Reports

Incentives to Improve Primary Care in England

In this case study, commissioned for our Tools for Change Symposium in April 2010, UK healthcare leader and researcher David Woodhead examines the Quality and Outcome Framework (QOF), a set of performance objectives linked to the blended remuneration system for primary care providers in England. Before the UK government proposed major changes to the NHS More >

Top Lessons from Knowledge Translation Symposium: Bridging the ‘Know-Do’ Gap

This summary captures key learnings from digital voting by participants at The Change Foundation’s September 2009 knowledge translation symposium attended by over 50 nursing leaders, healthcare policy experts and knowledge translation (KT) practitioners. To prioritize identified challenges and catalyze debate at the symposium, participants used keypads to vote on questions about challenges and critical factors More >

Engaging Communities in Healthcare Change in Ontario: Mission Impossible?

A companion to the summary report from the March 2009 invitational symposium and workshop, Community Engagement & the LHINs: Truth & Consequences. Our commentary draws out the policy issues and implications emerging from what we heard and pulls out salient suggestions on how to support health service providers and the LHINs in enabling informed citizen More >

Community Engagement & the LHINs: Truth & Consequences – Summary Report

A summary of presentations and discussion at The Change Foundation’s March 2009 symposium and workshop help in partnership with Ontario’s Local Health Integration Networks (LHINs) to explore enablers and barriers to community engagement in healthcare change. This summary also shares the results of real-time voting at the symposium on such critical questions as the priorities More >

Who is the Puzzle Maker?

“You’re sent for more tests, you’re adding more doctors or specialists … and then you really sit back and you have to think to yourself from time-to-time, ‘Well, who is the puzzle maker? Who’s getting all these pieces and putting them together?’” — Carmen, patient and caregiver in Toronto Through snapshots of patient and caregiver More >

I Don’t Know: Receiving Home Care After Being Hospitalized

By listening to elderly patients and their caregivers, our Having Their Say & Choosing Their Way project highlighted needed changes to improve the transition from hospital to home care. This report summarizes findings from the two Ontario regions where hospitals and community care access centres (CCACs) worked together to address poor communication and inadequate information More >

Catch 22: Going to Long-Term Care After Being Hospitalized

By listening to elderly patients and caregivers, our Having Their Say & Choosing Their Way project highlighted needed changes to improve the transition from hospital to long-term care. This report summarizes findings from the two Ontario regions where hospitals and community care access centres (CCACs) worked together to address poor communication and inadequate information systems, More >

First Things First: Fostering Accountable, Connected, Quality Primary Healthcare

The purpose of this framing paper was to amplify the thinking behind The Change Foundation’s 2009 Meeting of the Minds exchange, First Things First: Fostering Accountable, Connected, Quality Primary Health Care, and to stimulate discussion and debate. The way in which a health system organizes, funds, incents and rewards its primary healthcare sector has a More >

Integrated Healthcare in England: Lessons For Ontario

This case study is the first in a series of papers by The Change Foundation that will draw from instructive international examples of integrated health systems. Why start with the English National Health Service (NHS)? Because it is intentional, takes risks, makes mistakes, and learns from them. It keeps the patient at the centre of More >

Local Health Integration Networks: Structure, Powers and Accountability

The Change Foundation commissioned health law and policy firm Osborne Margo to produce this plain-language guide to the key elements of the legislation governing Ontario’s Local Health Integration Networks (LHINs). At the time, there had been an enormous amount of work done to get the LHINs up and running and immersed in integrating health services. More >

WHAT’S BEING SAID

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