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It outlines best practice, and tools and resources that policy-makers, accreditation bodies, regulators and healthcare leaders can use to assess the support needs of healthcare workers.",{"_uid":598,"file":599,"link":604,"label":605,"linkType":543,"component":544,"linkLabel":16},"a351aec5-2b85-4b60-b5fc-8867c1135c81",{"id":600,"alt":601,"name":16,"focus":16,"title":601,"source":16,"filename":602,"copyright":16,"fieldtype":286,"meta_data":603,"is_external_url":288},114291539191741,"Creating A Safe Space Manuscript FINAL Ua","https://a-ca.storyblok.com/f/850807391887861/88b9da509b/creating-a-safe-space-manuscript-final-ua.pdf",{},{"id":16,"url":16,"linktype":386,"fieldtype":541,"cached_url":16},"The Creating a Safe Space – Strategies to Address the Psychological Safety of Healthcare Workers",[],[],"hec-page-resource-single","creating-a-safe-space-healthcare-worker-support-toolkit","resources/creating-a-safe-space-healthcare-worker-support-toolkit",-15170,[],103604225865405,{"parent_slug":615,"umbraco_path":616,"umbraco_uuid":617},"resources","/HealthcareExcellenceCanada/Resources/CreatingASafeSpacePsychologicalSafetyOfHealthcareWorkersPeerToPeerSupport/CreatingASafeSpaceHealthcareWorkerSupportToolkit","8085bc13-4747-4f11-93a5-0ee6289221d4","deb43c9b-43c4-4e4b-9782-f0b29922e483","2025-11-18T19:01:03.752Z",[],[622],{"path":623,"name":624,"lang":308,"published":294},"ressources/creation-dun-espace-sur-boite-a-outils-de-soutien-aux-travailleurs-de-la-sante","Création d'un espace sûr - Boîte à outils de soutien aux travailleurs de la santé",{"name":626,"created_at":627,"published_at":628,"updated_at":629,"id":630,"uuid":631,"content":632,"slug":1451,"full_slug":1452,"sort_by_date":53,"position":1453,"tag_list":1454,"is_startpage":288,"parent_id":613,"meta_data":1455,"group_id":1458,"first_published_at":1459,"release_id":53,"lang":302,"path":53,"alternates":1460,"default_full_slug":1452,"translated_slugs":1461},"Rethinking Patient Safety","2025-11-18T19:04:18.103Z","2026-02-20T16:12:05.013Z","2026-02-20T16:12:05.084Z",113881326087952,"3469e084-177f-495d-a5ec-7a7882bb627e",{"new":288,"seo":633,"_uid":635,"hero":636,"type":174,"topics":642,"Noindex":288,"content":643,"audience":1449,"duration":16,"regional":1450,"component":608},{"title":626,"plugin":278,"description":634},"Everyone contributes to patient safety. Healthcare Excellence Canada’s resources will help you take action that goes beyond preventing harm and fosters safe and inclusive care.","9df650c6-f849-4ef7-8579-542855f73b59",[637],{"_uid":638,"image":639,"title":626,"format":16,"component":343,"description":634,"key_learning":16,"prerequisite":16},"5a880321-301d-468d-a385-c9dfc372e9ac",{"id":640,"filename":641,"fieldtype":286},114294594480802,"https://a-ca.storyblok.com/f/850807391887861/a2c654f2ae/tile-image-510x340px-eng-1-1.png",[91,69,32,76,106,46,98,39],[644,1139,1157,1177,1291,1438],{"_uid":645,"content":646,"component":563},"ecf4010a-4ad9-4df3-aaad-6621fea9d473",[647,754,765,779,788],{"_uid":648,"content":649,"component":533},"aa8ffdd1-ca8a-45f6-b868-c7c377f2d4ae",{"type":12,"content":650},[651,656,661,697,702,707,728,733,738,743],{"type":395,"attrs":652,"content":653},{"level":397,"textAlign":53},[654],{"text":655,"type":351},"Safety is much more than the absence of harm",{"type":15,"attrs":657,"content":658},{"textAlign":53},[659],{"text":660,"type":351},"Strengthening patient safety is fundamental to excellent healthcare and has been a recognized priority in Canada for more than 20 years. Historically, patient safety efforts have focused mostly on measuring and responding to physical harm. However, safety is much more than the absence of harm. And as recent data show, we still have a way to go before we get there.",{"type":15,"attrs":662,"content":663},{"textAlign":53},[664,666,672,674,680,682,695],{"text":665,"type":351},"Globally, 10 percent of patients are harmed and over 3 million people die every year from healthcare, ",{"text":667,"type":351,"marks":668},"according to the World Health Organization",[669],{"type":370,"attrs":670},{"href":671,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.who.int/news-room/fact-sheets/detail/patient-safety",{"text":673,"type":351},". Closer to home, ",{"text":675,"type":351,"marks":676},"The Canadian Adverse Events study",[677],{"type":370,"attrs":678},{"href":679,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://pubmed.ncbi.nlm.nih.gov/15159366/",{"text":681,"type":351}," of 2004 found an overall rate of patient harm of 7.5% in hospital settings, with 37% of adverse events deemed preventable. More recent data reported by the Canadian Institute for Health Information found ",{"text":683,"type":351,"marks":684},"one in 17 hospital stays in Canada",[685],{"type":370,"attrs":686},{"href":687,"uuid":688,"anchor":53,"custom":689,"target":385,"linktype":386,"story":690},"/resources/hospital-harm-is-everyones-concern","3b0b67e4-3791-4e2d-9008-4c21c4bdf065",{},{"name":691,"id":692,"uuid":688,"slug":693,"url":694,"full_slug":694,"_stopResolving":294},"Hospital harm is everyone’s concern",116783774126329,"hospital-harm-is-everyones-concern","resources/hospital-harm-is-everyones-concern",{"text":696,"type":351}," involved at least one harmful event in 2022-23. The data highlight the urgency of improving patient safety as rates in recent years have been higher compared to pre-pandemic numbers. The majority of the data available focuses on physical harm rather than all forms which also includes psychological, social and spiritual harm.",{"type":15,"attrs":698,"content":699},{"textAlign":53},[700],{"text":701,"type":351},"Healthcare Excellence Canada plays an important role in shaping the way patient safety is defined and understood. Initially through the work of the Canadian Patient Safety Institute (CPSI) and now as HEC, we are supporting a transformative shift from seeing safety as the absence of harm to a more holistic approach to fostering safe, inclusive care. One of the primary ways we are doing this is by working to apply the leading framework for measuring and monitoring safety, to see what lessons can be learned about its application in Canada.",{"type":395,"attrs":703,"content":704},{"level":583,"textAlign":53},[705],{"text":706,"type":351},"A framework for expanding the definition of safety",{"type":15,"attrs":708,"content":709},{"textAlign":53},[710,712,718,720,726],{"text":711,"type":351},"The release of the ",{"text":713,"type":351,"marks":714},"Measurement and Monitoring Safety Framework (MMSF)",[715],{"type":370,"attrs":716},{"href":717,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety",{"text":719,"type":351}," catalyzed a major change in the way safety is defined and practised and has informed and influenced Healthcare Excellence Canada’s approach. Created by Professor Charles Vincent and colleagues at ",{"text":721,"type":351,"marks":722},"The Health Foundation",[723],{"type":370,"attrs":724},{"href":725,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.health.org.uk/",{"text":727,"type":351}," in 2013, the MMSF proposed shifting away from focusing on the absence of harm towards adopting a broader view of safety. This new view examined the sources of resilience and capabilities that enable safe care and endorsed a less reactive approach to improving safety.",{"type":395,"attrs":729,"content":730},{"level":397,"textAlign":53},[731],{"text":732,"type":351},"Shifting from rethinking towards acting on patient safety",{"type":15,"attrs":734,"content":735},{"textAlign":53},[736],{"text":737,"type":351},"How we act to create safer care is just as important as how we conceptualize it. That’s why Healthcare Excellence Canada has developed the following resources to help you rethink and act to improve patient safety in healthcare settings.",{"type":395,"attrs":739,"content":740},{"level":583,"textAlign":53},[741],{"text":742,"type":351},"Rethinking Patient Safety Discussion Guide",{"type":15,"attrs":744,"content":745},{"textAlign":53},[746,748,752],{"text":747,"type":351},"Healthcare Excellence Canada published ",{"text":749,"type":351,"marks":750},"Rethinking Patient Safety, a Discussion Guide for Patients, Healthcare Providers and Leaders",[751],{"type":431},{"text":753,"type":351}," during Canadian Patient Safety Week 2023 to encourage everyone across the continuum of care to enable safer care. The guide explains Healthcare Excellence Canada’s approach to patient safety that fosters a curious mindset and shifts away from seeing safety as simply the absence of harm. This resource also aims to spur discussions around patient safety and what is means for