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Advancing a Digitally Enabled Supply Chain as a Strategy to Strengthen Resilience of Canada's Healthcare Supply Chain. 推进数字化供应链作为加强加拿大医疗保健供应链弹性的战略。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27864
Anne W Snowdon, Alexandra Wright, Colleen J Metge, Nancy L Pakieser, Cindy Ly, Saba Ghadiri
{"title":"Advancing a Digitally Enabled Supply Chain as a Strategy to Strengthen Resilience of Canada's Healthcare Supply Chain.","authors":"Anne W Snowdon, Alexandra Wright, Colleen J Metge, Nancy L Pakieser, Cindy Ly, Saba Ghadiri","doi":"10.12927/hcq.2026.27864","DOIUrl":"10.12927/hcq.2026.27864","url":null,"abstract":"<p><p>Currently, most healthcare organizations in Canada lack the capacity to identify products on hand, track their locations or link product use in the delivery of healthcare to patient outcomes. These digital blind spots are associated with delayed product-recall responsiveness, compromised patient safety and a limited ability to make data-driven decisions during supply disruptions. This study presents a co-design strategy supported by the Supply Chain Advancement Network in Health (SCANH) community of practice to define a digital supply chain strategy that will ensure that health systems have the supply chain capacity to deliver quality and safe care to Canadians. Using Delphi methodology and roundtable consultation among diverse health system stakeholders (<i>n</i> = 35), four system-level strategies are described to advance a digitally enabled supply chain within and across Canadian health systems, including: (1) the key features of a clinically integrated, digitally enabled healthcare supply chain; (2) defined data sources and data content to strengthen product traceability (e.g., unique product identification; location data; utilization at point of care); (3) integration of global product data standards to strengthen accuracy and consistency of supply chain management; and (4) interoperability of product data across Canadian healthcare systems. Project findings leverage current federal, provincial and territorial data modernization efforts, such as the Canadian Institute for Health Information's Pan-Canadian Health Data Content Framework strategy and Canada Health Infoway's interoperability initiatives. The results of the co-design strategy offer a strategic path forward to advance a digitally enabled healthcare supply chain across Canada, illustrating how access to standardized product data empowers proactive, evidence-based supply chain decisions that protect patient safety and improve system resilience.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311265","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}
引用次数: 0
Cross-Pollinators and Boundary Spanners: Contributions of Ontario Health Team Fellows to Quality Improvement and Evaluation Capacity for Health Systems. 异花授粉者和边界跨越者：安大略省卫生团队成员对卫生系统质量改进和评估能力的贡献。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27862
Rosanra Yoon, Jennifer Lake, Mulugeta Bayisa Chala, Adora Chui, Robert Barnett, Reham Abdelhalim, Sarah Xiao, Élizabeth Coté-Boileau, Charlotte Anderson
{"title":"Cross-Pollinators and Boundary Spanners: Contributions of Ontario Health Team Fellows to Quality Improvement and Evaluation Capacity for Health Systems.","authors":"Rosanra Yoon, Jennifer Lake, Mulugeta Bayisa Chala, Adora Chui, Robert Barnett, Reham Abdelhalim, Sarah Xiao, Élizabeth Coté-Boileau, Charlotte Anderson","doi":"10.12927/hcq.2026.27862","DOIUrl":"10.12927/hcq.2026.27862","url":null,"abstract":"<p><p>Despite knowledge mobilization efforts between academic researchers and health system decision-makers, the evidence-to-action gap persists. Given that the learning health system is a cycle of knowledge to action to knowledge, the implementation of embedded health service researchers within host health system organizations is a promising approach to bridge the evidence-to-action gap. The contributions of embedded researchers to quality improvement (QI) and evaluation research capacity for integrated health systems are promising areas that warrant investigation. This paper describes the roles and contributions of embedded researchers to QI and evaluation research capacity within the context of nine Ontario Health Teams.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311226","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}
引用次数: 0
Inside the Pharmaceutical Data Tool's Numbers: Drivers Behind Canada's Pharmaceutical Spending. 制药数据工具的内部数据：加拿大制药支出背后的驱动因素。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27858
Shveta Bhasker, Sandy Morrison, Jeff Proulx
{"title":"Inside the Pharmaceutical Data Tool's Numbers: Drivers Behind Canada's Pharmaceutical Spending.","authors":"Shveta Bhasker, Sandy Morrison, Jeff Proulx","doi":"10.12927/hcq.2026.27858","DOIUrl":"10.12927/hcq.2026.27858","url":null,"abstract":"<p><p>Pharmaceutical spending is increasing, and many Canadians are facing challenges with drug affordability. The Pharmaceutical Data Tool (PDT) (CIHI 2026) is a public interactive dashboard launched in 2024 that provides novel insights about drugs that are driving costs. To provide analytical insights on why pharmaceutical spending is increasing, the Canadian Institute for Health Information updated the PDT in January 2026 with 2024 calendar-year data. The PDT provides information on factors that can reduce costs such as biosimilars and formulary coverage. This paper summarizes key findings from the PDT and aims to provide pharmaceutical information users with analytical insights to inform better decision-making.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"12-14"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311236","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}
