLSM��PU[V�KVPUN�ZVTL�H^M\S�HUK�[LYYPIS`�O\Y[M\S�[OPUNZ��@V\�ILJVTL�HU�HK]VJH[L��H�JOLLYSLHKLY��H�THZ[LY�ULNV[PH[VY��H�U\YZL��H�JSPUPJPHU�H�KPL[PJPHU��HUK�[OVZL�HYL�Q\Z[�H�Z[HY[��

¸)LPUN�H�TLKPJHS�WHYLU[�TLHUZ�HSS�[OL�KL[HPSZ�L]LY`�WHYLU[�L_WLYPLUJLZ�PU�WHJRPUN�\W�JOPSKYLU�[V�SLH]L�OVTL��WS\Z�¸HU�L_[YH�OV\Y�[V�WHJR�\W�TLKPJHS�LX\PWTLU[�HUK�Z\WWSPLZ��@V\�HKK����WV\UKZ�VM�LX\PWTLU[�[V�LHJO�HUK�L]LY`�V\[PUN�`V\�NV�VU�

¸¯@V\�SLHYU�[V�SP]L�`V\Y�SPML�KH`�[V�KH �̀�HUK�OV\Y�[V�OV\Y��HUK�H[�[PTLZ�VM�NYLH[�KPZ[YLZZ��`V\�Q\Z[�ZPTWS`�SP]L�[OL�UL_[�TPU\[L��@V\�OH]L�[V�THRL�[OL�JOVPJL�[V�[OYP]L�VY�Q\Z[�Z\Y]P]L�HUK�NP]L�`V\YZLSM�[OL�NYHJL�[V�JOHUNL�`V\Y�HUZ^LY�VU�HU`�NP]LU�KH �̀�VY�HU`�NP]LU�TVTLU[�¹

“There is power in story,” says Lia Lousier. “We all have a story… and we all long to be heard.”

3HZ[�`LHY��3V\ZPLY�^HZ�HZRLK�[V�QVPU�[OL�*YP[PJHS�*HYL�:*5�HZ�H�MHTPS`�HK]PZVY��¸0�HNYLLK�[V�[HRL�[OL�[PTL�MYVT�T`�JOPSKYLU�HUK�T`�SPML�ILJH\ZL�0�OHK�OVWL��0�OHK�OVWL�[OH[�ZVTLOV^�T`�JVU[YPI\[PVU�^V\SK�IYPUN�HIV\[�JOHUNL�HUK�NYV^[O��UV[�VUS`�PU�T`ZLSM��I\[�HSZV�PU�(SILY[H�OLHS[O�Z`Z[LTZ�¹

:OL�^V\SK�SPRL�[V�ZLL�L]LU�TVYL�WH[PLU[�HK]PZVYZ�HKKLK�[V�LHJO�:*5��[V�MHU�[OPZ�ÅHTL�VM�OVWL�

�¸0»T�PU�H�YVVT�^P[O�JOHUNL�THRLYZ�¹�ZH`Z�3V\ZPLY��*OHUNL�THRLYZ�^OV�^PSS�LUZ\YL�M\[\YL�NLULYH[PVUZ�VM�Z[HMM�HUK�MHTPSPLZ�L_WLYPLUJL�MHTPS`�JLU[YLK�JHYL�ILJH\ZL�P[�PZ�[H\NO[�[OYV\NOV\[�TLKPJHS�LK\JH[PVU�

LAST WORD – PATIENTS

Lia Lousier7HYLU[�(K]PZVY��*YP[PJHS�*HYL�:[YH[LNPJ�5L[^VYR�4LTILY��7H[PLU[�,UNHNLTLU[�9LMLYLUJL�.YV\W�MVY�(SILY[H�0U]VS]LK�^P[O�[OL�7H[PLU[�HUK�-HTPS`�*LU[YLK�*HYL�NYV\W�H[�(SILY[H�*OPSKYLU»Z�/VZWP[HS

BUILDING A LEARNING SYSTEM

The typical practicing clinician, in every discipline in Alberta, will become someone who is demanding data liberation, who has no fear of public disclosure of performance information, who will embrace collective ownership RI�SUREOHPV��DQG�ZKR�ZLOO�EH�UHñH[LYHO\�oriented towards reducing variation.”

Steven Lewis, conference moderator

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca �

ABOUT�+Y��)YLU[�1HTLZ�,_LJ\[P]L�+PYLJ[VY0UZ[P[\[L�MVY�/LHS[O�*HYL�+LSP]LY`�9LZLHYJO�� 0U[LYTV\U[HPU�/LHS[O��:HS[�3HRL�*P[ �̀�<[HO��<:(

+Y��1HTLZ�OVSKZ�� )HJOLSVY�VM�:JPLUJL�KLNYLLZ�PU�*VTW\[LY�:JPLUJL�

�,SLJ[YPJHS�,UNPULLYPUN�� HUK�4LKPJHS�)PVSVN`

�� 4�+��KLNYLL��^P[O�YLZPKLUJ`�[YHPUPUN�PU�NLULYHS�Z\YNLY`�HUK�VUJVSVN`�

�� 4HZ[LY�VM�:[H[PZ[PJZ�KLNYLL

ABOUT Intermountain Healthcare

�� (U�H^HYK�^PUUPUN�UV[�MVY�WYVÄ[�OLHS[O�Z`Z[LT�HUK�[OL�SHYNLZ[�WYV]PKLY� VM�OLHS[O�JHYL�ZLY]PJLZ�PU�<[HO

�� ���OVZWP[HSZ�HUK�TVYL�[OHU�����JSPUPJZ�� ������T\S[P�ZWLJPHS[`�KVJ[VYZ�HUK�JHYL�NP]LYZ�� �������LTWSV`LLZ

1HTLZ��L_LJ\[P]L�KPYLJ[VY�VM�[OL�0UZ[P[\[L�MVY�/LHS[O�*HYL�+LSP]LY`�9LZLHYJO�H[�0U[LYTV\U[HPU�/LHS[O�PU�<[HO��OHZ�ILLU�WYV]PUN�IL[[LY�JSPUPJHS�V\[JVTLZ�ZH]L�TVUL`�ZPUJL�OL�QVPULK�0U[LYTV\U[HPU�PU�� ���

¸*SPUPJHS�HUK�JVZ[�V\[JVTLZ�HYL�[^V�ZPKLZ�VM�[OL�ZHTL�JVPU�¹�ZH`Z�1HTLZ��>OPSL�PUJYLHZPUN�JHWHJP[`�HUK�PTWYV]PUN�WH[PLU[�V\[JVTLZ��0U[LYTV\U[HPU�YLJLU[S`�HJOPL]LK�ZH]PUNZ�VM�����4�PU�H�����)�I\KNL[�����4�V]LY�[OLPY�[HYNL[��)`������[OL`�PU[LUK�[V�HJOPL]L�����4�PU�ZH]PUNZ�VY�H�[V[HS�VM����[V����WLY�JLU[�VM�[OL�[V[HS�VWLYH[PUN�I\KNL[��;OLZL�ZH]PUNZ�HSSV^�0U[LYTV\U[HPU�[V�RLLW�I\KNL[�NYV^[O�[V�JVUZ\TLY�WYPJL�PUKL_�PUÅH[PVU�WS\Z�VUL�

¸;OL�^H`�[OH[�TVUL`�JHTL�V\[�^HZ�[OYV\NO�IL[[LY�JSPUPJHS�JHYL�¹�ZH`Z�1HTLZ��¸;OPZ�PZ�YLHS��;OPZ�PZ�UV[�Q\Z[�[OLVY �̀�;OPZ�HJ[\HSS`�^VYRZ�¹�:PKL�ILULÄ[Z�HYL�[OH[�[OL�ZH]PUNZ�WYV[LJ[�PUJVTLZ�MVY�JSPUPJPHUZ��HUK�Z[YLUN[OLU�WYVMLZZPVUHSPZT�

4VYL�[OHU�OHSM�[OL�ZH]PUNZ�[HRL�[OL�MVYT�VM�\U\ZLK�JHWHJP[ �̀�ZH`Z�1HTLZ���+YHTH[PJ�WYVK\J[P]P[`�PTWYV]LTLU[Z�KLSH`�[OL�ULLK�[V�L_WHUK�[OL�Z`Z[LT�KLZWP[L�WVW\SH[PVU�NYV^[O��HU�HNPUN�WVW\SH[PVU��HUK�L_WHUKPUN�[LJOUVSVNPLZ�

¸0U�V\Y�I\ZPULZZ��^L�JV\U[�V\Y�Z\JJLZZ�PU�SP]LZ��SP[LYHSS �̀¹�ZH`Z�1HTLZ��>L�JHU�KVJ\TLU[�KYHTH[PJHSS`�SV^LY�TVY[HSP[`�YH[LZ��0U�[OL�JHZL�VM�ZLWZPZ��MVY�L_HTWSL��[OL�TVY[HSP[`�YH[L�H[�0U[LYTV\U[HPU�OHZ�OLSK�H[�UPUL�WLY�JLU[�VY�SLZZ�MVY�[OYLL�`LHYZ��KV^U�MYVT������WLY�JLU[�ILMVYL�H�UL^�WYV[VJVS�^HZ�PU[YVK\JLK��6]LY�MV\Y�`LHYZ��[OL�KVJ\TLU[LK�YLZ\S[�PZ�TVYL�[OHU�������SP]LZ�ZH]LK�WLY�`LHY�PU�[OL�:[H[L�VM�<[HO�

BUILDING A LEARNING SYSTEM

¸@V\�^HU[�[V�RLLW�OLHS[OJHYL�HMMVYKHISL�[V�[OL�JP[PaLUY`�VM�(SILY[H&�;OL�ILZ[�^H`�[V�KV�P[�PZ�[OYV\NO�IL[[LY�JSPUPJHS�V\[JVTLZ�¹�ZH`Z�+Y��)YLU[�1HTLZ�

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 20

SUCCESS SECRETS – Dr. Brent James

��� +PZTHU[SL�[OL�KP]PKL�between administrative

and clinical teams.

� 4\JO�VM�[OL�JOHUNL�H[�0U[LYTV\U[HPU�PZ�IHZLK�VU�[OL�^VYR�VM�>��,K^HYKZ�+LTPUN�HUK�SH[LY�[OL�3LHU�WYPUJPWSLZ�[OH[�NYL^�V\[�VM�+LTPUN»Z�^VYR��1HTLZ�7��>VTHJR�L[�HS��;OL�4HJOPUL�[OH[�*OHUNLK�[OL�>VYSK��

� +LTPUN�HYN\LK�[OH[�L]LY`�WYVJLZZ�OHK�[OYLL�WVZZPISL�V\[JVTLZ��ZH`Z�1HTLZ��;YHUZSH[LK�PU[V�TLKPJPUL�[OH[�TLHUZ�H�TLKPJHS�V\[JVTL��a cost outcome and a service outcome. The

YLSH[PVUZOPW�IL[^LLU�[OLT�JHU�IL�KLTVUZ[YH[LK�TH[OLTH[PJHSS �̀�¸;OL�[YHKP[PVUHS�ZLWHYH[PVU�IL[^LLU�HKTPUPZ[YH[PVU�HUK�TLKPJHS�Z[HMM�THKL�UV�ZLUZL�¹�OL�ZH`Z���0U[LNYH[PVU�PZ�UV[�Q\Z[�HJYVZZ�ZWLJPHS[PLZ��I\[�HSZV�HJYVZZ�JSPUPJHS�HUK�HKTPUPZ[YH[P]L�WYHJ[PJL�

��� 9LMVJ\Z�YLZLHYJO�VU�care delivery.

� ¸3LHYU�MYVT�L]LY`�WH[PLU[��PU[LNYH[PUN�JSPUPJHS�LMMLJ[P]LULZZ�YLZLHYJO�PU[V�MYVU[�SPUL�JHYL�¹�ZH`Z�1HTLZ��@V\�JHU�Q\Z[PM`�PU]LZ[PUN�WH[PLU[�KVSSHYZ�PU�[OPZ�YLZLHYJO�ILJH\ZL�VM�P[Z�PTTLKPH[L�ILULÄ[�[V�WH[PLU[Z��OL�ZH`Z�

� ;OL�PTWHJ[�VU�WH[PLU[�V\[JVTLZ�HUK�HZZVJPH[LK�JVZ[�YLK\J[PVUZ�HYL�KYHTH[PJ��ZH`Z�1HTLZ��)\[�¸OLYL»Z�[OL�M\UU`�[OPUN��HZ�H�JVTT\UP[`�JHYL�KLSP]LY`�Z`Z[LT��0U[LYTV\U[HPU�*HYL�PZ�WYVK\JPUN�TVYL�HJHKLTPJ�V\[W\[�[OHU�HU`�\UP]LYZP[`�0�RUV^�HYV\UK�;���;YHUZSH[PVU�[V�7YHJ[PJL��HUK�;���;YHUZSH[PVU�[V�7VW\SH[PVU��YLZLHYJO��HUK�[OL�YLHZVU�PZ�[OH[�P[»Z�PU[LNYH[LK�PU[V�YV\[PUL�JHYL�¹�

� ;OL�0U[LYTV\U[HPU�50*<�+L]LSVWTLU[�;LHT��MVY�L_HTWSL��OHZ�W\ISPZOLK����WLLY�YL]PL^LK�HY[PJSLZ�^OPSL�[OL�*HYKPV]HZJ\SHY�*SPUPJHS�+L]LSVWTLU[�[LHTZ�OH]L�W\ISPZOLK����WLLY�YL]PL^LK�HY[PJSLZ�����HIZ[YHJ[Z��HUK����V[OLY�W\ISPJH[PVUZ�Z\JO�HZ�IVVR�JOHW[LYZ��0U[LYTV\U[HPU�PZ�J\YYLU[S`�JHSJ\SH[PUN�[OL�KPYLJ[�PTWHJ[�VM�[OPZ�RUV^SLKNL�NLULYH[PVU�VU�[OL�JVZ[�VM�VWLYH[PVUZ�

��� ,Z[HISPZO�PU[LNYH[LK�collaborative teams.

At Intermountain they are called Clinical

+L]LSVWTLU[�[LHTZ��I\[�HYL�SPRL�(SILY[H»Z�:[YH[LNPJ�*SPUPJHS�5L[^VYRZ��ZH`Z�1HTLZ��;OLZL�[LHTZ�PKLU[PÄLK�TVYL�[OHU�������^VYR�WYVJLZZLZ�[OH[�JVYYLZWVUKLK�[V�JSPUPJHS�JVUKP[PVUZ��6UL�O\UKYLK�MV\Y�VM�[OVZL�WYVJLZZLZ��e��WLY�JLU[��HJJV\U[LK�MVY� ��WLY�JLU[�VM�HSS�PUWH[PLU[�HUK�V\[WH[PLU[�JHYL�KLSP]LY �̀�HSSV^PUN�0U[LYTV\U[HPU�[V�X\PJRS`�MVJ\Z�VU�[OL�WYVQLJ[Z�[OH[�^V\SK�OH]L�[OL�NYLH[LZ[�PTWHJ[�

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 21

SUCCESS SECRETS – Dr. Brent James

��� *OHUNL�MYVT�H�Q\KNTLU[�Z`Z[LT�[V�H�SLHYUPUN�system.