you.",{"_uid":755,"file":756,"link":758,"label":742,"linkType":370,"component":544,"linkLabel":764},"163f74cd-8ed4-47bd-be65-745efb6a722d",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":286,"meta_data":757},{},{"id":759,"url":16,"linktype":386,"fieldtype":541,"cached_url":760,"story":761},"515a6db5-7990-4f67-b458-811cab7e99cf","resources/rethinking-patient-safety-discussion-guide",{"name":742,"id":762,"uuid":759,"slug":763,"url":760,"full_slug":760,"_stopResolving":294},113880292322786,"rethinking-patient-safety-discussion-guide","Learn more",{"_uid":766,"content":767,"component":533},"9860c1c5-eafc-4943-bcc5-0c94b4e127a3",{"type":12,"content":768},[769,774],{"type":395,"attrs":770,"content":771},{"level":583,"textAlign":53},[772],{"text":773,"type":351},"How Safe is Your Care?",{"type":15,"attrs":775,"content":776},{"textAlign":53},[777],{"text":778,"type":351},"The release of \"How Safe is Your Care? Measurement and monitoring of safety through the eyes of patients and their care partners\" provides important insights into how patients and their care partners see safety. The report offers guidance on how to effectively engage patients and care partners in all aspects of measurement and monitoring of safety and provides recommendations outlining how to strengthen provider and patient partnerships in support of safer care.",{"_uid":780,"file":781,"link":786,"label":787,"linkType":543,"component":544,"linkLabel":16},"d4595014-4524-4d17-9f41-36a05c1fd4a6",{"id":782,"alt":783,"name":16,"focus":16,"title":783,"source":16,"filename":784,"copyright":16,"fieldtype":286,"meta_data":785,"is_external_url":288},114293584038291,"20220525 Howsafeisyourcare FINAL EN","https://a-ca.storyblok.com/f/850807391887861/bc9df4166f/20220525-howsafeisyourcare-final-en.pdf",{},{"id":16,"url":16,"linktype":386,"fieldtype":541,"cached_url":16},"How Safe is Your Care? Measurement and monitoring of safety through the eyes of patients and their care partners",{"_uid":789,"content":790,"component":533},"fb2cf783-9aa4-45d8-abc8-ac894bb6160c",{"type":12,"content":791},[792,797,817,836,854,869,884,900,917,926,946,960,991,1000,1123,1131],{"type":395,"attrs":793,"content":794},{"level":397,"textAlign":53},[795],{"text":796,"type":351},"A timeline of patient safety",{"type":15,"attrs":798,"content":799},{"textAlign":53},[800,802,815],{"text":801,"type":351},"Important work has taken place to evolve our understanding of patient safety, what it means to different stakeholders, and how to foster it. While there has been tremendous progress, more work is needed to refine this understanding and address harm. As early adopters and leaders on the MMSF in Canada, Healthcare Excellence Canada and partners have a role to play in this effort—one that we hope you will join—so that we can truly ",{"text":803,"type":351,"marks":804},"transform to the presence of safety",[805],{"type":370,"attrs":806},{"href":807,"uuid":808,"anchor":53,"custom":809,"target":385,"linktype":386,"story":810},"/updates/are-we-safe-or-just-lucky","19a25cf2-515c-4f1a-8e4a-cca4111ca274",{},{"name":811,"id":812,"uuid":808,"slug":813,"url":814,"full_slug":814,"_stopResolving":294},"Are we safe or just lucky?",123415441417262,"are-we-safe-or-just-lucky","updates/are-we-safe-or-just-lucky",{"text":816,"type":351},". Together.",{"type":15,"attrs":818,"content":819},{"textAlign":53},[820,824,826,834],{"text":821,"type":351,"marks":822},"1999: ",[823],{"type":431},{"text":825,"type":351},"A report titled ",{"text":827,"type":351,"marks":828},"To Err is Human: Building a Safer Health System",[829,832],{"type":370,"attrs":830},{"href":831,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://pubmed.ncbi.nlm.nih.gov/25077248/",{"type":833},"italic",{"text":835,"type":351}," was published by the Institute of Medicine. The report explores patient deaths due to medical error and concludes that the problem is not necessarily people, but the system in which people work.",{"type":15,"attrs":837,"content":838},{"textAlign":53},[839,843,845,852],{"text":840,"type":351,"marks":841},"2001: ",[842],{"type":431},{"text":844,"type":351},"The Institute of Medicine in the US releases ",{"text":846,"type":351,"marks":847},"Closing the Quality Chasm: A New Health System for the 21st Century",[848,851],{"type":370,"attrs":849},{"href":850,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://pubmed.ncbi.nlm.nih.gov/25057539/",{"type":833},{"text":853,"type":351},". This report outlined the Six Aims for Improvement (Safety, Timeliness, Effectiveness, Efficiency, Equity, Patient-Centredness).",{"type":15,"attrs":855,"content":856},{"textAlign":53},[857,861,867],{"text":858,"type":351,"marks":859},"2004: ",[860],{"type":431},{"text":862,"type":351,"marks":863},"The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada",[864,866],{"type":370,"attrs":865},{"href":679,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},{"type":833},{"text":868,"type":351}," by Baker, Norton et al., is the first Canadian study to provide a national estimate of the incidence of adverse events. The study found that 7.5% of 100 admissions resulted in an adverse event, of which 36.9% were preventable.",{"type":15,"attrs":870,"content":871},{"textAlign":53},[872,876,877,882],{"text":873,"type":351,"marks":874},"2013: ",[875],{"type":431},{"text":711,"type":351},{"text":878,"type":351,"marks":879},"Measurement and Monitoring of Safety Framework (MMSF)",[880],{"type":370,"attrs":881},{"href":717,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},{"text":883,"type":351}," catalyzed a major change in the way safety is defined and practiced. Created by Charles Vincent and colleagues at The Health Foundation, the MMSF presented an approach for shifting away from focusing on the absence of harm towards adopting a broader view of safety.",{"type":15,"attrs":885,"content":886},{"textAlign":53},[887,891,898],{"text":888,"type":351,"marks":889},"2015: ",[890],{"type":431},{"text":892,"type":351,"marks":893},"Beyond the Quick Fix: Strategies for Improving Patient Safety",[894,897],{"type":370,"attrs":895},{"href":896,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://tspace.library.utoronto.ca/handle/1807/80119?mode=full",{"type":833},{"text":899,"type":351}," published by the Institute of Health Policy, Management and Evaluation at the University of Toronto concluded that despite the growing understanding of the safety threats and efforts made to identify safety practices, there is still effort needed to broaden and link efforts to improve care and care environments.",{"type":15,"attrs":901,"content":902},{"textAlign":53},[903,907,909,915],{"text":904,"type":351,"marks":905},"2016: ",[906],{"type":431},{"text":908,"type":351},"The Canadian Institute for Health Information (CIHI) releases the ",{"text":910,"type":351,"marks":911},"Hospital Harm Indicator",[912],{"type":370,"attrs":913},{"href":914,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.cihi.ca/en/indicators/hospital-harm",{"text":916,"type":351},". This indicator measures the rate of acute care hospitalizations with at least one occurrence of unintended harm during a hospital stay that could potentially have been prevented.",{"type":15,"attrs":918,"content":919},{"textAlign":53},[920,924],{"text":921,"type":351,"marks":922},"2017: ",[923],{"type":431},{"text":925,"type":351},"The Canadian Patient Safety Institute (CPSI), now Healthcare Excellence Canada, began working with healthcare teams from across the country to advance our knowledge and experience of the MMSF in Canada.",{"type":15,"attrs":927,"content":928},{"textAlign":53},[929,933,935,944],{"text":930,"type":351,"marks":931},"2023: ",[932],{"type":431},{"text":934,"type":351},"Healthcare Excellence Canada and Patients for Patient Safety Canada released ",{"text":936,"type":351,"marks":937},"Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders",[938,943],{"type":370,"attrs":939},{"href":940,"uuid":759,"anchor":53,"custom":941,"target":385,"linktype":386,"story":942},"/resources/rethinking-patient-safety-discussion-guide",{},{"name":742,"id":762,"uuid":759,"slug":763,"url":760,"full_slug":760,"_stopResolving":294},{"type":833},{"text":945,"type":351}," which summarizes learnings and ideas suggesting a new way of approaching patient safety.",{"type":395,"attrs":947,"content":949},{"level":397,"textAlign":948},"left",[950,956],{"text":951,"type":351,"marks":952},"Measurement and Monitoring of Safety Framework",[953],{"type":954,"attrs":955},"textStyle",{"color":16},{"text":957,"type":351,"marks":958}," ",[959],{"type":431},{"type":15,"attrs":961,"content":962},{"textAlign":948},[963,967,974,979,985,990],{"text":711,"type":351,"marks":964},[965],{"type":954,"attrs":966},{"color":16},{"text":968,"type":351,"marks":969},"Measurement and Monitoring Safety Framework (MMSF) in 2013",[970,972],{"type":370,"attrs":971},{"href":717,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},{"type":954,"attrs":973},{"color":16},{"text":975,"type":351,"marks":976}," catalyzed a major change in the way safety is defined and practiced and has informed and influenced Heathcare Excellence Canada’s approach. Created by Professor