{"title":"A Message from the Guest Editor.","authors":"","doi":"10.1177/08404704261452353","DOIUrl":"10.1177/08404704261452353","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"305-307"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017830","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":"Ready to Lead: An Innovative Microcredentials Leadership Program for Frontline Healthcare Workers in Continuing Care.","authors":"John W Smith, Susan Stevens","doi":"10.1177/08404704261432501","DOIUrl":"10.1177/08404704261432501","url":null,"abstract":"<p><p>With an ageing population and the highest disability rate in Canada, Nova Scotia continues to see demand for continuing care services grow. While focus has been placed on addressing persistent frontline staffing challenges, less attention has been paid to the ongoing need for new leaders. The many Continuing Care Assistants (CCAs) and Licensed Practical Nurses (LPNs) working in continuing care are a diverse, educated, and experienced workforce bringing new ideas and perspectives into healthcare leadership. Mount Saint Vincent University's Ready to Lead (R2L) program is a microcredential series designed to prepare CCAs and LPNs to progress into continuing care leadership roles. R2L can also serve as a unique recruitment and retention tool attracting individuals seeking career paths including continuing care leadership opportunities. This article details R2L's design, development, and outcomes from the inaugural R2L program offering insights for health leaders wanting to identify effective training and retention strategies.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"308-312"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Augustine Chukwuebuka Okoh, Aimun Shah, Christine Lin, Paranshi Gupta, Naisha Dharia, Caroline Caswell, Henry Yu-Hin Siu, Michelle Howard, Amit Arya, Holly Odoardi, Brian McKenna, Keya Shah, Sarah Wojkowski, Lawrence Grierson
{"title":"Long-Term Care Providers' Perspectives on Health Information Exchange During Patient Transitions Into Long-Term Care: A Multiple Case Study.","authors":"Augustine Chukwuebuka Okoh, Aimun Shah, Christine Lin, Paranshi Gupta, Naisha Dharia, Caroline Caswell, Henry Yu-Hin Siu, Michelle Howard, Amit Arya, Holly Odoardi, Brian McKenna, Keya Shah, Sarah Wojkowski, Lawrence Grierson","doi":"10.1177/08404704261426444","DOIUrl":"10.1177/08404704261426444","url":null,"abstract":"<p><p>This multiple case study explored how Long-Term Care (LTC) teams in Ontario, Canada, manage informational continuity when older adults transition from community-based care to LTC. Five LTC homes, varying in size and rurality, participated, with 20 professionals interviewed across various roles, including nursing, medicine, rehabilitation, and administration. LTC providers emphasized the importance of comprehensive, accurate, and up-to-date biopsychosocial information to support effective care. However, information transferred from community and hospital sources was often incomplete or outdated. To address gaps, LTC staff sought additional details from electronic health records, families, care coordinators, and hospitalists. Their ability to obtain missing information was influenced by organizational capacity, physician's practice location, power dynamics between providers, availability of family caregiver support, and access to electronic health records. A stronger primary/hospital-LTC collaboration, incentives for informational continuity, and a specific staff managing transition information and activities could optimize the LTC transition information exchange process.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"366-372"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sociotechnical Systems and Middle Manager Practices: Improving Policy and Strategy Implementation.","authors":"Michael Morrison","doi":"10.1177/08404704261430252","DOIUrl":"10.1177/08404704261430252","url":null,"abstract":"<p><p>This article, situated within the strategy-as-practice field, explores how healthcare middle managers interpret, contextualize, and adapt sociotechnical systems to achieve strategic objectives. It begins by recognizing how formulation, implementation, and monitoring/evaluation are not separate steps in policy and strategy; rather they are entangled and working in concert to deliver outcomes that meet an intent based on principles and planning assumptions. Next it provides insights into the coevolution of middle manager practices and the sociotechnical systems that guide alignment and misalignment. It then concludes with four recommendations to improve middle manager practices in policy and strategy implementation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"350-354"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fixing