� 4LHZ\YL�HUK�L]HS\H[L�Z`Z[LTZ��UV[�WLVWSL��ZH`Z�1HTLZ��¸ILJH\ZL�`V\�JHU�JOHUNL�Z`Z[LTZ�¹�;V�SLHYU�MYVT�[OL�KH[H�YLX\PYLZ�H�WYVMV\UK�ZOPM[�MYVT�^OH[�X\HSP[`�PTWYV]LTLU[�[OLVY`�KLZJYPILZ�HZ�[OL�KPMMLYLUJL�IL[^LLU�Q\KNTLU[�HUK�SLHYUPUN�

� (�Q\KNTLU[�IHZLK�HWWYVHJO�PZ�MVJ\ZLK�VU�[OL�WLYZVU��¸^OV»Z�NVVK��]LYZ\Z�^OV»Z�IHK��^OV»Z�LMÄJPLU[�]LYZ\Z�^OV»Z�PULMÄJPLU[��^OV»Z�PU�]LYZ\Z�^OV»Z�V\[��VY�[OL�TVZ[�JVTTVU�VUL��^OV»Z�[V�ISHTL&¹

� ;OL�SLHYUPUN�Z`Z[LTZ�HWWYVHJO�MVJ\ZLZ�VU�[OL�WYVJLZZ��7YVJLZZ�PZ�ZLWHYH[L�MYVT�[OL�WLYZVU��HUK�WYVJLZZ�JHU�JOHUNL��¸0[»Z�^OLYL�L]LY`IVK`�OHZ�H�SP[[SL�ZVTL[OPUN�[V�[LHJO��H�SP[[SL�ZVTL[OPUN�[V�SLHYU�¹�ZH`Z�1HTLZ�

��� +LTHUK�[OH[�WO`ZPJPHUZ�]HY`�MYVT�WYV[VJVSZ��SLHYU�MYVT�[OLPY�]HYPHUJL��HUK�YLÄUL�[OL�WYV[VJVSZ�

� ¸>L�JHU»[�KLZPNU�H�WLYMLJ[�WYV[VJVS�¹�ZH`Z�1HTLZ��;OH[»Z�^O`�^L�OH]L�KVJ[VYZ��0[»Z�[OLPY�QVI�[V�decide what will vary and how it will vary. Then the

]HYPHUJLZ�HYL�[YHJRLK��JVTWHYLK�[V�V\[JVTLZ��HUK�MLK�IHJR�PU[V�PTWYV]PUN�[OL�WYV[VJVS��

� ¸0[�[HRLZ�`V\Y�TVZ[�PTWVY[HU[�YLZV\YJL��[OH[�WO`ZPJPHU��[OH[�U\YZL��[OH[�WOHYTHJPZ[��HUK�THRLZ�[OLT�TH_PTHSS`�LMÄJPLU[�¹�OL�ZH`Z��¸0[�OVUV\YZ�[OLPY�WYVMLZZPVUHSPZT�¸�>OLU�JSPUPJPHUZ�HYL�UV[�MVSSV^PUN�[OL�WYV[VJVS��P[»Z�H�JYP[PJPZT�VM�[OL�WYV[VJVS��;OL�MLLKIHJR�SVVW�PZ�KLZPNULK�[V�SLHYU�MYVT�^OH[�JSPUPJPHUZ�RUV^�PZ�^YVUN��¸6]LY�[PTL�`V\�[\UL�[OL�WYV[VJVS�[V�ZVTL[OPUN�[OH[�PZ�\ZLM\S�¹

� ;\UPUN�[OL�WYV[VJVS�MVY�(9+:��MVY�L_HTWSL��YLX\PYLK�����JOHUNLZ�[V�[OL�WYV[VJVS�PU�[OL�ÄYZ[�LPNO[�WH[PLU[Z�V]LY�H�MV\Y�TVU[O�WLYPVK��7YV[VJVS�JVTWSPHUJL�[OLU�TV]LK�MYVT����WLY�JLU[�[V����WLY�JLU[�HUK�WO`ZPJPHU�[PTL�MLSS�I`����WLY�JLU[�

� ¸;V�T`�RUV^SLKNL��[OLYL�OHZ�UV[�ILLU�H�ZPUNSL�JHZL�^OLYL�0�OH]L�H�WLYMLJ[�WYV[VJVS�[V�Z[HY[��¸�ZH`Z�1HTLZ��

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 22

SUCCESS SECRETS – Dr. Brent James

6. Train every leader.

� (SS�ZLUPVY�JSPUPJHS�HUK�HKTPUPZ[YH[P]L�L_LJ\[P]LZ�T\Z[�JVTWSL[L�JSPUPJHS�X\HSP[`�PTWYV]LTLU[�[YHPUPUN��HUK�X\HSP[`�PTWYV]LTLU[�PZ�PU�[OL�QVI�KLZJYPW[PVU�VM�HSS�JSPUPJHS�SLHKLYZ�HUK�THU`�ZLUPVY�HKTPUPZ[YH[P]L�SLHKLYZOPW�WVZP[PVUZ��;V�NYHK\H[L��SLHKLYZ�OH]L�[V�KV�H�WYVQLJ[��¸5V[�HSS�WYVQLJ[Z�[\YU�PU[V�NVSK�MVY�\Z��I\[�HIV\[�VUL�PU�MV\Y�VY�Ä]L��OH]L�¹�ZH`Z�1HTLZ�

� ;OL�(K]HUJLK�;YHPUPUN�7YVNYHT��(;7��PU�*SPUPJHS�7YHJ[PJL�0TWYV]LTLU[�OHZ�[YHPULK�TVYL�[OHU�������ZLUPVY�OLHS[O�WYVMLZZPVUHSZ�ZPUJL�� ���1HTLZ�KLZJYPILZ�[OL�WYVNYHT�HZ�¸ZLTPUHS��JYP[PJHS��HUK�MV\UKH[PVUHS��0[�JYLH[LK�H�JVOVY[�VM�WLVWSL�^OV�NV[�P[��^OV�JV\SK�OLSW�\Z�SLHK�[OL�JOHYNL�¹

� ;OLYL�HYL�UV^�TVYL�[OHU����ZPZ[LY�[YHPUPUN�WYVNYHTZ��PUJS\KPUN�UPUL�PU[LYUH[PVUHS�WYVNYHTZ��;OL�SV^LZ[�YL[\YU�VU�PU]LZ[TLU[�JHSJ\SH[LK��ZH`Z�1HTLZ��PZ�ZP_�KVSSHYZ�MVY�L]LY`�KVSSHY�PU]LZ[LK�

7. Invest in a clinical

PUMVYTH[PVU�Z`Z[LT�[OH[�PUMVYTZ�PTWYV]LTLU[�HUK�THRLZ�[OL�YPNO[�JOVPJL�the easiest choice.

� *SPUPJHS�PU[LSSPNLUJL�JVZ[Z�MV\Y�[V�Ä]L�WLY�JLU[�VM�[OL�JSPUPJHS�VWLYH[PUN�I\KNL[�H[�0U[LYTV\U[HPU��¸>L�KLTHUK�[OH[�PU]LZ[TLU[�WYVK\JLZ� YLZ\S[Z��HUK�P[�OHZ�ILLU�H�]LY`�NVVK�YL[\YU� VU�PU]LZ[TLU[�¹�ZH`Z�1HTLZ�

� +LZWP[L�OH]PUN�H�ZVWOPZ[PJH[LK�H\[VTH[LK�KH[H�Z`Z[LT��^OLU�`V\�HWWSPLK�[OL�ZJPLU[PÄJ�TL[OVK��ZH`Z�1HTLZ��0U[LYTV\U[HPU�^HZ�Z[PSS�TPZZPUN����[V����WLY�JLU[�VM�KH[H�LSLTLU[Z�LZZLU[PHS�MVY�JSPUPJHS�WYVJLZZ�THUHNLTLU[��

� ;OL`�[OLU�KLWSV`LK�H�TL[OVKVSVN`�[V�PKLU[PM`�JYP[PJHS�KH[H�LSLTLU[Z�MVY�JSPUPJHS�THUHNLTLU[�HUK�I\PS[�[OLT�PU[V�^VYRÅV^Z�

Reliable data systems had to be built into the

WYV[VJVSZ�[V�THRL�ILZ[�WYHJ[PJL�[OL�LHZPLZ[�JOVPJL�MVY�WO`ZPJPHUZ��,_WLJ[PUN�WO`ZPJPHUZ�[V�YLTLTILY�[OL�Z[LWZ�PU�H�WYHJ[PJL�N\PKLSPUL�VU�[OLPY�V^U�YLZ\S[Z�PU�Q\Z[����WLY�JLU[�JVTWSPHUJL�

� (KTPUPZ[YH[PVU�^HZ�HSZV�HSPNULK�[V�TH_PTPaL�[OL�\ZL�VM�KH[H��0U[LYTV\U[HPU�OHZ�WHPK�WO`ZPJPHUZ�HUK�U\YZLZ�HJJV\U[HISL�MVY�W\[[PUN�[OL�KH[H�[V�^VYR�[V�PTWYV]L�WH[PLU[�JHYL�

��� 0U[LNYH[L�KV^UZ[YLHT�^P[O�WYPTHY`�JHYL�

� /LSW�WH[PLU[Z�H]VPK�HJ\[L�JHYL��[OL�THQVY�JVZ[�JLU[YLZ��I`�¸OV[�ZWV[[PUN¹�VY�WYLKPJ[PUN�OPNO�\[PSPaLYZ�HUK�LX\PWWPUN�WYPTHY`�JHYL�[V�THUHNL�[OLT��ZH`Z�1HTLZ��

� ;OL�ZPUNSL�IPNNLZ[�JSPUPJHS�JVZ[�ZH]PUNZ�MVY�Intermountain was in cardiac care where they

^VYRLK�^P[O�WYPTHY`�JHYL�[V�NL[�WH[PLU[Z�VU�[YLH[TLU[Z�SPRL�Z[H[PUZ�LHYSPLY��;OPZ�^HZ�HZZVJPH[LK�^P[O�H����WLY�JLU[�KYVW�PU�OVZWP[HS�\[PSPaH[PVU�YH[LZ�MVY�[OLZL�WH[PLU[Z�HUK�H����4�ZH]PUNZ�

� 0TWYV]PUN�KL[LJ[PVU�VM�WH[PLU[Z�^P[O�KLWYLZZPVU�H[�[OL�WYPTHY`�JHYL�SL]LS�HUK�HKKPUN�WZ`JOVSVNPZ[Z�HUK�WZ`JOPH[YPZ[Z�[V�[OL�WYPTHY`�JHYL�[LHTZ�YLZ\S[LK�PU�PUJYLHZLK�JVZ[Z�H[�[OL�WYPTHY`�JHYL�SL]LS��JV\U[LYIHSHUJLK�I`�KV^UZ[YLHT�ZH]PUNZ�MVY�H�UL[�ZH]PUN�VM��������WLY�WH[PLU[�WLY�`LHY�

� 0U[LYTV\U[HPU�KLWSV`LK�JSPUPJHS�WYV[VJVSZ�HJYVZZ�[OL�Z`Z[LT�HUK�ZOHYLK�KH[H�HUK�L]PKLUJL�MVY�TVYL�[OHU����JSPUPJHS�JVUKP[PVUZ�[OH[�WYPTHY`�JHYL�WO`ZPJPHUZ�[YHJR��;OL`�HSZV�LTWSV`�H�ZOHYLK�HJJV\U[HIPSP[`�TVKLS�^P[O�WYPTHY`�JHYL�

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 23

LEARNING TO LEARN FROM EVERY PATIENT

>OLU�)YLU[�1HTLZ�QVPULK�0U[LYTV\U[HPU�/LHS[O�PU�� ����OL�HWWSPLK�[OL�ZRPSSZ�OL�SLHYULK�HZ�H�JHUJLY�YLZLHYJOLY�[V�Z[\K`�X\HSP[ �̀�\[PSPaH[PVU�HUK�LMÄJPLUJ`��8<,��^P[O�[OL�NVHS�VM�SLHYUPUN�PM�WH[PLU[Z�^LYL�[YLH[LK�[OL�ZHTL�VUJL�[OL`�LU[LYLK�OVZWP[HS��

/L�JVUK\J[LK�ZP_�8<,�Z[\KPLZ�V]LY�H�[^V�`LHY�WLYPVK�PU�KP]LYZL�JSPUPJHS�HYLHZ�Z\JO�HZ�WLYTHULU[�WHJLTHRLY�PTWSHU[H[PVU�HUK�JVTT\UP[`�HJX\PYLK�WUL\TVUPH�

;OL�Z[\K`�PKLU[PÄLK�L]LY`�WH[PLU[�[YLH[LK�V]LY�H�KLÄULK�[PTL�WLYPVK�HUK�[OLU�[OL�[LHT�WLYMVYTLK�H�¸]LY`�JHYLM\S�YPZR�HKQ\Z[TLU[�[V�MVYT�H�JVOVY[�VM�WH[PLU[Z�[OH[��HZ�T\JO�HZ�^L�JV\SK�[LSS��^LYL�PKLU[PJHS�NVPUN�PU�HUK�PKLU[PJHS�NVPUN�V\[�¹�;OLU��MVY�JVTWHYHISL�WH[PLU[Z��[OL`�SVVRLK�H[�^OH[�OHWWLULK�PU�[OLPY�JHYL�

>OH[�[OL`�MV\UK�^HZ�THZZP]L�]HYPH[PVU�PU�WYHJ[PJL�THRPUN�P[�Z[H[PZ[PJHSS`�PTWVZZPISL�[OH[�LHJO�WH[PLU[�^HZ�YLJLP]PUN�[OL�OPNOLZ[�Z[HUKHYK�VM�JHYL��;OL�]HYPH[PVUZ�[OL`�MV\UK�^LYL�[OLU�SPURLK�KPYLJ[S`�[V�WH[PLU[�V\[JVTLZ�and cost.

(WWS`PUN�[OL�8<,�TL[OVKVSVN`�YLZ\S[LK�PU�PTWYV]LK�JSPUPJHS�V\[JVTLZ�HUK�X\P[L�KYHTH[PJ�JVZ[�ZH]PUNZ��ZH`Z�1HTLZ��)\[�P[�PZ�SPTP[LK�HZ�H�TL[OVK��0[�YLX\PYLZ�O\NL�ZHTWSL�ZPaLZ�HUK�OHK�V[OLY�Z[H[PZ[PJHS�SPTP[H[PVUZ��;OL`�X\PJRS`�YHU�V\[�VM�JSPUPJHS�JOHSSLUNLZ�[OH[�JV\SK�WYV]PKL�HKLX\H[L�ZHTWSL�ZPaLZ�

1HTLZ�ZHPK�[OL`�¸Z[\TISLK�VU[V¹�[OL�ZVS\[PVU��^P[O�>VTHJR»Z�� ��IVVR�;OL�4HJOPUL�;OH[�*OHUNLK�[OL�>VYSK�HUK�[OL�PKLH�VM�[OL�3LHU�3LHYUPUN�3VVW���;OL`�HWWSPLK�[OL�SVVW�[V�HKKYLZZPUN�[OL�WYVISLTZ�PUOLYLU[�PU�ILZ[�JHYL�WYV[VJVSZ!�� 3L]LS�������VY���L]PKLUJL�PZ�H]HPSHISL�VUS`����[V����

WLY�JLU[�VM�[OL�[PTL��� ,_WLY[�JVUZLUZ\Z�PZ�\UYLSPHISL��� 7\ISPZOLK�N\PKLSPULZ�KVU»[�N\PKL�WYHJ[PJL��:`Z[LTZ�

[OH[�YLS`�VU�O\THU�TLTVY`�L_LJ\[L�JVYYLJ[S`�VUS`����WLY�JLU[�VM�[OL�[PTL��

�� 5V�[^V�WH[PLU[Z�HYL�[OL�ZHTL"�[OLYLMVYL��UV�N\PKLSPUL�WLYMLJ[S`�Ä[Z�HU`�WH[PLU[�

CASE IN POINT

QUE study of transurethral prostatectomies(U�PUP[PHS�8<,�Z[\K`�VM�[YHUZ\YL[OYHS�WYVZ[H[LJ[VTPLZ�KPZJV]LYLK�THZZP]L�]HYPH[PVU�PU�JSPUPJHS�WYHJ[PJL��V\[JVTLZ��HUK�JVZ[Z��5PUL[`�MHJ[VYZ�^LYL�L]HS\H[LK��MVY����Z\YNLVUZ��^P[O�H�JVOVY[�VM�SPRL�WH[PLU[Z��;OL�Z[\K`�\UJV]LYLK!