Charles Vincent and colleagues at ",[977],{"type":954,"attrs":978},{"color":16},{"text":721,"type":351,"marks":980},[981,983],{"type":370,"attrs":982},{"href":725,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},{"type":954,"attrs":984},{"color":16},{"text":986,"type":351,"marks":987},", the MMSF proposed shifting away from focusing on the absence of harm towards adopting a broader view of safety. This new view examined the sources of resilience and capabilities that enable safe care and endorsed a less reactive approach to improving safety. ",[988],{"type":954,"attrs":989},{"color":16},{"text":957,"type":351},{"type":15,"attrs":992,"content":993},{"textAlign":948},[994,999],{"text":995,"type":351,"marks":996},"The MMSF offers many advantages when it comes to how we think about safety. It:   ",[997],{"type":954,"attrs":998},{"color":16},{"text":957,"type":351},{"type":419,"content":1001},[1002,1013,1024,1035,1046,1057,1068,1079,1090,1101,1112],{"type":422,"content":1003},[1004],{"type":15,"attrs":1005,"content":1006},{"textAlign":53},[1007,1012],{"text":1008,"type":351,"marks":1009},"creates a more holistic view of safety. ",[1010],{"type":954,"attrs":1011},{"color":16},{"text":957,"type":351},{"type":422,"content":1014},[1015],{"type":15,"attrs":1016,"content":1017},{"textAlign":53},[1018,1023],{"text":1019,"type":351,"marks":1020},"changes our safety focus – moving away from a focus on past harm. ",[1021],{"type":954,"attrs":1022},{"color":16},{"text":957,"type":351},{"type":422,"content":1025},[1026],{"type":15,"attrs":1027,"content":1028},{"textAlign":53},[1029,1034],{"text":1030,"type":351,"marks":1031},"provides a shared and consistent understanding of safety. ",[1032],{"type":954,"attrs":1033},{"color":16},{"text":957,"type":351},{"type":422,"content":1036},[1037],{"type":15,"attrs":1038,"content":1039},{"textAlign":53},[1040,1045],{"text":1041,"type":351,"marks":1042},"changes the way we think about safety. ",[1043],{"type":954,"attrs":1044},{"color":16},{"text":957,"type":351},{"type":422,"content":1047},[1048],{"type":15,"attrs":1049,"content":1050},{"textAlign":53},[1051,1056],{"text":1052,"type":351,"marks":1053},"helps us move away from managing risk to managing safety. ",[1054],{"type":954,"attrs":1055},{"color":16},{"text":957,"type":351},{"type":422,"content":1058},[1059],{"type":15,"attrs":1060,"content":1061},{"textAlign":53},[1062,1067],{"text":1063,"type":351,"marks":1064},"moves us from assurance and accountability reporting to a \"practice of inquiry.\" ",[1065],{"type":954,"attrs":1066},{"color":16},{"text":957,"type":351},{"type":422,"content":1069},[1070],{"type":15,"attrs":1071,"content":1072},{"textAlign":53},[1073,1078],{"text":1074,"type":351,"marks":1075},"empowers everyone to take a proactive role in safety. ",[1076],{"type":954,"attrs":1077},{"color":16},{"text":957,"type":351},{"type":422,"content":1080},[1081],{"type":15,"attrs":1082,"content":1083},{"textAlign":53},[1084,1089],{"text":1085,"type":351,"marks":1086},"promotes a culture of collective responsibility for safety. ",[1087],{"type":954,"attrs":1088},{"color":16},{"text":957,"type":351},{"type":422,"content":1091},[1092],{"type":15,"attrs":1093,"content":1094},{"textAlign":53},[1095,1100],{"text":1096,"type":351,"marks":1097},"promotes an understanding that staff and patient safety go hand in hand. ",[1098],{"type":954,"attrs":1099},{"color":16},{"text":957,"type":351},{"type":422,"content":1102},[1103],{"type":15,"attrs":1104,"content":1105},{"textAlign":53},[1106,1111],{"text":1107,"type":351,"marks":1108},"places value on soft intelligence (e.g. listening, observing and perceiving).   ",[1109],{"type":954,"attrs":1110},{"color":16},{"text":957,"type":351},{"type":422,"content":1113},[1114],{"type":15,"attrs":1115,"content":1116},{"textAlign":53},[1117,1122],{"text":1118,"type":351,"marks":1119},"recognizes the value that patients and caregivers have in creating safety. ",[1120],{"type":954,"attrs":1121},{"color":16},{"text":957,"type":351},{"type":395,"attrs":1124,"content":1125},{"level":583,"textAlign":948},[1126],{"text":1127,"type":351,"marks":1128},"How it works ",[1129],{"type":954,"attrs":1130},{"color":16},{"type":15,"attrs":1132,"content":1133},{"textAlign":948},[1134],{"text":1135,"type":351,"marks":1136},"MMSF is made up of five dimensions that healthcare leaders, providers, patients and families can use to understand and improve patient safety. The framework assesses and evaluates safety from \"ward to board\" by providing a comprehensive and accurate real-time view of patient safety. It helps users move from \"assurance\" to \"inquiry\" by shifting away from a focus on past cases of harm towards current performance, future risks and organizational resiliency.   ",[1137],{"type":954,"attrs":1138},{"color":16},{"_uid":1140,"items":1141,"component":1156},"87523179-6e6d-461e-8d4c-92d66373e0c8",[1142],{"_uid":1143,"image":1144,"quote":1146,"author":1153,"component":1154,"author_title":1155},"6520e012-4669-4bad-8caf-73e926b50727",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":286,"meta_data":1145},{},{"type":12,"content":1147},[1148],{"type":15,"attrs":1149,"content":1150},{"textAlign":53},[1151],{"text":1152,"type":351},"\"The framework for the Measurement and Monitoring of Safety helps people rethink their understanding of safety in their own clinical environment,\" says Dr. Baker. \"What we saw during the demonstration project is that staff were really engaged by this idea that they can have an active role in promoting and maintaining safety.\"","Dr. G. Ross Baker","quote-item","PhD, Professor, Institute of Health Policy Management and Evaluation, University of Toronto  ","quote",{"id":16,"_uid":1158,"content":1159,"component":563},"42e298e1-7e88-40aa-91c6-245a3ed1ca70",[1160,1169],{"_uid":1161,"content":1162,"component":533},"d168f704-36b1-4cd9-8443-6345f345c66d",{"type":12,"content":1163},[1164],{"type":15,"attrs":1165,"content":1166},{"textAlign":53},[1167],{"text":1168,"type":351},"Armed with a series of valuable questions, you can make better decisions about the safety of the care you provide. The primary questions are:",{"_uid":1170,"image":1171,"component":1176},"18e48b18-8da1-4d06-b18d-c7af91deabf7",{"id":1172,"alt":1173,"name":16,"focus":16,"title":16,"source":16,"filename":1174,"copyright":16,"fieldtype":286,"meta_data":1175,"is_external_url":288},114300191903786,"A diagram consisting of one dark grey circle in the centre with the text, “Safety measurement and monitoring,” surrounding by five petal-shape objects in various colours connected by a larger circle outline, containing the text “Past harm: Has patient care been safe in the past?” “Reliability: Are our clinical systems and processes reliable?” “Sensitivity to operations: Is care safe today?” “Anticipation and preparedness: Will care be safe in the future?” and “Integration and learning: Are we responding and improving?”","https://a-ca.storyblok.com/f/850807391887861/0a134b9440/2022-safetymeasurementandmonitoring-en.png",{"alt":1173,"title":16,"source":16,"copyright":16},"simple-image",{"_uid":1178,"content":1179,"component":563},"3c630d12-c036-408c-9b4d-93e05a5c5afc",[1180],{"_uid":1181,"content":1182,"component":533},"91fa781f-844d-4361-add1-e2d1cf1aea6b",{"type":12,"content":1183},[1184,1189,1194,1199,1204,1209,1215,1241,1246,1251,1263,1267],{"type":395,"attrs":1185,"content":1186},{"level":583,"textAlign":53},[1187],{"text":1188,"type":351},"Applying the framework in Canada",{"type":15,"attrs":1190,"content":1191},{"textAlign":53},[1192],{"text":1193,"type":351},"In 2017, the Canadian Patient Safety Institute (which amalgamated with the Canadian Foundation for Healthcare Improvement to form Healthcare Excellence Canada in 2021), began working with healthcare teams from across the country to advance our knowledge and experience of the MMSF in Canada. Following a successful demonstration project led by Dr. G. Ross Baker at the University of Toronto, a subsequent learning collaborative was launched in 2018 with 11 teams from seven provinces. With expert faculty and mentoring over 18 months, each team used the MMSF to develop a more comprehensive approach to delivering safer care.",{"type":15,"attrs":1195,"content":1196},{"textAlign":53},[1197],{"text":1198,"type":351},"An evaluation in 2020 concluded that the collaborative successfully built the capacity of teams to understand and implement the MMSF in their local settings. Participants reported positive impacts on stakeholder groups' knowledge and behaviours, healthcare processes and patient outcomes.",{"type":15,"attrs":1200,"content":1201},{"textAlign":53},[1202],{"text":1203,"type":351},"\"We started out in the safety world really worrying about past harm and I think that was really important because it raised peoples' understanding about the magnitude of the safety issues. But it is insufficient because people don't go to work thinking about past incidents; they go to work thinking about the patients they are going to see today. So that is part of the shift now is that we are putting safety into a much more relevant context for the staff on their units doing their daily jobs. I think we can still build on that. We can build a broader sense of how units function, and how units interact with other units.