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We are an independent policy think tank, intent on changing the health-care debate, health-care practice and the health-care experience in Ontario.
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Reports & ResourcesReportsJuly 2011 Integration of Care: Perspectives of Home and Community Providers by The Change Foundation Read the related background technical reports by Patricia M. Baranek, PhD, Health Services and Policy Research Consultant: Integration of Care: Summary Report Integration of Care: Care Coordinators: CCAC Case Managers, Service Coordinators, Intake Coordinators, System Navigators, Intake Coordinators/Order Processors Integration of Care: Personal Support Workers Integration of Care: Regulated Health Professionals: Registered Nurses, Registered Practical Nurses, Physiotherapists, Occupational Therapists, Speech Language Therapists, Social Workers, Dieticians, Respiratory Therapists, Pharmacists. June 2011 Part 2 of the guide "Using Social Media to Improve Healthcare Quality: A Guide to Current Practice and Future Promise: Exploring Two Case Examples and Imagining the Future." November 2010 October 2010 April 26, 2010 Case Studies: 2. Funding Incentives for Integrating Patient Care in Ontario, A U.S. case study: Federally-Qualified Health Centers (FQHCs), Joni M. Steinman, April 2010 See more information and resources from this symposium.
October 28, 2009 Read about the challenges facing patients and the health-care system during these key transfers - and the efforts to address them in a commentary released today by The Change Foundation and the Ontario Association of Community Care Access Centres. The commentary is a companion to two reports detailing the project, undertaken with the South East CCAC and Quinte Health Care and Toronto Central CCAC and Toronto Western. Report 1 "People's experience receiving home care after being hospitalized" and Report 2 "People's experience going to long-term care after being hospitalized" both highlight the need to address poor communication and inadequate information systems, faulty design and processes, and confusion about who is responsible for what. They also outline progress and changes made to date. Also read the news release.
October 28, 2009 Read a commentary by The Change Foundation outlining why community engagement (CE) is an essential ingredient in implementing health-care change that is supported in communities across the province. The Foundation, in collaboration with the Local Health Integration Networks (LHINs), started its own conversation with LHINs last year, in a spring symposium and workshop, Community Engagement & the LHINs: Truth & Consequences. The symposium summary shares the results of what surfaced from real-time voting on such critical questions as the priorities and audiences for community engagement. The symposium, which drew leadership from all the LHINs and featured CE experts (listen to audio clips and read presentations) facilitated discussion and group work, was held as the LHINs were planning how best to engage their communities in the development of their 2nd Integrated Health Service Plan, due the end of November.
July 13, 2009 A commentary arising from the Canadian Policy Research Network (CPRN) and The Change Foundation Leaders Roundtable on Integrated Care for Seniors (Feb. 25, 2009)
June 2009 Framing paper for Meeting of the Minds June 16-17, 2009.
May 19th, 2009 This is the first in a series of international case studies by The Change Foundation drawing instructive lessons from other health-care systems. Read the companion pieces:
Charts:
October 29th, 2008 The Change Foundation dedicated its 1st Meeting of the Minds to examining the lessons learned from more then a decade of regionalized heath care across the country- lessons that could be instructive for Ontario during its early days of devolved health-care decisions making under Local Health Integration Networks (LHINs). Read the highlights. Interested in public health and regionalization? Read more here.
October 14th, 2008 There has been an enormous amount of work done to get the LHINs up and running and immersed in integrating health services. Amid the flurry, a union has issued (and lost) a legal challenge to a LHIN decision, some accountability agreements have not been reached, and supervisors have headed into hospitals to help them meet new mandated requirements. Given that much of the LHIN legislation is untested, it's not surprising that questions – and confusion – about rules, authority and ambiguities abound. To help understand those rules, The Change Foundation commissioned Health Law & Policy firm Osborne Margo to produce a plain-language guide to the key elements of the legislation governing the LHINs, read Structure, Powers and Accountability of Local Health Integration Networks.
July 7, 2008 Patients and their caregivers in the South East want and need timelier, clearer information with proactive community placement planning to find the best, next care when moving from hospital to home. These are some of the key findings from phase 1 of a quality improvement project called Having their Say & Choosing their Way: helping patients and caregivers move from hospital to home. The project is funded by The Change Foundation, in partnership with the Ontario Association of Community Care Access Centres (OACCAC). The Toronto Central CCAC and a Toronto Central LHIN hospital will be involved in the second phase of the project; details will be announced in the fall. Read the phase 1 report, news release and summary of findings.
June 12, 2008 Who is the Puzzle maker? Patient/Caregiver Perspectives on Navigating Health Services in Ontario is The Change Foundation's first health integration report. Read the foundation's new report and related research - Public Expectation and Patient Experience of Integration of Health Care: A Literature Review (June 2008).
June 12, 2008 Exploring Patient and Caregiver Perspectives on Integration in the Ontario Health-care System. This is a background document for The Puzzle maker report.
May 2007 Lays out new mandate and 3 key objectives:
Read the 2007-2010 strategic plan.
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