Variation in service�� :\YNPJHS�[PTLZ�YHUNLK�IL[^LLU����TPU\[LZ�

TLKPHU�[V� ��TPU\[LZ�������T\S[PWSPJH[P]L�KPMMLYLUJL�VY������HKKP[P]L�KPMMLYLUJL�

�� (TV\U[Z�VM�[PZZ\L�YLTV]LK�YHUNLK�MYVT����NYHTZ�TLKPHU�[V����NYHTZ� �TVYL�[OHU�[OYLL�MVSK�KPMMLYLUJL�

Variation in Quality 6UL�`LHY�SH[LY��[OVZL�WH[PLU[Z�^OV�OHK�JVTWSPJH[PVUZ��YL�VIZ[Y\J[PVU�VM�\YPUHY`�V\[ÅV^��HUK�OHK�[V�YL[\YU�MVY�Z\YNLY �̀�^LYL�MV\UK�[V�IL�KPYLJ[S`�HZZVJPH[LK�^P[O�[OL�Z\YNLVUZ�^OV�OHK�[HRLU�[OL�SVUNLZ[�[PTL�[V�remove the least tissue.

Variation in Cost�� ;OL�JVZ[Z�YHUNLK�MYVT��������OVZWP[HS�

KVSSHYZ�WLY�WH[PLU[�[V�NL[�NVVK�V\[JVTL� VU�H�Z[HUKHYK�JHZL�[V��������WLY�WH[PLU[�[V�NL[�H�NVVK�V\[JVTL�VU�H�Z[HUKHYK�case.

Across the 45 outcomes that were cost

YLSH[LK��¸[OLYL�^HZ�UV[�VUL�PUZ[HUJL�^OLYL�H�WO`ZPJPHU�^HZ�JVUZPZ[LU[S`�NVVK�VY�JVUZPZ[LU[S`�IHK�¹�ZH`Z�1HTLZ��¸0[�^HZ�UV[�H�TH[[LY�VM�JOVVZPUN�[OL�ILZ[�Z\YNLVU¯LHJO�OHK�H�SP[[SL�ZVTL[OPUN�[V�[LHJO��H�SP[[SL�ZVTL[OPUN�[V�SLHYU�¹

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 24

LEAN LEARNING LOOP FOR BEST CARE PROTOCOLS�� 0KLU[PM`�H�OPNO�WYPVYP[`�JSPUPJHS�WYVJLZZ��� )\PSK�HU�L]PKLUJL�IHZLK�ILZ[�WYHJ[PJL�WYV[VJVS�

RUV^PUN�P[�PZ�PTWLYMLJ[�K\L�[V�SHJR�VM�L]PKLUJL�HUK�L_WLY[�JVUZLUZ\Z�

�� )SLUK�P[�PU[V�JSPUPJHS�^VYRÅV^�PU�H�^H`�[OH[�KVLZU»[�YLS`�VU�TLTVY �̀�I\[�THRLZ�ILZ[�JHYL�[OL�KLMH\S[�choice.

�� ,TILK�KH[H�Z`Z[LTZ�[V�[YHJR�WYV[VJVS�]HYPH[PVUZ�HUK�ZOVY[��HUK�SVUN�[LYT�WH[PLU[�YLZ\S[Z�

�� +LTHUK�[OH[�JSPUPJPHUZ�]HY`�MYVT�[OL�WYV[VJVS�IHZLK�VU�WH[PLU[�ULLK�

�� -LLK�]HYPH[PVUZ�HUK�V\[JVTLZ�IHJR�PU�H�3LHU�3LHYUPUN�3VVW�[OH[�JVUZ[HU[S`�\WKH[LZ�HUK�PTWYV]LZ�[OL�WYV[VJVS��WYV]PKLZ�[YHUZWHYLUJ`�[V�JSPUPJPHUZ��HUK�NLULYH[LZ�WLLY�YL]PL^LK�W\ISPJH[PVUZ�

¸;OPZ�PZ�OV^�`V\�I\PSK�[OL�JVYL�VM�[OL�:*5�¹�ZH`Z�1HTLZ

CASE IN POINTLean Learning Loop for Acute Respiratory Distress Syndrome (ARDS) ProtocolVariation improvements�� (9+:�WYV[VJVS�JVTWSPHUJL�TV]LK�

MYVT����WLY�JLU[�VM�[OL�N\PKLSPUL�YLJVTTLUKH[PVUZ�[V�YV\NOS`����WLY�JLU[���0U�[OL�ÄYZ[�LPNO[�WH[PLU[Z��HJYVZZ�MV\Y�TVU[OZ��[OL`�PU[YVK\JLK�TVYL�[OHU�����JOHUNLZ�[V�[OL�WYV[VJVS�[OYV\NO�[OL�MLLKIHJR�SVVW��

Quality improvements�� :\Y]P]HS�PTWYV]LK�MYVT� ���WLY�JLU[�[V����

WLY�JLU[��

Cost improvements�� *VZ[Z�MLSS����WLY�JLU[��7O`ZPJPHU�[PTL�

MLSS�I`����WLY�JLU[��)LJH\ZL�[OLYL�^HZ�HNYLLTLU[�VU�ILZ[�WYHJ[PJL��Z[HMM�KPKU»[�OH]L�[V�HKHW[�[V�LHJO�PUKP]PK\HS�WO`ZPJPHU�

CASE IN POINTLean Learning Loop, Sepsis Bundle compliance�;OL�3LHU�-LLKIHJR�SVVW�YLÄULK�[OL�WYV[VJVS�V]LY�[OL�JV\YZL�VM�MV\Y�`LHYZ��9H[LZ�VM�Z\Y]P]HS�MVY�WH[PLU[Z�^P[O�ZLWZPZ�PU�[OL�Intermountain care system were already at

[OL�SV^�LUK�VY�[OL�<:�UH[PVUHS����[V����WLY�JLU[�KLH[O�YH[L��

Variation improvements�� -YVT�YV\NOS`����WLY�JLU[�WYV[VJVS�

JVTWSPHUJL�[V�TVYL�[OHU����WLY�JLU[

Quality improvements�� -YVT������WLY�JLU[�TVY[HSP[`�YH[L�[V�

�WLY�JLU[

Cost improvements�� 5V�ZPNUPÄJHU[�PUÅH[PVU�HKQ\Z[LK�ÄUHUJPHS�

JOHUNL�MVY�WH[PLU[Z�WYLZLU[PUN�^P[O�ZLW[PJ�ZOVJR��-VY�WH[PLU[Z�WYLZLU[PUN�^P[O�ZL]LYL�ZLWZPZ��OV^L]LY��[OLYL�^LYL�ZH]PUNZ�VM��������WLY�JHZL�PU�[V[HS�JVZ[�HUK��������WLY�JHZL�PU�]HYPHISL�JVZ[Z�MVY�HU�HUU\HS�JVZ[�YLK\J[PVU�VM�����4��

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 25

WHERE THE OPPORTUNITIES LIEBetter has no limit. Yiddish Proverb

1HTLZ�NL[Z�H�SH\NO�V\[�VM�WVSP[PJPHUZ�^OV�ZH`�[OL�OLHS[O�JHYL�Z`Z[LT�PZ�IYVRLU��;V�IL�IYVRLU��P[�OHK�[V�OH]L�^VYRLK�^LSS�H[�ZVTL�WVPU[��OL�ZH`Z��0U�MHJ[��OLHS[O�JHYL�PU�5VY[O�(TLYPJH�PZ�HYN\HIS`�[OL�ILZ[�PU�[OL�^VYSK��4PYHJSLZ�HYL�HJOPL]LK�L]LY`�KH �̀�OL�ZH`Z��

¸:[PSS��P[»Z�[OL�K\[`�VM�L]LY`�NLULYH[PVU�VM�OLHSPUN�WYVMLZZPVUHSZ�[V�[HRL�[OL�UL_[�Z[LW�MVY^HYK�HUK�[V�WHZZ�HSVUN�ZVTL[OPUN�IL[[LY�[OHU�^L�V\YZLS]LZ�YLJLP]LK�¹�OL�ZH`Z��

(UK�[OLYL�HYL�WSLU[`�VM�VWWVY[\UP[PLZ�MVY�PTWYV]LTLU[!�� >LSS�KVJ\TLU[LK��THZZP]L�]HYPH[PVU�PU�WYHJ[PJLZ��� /PNO�YH[LZ�VM�PUHWWYVWYPH[L�JHYL�[V�[OL�KLNYLL�[OH[�PU����WLY�JLU[�VM�JHZLZ�[OL�YPZR�[V�[OL�WH[PLU[�V\[^LPNOLK�HU`�

ILULÄ[��� <UHJJLW[HISL�YH[LZ�VM�WYL]LU[HISL��JHYL�HZZVJPH[LK�WH[PLU[�PUQ\Y`�HUK�KLH[O��0U�[OL�<:�[OLYL�HYL���������

WYL]LU[HISL�WH[PLU[�KLH[OZ�LHJO�`LHY�HUK�THU`�TVYL�PUQ\YPLZ��� (�Z[YPRPUN�PUHIPSP[`�[V�KV�^OH[�^L�RUV^�^VYRZ��¸-VY�HK\S[Z�^L�THUHNL�[V�NL[�P[�YPNO[�HIV\[����WLY�JLU[�VM�[OL�[PTL��

MVY�JOPSKYLU����WLY�JLU[�VM�[OL�[PTL��4J.S`UU��¹�ZH`Z�1HTLZ��� /\NL�HTV\U[Z�VM�^HZ[L��-PM[`�WLY�JLU[�VM�YLZV\YJL�L_WLUKP[\YLZ�PU�OVZWP[HSZ�PZ�X\HSP[`�HZZVJPH[LK�^HZ[L��<:�!

� 9LJV]LYPUN�MYVT�WYL]LU[HISL�MV\S�\WZ� )\PSKPUN�\U\ZHISL�WYVK\J[Z� 7YV]PKPUN�\UULJLZZHY`�[YLH[TLU[Z� :PTWSL�PULMÄJPLUJ`

¸0M�^L�JHU�HJOPL]L�TPYHJSLZ�KVPUN�P[�JVYYLJ[S`�OHSM�[OL�[PTL��^OH[�RPUK�VM�TPYHJSLZ�JV\SK�^L�HJOPL]L�PM�^L�KPK�P[�JVYYLJ[S`�HSS�[OL�[PTL�¹�ZH`Z�1HTLZ�

����)<03+05.�(�3,(9505.�:@:;,4�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 26

GETTING TRACTION

)YLHRV\[�ZLZZPVUZ�YLÅLJ[LK�VU� +Y��1HTLZ»�WYLZLU[H[PVU�HUK�V\[SPULK�[OL�MVSSV^PUN�YLJVTTLUKH[PVUZ�MVY�HJ[PUN�VU�^OH[�^HZ�SLHYULK��

7VSPJPLZDevelop an accountability framework�MVY� OLHS[O�JHYL��KL]LSVWLK�QVPU[S`�I`�JSPUPJPHUZ��WH[PLU[Z��YLZLHYJOLYZ�HUK�KLJPZPVU�THRLYZ�HUK�MVJ\ZLK� on quality.

Develop policy on measurement�[V�KLÄUL�[OL�YVSL�VM�TLHZ\YLTLU[�PU�[OL�HJJV\U[HIPSP[`�MYHTL^VYR��PUJS\KPUN�^OH[�ULLKZ�[V�IL�TLHZ\YLK��^OV�TLHZ\YLZ�P[��OV^�P[�PZ�TLHZ\YLK��HUK�OV^�[OVZL�^OV�ULLK�P[�NL[�HJJLZZ�[V�[OL�TLHZ\YLZ�

Develop policy around the management structure�[V�Z\WWVY[�PTWSLTLU[H[PVU�VM�[OL�MYHTL^VYR�SVVRPUN�H[�PU[LNYH[LK�[LHTZ��PUMVYTH[PVU�Z`Z[LTZ��HSPNUPUN�M\UKPUN�TLJOHUPZTZ�[V�WYPVYP[PLZ��HUK�NV]LYUHUJL�

3LHKLYZOPW�HUK�,UNHNLTLU[

Build access to data.�)\PSK�\UKLYZ[HUKPUN�PU�clinicians on what data we need to collect and why

HUK�PUJS\KL�MLLKIHJR�YLWVY[PUN�ZV�MYVU[�SPUL�Z[HMM�JHU�THRL�\ZL�VM�[OL�KH[H�[V�PTWYV]L�JHYL��

Avoid priority overload.�:[HY[�NYHZZYVV[Z�^P[O�^OLYL�WH[PLU[Z�HUK�MYVU[�SPUL�^VYRLYZ�ZLL�ULLK� [V�LUZ\YL�NVHSZ�HYL�YLHZVUHISL�HUK�HJOPL]HISL��;OLU�HSPNU�WYPVYP[PLZ�WYV]PUJPHSS �̀��

Build on success.�3LHYU�OV^�V[OLY�Z\JJLZZM\S�WH[O^H`Z�^LYL�I\PS[��SLHYU�^O`�LUNHNLTLU[�^VYRLK�^P[O�V[OLY�WYVQLJ[Z��HUK�SL]LYHNL�[OL�M\SS�Z\P[L

�VM�JVTT\UPJH[PVU�[VVSZ�[V�RLLW�JVTT\UPJH[PVU�SPULZ�VWLU��

2UV^SLKNL�;YHUZSH[PVU�:JHSL�HUK�:WYLHK

Change culture�[V�^OLYL�KH[H�HUK�HUHS`[PJZ�PUMVYT�WLYMVYTHUJL�HUK�V\[JVTLZ�HUK�[OL�MVJ\Z�PZ�VU�PTWYV]LTLU[�UV[�MHPS\YL�

Share success�^P[O�JVUJYL[L�YLWYVK\JPISL�TL[OVKZ�HUK�[OL�JYLH[PVU�VM�SP]PUN�KVJ\TLU[Z�[OH[�JHU�IL�HKHW[LK�

Invest in leadership�H[�HSS�SL]LSZ�HUK�LTWV^LY�SLHKLYZ�^P[O�H�]PZPVU�HUK�H�Z[HUKHYKPaLK�PTWYV]LTLU[�TL[OVKVSVN �̀�)HSHUJL�[OL�VUNVPUN�JYLH[PVU�VM�H�ZRPSSLK�^VYRMVYJL�^P[O�WYV]PZPVU�VM�Z[HIPSP[`�PU�WLVWSL�HUK�Z[Y\J[\YLZ�

/LHS[O�0UMVYTH[PVU�:`Z[LTZBuild trust I`�IYLHRPUN�KV^U�IHYYPLYZ��Z\JO�HZ�[OL�U\TILY�VM�NH[LRLLWLYZ�HUK�JVUM\ZPVU�V]LY�^OL[OLY�PUMVYTH[PVU�PZ�JVSSLJ[LK�MVY�YLN\SH[VY`�VY�PTWYV]LTLU[�W\YWVZLZ�

Change from the grassroots up�PUZ[LHK�VM�[VW�KV^U�^P[O�JHYL�WYV]PKLYZ�H[�[OL�JLU[YL�VM�[OL�discussion.

Ensure SCNs remain innovation engines by

LTILKKPUN�[OLT�PU�[OL�THUKH[L�VM�[OL�UL^�TPUPZ[LY�VM�OLHS[O�YLJVNUPaPUN�[OH[�[OL�PTWYV]LTLU[�VM�[OL�Z`Z[LT�PZ�H�WYPVYP[`�MVY�HSS�VM�\Z��

BUILDING SUPPORT

“Whether decreasing wait times for surgery, improving the patient surgery experience, identifying and addressing bottlenecks to improve cancer care, reducing medication usage in long-term care, the networks are making a positive change for Albertans, individual Albertans, every day.”