\"",{"type":15,"attrs":1205,"content":1206},{"textAlign":53},[1207],{"text":1208,"type":351},"- Dr. G. Ross Baker, PhD, Professor, Institute of Health Policy Management and Evaluation, University of Toronto",{"type":395,"attrs":1210,"content":1212},{"level":1211,"textAlign":53},4,[1213],{"text":1214,"type":351},"Learn more:",{"type":419,"content":1216},[1217,1229],{"type":422,"content":1218},[1219],{"type":15,"attrs":1220,"content":1221},{"textAlign":53},[1222],{"text":1223,"type":351,"marks":1224},"Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative | BMJ Quality & Safety",[1225],{"type":370,"attrs":1226},{"href":1227,"uuid":53,"anchor":53,"custom":1228,"target":373,"linktype":374},"https://qualitysafety.bmj.com/content/32/8/470",{},{"type":422,"content":1230},[1231],{"type":15,"attrs":1232,"content":1233},{"textAlign":53},[1234],{"text":1235,"type":351,"marks":1236},"Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada | BMJ Quality & Safety",[1237],{"type":370,"attrs":1238},{"href":1239,"uuid":53,"anchor":53,"custom":1240,"target":373,"linktype":374},"https://qualitysafety.bmj.com/content/32/8/441",{},{"type":395,"attrs":1242,"content":1243},{"level":583,"textAlign":53},[1244],{"text":1245,"type":351},"Measuring and monitoring safety: A patient and care partner perspective",{"type":15,"attrs":1247,"content":1248},{"textAlign":53},[1249],{"text":1250,"type":351},"The evaluation showed that the MMSF improved safety practices and was well-received by frontline teams, senior leaders and board members. Limited attention, however, had been paid to how patients engage with this wider view of safety.",{"type":15,"attrs":1252,"content":1253},{"textAlign":53},[1254,1256,1261],{"text":1255,"type":351},"The release of ",{"text":787,"type":351,"marks":1257},[1258,1260],{"type":370,"attrs":1259},{"href":784,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},{"type":833},{"text":1262,"type":351}," provides important insights into how patients and their care partners see safety. The report offers guidance on how to effectively engage patients and care partners in all aspects of measurement and monitoring of safety and provides recommendations outlining how to strengthen provider and patient partnerships in support of safer care.",{"type":395,"attrs":1264,"content":1265},{"level":1211,"textAlign":53},[1266],{"text":1214,"type":351},{"type":419,"content":1268},[1269,1280],{"type":422,"content":1270},[1271],{"type":15,"attrs":1272,"content":1273},{"textAlign":53},[1274],{"text":1275,"type":351,"marks":1276},"‘Safety is about partnership’: Safety through the lens of patients and caregivers",[1277],{"type":370,"attrs":1278},{"href":1279,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://onlinelibrary.wiley.com/doi/epdf/10.1111/hex.13939",{"type":422,"content":1281},[1282],{"type":15,"attrs":1283,"content":1284},{"textAlign":53},[1285],{"text":1286,"type":351,"marks":1287},"Reconceptualizing Patient Safety Beyond Harm: Insights From a Mixed-Methods Qualitative Inquiry",[1288],{"type":370,"attrs":1289},{"href":1290,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://journals.lww.com/jncqjournal/abstract/9900/reconceptualizing_patient_safety_beyond_harm_.122.aspx",{"id":16,"_uid":1292,"items":1293,"title":1420,"component":1421,"description":1422},"f9756087-feb3-444a-979e-dd64fde0e851",[1294,1315,1330,1405],{"_uid":1295,"title":1296,"ctaLeft":1297,"ctaRight":1298,"component":1299,"columnLeft":1300,"columnRight":1303},"29dbd715-39cd-4bf0-a9d8-53b7b6777bf5","Executive summary",[],[],"accordion-item-columns",{"type":12,"content":1301},[1302],{"type":15},{"type":12,"content":1304},[1305,1310],{"type":15,"attrs":1306,"content":1307},{"textAlign":53},[1308],{"text":1309,"type":351},"The Measurement and Monitoring of Safety Framework (MMSF) consists of five dimensions, and a series of prompting key questions, that guide users to comprehensively and conceptually view safety. These five dimensions and related questions address: past harm, reliability, sensitivity to operations, anticipation and preparedness, and integration and learning. ",{"type":15,"attrs":1311,"content":1312},{"textAlign":948},[1313],{"text":1314,"type":351},"In October 2018, the Canadian Patient Safety Institute (CPSI), now Healthcare Excellence Canada, launched a patient safety improvement project under the leadership of Maryanne D'Arpino of CPSI (Executive Lead) and Dr. G. Ross Baker at the University of Toronto (Academic Lead). This program, a learning collaborative with expert faculty and mentorship, aimed to enable the implementation of the MMSF amongst 11 teams from seven provinces across Canada over an 18-month period with the aim of each team developing a more comprehensive approach to safety and the delivery of safer care. This report presents findings from an evaluation study funded by CPSI that aimed to examine the effectiveness of this Collaborative.",{"_uid":1316,"title":1317,"ctaLeft":1318,"ctaRight":1319,"component":1299,"columnLeft":1320,"columnRight":1323},"d9f19cdb-2f20-42bf-bb33-a6da9cd5aecf","Methods",[],[],{"type":12,"content":1321},[1322],{"type":15},{"type":12,"content":1324},[1325],{"type":15,"attrs":1326,"content":1327},{"textAlign":53},[1328],{"text":1329,"type":351},"This study used a qualitative approach based on interview, observation and documentary data collection methods. In-depth semi-structured interviews were conducted with team members. One-day site visit observations were conducted at five sites; observations of learning sessions were conducted and relevant documents were collected. Thirty-six team members participated in the interviews. A total of 29 hours was spent at site visits; in addition to approximately 33 hours in learning session 3, the closing congress and all-team virtual meetings. ",{"_uid":1331,"title":1332,"ctaLeft":1333,"ctaRight":1334,"component":1299,"columnLeft":1335,"columnRight":1338},"ed56d671-ca2b-4a1c-b2e9-6fa064be6608","Key findings",[],[],{"type":12,"content":1336},[1337],{"type":15},{"type":12,"content":1339},[1340],{"type":419,"content":1341},[1342,1349,1356,1363,1370,1377,1384,1391,1398],{"type":422,"content":1343},[1344],{"type":15,"attrs":1345,"content":1346},{"textAlign":53},[1347],{"text":1348,"type":351},"Overall participants provided positive feedback about the in-person learning sessions. They particularly valued the expert presenters, multifaceted approaches used to teach the MMSF, and the structure created for learning within and between participating teams. ",{"type":422,"content":1350},[1351],{"type":15,"attrs":1352,"content":1353},{"textAlign":53},[1354],{"text":1355,"type":351},"While some participants felt 'overwhelmed' at the amount of information in the first learning session, the majority felt positive about the framework from the outset. The first learning session set in place the need for a shift in thinking about safety from an absence of harm to presence of safety, to thinking about changing culture, and that it would take time to understand and implement the MMSF. ",{"type":422,"content":1357},[1358],{"type":15,"attrs":1359,"content":1360},{"textAlign":53},[1361],{"text":1362,"type":351},"The coaching by CPSI senior program managers played key roles in participants' understanding and implementation of the MMSF. The coaches were responsive and accessible between site visits. They provided ongoing education and support; and were instrumental in providing the feedback necessary for ongoing implementation of the MMSF. Some participants would have wanted more coaching and more clarity about coaching and team accountability expectations. ",{"type":422,"content":1364},[1365],{"type":15,"attrs":1366,"content":1367},{"textAlign":53},[1368],{"text":1369,"type":351},"Team members used a range of teaching strategies and methods to support the implementation of MMSF into practice. These included teaching about the framework to groups of stakeholders (e.g. healthcare providers and senior leadership). ",{"type":422,"content":1371},[1372],{"type":15,"attrs":1373,"content":1374},{"textAlign":53},[1375],{"text":1376,"type":351},"Quality improvement (QI) consultants, physicians and boards began teaching about the framework by integrating its language into day- to- day communication and using it to discuss specific safety or patient care issues. Team members made decisions about how to teach the framework to stakeholder groups, taking into consideration issues such as availability, number of people involved, professional roles and interest. There were different