Mifepristone, a drug that brings about a medical abortion was approved by Health Canada approved July 2015 and is expected to become available in summer 2016. Only registered doctors who complete a certified, online training program will be allowed to prescribe and dispense the drug.
Continue reading “Mifepristone Implementation Research in Canada (The CART-Mife Study)”
The overall objective of this project is to implement and evaluate Canada’s new Mental Health Recovery Guidelines in British Columbia and four other Canadian provinces. The Mental Health Commission of Canada (MHCC) developed the Canadian Guidelines for Recovery-Oriented Practice to move beyond policy to implementation of recovery oriented practices in health care organizations.
Continue reading “Implementing Mental Health Recovery Guidelines into Services: A Pan-Canadian Study”
The goal of this project is to create new knowledge towards practical improvements in the delivery of healthcare services to people with complex concurrent disorders (CCD. The project will examine system-wide impacts on individuals with CCD following implementation of two innovative programs in the Vancouver area designed to enhance access to appropriate care.
Continue reading “Improving Systems of Services to People with Complex and Concurrent Disorders”
This research project builds on Dr. Pauly’s 2013 CIHR-PHSI award supported by MSFHR to evaluate the outcomes and implementation of Managed Alcohol Programs (MAPS). The objectives of MAPs are to reduce harm by facilitating greater stability in housing, reducing consumption of hazardous non-beverage and reducing social problems associated with heavy drinking episodes.
Continue reading “Managed Alcohol Programs: Evaluating Effectiveness and Policy Implications”
Principal Investigator: Sara Kreindler, University of Manitoba
Co-Investigator: Janet Joy, Vancouver Coastal Health
Issue: Patient flow – ensuring that patients receive the care they need, when and where they need it – is one of the greatest challenges facing healthcare today. While emergency department overcrowding is its most recognizable symptom, stagnant flow is widely recognized to be a system problem. Yet little is known about what flow-improvement strategies, especially system-level strategies, are truly effective.
Research Objective: This research, which was developed in collaboration with the Western Healthcare CEO forum, its associated Patient Flow Collaborative and all of its member regions, provincial stakeholders and Accreditation Canada, will meet healthcare leaders’ need for guidance on this crucial, complex issue.
Goal: To determine how health regions can achieve maximal improvement in patient flow.
- What works to improve flow?
- What explains inter-regional differences in flow performance?
- What can regions learn from each other's successes and challenges?
Approach: Mixed-methods comparative case study of Western Canada's 10 urban health regions/zones
Home care clients are at particularly high risk for falls and related injuries by virtue of their degree of frailty, lack of independent mobility and presence of multiple chronic conditions. The objective of this study is to determine the impact, cost effectiveness and sustainability of the Strategies and Actions for Independent Living (SAIL) program, and the sub component of the SAIL program – the Home Activity Program (HAP), as strategies for reducing falls and their consequences among home care clients. The SAIL interventions include staff training, fall and injury surveillance, individualized client prevention plans and a Home Activity Program.
Continue reading “Strategies and Actions for Independent Living (SAIL) evaluation study”
The primary purpose of this study is to examine the main transitions that older adults experience as clients of home care, assisted living, and long-term residential care. In collaboration with health care decision-makers from the Fraser Health Authority and the province of British Columbia, two research questions will be addressed:
What are the most common pathways by which older adults transition through the long-term care system (e.g., home care, assisted living, residential care)?
How do individual factors (social, psychosocial, health) influence these transitions?
A better understanding of the patterns that emerge and the factors that influence care transitions is critical for enhancing the quality of life of older adults and their families and for developing policy and program recommendations for health system improvements.
Continue reading “Transitions and trajectories in late life care: Patterns and predictors”
Persons living with HIV/AIDS (PHA) who use illicit drugs often experience poorer health outcomes than those who do not. The Dr. Peter Centre (DPC) is a community-based HIV/AIDS health care centre located in Vancouver, British Columbia (BC) that is run by the Dr. Peter AIDS Foundation. As a strategy to address this problem, the DPC offers a combination of services to vulnerable PHA, many of whom use drugs. These services include harm reduction services (including supervised injection services), social programs, counselling services, meals, housing referrals, and referrals to mental health resources.
Continue reading “A mixed method evaluation of the impact of the Dr. Peter Centre on health care access and outcomes for persons living with HIV/AIDS who use illicit drugs”
In 2007, the Vancouver Island Health Authority (VIHA) began developing a data-driven process to redesign how care is delivered to patients: Care Delivery Model Redesign (CDMR). The overarching goals of CDMR are to achieve care delivery that is responsive to the care needs and experiences of patients, embodies inter-professional practice, and is based on data and evidence. This evaluation will aim to answer three questions about the model:
To what extent have the activities of CDMR contributed to delivering care that meets or exceeds a recognized standard?
To what extent have the activities of CDMR contributed to optimized staff utilization, based on patient care needs?
What are the factors that enable the development of a high-functioning inpatient unit? While questions 1 and 2 focus on patient care quality and optimizing staff, question 3 is intended to capture the interplay of factors between these two domains and others, such as leadership and culture.
Primary Investigators: Katy Mukai and Dr. Ann Holyrood
The Enhanced Seniors Team (EST) is an initiative under the Care Continuum Transformation Project (CCT) that the Vancouver Island Health Authority (VIHA) launched at Nanaimo Regional General Hospital. The EST focuses on improving care for frail, at-risk older adults being seen in the Emergency Department (ED). The aim of the EST is to initiate early, goal-directed care planning and evidence-based interventions to prevent cognitive and functional losses associated with acute illness among hospitalized older patients. The team collaborates with the medical and surgical unit teams to achieve patient goals, decrease hospital length of stay and improve transition to home. The interdisciplinary EST includes a case manager who helps reduce unnecessary hospital admissions by providing referrals that increase access to community-based services and resources.
The health authority wishes to evaluate the impact of the EST in Nanaimo in order to inform implementation of the model in other VIHA hospitals.