Janet Davidson, deputy minister, Alberta Health

����)<03+05.�:<7769;�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca �

;OL�UL_[�Z[LW�^V\SK�IL�[V�KL]LSVW�H�[YHUZWVY[H[PVU�UL[^VYR�[V�LUZ\YL�RUV^SLKNL�TV]LZ�HZ�X\PJRS`�HZ�WVZZPISL�MYVT�WYVK\J[PVU�[V�J\Z[VTLY��;OL�[OPYK�^V\SK�IL�[V�ZL[�\W�H�JVU[PU\V\Z�SLHYUPUN�SVVW�[V�KL[LJ[�KLZPNU�ÅH^Z�VY�[V�PKLU[PM`�[OL�L]VS]PUN�RUV^SLKNL�ULLKZ�HUK�^HU[Z�VM�J\Z[VTLYZ�

;OPZ�PZ�[OL�PU[LU[�VM�[OL�:[YH[LN`�MVY�7H[PLU[�6YPLU[LK�9LZLHYJO��:769���H�UH[PVUHS�*0/9�JVSSHIVYH[PVU��;OL�HPT�VM�:769�PZ�[V�WYV]PKL�[OL�PUMYHZ[Y\J[\YL�[V�Z\WWVY[�¸YLZLHYJO�MVY�WH[PLU[Z�[V�YLJLP]L�[OL�YPNO[�JSPUPJHS�PU[LY]LU[PVU�H[�[OL�YPNO[�[PTL�¹

6UL�:769�Z[YH[LN`�PZ�[OL�LZ[HISPZOTLU[�VM�[OYLL�JVSSHIVYH[P]L�UH[PVUHS�UL[^VYRZ!��@V\[O�HUK�(KVSLZJLU[�4LU[HS�/LHS[O�¶�(**,::�*HUHKH"�7YPTHY`�HUK�0U[LNYH[LK�/LHS[O�*HYL�0UUV]H[PVUZ"�HUK�[OL�UL^S`�SH\UJOLK�5L[^VYRZ�PU�*OYVUPJ�+PZLHZLZ�

;OLZL�UL[^VYRZ�^PSS�ZLL�WH[PLU[Z��YLZLHYJOLYZ�HUK�OLHS[O�WYV]PKLYZ�^VYRPUN�[VNL[OLY�[V�LUZ\YL�YLZLHYJO�X\LZ[PVUZ�HSPNU�^P[O�WH[PLU[�ULLK��HUK�[OH[�RUV^SLKNL�TV]LZ�HZ�X\PJRS`�HZ�WVZZPISL�[V�KLJPZPVU�THRLYZ�HUK�OLHS[O�JHYL�WYV]PKLYZ��

(�ZLJVUK�:769�Z[YH[LN`�PZ�[OL�LZ[HISPZOTLU[�VM�:769�:<7769;�<UP[Z�HJYVZZ�[OL�JV\U[Y`�[V�LUZ\YL�[OL�YPNO[�PUMYHZ[Y\J[\YL�PZ�PU�WSHJL�[V�Z\WWVY[�[OL�^VYR�VM�[OL�UH[PVUHS�UL[^VYRZ�HUK�[OL�IYVHKLY�WH[PLU[�VYPLU[LK�YLZLHYJO�HNLUKH��^OPJO��PU�(SILY[H��^PSS�IL�WV^LYLK� by the SCNs.

(SILY[H»Z�:769�:<7769;�<UP[��SLK�I`�,_LJ\[P]L�+PYLJ[VY�;PT�4\YWO �̀�PZ�QVPU[S`�M\UKLK�I`�*0/9�HUK�(0/:�MVY�H�[V[HS�PU]LZ[TLU[�VM����4�V]LY�Ä]L�`LHYZ��¸9LUL^HS�H[�[OPZ�Z[HNL�PZ�\UJSLHY�¹�ZH`Z�4\YWO �̀�¸ZV�VUL�VM�[OL�NVHSZ�VM�[OL�units is to determine how

sustainability will be achieved

YLNHYKSLZZ�VM�YLUL^HS�

;OL�WSH[MVYTZ�HYL�PKLU[PÄLK��HUK�SLHKZ�MVY�HSS�I\[�VUL�OH]L�ILLU�UHTLK��ZH`Z�4\YWO �̀�;OL�V]LYHSS�NVHSZ�OH]L�ILLU�HY[PJ\SH[LK��[OL�PUKPJH[VYZ�HUK�TL[YPJZ�VM�Z\JJLZZ�OH]L�ILLU�MYHTLK��HUK�H�]PY[\HS�UL[^VYR�MVY�(SILY[H»Z�:769�:<7769;�<UP[�OHZ�ILLU�MVYT\SH[LK��^OPJO�MLH[\YLZ�IV[O�JLU[YHSPaLK�HUK�KPZ[YPI\[LK�M\UJ[PVUZ�

SPOR=

:[YH[LN`�MVY�7H[PLU[�6YPLU[LK�9LZLHYJO

SUPPORT=

:\WWVY[�MVY�7LVWSL�HUK�7H[PLU[�6YPLU[LK� Research and Trials

BUILDING SUPPORT

0M�RUV^SLKNL�^LYL�H�JVTTVKP[ �̀�ILMVYL�NLULYH[PUN�P[��`V\�^V\SK�JVUZ\S[�^P[O�LUK�\ZLYZ��PU�[OPZ�JHZL�WH[PLU[Z��JSPUPJPHUZ��WVSPJ`�THRLYZ��HUK�KLJPZPVU�THRLYZ��[V�KL[LYTPUL�[OL�[`WL�VM�RUV^SLKNL�[OL`�ULLK�HUK�^PSS�\ZL�

����)<03+05.�:<7769;�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 30

¸>L�ULLK�[V�OLHY�MYVT�[OL�:*5Z�^OH[�[OLPY�ULLKZ�HYL�MVY�[OL�(SILY[H�:769�:<7769;�<UP[�¹�ZH`Z�4\YWO �̀�¸;OLYL�^PSS�IL�JOHSSLUNLZ��0[�PZ�UV[�NVPUN�[V�IL�H�Z[YHPNO[�MVY^HYK��SPULHY�L_LYJPZL�¹�(UK�Z\JJLZZ�^PSS�IL�KPYLJ[S`�YLSH[LK�[V�[OL�Z[YLUN[O�VM�[OL�YLSH[PVUZOPWZ�HUK�WHY[ULYZOPWZ�I\PS[��¸>L�ULLK�[V�SL]LYHNL�HSS�[OL�HZZL[Z�^L�OH]L�PU�[OL�WYV]PUJL�[V�LUZ\YL�^L�HSS�HJOPL]L�V\Y�NVHSZ�¹�OL�ZH`Z��

6UL�VM�[OL�[^V�NYLH[LZ[�TPZJVUJLW[PVUZ�HIV\[�(SILY[H»Z�:769�:<7769;�<UP[��ZH`Z�4\YWO �̀�PZ�[OL�UV[PVU�[OH[�P[�PZ�Q\Z[�HUV[OLY�NYHU[�TLJOHUPZT��^OLU�PU�MHJ[��[OL�Z\WWVY[�^PSS�JVTL�PU�[OL�MVYT�VM�HJJLZZ�[V�L_WLY[PZL��TL[OVKZ��[VVSZ��HUK�PUMVYTH[PVU��;OL�ZLJVUK�PZ�[OH[�[OL�WSH[MVYTZ�^PSS�[HRL�V]LY�MYVT�^OH[�V[OLYZ�HYL�HSYLHK`�KVPUN��¸(IZVS\[LS`�UV[�¹�ZH`Z�4\YWO �̀�¸>L�ULLK�[V�Z`ULYNPaL�HSS�[OL�YLSL]HU[�YLZV\YJLZ¯HUK�[V�KV�[OH[��^L�ULLK�[V�\UKLYZ[HUK�^OLYL�[OL�HZZL[Z�SPL�¹

;OL�HPT�VM�:769�PZ�[V�WYV]PKL�[OL�PUMYHZ[Y\J[\YL�[V�Z\WWVY[�¸YLZLHYJO�MVY�WH[PLU[Z�[V�YLJLP]L�[OL�YPNO[�JSPUPJHS�PU[LY]LU[PVU�H[�[OL�YPNO[�[PTL�¹�

;OL�HPT�VM�[OL�:<7769;�<UP[Z�PZ�[V�LUZ\YL�[OL�Z\JJLZZ�VM�:769�I`�I\PSKPUN�[OL�ULLKLK�PUMYHZ[Y\J[\YL�HUK�ZLY]PJLZ!

�� +H[H�7SH[MVYTZ�HUK�:LY]PJLZ�� 4L[OVKZ�:\WWVY[�HUK�+L]LSVWTLU[�� /LHS[O�:`Z[LTZ�9LZLHYJO��0TWSLTLU[H[PVU�9LZLHYJO��HUK�2UV^SLKNL�;YHUZSH[PVU�� 7YHNTH[PJ�JSPUPJHS�[YPHSZ�� *HYLLY�+L]LSVWTLU[�PU�4L[OVKZ�HUK�/LHS[O�:LY]PJLZ�9LZLHYJO�� *VUZ\S[H[PVU�HUK�9LZLHYJO�:LY]PJLZ�� 7H[PLU[�,UNHNLTLU[��HKKLK�PU�(SILY[H�

WHAT IS KNOWNPartners�� <UP]LYZP[`�VM�3L[OIYPKNL�� <UP]LYZP[`�VM�*HSNHY`�� <UP]LYZP[`�VM�(SILY[H�� (SILY[H�/LHS[O�� (SILY[H�/LHS[O�:LY]PJLZ�� (SILY[H�0UUV]H[LZ·/LHS[O�:VS\[PVUZ�� *0/9

����)<03+05.�:<7769;�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 31

Governance and leadership

Platform goals�� ,TWV^LY�WH[PLU[Z�HUK�I\PSK�W\ISPJ�Z\WWVY[�MVY�YLZLHYJO�WHY[PJPWH[PVU�HJYVZZ�HSS�WSH[MVYTZ�� *VSSHIVYH[L�^P[OPU�HUK�IL[^LLU�WSH[MVYTZ�MVY�HJHKLTPJ�L_JLSSLUJL�JVTIPULK�^P[O�OLHS[O�PTWHJ[Z�� :`ULYNPaL�HSS�YLSL]HU[�WYV]PUJPHS�YLZV\YJLZ�[V�LUZ\YL�WYVQLJ[Z�Z\WWVY[LK�I`�:<7769;�<UP[Z�HJOPL]L�TLHZ\YHISL�

PTWHJ[Z�� )\PSK�VU�ILZ[�WYHJ[PJLZ�NSVIHSS`�HUK�UL[^VYR�WYV]PUJPHSS �̀�UH[PVUHSS`�HUK�PU[LYUH[PVUHSS`�[V�HJOPL]L�:769�NVHSZ�� 3L]LYHNL�(SILY[H�:769�:<7769;�<UP[�YLZV\YJLZ�HUK�H[[YHJ[�OPNO�]HS\L�ÄUHUJPHS�HUK�PU�RPUK�WHY[ULYZOPWZ�[V�

H[[HPU�Z\Z[HPUHIPSP[`�^P[OPU�ZP_�`LHYZ

Success indicators

>OH[�^PSS�Z\JJLZZ�SVVR�SPRL�MVY�[OL�(SILY[H�:769�:<7769;�<UP[&

0UJYLHZLZ�HJYVZZ�PUKPJH[VYZ�HUK�TL[YPJZ�PU�[OL�Ä]L�*HUHKPHU�(JHKLT`�VM�/LHS[O�:JPLUJLZ��*(/:�� impact categories:�� (K]HUJPUN�RUV^SLKNL�� 9LZLHYJO�JHWHJP[`�� 0UMVYTPUN�KLJPZPVU�THRPUN�� /LHS[O�ILULÄ[Z�� )YVHK�LJVUVTPJ�HUK�ZVJPHS�ILULÄ[Z�

Increases PU�(SILY[H»Z�OLHS[O�YLZLHYJO�V\[W\[Z�HNHPUZ[�UH[PVUHS�HUK�PU[LYUH[PVUHS�ILUJOTHYRZ�

International Advisory Committee

Other Groups Strategic Clinical Network Research Leads and Staff Patients

Alberta SPOR SUPPORT Steering Committee

Alberta SPOR SUPPORT Unit Management Committee

Data Platforms and Services

(Dr. Finlay McAlister)

Methods Support and Development

(Dr. Hude Quan)

Patient Engagement(Virginia

Vandall-Walker)

Consultation and Research Services

(Dr. Ross Tsuyuki)

Health Systems Research,

Implementation Research & Knowledge

Translation platform(Dr. Suma Majundar and Dr. Lisa Hartling)

Pragmatic Clinical Trials

(Dr. Michael Hill and Dr. Richard Fedorak)

Career Developmentin Methods and Health

Systems Research(Dr. Marilynne Hebert and Dr. Dean Eurich)

Performance Management and Evaluation Committee

Alberta Innovates – Health Solutions (AIHS)Board of Directors

SPOR National Steering Committee

����)<03+05.�:<7769;�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 32

Improvements�PU�Z[YH[LNPJHSS`�ZLSLJ[LK�TL[YPJZ�HUK�PUKPJH[VYZ�VM�PTWHJ[�MVY!�� /LHS[O�� /LHS[O�*HYL�8\HSP[`�0TWYV]LTLU[�� /LHS[O�:`Z[LT�:\Z[HPUHIPSP[`�PU�(SILY[H

Achievement VM�H�ZLSM�Z\Z[HPUPUN�(SILY[H�:769�:<7769;�<UP[�PUMYHZ[Y\J[\YL

SPOR SUPPORT Process

9LZLHYJO�WYVQLJ[Z�HJYVZZ�[OL�WYV]PUJL�^PSS�HWWS`�MVY�Z\WWVY[��UV[�M\UKPUN��>OPSL�JYP[LYPH�MVY�Z\WWVY[�PZ�Z[PSS�ILPUN�KL]LSVWLK�I`�[OL�:769�:<7769;�<UP[�:[LLYPUN�*VTTP[[LL��WYVQLJ[Z�^PSS�ULLK�[V�IL�KLTVUZ[YHIS`�WH[PLU[�VYPLU[LK��MLHZPISL��HUK�HKLX\H[LS`�YLZV\YJLK��[V�IL�JVUZPKLYLK�MVY�HJJLZZ�[V�(SILY[H�:769�:<7769;�

7YVQLJ[Z��^OPJO�TLL[�[OL�JYP[LYPH��^PSS�IL�HZZPNULK�(SILY[H�:769�:<7769;�<UP[�WSH[MVYT�YLZV\YJLZ�HZ�HWWYVWYPH[L��>OPSL�VUL�WYVQLJ[�TH`�Q\Z[�YLX\PYL�KH[H��MVY�L_HTWSL��HUV[OLY�TH`�YLX\PYL�KH[H��WYHNTH[PJ�JSPUPJHS�[YPHSZ�TL[OVKZ�Z\WWVY[�HUK�KL]LSVWTLU[��HUK�H�Z[YH[LN`�MVY�LUNHNPUN�WH[PLU[Z�

CENTRALIZED FUNCTIONS DISTRIBUTED FUNCTIONS

�� (�ZPUNSL�HJJLZZ�HUK�HWWSPJH[PVU�WVY[HS�MVY�HSS�:769�:<7769;�<UP[Z�

�� 6]LYZPNO[�I`�[OL�(SILY[H�:769�:<7769;�<UP[�Z[LLYPUN�HUK�THUHNLTLU[�JVTTP[[LLZ�[V�ZL[�WYPVYP[PLZ�HUK�KL[LYTPUL�M\UKPUN�HSSVJH[PVUZ�[V�[OL�WSH[MVYTZ�HUK�[OL�JYP[LYPH�MVY�WYVQLJ[�Z\WWVY[

�� )\ZPULZZ�ZLY]PJLZ��[OYV\NO�(0/:�� 7YVQLJ[�JVVYKPUH[PVU�� 6]LYHSS�WLYMVYTHUJL�TLHZ\YLTLU[�HUK�L]HS\H[PVU�

[OYV\NO�[OL�(0/:�WLYMVYTHUJL�THUHNLTLU[�HUK�evaluation team

�� 7SH[MVYT�VMÄJL�THUHNLTLU[��PU�]PY[\HS�VMÄJLZ��PUJS\KPUN

�� :[YH[LNPJ�WSHUUPUN�HUK�/9�� )\KNL[PUN��HJJV\U[PUN��HUU\HS�YLWVY[PUN�� 7SH[MVYT�TLHZ\YLTLU[�HUK�L]HS\H[PVU�� ;YH]LS�HUK�JVZ[Z

�� 7SH[MVYT�KL]LSVWTLU[��PUJS\KPUN�� :[YH[LNPJ�WSHUUPUN�HUK�L_LJ\[PVU�� 5L[^VYRPUN�� 4LL[PUNZ�^VYRZOVWZ�� 7SH[MVYT�JVTT\UPJH[PVUZ�� ;YHPUPUN

NEXT STEPS

“We, patients and families, are the sparks to your hope. We believe so strongly in you, the change makers.”