perceptions about the effectiveness of teaching the MMSF and whether it’s necessary to teach the framework itself or if it’s sufficient to teach and implement tools and processes informed by the framework. ",{"type":422,"content":1378},[1379],{"type":15,"attrs":1380,"content":1381},{"textAlign":53},[1382],{"text":1383,"type":351},"Teams were encouraged to focus on MMSF implementation strategies that were context specific and allowed for the integration of the framework into the daily clinical and administrative work of the units or targeted areas. Teams consequently used a variety of strategies. These included the use of the MMSF to inform the following processes and activities: safety huddles, health care processes, safety incidents and reports; meetings; communication; patient and family focused initiatives; and board and senior leadership level activities. Each strategy had success in targeting different stakeholders and effecting change in different ways. ",{"type":422,"content":1385},[1386],{"type":15,"attrs":1387,"content":1388},{"textAlign":53},[1389],{"text":1390,"type":351},"The MMSF teams consisted of individuals with varied professional backgrounds and roles at local, regional and provincial levels. This variability allowed for sharing of diverse perspectives and multiple avenues to teach, implement and spread the MMSF. However, variability in engagement with the collaborative and movement out and into the teams over the 18 months were challenges. A small number of teams had patient, family and board representation who were seen to bring valuable perspectives to the team and its work. Physicians were a more difficult group to engage. ",{"type":422,"content":1392},[1393],{"type":15,"attrs":1394,"content":1395},{"textAlign":53},[1396],{"text":1397,"type":351},"The majority of participants were supportive of wider spread of the MMSF yet there was variability in their opportunities for spread beyond their implementation site(s). While a small number remained focused at the original site of implementation, the other teams demonstrated varying levels of spread: unplanned spread; planned individual or team efforts which led to pockets of uptake in the organization or region; planned and coordinated widespread efforts to spread the MMSF across an organization and region. Challenges to spread included limited dedicated resources, uncertain authority to influence spread, the need for alignment with wider-level processes and frameworks and healthcare organizational and regional restructuring. ",{"type":422,"content":1399},[1400],{"type":15,"attrs":1401,"content":1402},{"textAlign":53},[1403],{"text":1404,"type":351},"The majority of participants reported positive impacts from MMSF implementation. These included changes in thinking about safety which impacted on behaviours and practices; healthcare staff engagement in prevention, identification and management of safety issues; patient, resident and family engagement in safety; and improvements in healthcare processes",{"_uid":1406,"title":1407,"ctaLeft":1408,"ctaRight":1409,"component":1299,"columnLeft":1410,"columnRight":1413},"0c8e5e08-02c5-49ca-a7ee-376109724f12","Conclusions and implications",[],[],{"type":12,"content":1411},[1412],{"type":15},{"type":12,"content":1414},[1415],{"type":15,"attrs":1416,"content":1417},{"textAlign":53},[1418],{"text":1419,"type":351},"The MMSF collaborative was successful in teaching the teams about the MMSF and coaching them to implement the framework in their local settings. Participants perceived the MMSF work as having positive impacts on stakeholder groups' knowledge and behaviours and on healthcare processes and patient outcomes. These findings support further education and implementation of the MMSF; however, these efforts would need to address the facilitators and challenges identified in this report to ensure a more systematic and comprehensive spread throughout healthcare organizations and regions. ","Evaluation of the MMSF Collaborative","accordion-2-columns",{"type":12,"content":1423},[1424,1429],{"type":15,"attrs":1425,"content":1426},{"textAlign":53},[1427],{"text":1428,"type":351},"May 2020",{"type":15,"attrs":1430,"content":1431},{"textAlign":948},[1432,1436],{"text":1433,"type":351,"marks":1434},"Authors: ",[1435],{"type":431},{"text":1437,"type":351},"Joanne Goldman, PhD | Scientist, Centre for Quality Improvement and Patient Safety, Faculty of Medicine, University of Toronto, Leahora Rotteau, PhD, Cand | Program Manager, Centre for Quality Improvement and Patient Safety, Faculty of Medicine, University of Toronto ",{"_uid":1439,"content":1440,"component":563},"f2a28bf9-41ed-4cc0-961a-e1232df49579",[1441],{"_uid":1442,"file":1443,"link":1448,"label":1420,"linkType":543,"component":544,"linkLabel":16},"f55466d7-b46a-45b9-aff9-0354a3bfd8fd",{"id":1444,"alt":1445,"name":16,"focus":16,"title":1445,"source":16,"filename":1446,"copyright":16,"fieldtype":286,"meta_data":1447,"is_external_url":288},114290907965223,"Measurementmonitoringevaluationreport FINAL Ua","https://a-ca.storyblok.com/f/850807391887861/36521a8bcb/measurementmonitoringevaluationreport-final-ua.pdf",{},{"id":16,"url":16,"linktype":386,"fieldtype":541,"cached_url":16},[115,143,129,136,150,122],[185,192,200],"rethinking-patient-safety","resources/rethinking-patient-safety",-16310,[],{"parent_slug":615,"umbraco_path":1456,"umbraco_uuid":1457},"/HealthcareExcellenceCanada/Resources/RethinkingPatientSafety","a04dd6d1-4491-438a-aa13-9447a8c05762","16cd147b-e6c8-4fe8-aa4a-2a1a7f6adb01","2025-11-18T19:04:18.210Z",[],[1462],{"path":1463,"name":1464,"lang":308,"published":294},"ressources/repenser-la-securite-des-patients","Repenser la sécurité des patients",{"name":1466,"created_at":1467,"published_at":1468,"updated_at":1469,"id":1470,"uuid":1471,"content":1472,"slug":1539,"full_slug":1540,"sort_by_date":53,"position":1541,"tag_list":1542,"is_startpage":288,"parent_id":613,"meta_data":1543,"group_id":1546,"first_published_at":1547,"release_id":53,"lang":302,"path":53,"alternates":1548,"default_full_slug":1540,"translated_slugs":1549},"Readiness to Receive Assessment","2025-11-18T19:04:20.555Z","2026-02-25T15:21:45.493Z","2026-02-25T15:21:45.513Z",113881336102675,"04dfc501-1ef4-4614-a250-890554823c99",{"new":288,"seo":1473,"_uid":1475,"hero":1476,"type":174,"topics":1493,"Noindex":288,"content":1494,"audience":1537,"duration":16,"regional":1538,"component":608},{"title":1466,"plugin":278,"description":1474},"The Readiness to Receive Assessment tool helps organizations assess their readiness to implement an effective improvement project from another site or 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front-line workers to address the question: “Are we ready to receive and implement this improvement from another organization?”",{"type":15,"attrs":1513,"content":1514},{"textAlign":53},[1515],{"text":1516,"type":351},"This tool is not a “pass/fail test.” Instead, it’s intended to guide discussions and support informed decision-making, assist sites to be successful in their implementation efforts,and to help set realistic expectations. It may evoke important dialogue regarding issues of sponsorship, culture, resources or other enabling factors. 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",{"text":1972,"type":351,"marks":1973},"Patients for Patient Safety Canada",[1974],{"type":370,"attrs":1975},{"href":1976,"uuid":53,"anchor":53,"custom":1977,"target":373,"linktype":374},"https://www.patients4safety.ca/",{},{"text":1979,"type":351}," has developed a set of disclosure principles derived directly from their experiences.",{"_uid":1981,"file":1982,"link":1987,"label":1926,"linkType":543,"component":544,"linkLabel":16},"dd8cf9d8-b723-47b0-9a5c-970da72eb7bb",{"id":1983,"alt":1984,"name":16,"focus":16,"title":1984,"source":16,"filename":1985,"copyright":16,"fieldtype":286,"meta_data":1986,"is_external_url":288},114291386660757,"CPSI Canadian Disclosure Guidelines FINAL Ua","https://a-ca.storyblok.com/f/850807391887861/904d0aadef/cpsi-canadian-disclosure-guidelines-final-ua.pdf",{},{"id":16,"url":16,"linktype":386,"fieldtype":541,"cached_url":16},{"_uid":1989,"file":1990,"link":1995,"label":1996,"linkType":543,"component":544,"linkLabel":16},"b866d3b8-dc28-472a-bf4a-a8ee17e42568",{"id":1991,"alt":1992,"name":16,"focus":16,"title":1992,"source":16,"filename":1993,"copyright":16,"fieldtype":286,"meta_data":1994,"is_external_url":288},114291382716307,"One Pager Disclosure Guidelines PFPSC EN","https://a-ca.storyblok.com/f/850807391887861/a088a2ca9c/one-pager-disclosure-guidelines-pfpsc-en.pdf",{},{"id":16,"url":16,"linktype":386,"fieldtype":541,"cached_url":16},"Principles of Disclosing