Work, Not Workers: Leveraging Artificial Intelligence to Combat Burnout in Canadian Healthcare.","authors":"Taylor Martin, Robert Maunder, Gillian Strudwick","doi":"10.1177/08404704261420330","DOIUrl":"10.1177/08404704261420330","url":null,"abstract":"<p><p>Burnout among healthcare workers in Canada remains a critical challenge with implications for workforce retention, patient safety, and system sustainability. Traditional responses have often emphasized individual coping strategies rather than structural change. This article argues that Artificial Intelligence (AI) might offer new opportunities to address some of the organizational drivers of burnout. We outline three domains where AI may provide value: (1) enhancing the measurement and understanding of burnout, (2) strengthening workforce planning and operational decision-making, and (3) mitigating workplace risks through process redesign and automation. By shifting attention from \"fixing workers\" to \"fixing work,\" AI might be part of the \"solution\" to support healthier, more sustainable healthcare environments.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"333-337"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine Baxter, Carla D'Andreamatteo, Neil Cooke, Joel Robert Krentz, R Marcus Hammond, Danica Fitzsimmons, Carolin Mullins
{"title":"A Multi-Level Approach to Health Promotion for Long-Haul Truck Drivers.","authors":"Catherine Baxter, Carla D'Andreamatteo, Neil Cooke, Joel Robert Krentz, R Marcus Hammond, Danica Fitzsimmons, Carolin Mullins","doi":"10.1177/08404704261459653","DOIUrl":"https://doi.org/10.1177/08404704261459653","url":null,"abstract":"<p><p>Long-Haul Truck Drivers (LHTDs) have been identified as a high-risk population for chronic conditions. Health promotion programs have largely focused on individual behaviours, with less emphasis placed on the broader environmental factors. However, there is growing evidence that effective strategies must consider both individual and environmental factors. Through a social-ecological lens this mixed-methods study explored how the mobile work environment impacts health and health behaviours amongst LHTDs on the Canadian Prairies. Data were collected through semi-structured interviews with 13 participants, diet and activity logs, and a mobile work environment assessment of the Trans-Canada Highway between Manitoba and Alberta. Individual, occupational and policy level influences on the health and health practices of LHTDs were identified. Leaders in health policy are in a key position to build inter-sectoral, collaborative relationships and advocate for the necessary policy changes to create a healthy work environment for LHTDs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261459653"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340600","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}
Amber Louie, Valerie Bob, Judith Atkin, Amanda Henry, Brenda Bartleman, Leena Hasan, Luzdana Maria Escalante Nava, Diane Sawchuck
{"title":"Walking Together: Advancing Culturally Grounded Diabetes Care in Indigenous Communities.","authors":"Amber Louie, Valerie Bob, Judith Atkin, Amanda Henry, Brenda Bartleman, Leena Hasan, Luzdana Maria Escalante Nava, Diane Sawchuck","doi":"10.1177/08404704261460036","DOIUrl":"https://doi.org/10.1177/08404704261460036","url":null,"abstract":"<p><p>Diabetes disproportionately affects Indigenous populations in Canada, reflecting the enduring impacts of colonialism, structural inequities, and systemic barriers within healthcare. The \"Walking Together in the Same Direction\" project developed a community-driven, culturally rooted diabetes prevention framework with ten First Nations communities across South Vancouver Island, British Columbia. Through circle discussions, communities did not simply share experiences-they co-created a 13 Moons framework grounded in Indigenous ways of knowing. This cyclical model reflects a holistic understanding of health across physical, emotional, mental, and spiritual domains, aligned with seasonal teachings and community life. It represents a critical shift from adapting Western models toward centring Indigenous knowledge as the foundation of care, demonstrating community-led design, self-determination beyond consultation, and tangible Indigenous-led outcomes. This work highlights the importance of moving from linear, biomedical approaches toward relational, culturally grounded models that privilege trust, continuity, and holistic wellness.