System Transformation Reports

Integrated Healthcare in England: An Update

To coincide with Baroness Barbara Young’s November 2010 Hot Talk on Health, the Foundation released an update to our May 2009 international case study on the National Health Service (NHS), Integrated Healthcare in England: Lessons for Ontario. The revised brief analyses the latest chapter in the NHS journey, assessing main UK change proposals and how More >

Getting Past Yes—to Go

This report summarizes selected highlights from the 2009 Meeting of the Minds, First Things First: Fostering Accountable, Connected, Quality Primary Health Care, held in Toronto June 16-17, 2009. It also tracks some of the developments in primary care in Ontario since then and outlines options for change to improve the quality and accountability of primary More >

Federally-Qualified Health Centers: A US Case Study

In this case study, commissioned for our Tools for Change Symposium in April 2010, Joni M. Steinman of AUSMS Healthcare Consultants looks at the single largest national primary care network in the US. Known as Federally Qualified Health Centers (FQHCs), these provider organizations offer an ever-expanding menu of primary, ancillary and specialty services. They are More >

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 >

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

Where do #caregivers go for information and supports? We gained insights from our survey with 800 caregivers for the Spotlight on Ontario's Caregivers however we wanted to hear from our Caregiver Advisory Panel members as well. Check out what they said: bit.ly/2KJpOOm pic.twitter.com/WJG3ehZI0X