Harm",[143,129,150],[185,192,200],"canadian-disclosure-guidelines","resources/canadian-disclosure-guidelines",-16630,[],{"parent_slug":615,"umbraco_path":2004,"umbraco_uuid":2005},"/HealthcareExcellenceCanada/Resources/CanadianDisclosureGuidelines","b07acf4f-d3e3-4ab9-8d83-3de43e5e8b31","13313af5-c286-46ea-98a7-9ba58216ce21","2025-11-18T19:04:31.149Z",[],[2010],{"path":2011,"name":2012,"lang":308,"published":294},"ressources/lignes-directrices-canadiennes-sur-la-divulgation","Lignes directrices canadiennes sur la divulgation",{"name":2014,"created_at":2015,"published_at":2016,"updated_at":2017,"id":2018,"uuid":2019,"content":2020,"slug":2110,"full_slug":2111,"sort_by_date":53,"position":3243,"tag_list":3244,"is_startpage":288,"parent_id":613,"meta_data":3245,"group_id":3248,"first_published_at":3249,"release_id":53,"lang":302,"path":53,"alternates":3250,"default_full_slug":2111,"translated_slugs":3251},"Value-Based Healthcare","2025-11-18T19:04:31.888Z","2026-02-23T18:48:39.143Z","2026-02-23T18:48:39.204Z",113881382530849,"2bf208a3-c4e9-4eaf-bcca-f3761fa1c8f0",{"new":288,"seo":2021,"_uid":2023,"hero":2024,"type":174,"topics":2056,"Noindex":288,"content":2057,"audience":3241,"duration":16,"regional":3242,"component":608},{"title":2014,"plugin":278,"description":2022},"Value-based healthcare (VBHC) is about linking how much money is spent on healthcare programs or services to the outcomes that matter most to patients over their healthcare journey.","66db13df-a2c4-4cf5-b346-b0ffc9ff4751",[2025],{"_uid":2026,"file":2027,"image":2028,"title":2014,"format":16,"component":343,"description":2033,"key_learning":16,"prerequisite":16},"34c1e88c-f29d-4253-824a-b0a30eba583c",[],{"id":2029,"alt":2030,"title":2014,"source":16,"filename":2031,"copyright":16,"fieldtype":286,"meta_data":2032},114297813679559,"Three people in conversation: a healthcare provider wearing a face mask, a person with teal hair, and another with pink hair placing a hand on their shoulder. Two speech bubbles appear above them.","https://a-ca.storyblok.com/f/850807391887861/b3dfedea31/webpage-hero-graphic.png",{"alt":2030,"title":2014,"source":16,"copyright":16},{"type":12,"content":2034},[2035],{"type":15,"attrs":2036,"content":2037},{"textAlign":53},[2038,2040,2046,2048,2054],{"text":2039,"type":351},"Achieving excellence in healthcare means thinking about value. Current frameworks, like the ",{"text":2041,"type":351,"marks":2042},"Quintuple Aim",[2043],{"type":370,"attrs":2044},{"href":2045,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.ihi.org/resources/publications/quintuple-aim-health-care-improvement-new-imperative-advance-health-equity",{"text":2047,"type":351}," and ",{"text":2049,"type":351,"marks":2050},"Learning Health Systems",[2051],{"type":370,"attrs":2052},{"href":2053,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.bmj.com/content/384/bmj-2023-076175",{"text":2055,"type":351},", recognize that managing resources well is part of high value healthcare. Costs must be considered in relation to the outcomes they deliver.",[55],[2058,2086,2344,2989,3223],{"_uid":2059,"link":2060,"image":2061,"title":2064,"video_id":16,"component":2067,"video_mp4":2068,"media_type":2070,"video_type":2071,"description":2072,"video_title":16,"video_mp4_thumbnail":2084},"fe221de6-d397-4976-b609-492545dde9a6",[],{"id":2062,"alt":2063,"name":2063,"focus":16,"title":2064,"source":16,"filename":2065,"copyright":16,"fieldtype":286,"meta_data":2066,"is_external_url":288},114297828814287,"Diagram illustrating the concept of value in healthcare, showing 'Value' as a fraction with 'Outcomes that matter to patients' as the numerator and 'Resources throughout the patient journey' as the denominator. A note below explains that value increases when fewer resources are used to achieve the same or better outcomes.","What is Value-based Healthcare?","https://a-ca.storyblok.com/f/850807391887861/cb73ec2247/icons-outcomes-en.png",{"alt":2063,"title":2064,"source":16,"copyright":16},"text-media",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":286,"meta_data":2069},{},"image","youtube",{"type":12,"content":2073},[2074,2079],{"type":15,"attrs":2075,"content":2076},{"textAlign":53},[2077],{"text":2078,"type":351},"Value-based healthcare (VBHC) is about linking resources used for healthcare programs or services over a patient’s journey to the outcomes that matter most to patients and communities. Implicitly, patients’ preferred outcomes also reflect their values.",{"type":15,"attrs":2080,"content":2081},{"textAlign":53},[2082],{"text":2083,"type":351},"VBHC recognizes that what works best for whom in different contexts will vary. Our understanding of how to deliver value will also evolve over time. As a result, VBHC avoids over-specifying how outcomes will be achieved, e.g. the number of services delivered or specific activities or products.",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":286,"meta_data":2085},{},{"_uid":2087,"content":2088,"component":563},"f2e36d2a-667a-4b10-82c9-be002ac5cae0",[2089],{"_uid":2090,"content":2091,"component":533},"9dc013e2-10e7-4ca4-8d2c-9b21b7cd5e92",{"type":12,"content":2092},[2093,2098,2114,2151,2156,2179,2184,2189,2271,2276],{"type":395,"attrs":2094,"content":2095},{"level":397,"textAlign":53},[2096],{"text":2097,"type":351},"Examples of VBHC in Canada",{"type":15,"attrs":2099,"content":2100},{"textAlign":53},[2101,2112],{"text":2102,"type":351,"marks":2103},"VBHC initiatives",[2104],{"type":370,"attrs":2105},{"href":2106,"uuid":2019,"anchor":2107,"custom":2108,"target":385,"linktype":386,"story":2109},"/resources/value-based-healthcare","VBHCCaseStudies",{},{"name":2014,"id":2018,"uuid":2019,"slug":2110,"url":2111,"full_slug":2111,"_stopResolving":294},"value-based-healthcare","resources/value-based-healthcare",{"text":2113,"type":351}," exist in many forms, some of which directly link payments and outcomes.",{"type":419,"content":2115},[2116,2123,2130,2137,2144],{"type":422,"content":2117},[2118],{"type":15,"attrs":2119,"content":2120},{"textAlign":53},[2121],{"text":2122,"type":351},"For example, outcome-based procurement awards contracts to suppliers based on meeting pre-defined metrics.",{"type":422,"content":2124},[2125],{"type":15,"attrs":2126,"content":2127},{"textAlign":53},[2128],{"text":2129,"type":351},"Social Impact Bonds are another pay-for-success model. Capital from private investors is used to pay for programs that enhance the social good. Investors’ return on investment depends on the extent to which pre-defined social outcomes are achieved.",{"type":422,"content":2131},[2132],{"type":15,"attrs":2133,"content":2134},{"textAlign":53},[2135],{"text":2136,"type":351},"When an outcome is well-defined but how to get there isn’t as clear, open innovation challenges reward innovators who best meet the outcome sought. This approach can also uncover novel and promising practices.",{"type":422,"content":2138},[2139],{"type":15,"attrs":2140,"content":2141},{"textAlign":53},[2142],{"text":2143,"type":351},"In other cases, VBHC may guide policy or program design. For instance, bundled funding provides pre-determined payments to a group of healthcare providers for all services within an episode of care.",{"type":422,"content":2145},[2146],{"type":15,"attrs":2147,"content":2148},{"textAlign":53},[2149],{"text":2150,"type":351},"VBHC can also shape planning and evaluation, as in a multi-province collaborative to enable paramedics to provide palliative care, enabling patients to remain at home where most prefer to be.",{"type":395,"attrs":2152,"content":2153},{"level":397,"textAlign":53},[2154],{"text":2155,"type":351},"What Value-based Healthcare is not",{"type":419,"content":2157},[2158,2165,2172],{"type":422,"content":2159},[2160],{"type":15,"attrs":2161,"content":2162},{"textAlign":53},[2163],{"text":2164,"type":351},"VBHC focuses on the whole, not the parts. It does not aim to optimize individual components of an episode of care in isolation (e.g. focusing on just the surgical component without considering pre- and post-care, in addition to surgery). Rather, it seeks to understand and promote improvement in outcomes and costs that span an episode of care or population group, not just those delivered by a specific healthcare provider or at a particular time. Targeted improvements must contribute to the overall goal that cuts across organizational and/or budgetary boundaries.",{"type":422,"content":2166},[2167],{"type":15,"attrs":2168,"content":2169},{"textAlign":53},[2170],{"text":2171,"type":351},"The focus of VBHC is not cost-containment, or to reward cost reductions in isolation. Both overuse and underuse of healthcare can affect value. The aim is to encourage services that deliver high value, and to scale back or drop those that do not. It is also to re-balance the mix of services to improve outcomes at the same or lower cost. In some cases, increased value may come from options outside the health sector that improve health outcomes, not just services offered by traditional health care providers. How we learn, live, work, and play can all affect our health. A broader focus that includes