{"title":"Commentary: Engagement for Research and Quality Improvement - More Than Just Words.","authors":"Kerry Kuluski, Katie Dainty, Kelly M Smith","doi":"10.12927/hcq.2024.27322","DOIUrl":"https://doi.org/10.12927/hcq.2024.27322","url":null,"abstract":"<p><p>We reflect on the paper from Hahn-Goldberg et al. (2024) who shared key learnings from a pan-Canadian quality improvement (QI) and patient engagement care transition initiative called Bridge-to-Home. In considering the approach and outcomes presented in their paper, we have generated reflections and practical suggestions on how to amplify engagement work even further: (1) patient engagement and QI are about relationships; (2) seamlessly implementing complex interventions across siloed organizations continues to be a challenge, which engagement alone cannot solve; (3) it is time for a paradigm shift; (4) QI is about human behaviour change and is inherently messy; and (5) embedding fulsome evaluation of engagement is essential.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laurie Zimmer, Samer Abou-Sweid, Linda Morrison, Kim Kraeft, Julie Acker
{"title":"If Not NOW, When? A People-Focused Change Model to Improve Patient Flow.","authors":"Laurie Zimmer, Samer Abou-Sweid, Linda Morrison, Kim Kraeft, Julie Acker","doi":"10.12927/hcq.2024.27255","DOIUrl":"10.12927/hcq.2024.27255","url":null,"abstract":"<p><p>Through an ambitious change management initiative titled \"No One Waits (NOW),\" Bluewater Health leaders enlisted staff to take ownership of reducing wait times by identifying barriers to transitions within the hospital and to the community. The approach shifted the hospital's culture to overcome those impediments and succeed in reducing wait times dramatically, including compared with peers. Meanwhile, overall patient experience ratings improved and staff trust increased. These changes have been maintained over several years and have resulted in better management of patient volumes during the COVID-19 pandemic and the current health human resources crisis.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Reddit Data to Refine Vaccine Messaging for a Plan-Do-Study-Act Communications Approach.","authors":"Neil Seeman, Alex Luscombe, Jamie Duncan","doi":"10.12927/hcq.2024.27253","DOIUrl":"10.12927/hcq.2024.27253","url":null,"abstract":"<p><p>Language expressed in online forums can highlight which pro-vaccination messages intensify vaccine skepticism and which messages resonate with different populations. This study examined Reddit (an online discussion forum) to analyze what anonymous Canadians disclosed about their rationales for getting vaccinated against COVID-19 during the height of the pandemic. The investigation examined 266 Canadian subreddits (sub-forums on specific topics on Reddit) and evaluated 79 English-language phrases that people commonly use on Reddit to express the reason(s) why they (or someone close to them) chose to get vaccinated/boosted for COVID-19. The findings suggest that machine-learning techniques hold out the promise of a real-time approach toward public health messaging via an iterative Plan-Do-Study-Act cycle.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utilizing Experience Bundles: A Novel Approach to Improving Quality of Care in Long-Term Care.","authors":"Lara Gurney, Florence Yip, Maura MacPhee, Serena Bertoli-Haley","doi":"10.12927/hcq.2024.27256","DOIUrl":"10.12927/hcq.2024.27256","url":null,"abstract":"<p><p>People-centred care is foundational to healthcare excellence. One urban Canadian long-term care residence recently participated in an initiative titled \"Improving the Care Conference Experience\" to engage residents and families in annual care conferences. The Institute for Healthcare Improvement introduced \"care bundles\" to group evidence-based practices within standard processes. For this initiative, one health region's Experience in Care team co-developed, implemented and evaluated an \"experience bundle\" for inclusive care conferences with key stakeholders including residents, family members, direct care providers and leadership. Our ongoing goal is to collaboratively create a culture shift from \"doing to/for\" to \"doing with.\"</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"31-35"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140120992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ombuds AI.","authors":"Neil Seeman","doi":"10.12927/hcq.2024.27259","DOIUrl":"10.12927/hcq.2024.27259","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) offers the promise of developing open-source frameworks and tools that incorporate social and behavioural determinants of health data, thereby fostering an empirical understanding of the causal factors behind patient complaints. Through comprehensive complaint capture and analysis, \"Ombuds AI\" has the potential to realize the vision of delivering equitable, high-quality and sustainable healthcare.