引用次数: 0
Integrating Geriatric Teams in Primary Care: Transforming Aging Care Through Collaborative Models in Ontario. 在初级保健中整合老年团队：通过安大略省的协作模式改变老年护理。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27860
Kelly Kay, Katie Bingham, Melanie Briscoe, Cailin Campbell, Sandra Easson-Bruno, Jacobi Elliott, Nicole Gallagher, Amanda Gardhouse, Sean Goldhar, George Heckman, Allison Hewitt, Mark Lachmann, Heather MacLeod, Chantelle Mensink, Adam Morrison, Mihaela Nicula, Jagger Smith, Fran Wolfe, Kevin J Young
{"title":"Integrating Geriatric Teams in Primary Care: Transforming Aging Care Through Collaborative Models in Ontario.","authors":"Kelly Kay, Katie Bingham, Melanie Briscoe, Cailin Campbell, Sandra Easson-Bruno, Jacobi Elliott, Nicole Gallagher, Amanda Gardhouse, Sean Goldhar, George Heckman, Allison Hewitt, Mark Lachmann, Heather MacLeod, Chantelle Mensink, Adam Morrison, Mihaela Nicula, Jagger Smith, Fran Wolfe, Kevin J Young","doi":"10.12927/hcq.2026.27860","DOIUrl":"10.12927/hcq.2026.27860","url":null,"abstract":"<p><p>Care models integrating geriatrics into primary care are emerging across Ontario. Referred to as Primary Care Integrated Geriatric Teams (PCIGTs), their evidence-based approaches improve access to specialized care and support for older adults. Seven Ontario models were highlighted through webinars held in spring 2025, attended by nearly 200 participants. Presenters and participants identified promising design features, key learnings and supports needed to advance goal-aligned care for older adults. Relevant to primary care transformation, health system redesign and policy efforts in Ontario and beyond, PCIGTs can support primary care attachment, reduce pressure on acute services and promote aging in place.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311222","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}
引用次数: 0
Amplifying Patient and Caregiver Voices in Academic Conferences: Reflections From a Conference on Integrated Care. 在学术会议上放大病人和照顾者的声音：来自综合护理会议的反思。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27861
Natasha Y Sheikhan, Terrence Ho, Philiz Goh, Yinka Macaulay, Sylvia Urbanik, Walter Wodchis, Jodeme Goldhar
{"title":"Amplifying Patient and Caregiver Voices in Academic Conferences: Reflections From a Conference on Integrated Care.","authors":"Natasha Y Sheikhan, Terrence Ho, Philiz Goh, Yinka Macaulay, Sylvia Urbanik, Walter Wodchis, Jodeme Goldhar","doi":"10.12927/hcq.2026.27861","DOIUrl":"10.12927/hcq.2026.27861","url":null,"abstract":"<p><p>Academic and healthcare conferences often default to professional expertise, leaving patients and caregivers at the margins. In this commentary led by patient and caregiver partners, we reflect on our experiences co-designing and participating in the 2024 North American Conference on Integrated Care (NACIC24). From waived registration fees and quiet rooms to shared chairing and plenary roles, we highlight tangible steps to creating inclusive conference design processes, spaces and experiences. In reflecting on the successes and areas for additional opportunities, this article provides tangible recommendations to advance patient and caregiver inclusive engagement based on our key learnings from the NACIC24.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311238","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}
引用次数: 0
Optimizing Opioid Addiction Treatment in Correctional Centres: Learnings From Alberta, Canada. 优化阿片类药物成瘾治疗在惩教中心：从阿尔伯塔省，加拿大学习。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27866
Kevin Wipf, Angela Draude, Shelly Vik, Shannon Gravely, Nathaniel Day
{"title":"Optimizing Opioid Addiction Treatment in Correctional Centres: Learnings From Alberta, Canada.","authors":"Kevin Wipf, Angela Draude, Shelly Vik, Shannon Gravely, Nathaniel Day","doi":"10.12927/hcq.2026.27866","DOIUrl":"10.12927/hcq.2026.27866","url":null,"abstract":"<p><p>Alberta has become a leader in opioid use disorder (OUD) treatment within provincial corrections. Correctional Health Services developed an innovative opioid agonist therapy (OAT) program over the last decade. A more recent partnership with the Virtual Opioid Dependency Program has resulted in immediate asynchronous virtual assessment for an OUD diagnosis and OAT treatment for inmates who meet the OUD screening criteria on admission. Since the program's launch, there have been several quality improvement initiatives undertaken that have eliminated waitlists for OAT initiation, and there have been reductions in drug overdose mortality, both within correctional centres and after release.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311286","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}
引用次数: 0
Population Avoidable Days: A Novel Approach to an Old Problem. 人口可避免日：解决老问题的新方法。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27868
Paul Woods, Tyler Chalk, Sukumar Gugananthan, Matthew Meyer