interventions addressing social determinants of health can contribute to value-based care.",{"type":422,"content":2173},[2174],{"type":15,"attrs":2175,"content":2176},{"textAlign":53},[2177],{"text":2178,"type":351},"While evidence-informed practice can facilitate more appropriate care and improved outcomes, it is not the ultimate goal of VBHC. Providers can use evidence regarding the effectiveness of interventions in order to design and continuously adapt models of care to optimize value. However, VBHC is not the same as pay-for-performance models that reward delivery of specific care processes, e.g. prescribing of medications recommended in clinical guidelines, rather than outcomes.",{"type":395,"attrs":2180,"content":2181},{"level":397,"textAlign":53},[2182],{"text":2183,"type":351},"Getting started with VBHC through HEC",{"type":15,"attrs":2185,"content":2186},{"textAlign":53},[2187],{"text":2188,"type":351},"Need help identifying where VBHC might be a fit for your context ? There are many ways you can get started or refine your approach, including guides and resources from HEC and other VBHC practitioners. You can view a sample of the resources available below:",{"type":419,"content":2190},[2191,2206,2223,2237,2251],{"type":422,"content":2192},[2193],{"type":15,"attrs":2194,"content":2195},{"textAlign":53},[2196,2198,2204],{"text":2197,"type":351},"If you’re just beginning the VBHC conversation, ",{"text":2199,"type":351,"marks":2200},"try this prioritization exercise (PDF)",[2201],{"type":370,"attrs":2202},{"href":2203,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://a-ca.storyblok.com/f/850807391887861/7efafa5b87/vbhc-25-10june022025-en-v3.pdf",{"text":2205,"type":351},". It takes less than 30-minutes to generate and prioritize initiatives that deliver value within your context.",{"type":422,"content":2207},[2208],{"type":15,"attrs":2209,"content":2210},{"textAlign":53},[2211,2213,2221],{"text":2212,"type":351},"Experienced VBHC practitioners identified twelve minimum criteria for a successful VBHC initiative . You can assess readiness or do a check-up on current VBHC initiatives using this ",{"text":2214,"type":351,"marks":2215},"VBHC Min Criteria ",[2216],{"type":370,"attrs":2217},{"href":2106,"uuid":2019,"anchor":2218,"custom":2219,"target":385,"linktype":386,"story":2220},"OrganizationalAssessment",{},{"name":2014,"id":2018,"uuid":2019,"slug":2110,"url":2111,"full_slug":2111,"_stopResolving":294},{"text":2222,"type":351},"discussion guide.",{"type":422,"content":2224},[2225],{"type":15,"attrs":2226,"content":2227},{"textAlign":53},[2228,2230,2236],{"text":2229,"type":351},"Analyze your VBHC initiative from the different perspectives of key interest holders by using ",{"text":2231,"type":351,"marks":2232},"this Personas activity (PDF)",[2233],{"type":370,"attrs":2234},{"href":2235,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://a-ca.storyblok.com/f/850807391887861/7d2b0cc7ed/vbhc-personas-page-may312025-en-v2.pdf",{"text":393,"type":351},{"type":422,"content":2238},[2239],{"type":15,"attrs":2240,"content":2241},{"textAlign":53},[2242,2244,2250],{"text":2243,"type":351},"Value can also be derived from reducing or eliminating low value initiatives. For a fun, collaborative way to identify potentially low value initiatives at your organization, consider hosting a ",{"text":2245,"type":351,"marks":2246},"Digging For Dinosaurs Contest (PDF)",[2247],{"type":370,"attrs":2248},{"href":2249,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://a-ca.storyblok.com/f/850807391887861/95b661ee2c/hec-2023-cpsw-activity-cards-dinosaur-en.pdf",{"text":393,"type":351},{"type":422,"content":2252},[2253],{"type":15,"attrs":2254,"content":2255},{"textAlign":53},[2256,2258],{"text":2257,"type":351},"Any organization striving to deliver value-based healthcare must ask themselves how do we know what matters to the patients and communities we serve? Learn more about engagement capable environments: ",{"text":2259,"type":351,"marks":2260},"Engagement-Capable Environments: Organizational Self-Assessment Tool",[2261],{"type":370,"attrs":2262},{"href":2263,"uuid":2264,"anchor":53,"custom":2265,"target":385,"linktype":386,"story":2266},"/resources/engagement-capable-environments","6f628ab7-270f-4226-8121-2372a18250e2",{},{"name":2267,"id":2268,"uuid":2264,"slug":2269,"url":2270,"full_slug":2270,"_stopResolving":294},"Engagement-capable environments",113881479102269,"engagement-capable-environments","resources/engagement-capable-environments",{"type":395,"attrs":2272,"content":2273},{"level":397,"textAlign":53},[2274],{"text":2275,"type":351},"Additional Resources",{"type":419,"content":2277},[2278,2289,2300,2311,2322,2333],{"type":422,"content":2279},[2280],{"type":15,"attrs":2281,"content":2282},{"textAlign":53},[2283],{"text":2284,"type":351,"marks":2285},"Value-Based Healthcare in Canada: How the shifting paradigm will impact specialty medicine (PDF)",[2286],{"type":370,"attrs":2287},{"href":2288,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://static1.squarespace.com/static/61d708f9587415184afa9452/t/634f1a26447d5430c6a61828/1666128427816/Issue22.pdf",{"type":422,"content":2290},[2291],{"type":15,"attrs":2292,"content":2293},{"textAlign":53},[2294],{"text":2295,"type":351,"marks":2296},"Value-Based Healthcare Canada - The Conference Board of Canada",[2297],{"type":370,"attrs":2298},{"href":2299,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.conferenceboard.ca/research-centre/vbhc/",{"type":422,"content":2301},[2302],{"type":15,"attrs":2303,"content":2304},{"textAlign":53},[2305],{"text":2306,"type":351,"marks":2307},"From value for money to value-based health services: a twenty-first century shift (PDF)",[2308],{"type":370,"attrs":2309},{"href":2310,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://iris.who.int/bitstream/handle/10665/340724/9789240020344-eng.pdf?sequence=1",{"type":422,"content":2312},[2313],{"type":15,"attrs":2314,"content":2315},{"textAlign":53},[2316],{"text":2317,"type":351,"marks":2318},"Value in Healthcare: Laying the Foundation for Health System Transformation (PDF)",[2319],{"type":370,"attrs":2320},{"href":2321,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www3.weforum.org/docs/WEF_Insight_Report_Value_Healthcare_Laying_Foundation.pdf",{"type":422,"content":2323},[2324],{"type":15,"attrs":2325,"content":2326},{"textAlign":53},[2327],{"text":2328,"type":351,"marks":2329},"What is Value based Healthcare?",[2330],{"type":370,"attrs":2331},{"href":2332,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.youtube.com/watch?v=Gsfd6fZx15E",{"type":422,"content":2334},[2335],{"type":15,"attrs":2336,"content":2337},{"textAlign":53},[2338],{"text":2339,"type":351,"marks":2340},"Value-based Healthcare by Design Webinar: February 15, 2019",[2341],{"type":370,"attrs":2342},{"href":2343,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.youtube.com/watch?v=R4ry4z2B0nc",{"id":2107,"_uid":2345,"title":2346,"columns":2347,"component":2984,"description":2985},"98baed0b-1986-409f-ba37-7cb63fbb66f3","VBHC Case Studies",[2348,2500,2615,2739,2850],{"_uid":2349,"image":2350,"title":2352,"content":2353,"component":2499},"0b5b74cb-b64d-473d-8706-3d0267af1ead",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"filename":53,"copyright":53,"fieldtype":286,"meta_data":2351,"is_external_url":288},{},"Paramedics Providing Palliative Care",[2354,2361,2370,2408,2447],{"_uid":2355,"image":2356,"component":1176},"fd2efb83-68ad-4f30-a487-e797f61cc983",{"id":2357,"alt":2358,"name":2358,"focus":16,"title":2352,"source":16,"filename":2359,"copyright":16,"fieldtype":286,"meta_data":2360,"is_external_url":288},114297840197077,"Healthcare assisting an older adult seated on a couch. The older adult is accompanied by a small, sleeping cat resting beside them.","https://a-ca.storyblok.com/f/850807391887861/4262376a57/vbhc-pp-paramedics-providing-palliative-care.png",{"alt":2358,"title":2352,"source":16,"copyright":16},{"_uid":2362,"content":2363,"component":533},"9cb30841-9131-4a26-8f27-e27b56f1799e",{"type":12,"content":2364},[2365],{"type":15,"attrs":2366,"content":2367},{"textAlign":53},[2368],{"text":2369,"type":351},"Paramedics were trained to assess people with palliative care needs (for example, pain management) and treat them on the spot at home. Paramedics are trained to provide this care without a transfer to hospital, if appropriate.",{"_uid":2371,"content":2372,"component":533},"ba8abd5d-e359-44f4-8291-420f2127bcac",{"type":12,"content":2373},[2374,2379,2385,2394,2399],{"type":395,"attrs":2375,"content":2376},{"level":1211,"textAlign":53},[2377],{"text":2378,"type":351},"Finding Value in Palliative Care",{"type":395,"attrs":2380,"content":2382},{"level":2381,"textAlign":53},5,[2383],{"text":2384,"type":351},"Targeted Outcome",{"type":419,"content":2386},[2387],{"type":422,"content":2388},[2389],{"type":15,"attrs":2390,"content":2391},{"textAlign":53},[2392],{"text":2393,"type":351},"Enabling