Lia Lousier, parent advisor

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 35

NEXT STEPS FOR ALBERTA’S SPOR SUPPORT UNITCareer Development in Methods and Health Systems Research Marilynne Hebert and Dean Eurich��JV�SLHKZ;OL�PU[LU[�VM�[OPZ�WSH[MVYT�PZ�[V�I\PSK�H�\UPX\LS`�(SILY[H�[YHPUPUN�Z[YH[LN`�^P[O�HU�L`L�VU�ÄUKPUN�^H`Z�[V�PU[LNYH[L�^P[O�HUK�JVU[YPI\[L�[V�[OL�UH[PVUHS�[YHPUPUN�WSHU��ZH`Z�4HYPS`UUL�/LILY[��<UP]LYZP[`�VM�*HSNHY �̀

/LILY[»Z�JV�SLHK��+LHU�,\YPJO��PZ�H[�[OL�<UP]LYZP[`�VM�(SILY[H��HUK�YLJY\P[TLU[�MVY�H�<UP]LYZP[`�VM�3L[OIYPKNL�WSH[MVYT�WHY[ULY�PZ�\UKLY^H �̀

7SH[MVYT�WYPUJPWSLZ�^PSS�HSPNU�^P[O�[OL�*0/9�HUK�(0/:�MYHTL^VYRZ!�� -\SS�ZWLJ[Y\T�VM�JHYLLY�KL]LSVWTLU[�PU�HSS�WH[PLU[�VYPLU[LK�YLZLHYJO�KPZJPWSPULZ�� :OHYLK�Z[YH[LN`�YLZWVUZPIPSP[`�¶�PUJS\KPUN�[YHPUPUN�JVZ[Z�HUK�JVTWLUZH[PVU�� 3VUNP[\KPUHS�]PZPVU�HUK�YLSH[PVUZOPW�I\PSKPUN��PUJS\KPUN�WPWLSPULZ��LHYS`�HUK�TPK�JHYLLY�Z\WWVY[��TLU[VYZOPW�� 0U[LNYH[LK�ILZ[�WYHJ[PJL�[YHPUPUN�¶�PUJS\KPUN�JVSSHIVYH[PVU��T\S[P�KPZJPWSPUHY`�[YHPUPUN��HUK�HS[LYUH[L�JHYLLY�WH[OZ

0UP[PHS�Z[LWZ�� 0UMVYTH[PVU�ZOHYPUN�¶�KL]LSVW�H�ZOHYLK�WSH[MVYT�MYHTL^VYR�HUK�PU]LU[VY`�VM�^OH[�PZ�J\YYLU[S`�H]HPSHISL�PU�[OL�

WYV]PUJL�� *VUZ\S[H[PVU�¶�JVUZ[Y\J[�H�]PZPVU�HUK�WSHU�MVY^HYK�� (J[P]L�WHY[PJPWH[PVU�¶�HJOPL]L�[OL�]PZPVU�I`�PTWSLTLU[PUN�HUK�Z\Z[HPUPUN�H�[YHPUPUN�WSHU

;OL�WSH[MVYT�TH`�L]LU[\HSS`�IL�[OL�]LOPJSL�[OYV\NO�^OPJO�(SILY[H�JHU�LZ[HISPZO�HU�0UZ[P[\[L�MVY�/LHS[O�*HYL�+LSP]LY`�HSVUN�[OL�SPULZ�VM�[OL�(K]HUJLK�;YHPUPUN�7YVNYHT�KLZJYPILK�I`�)YLU[�1HTLZ��¸;OLYL�PZ�H�SV[�VM�JHWHJP[`�PU�[OL�WYV]PUJL�¹�ZH`Z�,\YPJO��¸I\[�MYVT�^OH[�0�ZLL��P[�PZ�]LY`�ZPSVLK�HUK�[OLYL�PZ�H�SV[�VM�K\WSPJH[PVU�HJYVZZ�\UP]LYZP[PLZ�¹�;OL�WSH[MVYT�^PSS�THRL�P[�H�WYPVYP[`�[V�JVVYKPUH[L�HUK�PU[LNYH[L�WYVNYHTZ�HUK�[V�I\PSK�Z[YVUN�WHY[ULYZOPWZ�^P[O�M\UKPUN�IVKPLZ�[V�WSHU�MVY��M\UK��HUK�[YHPU�Z[\KLU[Z�MVY�WH[PLU[�VYPLU[LK�YLZLHYJO��

Breakout session priorities

NEEDS BARRIERS DESIRED PLATFORM ACTIONS

�� *VSSHIVYH[PVU�HUK�IYLHRKV^U�VM�ZPSVZ�HUK�K\WSPJH[PVU

�� ;YHPUPUN�HUK�TLU[VYZOPW�[V�retain

�� ;OL�J\YYLU[�[YHPUPUN�HWWYVHJO�PZ�NLHYLK�[V^HYKZ�[YHKP[PVUHS�JHYLLY�WH[OZ�YH[OLY�[OHU�^OH[�is needed now

�� ;OL�[PTL�HUK�JVZ[�[V�SLH]L�JSPUPJHS�^VYR�HUK�JVUK\J[�research

�� ,TWSV`LYZ�KVU»[�]HS\L�[YHPUPUN�PU�WH[PLU[�VYPLU[LK�YLZLHYJO

�� 7YV]PKL�JVTT\UPJH[PVU�HUK�UH]PNH[PVU�HYV\UK�[YHKP[PVUHS�and non-traditional career

WH[OZ�� 4LHZ\YL�[OL�PTWHJ[�HUK�]HS\L�

VM�[YHPUPUN�� ,_WHUK�VWWVY[\UP[PLZ�MVY�

[YHPUPUN�HUK�LTWSV`TLU[�PU�WH[PLU[�VYPLU[LK�YLZLHYJO

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 36

Consultation and Research Services PlatformRoss Tsuyuki��SLHK;OL�*VUZ\S[H[PVU�HUK�9LZLHYJO�:LY]PJLZ�7SH[MVYT�^PSS�I\PSK�VU�[OL�[YLTLUKV\Z�Z[YLUN[OZ�HUK�HZZL[Z�[OH[�HSYLHK`�L_PZ[�PU�(SILY[H�PU�[OL�HYLH�VM�JVUZ\S[H[PVU�HUK�YLZLHYJO�ZLY]PJLZ��Z\JO�HZ�[OL�^VYR�ILPUN�JVUK\J[LK�H[�[OL�,WPKLTPVSVN`�*VVYKPUH[PUN�HUK�9LZLHYJO�*LU[YL��,70*69,���ZH`Z�+Y��;Z\`\RP��WSH[MVYT�SLHK�HUK�WYVMLZZVY�VM�TLKPJPUL�

;OPZ�WSH[MVYT�^PSS�IL�PUZ[Y\TLU[HS�PU�PUJYLHZPUN�[OL�Z\JJLZZ�VM�(SILY[H�YLZLHYJO�NYHU[�WYVWVZHSZ��;Z\`\RP�ZH`Z�[OL�WSH[MVYT�^PSS�IL�PU�H�WVZP[PVU�[V�WYV]PKL�HK]PJL�VU�YLZLHYJO�KLZPNU��IPVZ[H[PZ[PJZ��HUK�KH[H�THUHNLTLU[��0[�PZ�HSZV�PTWVY[HU[�[OH[�M\UKLYZ�RUV^�[OLYL�PZ�HU�LZ[HISPZOLK�PUMYHZ[Y\J[\YL�[V�JVUK\J[�[OL�YLZLHYJO��¸;OL`�SPRL�[V�RUV^�`V\Y�KH[H�HYL�UV[�ILPUN�JVUULJ[LK�VU�H�UHWRPU�¹�OL�ZH`Z��

;OL�ZLY]PJLZ�LU]PZPVULK�MVY�[OL�WSH[MVYT�PUJS\KL!�� 9LZLHYJO�+LZPNU!�YLZLHYJO�TL[OVKZ��ZHTWSL�ZPaL��Z[H[PZ[PJHS�WSHU��NYHU[�WYLWHYH[PVU��Z\WWVY[�SL[[LYZ�� +H[H�THUHNLTLU[!�JHZL�YLWVY[�MVYTZ��KH[HIHZL�KLZPNU��[YHPUPUN�[V�LU[LY�KH[H��KH[H�X\HSP[`�HZZ\YHUJL�HUK�X\LY`�

YLZVS\[PVU��HK]LYZL�L]LU[�YLWVY[PUN��KH[H�HUK�ZHML[`�TVUP[VYPUN�IVHYK�JVVYKPUH[PVU�� )PVZ[H[PZ[PJZ!�JVUZ\S[H[PVUZ�HUK�HUHS`ZLZ

¸;OPZ�PZ�WYVIHIS`�UV[�H�JVTWSL[L�SPZ[�¹�ZH`Z�;Z\`\RP��¸0»T�]LY`�PU[LYLZ[LK�[V�SPZ[LU�[V�`V\�HUK�[V�ÄUK�V\[�^OH[�`V\�MLLS�`V\�ULLK�¹

Breakout session priorities

NEEDS BARRIERS DESIRED PLATFORM ACTIONS

�� 6W[PTHS�KLZPNU�HUK�[HJ[PJHS�TH[JOPUN�MVY�[OL�[YPHS�`V\�^HU[�[V�JVUK\J[�HUK�MVY�Z\JJLZZ�^P[O�H�M\UKLY

�� >H`�ÄUKPUN�Z\WWVY[�MVY�IV[O�KVSSHYZ�HUK�L_WLY[PZL

�� *HWHJP[`�I\PSKPUN�HUK�IYVRLYPUN�[V�LUHISL�VWLYH[PVUZ�[V�HZR�questions

�� 3HJR�VM�RUV^SLKNL�VM�M\UKPUN�VWWVY[\UP[PLZ

�� 5LLK�MVY�JVTT\UPJH[PVU�VM�ZLY]PJLZ�HUK�L_WLY[Z

�� 3HJR�VM�YLJVNUP[PVU�HUK�PUJLU[P]LZ�MVY�IV[O�HJHKLTPJZ�HUK�VWLYH[PVUHS�LTWSV`LLZ

�� )L�HJJV\U[HISL�[V�[OVZL�ILPUN�ZLY]LK�HUK�VMMLY�HKLX\H[L�JHWHJP[`

�� 7YV]PKL�JSLHY�JYP[LYPH�MVY�HJJLZZ�to services

�� ,Z[HISPZO�HU�PU[LYHJ[P]L�WVY[HS�[V�ZLY]L�HZ�H�IYVRLY�HUK�LUHISLY��¸(�/LHS[O�3PUR�MVY�YLZLHYJOLYZ¹

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 37

Data Platforms and Services

Jeff Bakal �:WLHRPUN�VU�ILOHSM�VM�WSH[MVYT�SLHK�-PUSH`�4J(SPZ[LY�;OL�HPT�VM�[OPZ�WSH[MVYT�PZ�[V�OLSW�MHJPSP[H[L�[OL�JVYL�I\ZPULZZ�VM�[OL�(SILY[H�:769�:<7769;�<UP[�HUK�PU[LNYH[L�RUV^SLKNL�[YHUZSH[PVU�PU[V�[OL�YLHS�^VYSK��;OL�WSH[MVYT�^PSS�^VYR�[V�WYV]PKL�YLHK`�HJJLZZ�[V�KH[H�[V!�� ;YHUZSH[L�L]PKLUJL�MYVT�[OL�SP[LYH[\YL�[V�JSPUPJHS�WYHJ[PJL�HUK�VY�[OL�IVHYKYVVT�� +L[LJ[�JHYL�NHWZ��KL]PZL�HUK�[LZ[�PU[LY]LU[PVUZ�[V�HKKYLZZ�NHWZ��HUK�YL�TLHZ\YL�MVY�H�J`JSL�VM�X\HSP[`�� *VUK\J[�JVTWHYH[P]L�LMMLJ[P]LULZZ�Z[\KPLZ�� 4LHZ\YL�HUK�L]HS\H[L�[OL�OLHS[O�Z`Z[LT�HUK�HZZLZZ�[OL�PTWHJ[�VM�Z`Z[LT�JOHUNLZ�<S[PTH[LS �̀�ZH`Z�4J(SPZ[LY��[OL�WSH[MVYT�^PSS�^VYR�[V�PUJYLHZL�[OL�X\HSP[`�HUK�X\HU[P[`�VM�YLZLHYJO�[OH[�PTWHJ[Z�V\[JVTLZ�YLSL]HU[�[V�WH[PLU[Z�HUK�VY�[OL�OLHS[O�JHYL�Z`Z[LT��0[�^PSS�HZZPZ[�JSPUPJPHUZ�HUK�WVSPJ`�THRLYZ�PU�THRPUN�PUMVYTLK�KLJPZPVUZ�[V�PTWYV]L�OLHS[O�PU�PUKP]PK\HSZ�HUK�WVW\SH[PVUZ�

>VYRPUN�^P[OPU�[OL�(/:�HUHS`[PJZ�KH[HIHZL��[OL�WSH[MVYT�^PSS�KYH^�MYVT�[OL�M\SS�ZWLJ[Y\T�VM�KH[H�HJYVZZ�[OL�Z`Z[LT�PUJS\KPUN!�� 7OHYTHJL\[PJHS�JSHPTZ�� 3HIVYH[VYPLZ�� +PHNUVZ[PJ�PTHNPUN�� /VZWP[HS�KH[H�� ,4:�KH[H�� 7O`ZPJPHU�JSHPTZ�� *LUZ\Z�KH[H�� =P[HS�Z[H[PZ[PJZ�HUK�YLNPZ[YPLZ

Breakout session priorities

NEEDS BARRIERS DESIRED PLATFORM ACTIONS

�� 6W[PTHS�KLZPNU�HUK�[HJ[PJHS�TH[JOPUN�MVY�[OL�[YPHS�`V\�^HU[�[V�JVUK\J[�HUK�MVY�Z\JJLZZ�^P[O�H�M\UKLY

�� >H`�ÄUKPUN�Z\WWVY[�MVY�IV[O�KVSSHYZ�HUK�L_WLY[PZL

�� *HWHJP[`�I\PSKPUN�HUK�IYVRLYPUN�[V�LUHISL�VWLYH[PVUZ�[V�HZR�questions

�� 3HJR�VM�RUV^SLKNL�VM�M\UKPUN�VWWVY[\UP[PLZ

�� 5LLK�MVY�JVTT\UPJH[PVU�VM�ZLY]PJLZ�HUK�L_WLY[Z

�� 3HJR�VM�YLJVNUP[PVU�HUK�PUJLU[P]LZ�MVY�IV[O�HJHKLTPJZ�HUK�VWLYH[PVUHS�LTWSV`LLZ

�� )L�HJJV\U[HISL�[V�[OVZL�ILPUN�ZLY]LK�HUK�VMMLY�HKLX\H[L�JHWHJP[`

�� 7YV]PKL�JSLHY�JYP[LYPH�MVY�HJJLZZ�to services

�� ,Z[HISPZO�HU�PU[LYHJ[P]L�WVY[HS�[V�ZLY]L�HZ�H�IYVRLY�HUK�LUHISLY¶�¸(�/LHS[O�3PUR�MVY�YLZLHYJOLYZ¹

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca ��

Health Systems Research, Implementation Research, and Knowledge TranslationSumit Majumdar and Lisa Hartling��*V�SLHKZ¸2UV^SLKNL�[YHUZSH[PVU��2;��PZ�YLHSS`�IYPKNPUN�[OH[�NHW�IL[^LLU�^OH[�^L�RUV^�HUK�^OH[�^L�KV�¹�ZH`Z�+Y��3PZH�/HY[SPUN��JV�SLHK��^P[O�+Y��:\TP[�4HQ\TKHY��VM�[OL�/LHS[O�:`Z[LTZ�9LZLHYJO��0TWSLTLU[H[PVU�9LZLHYJO��HUK�2UV^SLKNL�;YHUZSH[PVU�7SH[MVYT��

;OL�RUV^SLKNL�[V�HJ[PVU�MYHTL^VYR�^VYRZ�ILZ[��[OL`�ZH �̀�^OLU�YLZLHYJOLY�JVU[YVS�PZ�JLKLK�LUV\NO�[OH[�MYVU[�SPUL�JHYLNP]LYZ��HKTPUPZ[YH[VYZ�HUK�WH[PLU[Z�JHU�PKLU[PM`�[OL�WYVISLT��;OL�WSH[MVYT�^PSS�WYV]PKL�JVU[YHJ[�ZLY]PJLZ�HUK�YLZV\YJLZ�[V�Z\WWVY[�WH[PLU[�VYPLU[LK�YLZLHYJO�WYVQLJ[Z�

¸>L�HYL�NVPUN�[V�[Y`�[V�[HRL�H�OHYK�SPUL�HIV\[�^OH[�YLZLHYJO�TLHUZ�¹�ZH`Z�4HQ\TKHY��¸MVY�\Z�P[�PU]VS]LZ�M\UKPUN��P[�PU]VS]LZ�[OL�PU[LU[�[V�NLULYH[L�LTWPYPJ�L]PKLUJL�[OH[�PZ�NVPUN�[V�W\ISPZOLK�PU�[OL�WLLY�YL]PL^LK�SP[LYH[\YL�¹�;OLPY�Z\WWVY[�^PSS�PUJYLHZL�M\UKPUN�Z\JJLZZ�I`�LUZ\YPUN�RUV^SLKNL�[YHUZSH[PVU�PZ�PU[LNYHS�[V�[OL�LU[PYL�M\UKPUN�WYVWVZHS��>OPSL�L]LY`�NYHU[�WYVWVZHS�ULLKZ�H�RUV^SLKNL�[YHUZSH[PVU�ZLJ[PVU��¸YPNO[�UV �̂����OV\YZ�ILMVYL�[OL`�HYL�K\L��ZVTL�YLZLHYJOLYZ�JVTL�PU�HUK�ZH �̀�º^L»]L�SLM[�`V\����SPULZ�H[�[OL�LUK�VM�[OL�NYHU[�MVY�2;��4HRL�P[�SVVR�SPRL�P[»Z�[OYV\NOV\[�[OL�NYHU[�WYVWVZHS�»��9L]PL^LYZ�KVU»[�I\`�[OH[�HU`�TVYL��ZH`Z�4HQ\TKHY��;OL�WSH[MVYT�^PSS�WYV]PKL�YLZLHYJOLYZ�^P[O�IVPSLYWSH[LZ��Z\WWVY[�SL[[LYZ�HUK�[HUNPISL�2;�V\[JVTLZ�MVY�NYHU[�WYVWVZHSZ�7SH[MVYT�WSHURZ�� *VSSH[L�HU�PU]LU[VY`�VM�WYV]PUJPHS�2;�YLZV\YJLZ��� *VVYKPUH[L�L_PZ[PUN�L]PKLUJL�Z`U[OLZPZ�PUP[PH[P]LZ�� *VUULJ[�L_PZ[PUN�2;�RUV^SLKNL�TVIPSPaH[PVU�HUK�YLZLHYJO�[YHUZMLY�L_WLY[PZL�� *YLH[L�H�JVUZ\S[H[PVU�ZLY]PJL�MVY�2;�L_WLY[PZL�IHZLK�VU�PUKP]PK\HS�YLZLHYJOLY��LUK�\ZLY��VY�KLJPZPVU�THRLY�ULLKZ���� )\PSK�JHWHJP[`�[V�PUJYLHZL�[OL�JYP[PJHS�THZZ�VM�OPNOS`�X\HSPÄLK�2;�WLYZVUULS���JV\YZLZ��YLJY\P[TLU[��NYHK\H[L�

WYVMLZZPVUHS�[YHPUPUN��� *VUZ[Y\J[�H�IYVHK�IHZLK��^LSS�Z\WWVY[LK�HUK�[LJOUVSVNPJHSS`�LUHISLK�JVTT\UP[`�VM�2;���� *VUZPKLY�Z`ULYNPLZ�^P[O�V[OLY�ZP_�(SILY[H�:<7769;�WSH[MVYTZ�HUK�H]VPK�K\WSPJH[PVU�� *VSSHIVYH[L�^P[O�V[OLY�WYV]PUJPHS�2;�WSH[MVYTZ

Breakout session priorities

NEEDS BARRIERS DESIRED PLATFORM ACTIONS

�� (�YLWVZP[VY`�VM�ILZ[�WYHJ[PJL�MVY�0;�HUK�PU[LY]LU[PVU�Z[YH[LNPLZ

�� +L]LSVWTLU[�VM�JVTTVU�[VVSZ�and resources

�� (�JVSSHIVYH[P]L�JVTT\UP[`�� (�JVOLYLU[�MYVU[�KVVY

�� 0ULX\P[HISL�HJJLZZ�[V�L_WLY[Z�HUK�YLZLHYJOLYZ�HJYVZZ�T\S[PWSL�VYNHUPaH[PVUZ

�� 3HJR�VM�PU[LNYH[LK�KH[H�systems and access to data to

TVUP[VY�HUK�L]HS\H[L�2;�PU�YLHS�time

�� 3HJR�VM�HJJLZZ�[V�[PTLS �̀�HWWYVWYPH[L�ZLY]PJL

�� )\PSK�PU[LNYH[LK��JVSSHIVYH[P]L�:*5Z�:769�JVTT\UP[`�WSH[MVYTZ

�� )\PSK�2;�JHWHJP[`�I`�L_WHUKPUN�[YHPUPUN�HUK�LTWSV`TLU[�VWWVY[\UP[PLZ

�� 7YV]PKL�Z\WWVY[�MVY�YLZLHYJO�PTWHJ[�HZZLZZTLU[

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca �

Methods Support and Development PlatformDanielle Southern �:WLHRPUN�VU�ILOHSM�VM�WSH[MVYT�SLHK�/\KL�8\HU�

¸=HSPK�HUK�PUUV]H[P]L�ÄUKPUNZ�MYVT�WH[PLU[�VYPLU[LK�V\[JVTL�HUK�OLHS[O�Z`Z[LT�Z[\KPLZ�YLS`�VU�Z[HUKHYKPaLK�HUK�]HSPK�HZZLZZTLU[�PUZ[Y\TLU[Z�¹�ZH`Z�+HUPLSSL�:V\[OLYU�

7SH[MVYT�NVHSZ�� +L]LSVW�PUUV]H[P]L�WH[PLU[�VYPLU[LK�Z[\K`�KLZPNUZ�� +L]LSVW�KH[H�HUHS`ZPZ�[LJOUVSVNPLZ�� +L]LSVW�TLHZ\YLTLU[��Z[HUKHYKPaH[PVU�HUK�]HSPKH[PVU�� 0TWYV]L�Z\JJLZZ�VM�WLLY�YL]PL^LK�M\UKPUN�VWWVY[\UP[PLZ�HUK�HWWSPJH[PVUZ�� 0UJYLHZL�[OL�U\TILY�VM�WLYZVUULS�^P[O�HK]HUJLK�YLZLHYJO�TL[OVKVSVN`�L_WLY[PZL

Methods

�� )PVZ[H[PZ[PJZ�� ,WPKLTPVSVN`�� *SPUPJHS�[YPHS�KLZPNU�� /LHS[O�LJVUVTPJZ�HUHS`ZPZ�� :\Y]L`�TL[OVKZ�� 4LHZ\YLTLU[��� 8\HSP[H[P]L�YLZLHYJO�TL[OVKZ

:V\[OLYU�ZH`Z�[OL�WSH[MVYT�JHU�Z\WWVY[�SPURPUN�WH[PLU[�YLWVY[LK�KH[H�HUK�L_PZ[PUN�JSPUPJHS�KH[H"�TVKLSPUN�VM�KH[H�[V�MVYLJHZ[�V\[JVTLZ"�WLYOHWZ�KL]LSVWPUN�H�WH[PLU[�KHZOIVHYK�IHZLK�VU�[OL�PUKP]PK\HS�WH[PLU[�ZP[\H[PVU"�HUK�Z\WWVY[PUN�WH[PLU[�HUK�WO`ZPJPHU�KLJPZPVU�THRPUN�

Breakout session priorities

NEEDS BARRIERS DESIRED PLATFORM ACTIONS

�� (JJLZZ�[V�H�IYVHK�YHUNL�VM�TL[OVKVSVNPZ[Z�

�� ;HYNL[LK�M\UKPUN�MVY�Z[\KLU[ZOPWZ�PU�TL[OVKZ

�� 9LZLHYJOLY�HJJLZZ�[V�LZ[HISPZOLK�WYVJLZZLZ�HUK�structures within the methods

NYV\W

�� ;OL�KLNYLL�VM�V]LYSHW�IL[^LLU�[OL�PUKP]PK\HS�WSH[MVYTZ��^OPJO�ULLKZ�JSHYPÄJH[PVU

�� *VUJLYUZ�V]LY�JVZ[�^P[O�[OL�service model

�� 9LK\JLK�YLZLHYJO�M\UKPUN�VWWVY[\UP[PLZ

�� 3HJR�VM�TLYP[�YLJVNUP[PVU�MVY�[OPZ�^VYR�MYVT�KPMMLYLU[�VYNHUPaH[PVUZ�

�� 7YV]PKL�H�YVHK�THW�VM�TL[OVKZ�� *VUULJ[�YLZLHYJOLYZ�^P[O�V[OLY�

WSH[MVYTZ��WH[PLU[Z��HUK�V[OLY�methods

�� :OHYL�YLZV\YJLZ�PU�RPUK

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 40

Patient Engagement PlatformGail MacKean��<VM*

�=PYNPUPH�=HUKHSS�>HSRLY�^HZ�HWWVPU[LK�SLHK�H�ML^�^LLRZ�HM[LY�[OL�JVUMLYLUJL�

;OL�PU[LU[�VM�[OL�7H[PLU[�,UNHNLTLU[�7SH[MVYT�PZ�[V�JVU[YPI\[L�[V�IL[[LY�OLHS[O�HUK�OLHS[O�Z`Z[LT�V\[JVTLZ��I`�WYV]PKPUN�¸H�MV\UKH[PVU�[OH[�^PSS�YLZ\S[�PU�WH[PLU[Z��HUK�[OVZL�JSVZL�[V�[OLT��WSH`PUN�HU�PU[LNYHS�YVSL�PU�OLHS[O�YLZLHYJO�¹�ZH`Z�.HPS�4HJ2LHU�

¸>L�ULLK�H�Z[YVUN�MV\UKH[PVU�VM�^H`Z�[V�LUNHNL�WH[PLU[Z�PU�OLSWPUN�\Z�KLÄUL�^OH[�WH[PLU[�VYPLU[LK�YLZLHYJO�PZ�¹�ZH`Z�4HJ2LHU��¸>OH[�ZOV\SK�^L�IL�KVPUN&�>OH[�RPUK�VM�JSPUPJHS�[YPHS�YLZLHYJO��MVY�L_HTWSL��PZ�YLHSS`�NVPUN�[V�THRL�H�KPMMLYLUJL�PU�PTWYV]PUN�[OL�X\HSP[`�VM�SPML�MVY�WLVWSL�SP]PUN�^P[O�JLY[HPU�JOYVUPJ�KPZLHZLZ&�7H[PLU[Z�HYL�PU�[OL�ILZ[�WVZP[PVU�[V�WVPU[�[OH[�V\[�[V�\Z�¹

;OL�WSH[MVYT�^PSS�I\PSK�VU�L]PKLUJL�VM�^OH[»Z�ILLU�SLHYULK�HIV\[�LUNHNPUN�WH[PLU[Z�PU�V[OLY�Q\YPZKPJ[PVUZ��ZOL�ZH`Z��(UK�WSH[MVYT�SLHKLYZOPW�ZOV\SK�JVTL�MYVT�WH[PLU[Z�^OV�OH]L�H�]HYPL[`�VM�^H`Z�[V�ILJVTL�PU]VS]LK��:WLJPHS�H[[LU[PVU�ULLKZ�[V�IL�NP]LU�[V�[OL�SHUN\HNL�VM�YLZLHYJO�HUK�P[Z�TLHUPUN�[V�WH[PLU[Z��ZH`Z�4HJ2LHU��¸7H[PLU[Z�^PSS�^HU[�[V�IL�PU]VS]LK�PU�YLZLHYJO�PM�[OL`�JHU�ZLL�OV^�P[�^PSS�THRL�H�KPMMLYLU[�[V�[OLT�HUK�[V�V[OLY�WLVWSL�¹�7H[PLU[Z�ULLK�H�¸Z[YVUN�HUK�PTTLKPH[L�PTWHJ[�SVVW�VU�OV^�[OLPY�[PTL�HUK�JVU[YPI\[PVU�THKL�H�KPMMLYLUJL�¹�ZH`Z�4HJ2LHU�

Breakout session priorities

;VT�5VZL^VY[O`!�¸0U�V\Y�NYV\W��ILJH\ZL�^L»YL�[HSRPUN�HIV\[�WH[PLU[�VYPLU[H[PVU��^L�^HU[�[V�OH]L�H�IYVHKLY�\UKLYZ[HUKPUN�VM�^OH[�[OL�9�^VYK�PZ�HSS�HIV\[��>L»YL�^VYYPLK�HIV\[�[VV�YLZ[YPJ[P]L�H�KLÄUP[PVU¯�L[OPJZ�HWWYV]LK��WYV[VJVS�KYP]LU��W\ISPZOLK��IPN�9�YLZLHYJO�¹�;OH[�[`WL�VM�YLZLHYJO�PZ�TPZZPVU�JYP[PJHS��ZH`Z�5VZL^VY[O �̀�I\[�OPZ�NYV\W�[OV\NO[�PUZ\MÄJPLU[�HUK�Z\NNLZ[LK�PUJS\KPUN�TVYL�VM�[OL�YLZLHYJO�KLZJYPILK�PU�)YLU[�1HTLZ»�WYLZLU[H[PVU�

NEEDS BARRIERS DESIRED PLATFORM ACTIONS

�� (�WHJRHNL�VM�Z\WWVY[�MVY�[YHPUPUN��WH[PLU[Z�HUK�JSPUPJPHUZ��HUK�JHWHJP[`�I\PSKPUN

�� 4L[OVKVSVNPLZ�MVY�JHW[\YPUN�[OL�WH[PLU[�L_WLYPLUJL

�� 9L[LU[PVU�HUK�Z[YLUN[OLUPUN�VM��7(*,9�HUK�YLSH[LK�WYVNYHTZ

�� :WLJPHS�H[[LU[PVU�[V�KLÄULK�WVW\SH[PVUZ��Z\JO�HZ�(IVYPNPUHS�or rural

�� (�SPTP[LK�\UKLYZ[HUKPUN�VM�^OH[�PZ�PUJS\KLK�\UKLY�[OL�WH[PLU[�oriented research umbrella

�� 4VIPSPaL�KVUVYZ�MVY�WH[PLU[�oriented research

�� 7YV]PKL�H�WVY[HS�VM�LU[Y`�MVY�WH[PLU[�MLLKIHJR�HUK�[LZ[PUN�VM�WH[PLU[�VYPLU[LK�PUUV]H[PVUZ��PUJS\KPUN�ZVJPHS�TLKPH�JOHUULSZ