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261460036"},"PeriodicalIF":2.4,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303342","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":"Pathways for First Nations Health Data Sovereignty: Creating Capacity Through Governance.","authors":"Courtney Brianne Defriend, Payal Batra","doi":"10.1177/08404704261460250","DOIUrl":"https://doi.org/10.1177/08404704261460250","url":null,"abstract":"<p><p>Health reports about First Nations in Canada continue to perpetuate systemic and structural racism in Canada. While the acknowledgment of First Nations Peoples' inherent right to own, control, access, and possess information about them and their territories is increasing in Canadian health data systems, the operationalization of such principles continue to live ambiguously. First Nations Health Data Sovereignty is an ongoing, reciprocal, and intersectional process requiring clear governance principles, well-defined structures, and sustained resources to ensure that Nation-based sovereignty is meaningfully embedded in everyday health data operations. In British Columbia, the First Nations Health Authority, working within the governance pathways assigned by Chiefs and leadership undertook research on the topic of First Nations Health Data to articulate key principles that can equip policy and operations across health data systems. These principles aim to reorient First Nations health data away from western accountability frameworks toward Nation-based self-determination and self-governance.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261460250"},"PeriodicalIF":2.4,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273319","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}
Morgan Krauter, Julie Matthews, Lori Vajda, Stephen Pizzale
{"title":"Scaling Access to Speciality Heart Failure Care: Expansion of an Interprofessional Community Hospital Program.","authors":"Morgan Krauter, Julie Matthews, Lori Vajda, Stephen Pizzale","doi":"10.1177/08404704261459201","DOIUrl":"https://doi.org/10.1177/08404704261459201","url":null,"abstract":"<p><p>Scalable, interprofessional care models are needed to support chronic disease management and improve access to speciality services. A community hospital heart function clinic expanded from a single-site, nurse practitioner-led model to a two-site interprofessional program over 4 years. The objective was to examine program growth, service utilization, and operational strategies supporting sustainable expansion. A retrospective review assessed annual encounters, visit types, and provider activity across nursing, pharmacy, supportive cardiology, and community partnerships. The Consolidated Framework for Implementation Research guided analysis of implementation and scalability. Annual encounters increased from 1,562 to 4,623, with unique patients rising from 566 to 854. Registered Nurse telephone follow-ups expanded substantially, with additional growth in Nurse Practitioner and pharmacy visits. The second site accounted for nearly 10% of visits, improving regional access. Interprofessional collaboration and distributed care supported sustainable growth and improved access to specialized heart failure services.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261459201"},"PeriodicalIF":0.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228606","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}
Jae Yon Jones, Lindsay Dankwerth, Amanda Leddy, Victoria Pickles, Gloria Real
{"title":"Leading an Integrated Regional Program to Support Person-Centred Chronic Disease Management in Long-Term Care.","authors":"Jae Yon Jones, Lindsay Dankwerth, Amanda Leddy, Victoria Pickles, Gloria Real","doi":"10.1177/08404704261457372","DOIUrl":"https://doi.org/10.1177/08404704261457372","url":null,"abstract":"<p><p>In Long-Term Care (LTC), many residents live with dementia, a chronic and progressive disease that is often complicated by behavioural and psychological symptoms. A changing context, including the COVID-19 pandemic, health human resource challenges, and increasing medical complexities, has led to greater reliance on medical management of dementia, with risks to residents' health and quality of life. In response, we have developed a regional LTC program that integrates quality, clinical practice and education, research, and nursing specialist expertise to enhance the ability of care teams to provide evidence-based, person-centred dementia care. This strategy includes dedicated quality improvement supports; innovative non-pharmacological approaches, such as optimizing care-in-place with virtual care; and collaborative research opportunities. We describe these strategies and promising results to date, which include shifting the culture of care to support the holistic physical, social, emotional, and spiritual needs of residents living with dementia.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261457372"},"PeriodicalIF":0.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206529","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}