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On the Opioid Crisis: An Interview with Vincent Lam.","authors":"Neil Stuart, Anne Wojtak","doi":"10.12927/hcq.2024.27252","DOIUrl":"10.12927/hcq.2024.27252","url":null,"abstract":"<p><p>Vincent Lam, the author of the best-selling novels Bloodletting & Miraculous Cures (Lam 2006) and The Headmaster's Wager (Lam 2012), recently spoke with the editors of Healthcare Quarterly (HQ), Neil Stuart and Anne Wojtak, about his new novel On the Ravine (Lam 2023). The novel explores the nuances of substance abuse and its impacts on patients and the people in their lives.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shannon Weir-Seeley, Carolyn Sandoval, Michael Terner
{"title":"How Would We Know Whether Joint Replacements Are Successful if We Do Not Ask Patients?","authors":"Shannon Weir-Seeley, Carolyn Sandoval, Michael Terner","doi":"10.12927/hcq.2024.27260","DOIUrl":"10.12927/hcq.2024.27260","url":null,"abstract":"<p><p>Joint replacements are among the most effective and most frequently performed surgeries in Canada. Patient-reported outcome measures (PROMs) are measurement instruments completed by patients about aspects of their health status, including pain and function. PROMs data from three provinces show that approximately nine in 10 patients report higher PROM scores after joint replacement surgery. These data can help identify factors that lead to better care and opportunities to further understand what contributes to a patient's perception of surgical success. Expanding the collection of PROMs to more patients and more provinces is needed to help healthcare planners and clinicians understand these important outcomes.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"10-13"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chantal Krantz, Michele Hynes, Amélie DesLauriers, Lillian L Kitcher, Teresa MacMillan, Diane Paradis, Susan Mendelsohn, Susan Curry
{"title":"The Price of Love: Understanding the Financial and Psychosocial Costs of Caring for Children with Medical Complexities.","authors":"Chantal Krantz, Michele Hynes, Amélie DesLauriers, Lillian L Kitcher, Teresa MacMillan, Diane Paradis, Susan Mendelsohn, Susan Curry","doi":"10.12927/hcq.2024.27257","DOIUrl":"10.12927/hcq.2024.27257","url":null,"abstract":"<p><p>Parents of children with medical complexities (CMCs) report significant challenges affecting their financial, emotional and social well-being in relation to caring for their child's medical needs. The Complex Care Navigator Program was designed to provide social, emotional and economic support to parents of CMCs. This paper describes the results and outcomes of the program and the challenges experienced during the evaluation process. Overall, results suggest that the program had a positive impact on the parents' psychosocial functioning and social connections. The results demonstrate the importance of providing early screening, psychosocial intervention and peer support.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Editors.","authors":"Anne Wojtak, Neil Stuart","doi":"10.12927/hcq.2024.27262","DOIUrl":"10.12927/hcq.2024.27262","url":null,"abstract":"<p><p>There is no doubt that 2023 was a very difficult year for many Canadians, as well as people across the world. War caused massive upheaval globally, inflation continued to impose financial hardship on families and our health systems experienced another brutal respiratory season while still in recovery from the COVID-19 pandemic. Unfortunately, the year ahead is likely to bring more political and economic uncertainty, although we hope it also brings with it some opportunities for our health system, including the use of artificial intelligence (AI), research advancements and system transformation initiatives.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Quality 5.0: The Global Health Workforce Crisis - First Things First.","authors":"Leslee J Thompson","doi":"10.12927/hcq.2024.27258","DOIUrl":"10.12927/hcq.2024.27258","url":null,"abstract":"<p><p>The future of quality is personal. Health Quality 5.0 moves people-centred, integrated health and social care systems to the forefront of our post-COVID-19 agenda - and that cannot happen without addressing our global workforce crisis. Building back a stronger, healthier workforce is the first of the five big challenges we address in our special series. Starting with the global health workforce crisis is fitting, given it is the most fundamental and formidable barrier to health and quality today. As we put the pieces of the Health Quality 5.0 puzzle together, a picture of a more resilient health system will emerge and a new leadership agenda to get there will take shape.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}