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 41

Pragmatic Clinical Trials PlatformMichael Hill and Richard Fedorak��QVPU[�SLHKZ;OL�NVHS�VM�[OPZ�WSH[MVYT�PZ�[V�YLKLZPNU�WYVJLZZ�[V�TV]L�MYVT�PULMÄJPLUJ`�[V�LMÄJPLUJ`�HUK�MYVT�PUHKLX\H[L�[V�ILZ[��;OL�L_PZ[PUN�TVKLS�VM�YHUKVTPaLK�JSPUPJHS�[YPHSZ��OV^L]LY��PZ�UV[�[OL�ILZ[�TVKLS�[V�JVTWHYL�L]PKLUJL�[OH[�HJJ\T\SH[LZ�PU�H�K`UHTPJ�TLKPJHS�Z`Z[LT��HJJVYKPUN�[V�[OL�QVPU[�WSH[MVYT�SLHKZ��+Y��4PJOHLS�/PSS�VM�[OL�<UP]LYZP[`�VM�*HSNHY`�HUK�+Y��9PJOHYK�-LKVYHR�VM�[OL�<UP]LYZP[`�VM�(SILY[H�

0UZ[LHK��[OL�7YHNTH[PJ�*SPUPJHS�;YPHSZ�7SH[MVYT�^PSS�LTWSV`�)H`LZPHU�HKHW[P]L�HUHS`[PJHS�HWWYVHJOLZ��VY�V[OLY�UV]LS�HWWYVHJOLZ��Z\JO�HZ�[OVZL�KL]LSVWLK�I`�[OL�THJOPUL�SLHYUPUN�NYV\W�H[�[OL�<UP]LYZP[`�VM�(SILY[H��;OLZL�IYPUN�H�U\TILY�VM�HK]HU[HNLZ!�� 7LYTP[Z�JOHUNLZ�PU�JHYL�V]LY�[PTL�� *VU[YVSZ�MVY�MHSZL�WVZP[P]L�HUK�MHSZL�ULNH[P]L�� (SSV^Z�MVY�UL^�[OLYHWPLZ�HZ�[OL�[YPHS�WYVNYLZZLZ�� (SSV^Z�MVY�HKVW[PVU�VM�MH]V\YLK�[OLYHWPLZ�HUK�ÄUPZOPUN�[OL�[YPHS�LHYS`�^OLU�`V\�ZLL�ZVTL[OPUN�PZ�^VYRPUN�� (SSV^Z�MVY�UVU�YHUKVT�HSSVJH[PVU�HUK�WYV]PKPUN�[OL�MH]V\YLK�[YLH[TLU[�[V�[OL�TVZ[�WH[PLU[Z�� (SSV^Z�[OL�:*5Z�[V�[LZ[�KYP]L�H�WYVJLZZ�^P[OV\[�OH]PUN�[V�NV�[OYV\NO�[OL�WH[PLU[�YLJY\P[TLU[�WYVJLZZ�� (SSV^Z�MVY�YLSL]HU[�Z\INYV\WZ�

(�YLHS�SPML�L_HTWSL�VM�OV^�H�WYHNTH[PJ�JSPUPJHS�[YPHS�JVTWHYLZ�[V�H�YHUKVTPaLK�JVU[YVS�[YPHS�PU�PUMVYTPUN�KLJPZPVU�THRPUN�PZ�[OL�PU]LZ[PNH[PVU�PU[V�^OL[OLY�VY�UV[�PUÅP_PTHI�ZOV\SK�IL�PUJS\KLK�VU�[OL�MVYT\SHY`�MVY�\SJLYH[P]L�JVSP[PZ��

0UÅP_PTHI�]LYZ\Z�JVSLJ[VT`

Randomized control trial Pragmatic clinical trial

���WLY�JLU[�YLZWVUZL�YH[L ��WLY�JLU[�YLZWVUZL�YH[L

���������WLY�X\HSP[`�HKQ\Z[LK�SPML�`LHY ��������WLY�X\HSP[`�HKQ\Z[LK�SPML�`LHY

+LJPZPVU�UV[�[V�M\UK�[OL�KY\N +LJPZPVU�[V�M\UK�[OL�KY\N

;YPHSZ�^PSS�PUJVYWVYH[L�HU�VYNHUPaH[PVUHS�HUK�WH[PLU[�WLYZWLJ[P]L�HUK�^PSS�PUJS\KL�Z[HUKHYKPaLK�YLWVY[PUN�HUK�RUV^SLKNL�[YHUZSH[PVU��*VZ[PUN�^PSS�HS^H`Z�IL�PUJVYWVYH[LK�PU[V�[OL�[YPHSZ�

;V�Z\Z[HPU�[OL�WSH[MVYT�IL`VUK�[OL�J\YYLU[�M\UKPUN��[OL�JV�SLHKZ�LU]PZPVU�ZLSSPUN�[OL�WYVJLZZ��-LKVYHR�NH]L�[OL�L_HTWSL�VM�H�KY\N�JVTWHU`�^HU[PUN�[V�THYRL[�HU�HU[P�O`WLY[LUZP]L�KY\N��)LMVYL�[OL�JVTWHU`�PU]LZ[LK�PU�HU�L_WLUZP]L�YHUKVTPaLK�JVU[YVS�[YPHS�MVY�YLN\SH[VY`�W\YWVZLZ��P[�JV\SK�JVUK\J[�H�WYHNTH[PJ�JSPUPJHS�[YPHS�PU�(SILY[H�[OH[�^V\SK�KL[LYTPUL�[OL�YLK\J[PVUZ�PU�PUJPKLUJL�VM�Z[YVRL��OLHY[�H[[HJR��JVTWSPJH[PVUZ��HUK�JVZ[�HZZVJPH[LK�^P[O�SV^LYLK�ISVVK�WYLZZ\YL��;OPZ�^H`�[OL`�JV\SK�KL[LYTPUL�OV^�T\JO�[OLPY�KY\N�ULLKZ�[V�SV^LY�ISVVK�WYLZZ\YL�[V�KYP]L�PTWYV]LK�outcomes.

¸*VTWHUPLZ�^PSS�WH`�MVY�[OH[�¹�ZH`Z�-LKVYHR�

���5,?;�:;,7:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 42

Breakout session priorities

NEEDS BARRIERS DESIRED PLATFORM ACTIONS

�� ;V�ÄSS�[OL�:*5�YLZLHYJO�ZRPSS�ZL[�NHWZ

�� ;V�KL]LSVW�JVUZPZ[LUJ`�HYV\UK�L[OPJZ�WYVJLZZLZ

�� ;V�KL]LSVW�H�IYVHK�YHUNL�VM�PU[LY]LU[PVUZ��UV[�Q\Z[�KY\N�trials

�� ;OL�JVZ[�VM�\ZPUN�[OL�:<7769;�WSH[MVYTZ�PZ�\URUV^U

�� 0UZ\MÄJPLU[�KH[H�VY�SHJR�VM�H^HYLULZZ�VM�L_PZ[PUN�KH[H

�� 3HJR�VM�LK\JH[PVU�HYV\UK�KPMMLYLU[�YLZLHYJO�TL[OVKZ

�� )YVRLY�[OL�KLHSZ�I`�SPURPUN�JSPUPJPHUZ�HUK�YLZLHYJOLYZ��\ZLYZ��HUK�V[OLYZ�HJYVZZ�[OL�WSH[MVYTZ

�� 7YV]PKL�JVUZ\S[H[PVU�VU�Z[\K`�KLZPNU

�� 7YV]PKL�HJJLZZ�[V�H�WVVS�VM�JSPUPJHS�YLZLHYJO�Z[HMM��WYVQLJ[�Z[HMM��VY�WYV[VJVS�PTWSLTLU[H[PVU�Z[HMM

TOOLS, TIPS & TACTICS

“I see SCNs as the future of health care in this country.”

Vickie Kaminski, Alberta Health Services president and CEO

;663:��;07:� �;(*;0*:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 45

TOOLS, TIPS AND TACTICSCanadian Primary Care Sentinel Surveillance Network (CPCSSN)/VZ[LK�I`�[OL�7YPTHY`�*HYL�9LZLHYJO�:*5¸>P[O�*7*::5��^L�IHZPJHSS`�W\SS�KH[H�V\[�VM�[OL�LSLJ[YVUPJ�TLKPJHS�YLJVYKZ��,49��VM�MHTPS`�KVJ[VYZ�HJYVZZ�[OL�WYV]PUJL�¹�ZH`Z�5LPS�+Y\TTVUK��¸;OLU�^L�JSLHU�P[�\W��HUVU`TPaL�P[��W\[�P[�PU[V�H�KH[HIHZL�HUK�THRL�P[�H]HPSHISL�MVY�YLZLHYJO�HUK�Z\Y]LPSSHUJL�¹

*7*::5�^HZ�LZ[HISPZOLK�PU������^P[O�M\UKPUN�MYVT�7\ISPJ�/LHS[O�(NLUJ`�VM�*HUHKH�[V�SVVR�H[�[OL�LPNO[�TVZ[�JVTTVU�TLKPJHS�JVUKP[PVUZ��HUK�PZ�J\YYLU[S`�WHY[ULYLK�^P[O�[OL�*VSSLNL�VM�-HTPS`�7O`ZPJPHUZ��*HUHKH��*-7*��

;OLYL�HYL����7YPTHY`�*HYL�9LNPVUHS�5L[^VYRZ�HJYVZZ�*HUHKH��PUJS\KPUN�VUL�LHJO�PU�,KTVU[VU�HUK�*HSNHY �̀�7HY[PJPWH[PUN�MHTPS`�WO`ZPJPHUZ�VY�U\YZL�WYHJ[P[PVULYZ�HYL�RUV^U�HZ�ZLU[PULSZ�HUK�[OLYL�HYL�J\YYLU[S`�����HJYVZZ�*HUHKH�JVU[YPI\[PUN�KH[H�MVY�TVYL�[OHU���������WH[PLU[Z��

(SILY[H»Z�[^V�UL[^VYRZ��5(7*9L5� �:(7*9L5��OH]L�TVYL�[OHU�����ZLU[PULSZ�HUK�KH[H�MVY�TVYL�[OHU���������WH[PLU[Z�HUK�H�NVHS�[V�OH]L�TVYL�[OHU�������ZLU[PULSZ�^P[OPU�[OL�UL_[�ML^�`LHYZ�

*7:**5�PZ�HISL�[V�L_[YHJ[�KH[H�MYVT����KPMMLYLU[�,49�Z`Z[LTZ��[YHUZMVYT�[OL�KH[H�PU[V�H�Z[HUKHYK�ZJOLTH��HUK�[OLU�THRL�P[�HJJLZZPISL�[OYV\NO�HU�PU[LYHJ[P]L�KH[H�WYLZLU[H[PVU�[VVS�MVY�J\Z[VTPaLK�YLWVY[PUN�HUK�X\LY`PUN�

Simulation ModellingDeborah MarshallCanada Research Chair in Health Services and Health Systems Research

:PT\SH[PVU�TVKLSPUN�PZ�T\JO�SPRL�\ZPUN�H�5(:(�ÅPNO[�ZPT\SH[VY��ZH`Z�+LIVYHO�4HYZOHSS��0UZ[LHK�VM�PTWSLTLU[PUN�H�JOHUNL�HUK�[OLU�HZZLZZPUN�[OL�PTWHJ[�VM�[OL�JOHUNL�HM[LY^HYK��`V\�TVKLS�[OL�JOHUNL�PU�H�ZPT\SH[PVU�I`�Z`U[OLZPaPUN�[OL�KH[H��@V\�JHU�[OLU�ZLL�YLZ\S[Z��PUJS\KPUN�\UPU[LUKLK�JVUZLX\LUJLZ��HUK�\ZL�[OL�PUMVYTH[PVU�[V�Z\WWVY[�KLJPZPVU�THRPUN��VUNVPUN�HZZLZZTLU[�HUK�PTWYV]LTLU[�

)LZ[�WLYMVYTPUN�OLHS[O�Z`Z[LTZ�^VYR�[OPZ�^H �̀�ZH`Z�4HYZOHSS��;OL�4H`V�*SPUPJ��MVY�L_HTWSL��OHZ�H�KLKPJH[LK�[LHT�VM�Z`Z[LTZ�LUNPULLYZ�[OH[�SVVR�H[�WYVJLZZ�L]HS\H[PVU�HUK�Z`Z[LT�YLKLZPNU�PU�[OL�*LU[YL�MVY�[OL�:JPLUJL�VM�/LHS[OJHYL�+LSP]LY �̀

¸/LHS[O�JHYL�PZ�JVTWSL_�HUK�K`UHTPJ�¹�ZH`Z�4HYZOHSS��¸>L�ULLK�[V�\UKLYZ[HUK�[OL�L]LU[�HUK�[OL�YLSH[PVUZOPWZ�[V�PUMVYT�Z`Z[LT�YLKLZPNU�¹�>P[O�TVKLSPUN��^L�KV�[OH[��¸I`�TV]PUN�V\Y�MVJ\Z�H^H`�MYVT�SVVRPUN�H[�H�ZPUNSL�WYVISLT�PU�ZPSV¯�HUK�MVJ\ZPUN�VU�H�Z`Z[LTZ�HWWYVHJO�¹

;OL�WYVJLZZ�ILNPUZ�^P[O�Z[HRLOVSKLY�LUNHNLTLU[��ZH`Z�4HYZOHSS��^OPJO�OLSWZ�[V�JSLHYS`�KLÄUL�[OL�WYVISLT�HUK�\UKLYZ[HUK�^OH[�[OL�VIQLJ[P]LZ�HYL��-YVT�[OLYL��`V\�KL[LYTPUL�OV^�[OVZL�VIQLJ[P]LZ�^PSS�IL�TLHZ\YLK�

4HYZOHSS�NH]L�HU�L_HTWSL�^P[O�[OL�(/:�(0/:�7HY[ULYZOPW�MVY�9LZLHYJO�HUK�0UUV]H[PVU�PU�[OL�/LHS[O�:`Z[LT��790/:��NYHU[�SVVRPUN�H[�[^V�JLU[YHSPaLK�PU[HRL�VW[PVUZ�MVY�[OL�)VUL�HUK�1VPU[�:[YH[LNPJ�*SPUPJHS�5L[^VYR!(�� 9LMLYYPUN�WH[PLU[Z�JLU[YHSS �̀�[OLU�HZZLZZPUN�[OLT��HUK�[YPHNPUN�[OLT�[OYV\NO�ZWLJPHS[`�JHYL")��-PYZ[�HZZLZZPUN�HUK�[YPHNPUN�WH[PLU[Z�HUK�[OLU�ZLUKPUN�[OLT�[V�ZWLJPHS[`�JHYL�

;663:��;07:� �;(*;0*:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 46

;OL�ZPT\SH[PVU�HSSV^LK�[OL�[LHT�[V�HZZLZZ�WYVIHISL�V\[JVTLZ�HJYVZZ�H�U\TILY�VM�TLHZ\YLZ�

Strategy A Strategy B

;PTL�MYVT�YLMLYYHS�YLJLP]LK�[V�YLMLYYHS�JVTWSL[L

7 days 4 days

7LYJLU[HNL�VM�YLMLYYHSZ�^OLYL�HKKP[PVUHS�PUMVYTH[PVU�PZ�YLX\LZ[LK

����� ���

7LYJLU[HNL�VM�WH[PLU[Z�HWWYVWYPH[LS`�[YPHNLK

��� ���

7LYJLU[HNL�VM�WH[PLU[Z�YLKPYLJ[LK�[V�HUV[OLY�WYV]PKLY�[LHT�HZ�H�YLZ\S[�VM�HU�PUJVYYLJ[S`�KPYLJ[LK�YLMLYYHS

�� ���

Resources required ��;YPHNL�HZZLZZTLU[ ��;YPHNL�HZZLZZTLU[

Total costs associated with

Z[YH[LN`�WLY�`LHY��5\YZL�WYHJ[P[PVULYZ ��9OL\TH[VSVNPZ[Z

��9OL\TH[VSVNPZ[Z ��7O`ZPV[OLYHWPZ[Z

��0U[HRL�*VVYKPUH[VYZ ��0U[HRL�*VVYKPUH[VY

����4 �����4

¸4VKLSZ�KVU»[�Ä_�WYVISLTZ�¹�ZH`Z�4HYZOHSS��¸7LVWSL�KV¯P[»Z�[OL�JVTIPUH[PVU�VM�OH]PUN�[OL�YPNO[�KH[H��TLHZ\YPUN�[OL�YPNO[�[OPUNZ��HUK�KVPUN�P[�JVSSHIVYH[P]LS �̀�^P[O�WLVWSL�THRPUN�KLJPZPVUZ�PUMVYTLK�I`�[OL�KH[H�¹