{"title":"Population Avoidable Days: A Novel Approach to an Old Problem.","authors":"Paul Woods, Tyler Chalk, Sukumar Gugananthan, Matthew Meyer","doi":"10.12927/hcq.2026.27868","DOIUrl":"10.12927/hcq.2026.27868","url":null,"abstract":"<p><p>Healthcare systems are struggling to keep pace with growing populations and their complex social/medical needs. Most believe that integrated care closer to home, not hospitals, is the answer, but this requires a shift in our mental models. In establishing a distributed health network for the Northern York and South Simcoe regions of Ontario, Canada, we realized the need for a measure that reflects the magnitude of the challenge ahead and the new thinking required to get there. Population avoidable days combines four commonly used measures of unnecessary hospital utilization into a single absolute value that can help achieve these objectives.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"78-83"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311255","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}
引用次数: 0
Ambient Artificial Intelligence Scribes in Healthcare: A Governance Imperative for Canadian Health System Leaders. 环境人工智能抄写在医疗保健：治理加拿大卫生系统的领导者势在必行。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27867
Frank Vounasis
{"title":"Ambient Artificial Intelligence Scribes in Healthcare: A Governance Imperative for Canadian Health System Leaders.","authors":"Frank Vounasis","doi":"10.12927/hcq.2026.27867","DOIUrl":"10.12927/hcq.2026.27867","url":null,"abstract":"<p><p>Ambient artificial intelligence (AI) scribe technology is entering clinical settings with the promise of reducing documentation burden. For health system leaders, these tools pose governance challenges rather than simple information technology upgrades. Early pilots show reductions of up to 30% in after-hours charting, but results vary with implementation quality. This article argues that Canada should classify AI scribes as Class II Software as a Medical Device and outlines governance questions for executives and boards. By treating ambient AI scribes as strategic leadership priorities - rather than technology deployments - healthcare leaders can balance efficiency with ethical stewardship and strengthen patient trust.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"73-77"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311260","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}
引用次数: 0
Reducing Gaps, Improving Outcomes: Sunnybrook-to-Home Program. 减少差距，改善成果：阳光溪到家计划。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27859
Hend Al-Fayez, Courtney Bean, Kelly Bishop, Shelby Fisch, Brigette Hales, Stacy Landau, Zedrick Laure, Hemjot Mal, Diana Nazarov, Naomi Ziegler, Lori Brady
{"title":"Reducing Gaps, Improving Outcomes: Sunnybrook-to-Home Program.","authors":"Hend Al-Fayez, Courtney Bean, Kelly Bishop, Shelby Fisch, Brigette Hales, Stacy Landau, Zedrick Laure, Hemjot Mal, Diana Nazarov, Naomi Ziegler, Lori Brady","doi":"10.12927/hcq.2026.27859","DOIUrl":"10.12927/hcq.2026.27859","url":null,"abstract":"<p><p>Launched in June 2024, the Sunnybrook-to-Home (SB2H) program was designed to support older adults' transitions from hospital to home through the integration of hospital, home care and community services. Between June 2024 and December 2025, 593 unique patients were enrolled, with approximately 33% referred from the emergency department. Patients who enrolled in SB2H experienced faster access to home care (average 1 day vs. a Toronto Central regional average of 5 days) and shorter alternate level of care stays (3.7 days compared with 7.5 days among non-SB2H patients). Integration of community services was associated with linkage of approximately 20% of patients to essential social supports, including Meals on Wheels and emergency food baskets. This article reflects on key learnings from the SB2H program, with particular attention to the value of embedded community partnerships, the role of social and navigation supports and the importance of co-creating transitional care models with front-line teams.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311278","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}
引用次数: 0
A Pharmacist and a Physician Walk Into a Clinic: The Case for the Virtuous Duo. 一个药剂师和一个医生走进一家诊所：一对善良的夫妇的案例。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27872
Neil Seeman
{"title":"A Pharmacist and a Physician Walk Into a Clinic: The Case for the Virtuous Duo.","authors":"Neil Seeman","doi":"10.12927/hcq.2026.27872","DOIUrl":"10.12927/hcq.2026.27872","url":null,"abstract":"<p><p>Healthcare continues to celebrate individual clinical excellence while overlooking the practical and ethical power of truly interdependent care. Drawing on theories of professional \"flow\" and virtue ethics, this essay argues that the physician-pharmacist relationship represents an underutilized model for safer, more effective primary care in Canada. It contrasts hierarchical, siloed structures with collaborative, duobased models that better reflect the complexity of modern patients and medication management. Evidence from Canadian primary care settings demonstrates improvements in safety, patient understanding and system performance when pharmacists and physicians work as equals. The paper concludes with pragmatic, low-cost recommendations to operationalize this virtuous partnership.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"15-17"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311282","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}
引用次数: 0
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