;663:��;07:� �;(*;0*:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca 47

Removing the barriers to knowledge translationSharon Straus*HUHKH�9LZLHYJO�*OHPY�2UV^SLKNL�;YHUZSH[PVU�HUK�8\HSP[`�VM�*HYL

¸)L^HYL�[OL�2;�PTWLYH[P]L��UV[�L]LY`[OPUN�OHZ�[V�IL�PTWSLTLU[LK�¹�ZH`Z�:OHYVU�:[YH\Z��)L�L_WSPJP[�\W�MYVU[�HIV\[�OV^�^L�HYL�NVPUN�[V�JOVVZL�HUK�WYPVYP[PaL���¸>L�JHU»[�KV�L]LY`[OPUN��>L�ZOV\SKU»[�KV�L]LY`[OPUN�¹

;V�OLSW�WYPVYP[PaL��P[�OLSWZ�[V�SVVR�H[�ZVTL�VM�[OL�IHYYPLYZ�[V�2;�PTWSLTLU[H[PVUZ��ZH`Z�:[YH\Z��:\YWYPZPUNS �̀�¸SHJR�VM�RUV^SLKNL�PZ�UV[�[OL�TVZ[�ZPNUPÄJHU[�IHYYPLY�¹�ZOL�ZH`Z��¸7LVWSL�[OPUR�PM�^L�Q\Z[�[VSK�WLVWSL�^OH[�[V�KV��[OL`�^V\SK�KV�P[��¸�>OH[�[OL�SP[LYH[\YL�ZH`Z��OV^L]LY��PZ�[OH[�SHJR�VM�RUV^SLKNL�PZ�Q\Z[�VUL�VM�����IHYYPLYZ�[V�PTWSLTLU[PUN�N\PKLSPULZ��HUK�[OPZ�PZ�Q\Z[�MVY�WO`ZPJPHUZ�

Time as a barrier

(U�L_HTPUH[PVU�VM�^OH[�WO`ZPJPHUZ�^V\SK�OH]L�[V�KV�[V�JVTWS`�^P[O�[OL�N\PKLSPULZ�MVY�[VW�LPNO[�JOYVUPJ�KPZLHZLZ�ZOV^LK�P[�^V\SK�[HRL�H�WYPTHY`�JHYL�WO`ZPJPHU�����OV\YZ�H�KH �̀�VY�����KH`Z�WLY�`LHY�KV�JVTWS`�MVY�[OLPY�JVOVY[�VM�WH[PLU[Z�V]LY����`LHYZ�VM�HNL��¸,]LY`[OPUN�[YPJRSLZ�KV^U�[V�[OL�ZHTL�WH[PLU[�WVW\SH[PVU��[V�[OL�ZHTL�MYVU[�SPUL�^VYRLYZ�¹�ZH`Z�:[YH\Z�

Focusing only on clinicians

¸>L�^VYR�^P[OPU�H�JVTWSL_�Z`Z[LT�HUK�ZOV\SK�IL�[HYNL[PUN�L]LY`�SL]LS�¹�ZOL�ZH`Z��-VY�L_HTWSL�H�Z`Z[LTH[PJ�YL]PL^�VM�RUV^SLKNL�[YHUZSH[PVU�HUK�X\HSP[`�PTWYV]LTLU[�PU[LY]LU[PVUZ�MVY�WH[PLU[Z�^P[O�KPHIL[LZ�ZOV^LK�[OL�TVZ[�LMMLJ[P]L�PU[LY]LU[PVUZ�[HYNL[LK�[OL�WH[PLU[Z�HUK�[OLPY�[LHTZ��Z\JO�HZ�WYVTV[PVU�VM�ZLSM�THUHNLTLU[��WH[PLU[�LK\JH[PVU�HUK�WH[PLU[�YLTPUKLYZ�

Moving forward without the evidence

¸)L^HYL�VM�[OL�ºP[�ZLLTLK�SPRL�H�NVVK�PKLH�H[�[OL�[PTL»�WYPUJPWSL�¹�ZH`Z�:[YH\Z��HUK�PUZ[LHK�YL]PL^�[OL�L]PKLUJL�[V�KLJPKL�^OH[�PU[LY]LU[PVU�`V\»YL�NVPUN�[V�KV��(�Z`Z[LTH[PJ�YL]PL^�VM�����N\PKLSPULZ�MV\UK�VUS`�MV\Y�^LYL�L]PKLUJL�based.

;V�OLSW��:[YH\Z�YLJVTTLUKZ�[OL�9?�MVY�*OHUNL�+H[HIHZL��0[»Z�H�MYLLS`�HJJLZZPISL�KH[HIHZL�[OH[�JYP[PJHSS`�HWWYHPZLZ�Z`Z[LTH[PJ�YL]PL^Z�VM�ILOH]PV\Y�JOHUNL�PU[LY]LU[PVUZ��¸0[»Z�H�VUL�Z[VW�ZOVW�[V�PKLU[PM`�[OL�L]PKLUJL�MVY�`V\�¹

Neglecting to consider sustainability

¸=LY`�ML^�PTWSLTLU[H[PVU�WYVQLJ[Z�[OPUR�HIV\[�Z\Z[HPUHIPSP[`�\W�MYVU[�¸�ZH`Z�:[YH\Z��6US`�[^V�VM�T\S[P�JVTWVULU[�RUV^SLKNL�[YHUZSH[PVU�PU[LY]LU[PVUZ�VM�������ZJYLLULK�TLU[PVULK�Z\Z[HPUHIPSP[ �̀�¸;OLYL�HYL�WYVJLZZLZ�MVY�[OPZ��[OLYL�HYL�[VVSZ�[OH[�^L�JHU�\ZL�¹�ZOL�ZH`Z��

Lack of knowledge translation research capacity

:[YH\Z�YLJVTTLUKZ�2;�*HUHKH��H�UH[PVUHS�PUP[PH[P]L�VMMLYPUN�[OYLL�Z[YLHTZ�VM�[YHPUPUN�MVY�2;�ZJPLU[PZ[Z��V[OLY�ZJPLU[PZ[Z��HUK�KLJPZPVU�THRLYZ��JSPUPJPHUZ��WH[PLU[Z�HUK�THUHNLYZ�

;663:��;07:� �;(*;0*:�� / SCN Research Connections Summary 2014 / www.aihealthsolutions.ca ��

Alternate approaches to randomized trials

Braden Manns:JPLU[PÄJ�+PYLJ[VY��2PKUL`�:[YH[LNPJ�*SPUPJHS�5L[^VYR

¸0M�`V\»YL�HIV\[�[V�Q\TW�V\[�VM�H�WSHUL��0�Z\ZWLJ[�HSS�VM�`V\�^V\SK�^HU[�H�WHYHJO\[L��7HYHJO\[LZ�HJ[\HSS`�OH]LU»[�ILLU�[LZ[LK�PU�YHUKVTPaLK�[YPHSZ��HS[OV\NO�0�Z\ZWLJ[�PM�[OL`�^LYL��P[�^V\SKU»[�[HRL�THU`�WLVWSL�PU�[OL�JVU[YVS�NYV\W�[V�YLHSPaL�[OL`�^LYL�KVPUN�^VYZL�¹

)\[�PU�OLHS[O�JHYL�HSTVZ[�HSS�[LZ[Z��HUK�PU[LY]LU[PVUZ�ULLK�[V�IL�PTWSLTLU[LK�^P[OPU�[OL�WYVJLZZ�VM�NLULYH[PUN�YLSPHISL�KH[H�[V�\UKLYZ[HUK�[OH[�[OL`�HYL�HJ[\HSS`�OH]PUN�HU�PTWHJ[�VU�V\[JVTLZ�[OH[�HYL�PTWVY[HU[�[V�WH[PLU[Z�HUK�V\[JVTLZ�[OH[�HYL�PTWVY[HU[�[V�OLHS[O�JHYL�WH`LYZ�

;OL�JOHSSLUNL�MVY�:*5Z�PZ�KL[LYTPUPUN�[OL�[`WL�VM�L]PKLUJL�ULLKLK��[OL�V\[JVTLZ�[V�Z[\K �̀�HUK�OV^�[V�NL[�[OL�YLX\PYLK�KH[H��ZH`Z�4HUUZ�

0U�������^L�OHK�HIV\[����WLY�JLU[�VM�WLVWSL�^OV�^LYL�VU�KPHS`ZPZ�NL[[PUN�OVTL�KPHS`ZPZ��>L�[OPUR�H�OPNO�WLYMVYTPUN�WYVNYHT��`V\�^V\SK�ZLL�HIV\[����WLY�JLU[��

7LVWSL�VU�KPHS`ZPZ�LP[OLY�YLJLP]L�P[�PU�OVZWP[HS�VY�HYL�[YHPULK�[V�OH]L�[OLPY�KPHS`ZPZ�H[�OVTL��;OL�Z\Y]P]HS�PZ�HIV\[�HZ�SVUN�MVY�IV[O�[YLH[TLU[Z�HUK�[OL�X\HSP[`�VM�SPML�ZVTL^OH[�IL[[LY�PM�[OL�KPHS`ZPZ�PZ�KVUL�H[�OVTL��/VTL�KPHS`ZPZ�PZ�HIV\[���������SLZZ�L_WLUZP]L��¸;OPZ�PZ�^OH[�^L�JHSS�HU�LJVUVTPJ�UV�IYHPULY��>L�ZOV\SK�YLHSS`�IL�KVPUN�HZ�T\JO�VM�[OPZ�HZ�WVZZPISL�¹�ZH`Z�4HUUZ��

>OLU�WH[PLU[Z�^LYL�Z\Y]L`LK��¸HIV\[����WLY�JLU[�ZHPK�[OL`�KPKU»[�RUV^�[OLYL�^HZ�Z\JO�H�[OPUN�HZ�OVTL�KPHS`ZPZ��¸VY�KPKU»[�\UKLYZ[HUK�^OH[�P[�^HZ��VY�^LYL�HMYHPK�VM�SLHYUPUN�[V�\ZL�[OL�LX\PWTLU[��;OLYL�^HZ�ZVTL�MLHY�VM�JOHUNL�HUK�attitudes that needed to be addressed.

;V�HKKYLZZ�[OPZ��WH[PLU[�LK\JH[PVUHS�TH[LYPHSZ�^LYL�KL]LSVWLK��Z\JO�HZ�]PKLVZ�HUK�WHTWOSL[Z��HUK�U\YZL�SLK�SLHYUPUN�ZLZZPVUZ��HUK�PTWSLTLU[LK�PU�H�YHUKVTPaLK�[YPHS��

([�[OL�LUK�VM�[OL�YHUKVTPaLK�[YPHS��[OL�WYVWVY[PVU�VM�WH[PLU[Z�^OV�ZHPK�[OL`�^V\SK�KV�OVTL�KPHS`ZPZ�^LU[�\W����WLY�JLU[�HUK�[OH[�[YHUZSH[LK�PU[V�[OLT�HJ[\HSS`�KVPUN�OVTL�KPHS`ZPZ�^OLU�P[�^HZ�[PTL�MVY�[OLT�[V�Z[HY[�KPHS`ZPZ�

7YPVY�[V�PTWSLTLU[PUN�[OL�WYVNYHT��[OL�U\TILYZ�VU�OVTL�KPHS`ZPZ�OHK�NVUL�\W�[V�HIV\[����WLY�JLU[��;OL`�YVZL�IYPLÅ`�[V�HIV\[�� �WLY�JLU[��������HUK�HYL�UV^�H[�HIV\[����WLY�JLU[�HJYVZZ�(SILY[H�

9LZLHYJOLYZ�HYL�UV^�PTWSLTLU[PUN�H�KH[HIHZL�[V�\UKLYZ[HUK�H[�H�WYVNYHT�SL]LS�[OL�IHYYPLYZ�WH[PLU[Z�HYL�MHJPUN��;OH[»Z�[OL�RPUK�VM�PU[LY]LU[PVU�`V\�JHU»[�PTWSLTLU[�PU�H�YHUKVTPaLK�[YPHS�MVYTH[��ZH`Z�4HUU�

0M�`V\�JHU»[�PTWSLTLU[�PU�H�YHUKVTPaLK�[YPHS�^OH[�HYL�`V\Y�V[OLY�VW[PVUZ&�� 1\Z[�PTWSLTLU[�ILJH\ZL�[OLYL�PZ�]LY`�NVVK�L]PKLUJL�HYV\UK�P[�� *VU[YVSSLK�ILMVYL�HUK�HM[LY�L_WLYPTLU[Z�� 5VU�YHUKVTPaLK�JVU[YVS�[YPHSZ�� 0U[LYY\W[LK�[PTL�ZLYPLZ�HUHS`ZPZ

(U�L_HTWSL�VM�HU�PU[LYY\W[LK�[PTL�ZLYPLZ�HUHS`ZPZ�ILNHU�PU�������^OLU�P[�^HZ�YLJVNUPaLK�[OH[�WYPTHY`�JHYL�WO`ZPJPHUZ�HUK�UV[�ZWLJPHSPZ[Z�^LYL�SVVRPUN�HM[LY� ��WLY�JLU[�VM�WLVWSL�^P[O�RPKUL`�WYVISLTZ��:WLJPHSPZ[Z�^LYLU»[�ZLLPUN�WH[PLU[Z�LHYS`�LUV\NO��OPNO�YPZR�WH[PLU[Z�^LYLU»[�ILPUN�PKLU[PÄLK��HUK�[OL�[LZ[�MVY�RPKUL`�M\UJ[PVU�^HZ�UV[�VW[PTHS��

0U�������[OL`�PTWSLTLU[LK�H�UL^�SHI�[LZ[�MVY�RPKUL`�M\UJ[PVU�HJYVZZ�HSS�SHIZ��^OPJO�YLZ\S[LK�PU�[^PJL�HZ�THU`�YLMLYYHSZ��I\[�UV�PUJYLHZLZ�PU�PKLU[PÄJH[PVU�VM�OPNO�YPZR�WH[PLU[Z�VY�PU�[OVZL�YLJLP]PUN�N\PKLSPUL�YLJVTTLUKLK�TLKPJH[PVUZ�

0U�H�JS\Z[LY�YHUKVTPaLK�[YPHS�HJYVZZ����WYPTHY`�JHYL�WYHJ[PJLZ��[OL�YLZLHYJOLYZ�[OLU�HKKLK�TLKPJH[PVU�YLJVTTLUKH[PVUZ�\UKLY�[OL�SHI�YLWVY[�VM�RPKUL`�M\UJ[PVU�HUK�Z\NNLZ[LK�WO`ZPJPHUZ�JVUK\J[�H�\YPUL�WYV[LPU�[LZ[��:THSS�JOHUNLZ�[V�[OL�\ZL�VM�TLKPJH[PVUZ�YLZ\S[LK�HSVUN�^P[O�H�ZL]LU�WLY�JLU[�PUJYLHZL�PU�\YPUL�[LZ[PUN��:WLJPHSPZ[Z��OV^L]LY��^LYL�Z[PSS�ZLLPUN�VUS`����WLY�JLU[�VM�[OL�WH[PLU[Z�KPHNUVZLK�^P[O�SLZZ�[OHU����WLY�JLU[�RPKUL`�M\UJ[PVU�

;OL�X\HSP[`�PTWYV]LTLU[�^VYR�JVU[PU\LZ�HZ�[OL�:*5�KL]LSVWZ�H�JSPUPJHS�WH[O^H �̀

www.aihealthsolutions.ca

top related