palliative patients to receive care at home, where most prefer to be",{"type":395,"attrs":2395,"content":2396},{"level":2381,"textAlign":53},[2397],{"text":2398,"type":351},"Resource Considerations",{"type":419,"content":2400},[2401],{"type":422,"content":2402},[2403],{"type":15,"attrs":2404,"content":2405},{"textAlign":53},[2406],{"text":2407,"type":351},"Reduced costs associated with fewer ED visits + saving paramedics’ time",{"_uid":2409,"content":2410,"component":533},"15b04358-cb5e-4020-8312-4ae0e5f40d84",{"type":12,"content":2411},[2412,2417],{"type":395,"attrs":2413,"content":2414},{"level":1211,"textAlign":53},[2415],{"text":2416,"type":351},"Results",{"type":419,"content":2418},[2419,2426,2433,2440],{"type":422,"content":2420},[2421],{"type":15,"attrs":2422,"content":2423},{"textAlign":53},[2424],{"text":2425,"type":351},"60 per cent of 9-1-1 calls resulted in people being treated at home instead of being transported to the emergency department (compared to 90 per cent of 9-1-1 calls typically resulting in emergency trips);",{"type":422,"content":2427},[2428],{"type":15,"attrs":2429,"content":2430},{"textAlign":53},[2431],{"text":2432,"type":351},"Paramedics saved an average of 31 minutes per visit by treating palliative patients at home compared with transporting them to the emergency department;",{"type":422,"content":2434},[2435],{"type":15,"attrs":2436,"content":2437},{"textAlign":53},[2438],{"text":2439,"type":351},"A return of $4.60 for every one dollar invested in the program; and",{"type":422,"content":2441},[2442],{"type":15,"attrs":2443,"content":2444},{"textAlign":53},[2445],{"text":2446,"type":351},"Over 92 per cent of surveyed patients and families were satisfied with the care they received by paramedics.",{"_uid":2448,"content":2449,"component":533},"0794e207-b7ce-475e-b02c-5e8f640ee3ae",{"type":12,"content":2450},[2451,2456],{"type":395,"attrs":2452,"content":2453},{"level":1211,"textAlign":53},[2454],{"text":2455,"type":351},"For more information:",{"type":419,"content":2457},[2458,2469,2487],{"type":422,"content":2459},[2460],{"type":15,"attrs":2461,"content":2462},{"textAlign":53},[2463],{"text":2464,"type":351,"marks":2465},"Economic evaluation of the “paramedics and palliative care: bringing vital services to Canadians” program compared to the status quo",[2466],{"type":370,"attrs":2467},{"href":2468,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://link.springer.com/article/10.1007/s43678-024-00738-9",{"type":422,"content":2470},[2471],{"type":15,"attrs":2472,"content":2473},{"textAlign":53},[2474],{"text":2475,"type":351,"marks":2476},"Paramedics and Palliative Care: Bringing Vital Services to Canadians",[2477],{"type":370,"attrs":2478},{"href":2479,"uuid":2480,"anchor":53,"custom":2481,"target":385,"linktype":386,"story":2482},"/programs/paramedics-palliative-care-canada","1ffdf728-55c8-42e6-a6a6-e6b03f2b733d",{},{"name":2483,"id":2484,"uuid":2480,"slug":2485,"url":2486,"full_slug":2486,"_stopResolving":294},"Paramedics and Palliative Care",126542144181599,"paramedics-palliative-care-canada","programs/paramedics-palliative-care-canada",{"type":422,"content":2488},[2489],{"type":15,"attrs":2490,"content":2491},{"textAlign":53},[2492],{"text":2493,"type":351,"marks":2494},"Paramedics treating patients’ palliative needs at home benefits everyone",[2495],{"type":370,"attrs":2496},{"href":2497,"uuid":53,"anchor":53,"custom":2498,"target":373,"linktype":374},"https://theconversation.com/paramedics-treating-patients-palliative-needs-at-home-benefits-everyone-236013",{},"wysiwyg-column",{"_uid":2501,"image":2502,"title":2504,"content":2505,"component":2499},"eb7985d3-bb3b-4847-b538-7b00c5f192ac",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":286,"meta_data":2503},{},"ImagineNation Challenges",[2506,2513,2522,2558,2591],{"_uid":2507,"image":2508,"component":1176},"be3e20b9-865a-448c-bf12-ea1d1a6065e4",{"id":2509,"alt":2510,"name":2510,"focus":16,"title":2504,"source":16,"filename":2511,"copyright":16,"fieldtype":286,"meta_data":2512,"is_external_url":288},114297836510675,"A pregnant person holds a prescription bottle labeled \"RX\" in one hand and a smartphone in the other. The phone displays a simplified interface, suggesting digital management of healthcare during pregnancy.","https://a-ca.storyblok.com/f/850807391887861/3bb56751d6/vbhc-pp-imaginenation-challenges.png",{"alt":2510,"title":2504,"source":16,"copyright":16},{"_uid":2514,"content":2515,"component":533},"06f12945-50b4-4143-a462-295f79b5da92",{"type":12,"content":2516},[2517],{"type":15,"attrs":2518,"content":2519},{"textAlign":53},[2520],{"text":2521,"type":351},"From 2011-2016 Canada Health Infoway used Open innovation challenges to reward innovators for making progress towards pre-defined goals related to the adoption of digital health solutions. Open Innovation Challenges specify the outcome to be achieved, not how it must be achieved. This approach can yield value by ensuring the outcomes to be achieved matter to patients (numerator) while controlling costs by only awarding money to those who best meet the outcome (denominator).",{"_uid":2523,"content":2524,"component":533},"8b863b2b-9713-43db-9a9a-1875ebb670a5",{"type":12,"content":2525},[2526,2531,2536,2545,2549],{"type":395,"attrs":2527,"content":2528},{"level":1211,"textAlign":53},[2529],{"text":2530,"type":351},"Finding Value in Award Challenges",{"type":395,"attrs":2532,"content":2533},{"level":2381,"textAlign":53},[2534],{"text":2535,"type":351},"Targeted Outcome(s)",{"type":419,"content":2537},[2538],{"type":422,"content":2539},[2540],{"type":15,"attrs":2541,"content":2542},{"textAlign":53},[2543],{"text":2544,"type":351},"Adoption of digital health solutions prioritized by Canadians",{"type":395,"attrs":2546,"content":2547},{"level":2381,"textAlign":53},[2548],{"text":2398,"type":351},{"type":419,"content":2550},[2551],{"type":422,"content":2552},[2553],{"type":15,"attrs":2554,"content":2555},{"textAlign":53},[2556],{"text":2557,"type":351},"Resources went to those who best met the targeted outcomes",{"_uid":2559,"content":2560,"component":533},"c0386a49-2b07-4b86-9fd4-8f5a5dce74c7",{"type":12,"content":2561},[2562,2568],{"type":395,"attrs":2563,"content":2564},{"level":1211,"textAlign":948},[2565],{"text":2416,"type":351,"marks":2566},[2567],{"type":431},{"type":419,"content":2569},[2570,2577,2584],{"type":422,"content":2571},[2572],{"type":15,"attrs":2573,"content":2574},{"textAlign":53},[2575],{"text":2576,"type":351},"$2.3 million in awards was distributed to 435 team or individual recipients",{"type":422,"content":2578},[2579],{"type":15,"attrs":2580,"content":2581},{"textAlign":53},[2582],{"text":2583,"type":351},"Collectively, teams' digital health solutions were used almost 75 million times during the challenges: 3.5 million times for consumer-focused solutions and 71.4 million times for solutions designed to be used by clinical teams",{"type":422,"content":2585},[2586],{"type":15,"attrs":2587,"content":2588},{"textAlign":53},[2589],{"text":2590,"type":351},"Outcomes varied by individual challenge but included things like growth in the use of digital health solutions for e-booking, patient access to health information and medication reconciliation",{"_uid":2592,"content":2593,"component":533},"44c90127-b03c-43f8-adac-56fb619f8463",{"type":12,"content":2594},[2595,2601],{"type":395,"attrs":2596,"content":2597},{"level":1211,"textAlign":948},[2598],{"text":2455,"type":351,"marks":2599},[2600],{"type":431},{"type":419,"content":2602},[2603],{"type":422,"content":2604},[2605],{"type":15,"attrs":2606,"content":2607},{"textAlign":948},[2608],{"text":2609,"type":351,"marks":2610},"Open Innovation Prizes and Challenges: Learnings from the ImagineNation Series",[2611],{"type":370,"attrs":2612},{"href":2613,"uuid":53,"anchor":53,"custom":2614,"target":373,"linktype":374},"https://pubmed.ncbi.nlm.nih.gov/28130946/",{},{"_uid":2616,"image":2617,"title":2619,"content":2620,"component":2499},"43257cfe-1f43-4eb8-9ff0-7f47eb43a323",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"filename":53,"copyright":53,"fieldtype":286,"meta_data":2618,"is_external_url":288},{},"Cardiac Device Procurement",[2621,2628,2637,2672,2696],{"_uid":2622,"image":2623,"component":1176},"07597a58-0b80-47e1-86cb-227a2b045cc6",{"id":2624,"alt":2625,"name":2625,"focus":16,"title":2619,"source":16,"filename":2626,"copyright":16,"fieldtype":286,"meta_data":2627,"is_external_url":288},114297827081678,"A person wearing a medical face mask stands close to an older person with gray hair and a beard. The masked person has one hand gently placed on the other person’s chest.","https://a-ca.storyblok.com/f/850807391887861/0506eeb441/vbhc-pp-cardiac-device-procurement.png",{"alt":2625,"title":2619,"source":16,"copyright":16},{"_uid":2629,"content":2630,"component":533},"e8d8b81c-3cc3-4a00-b171-817f1d12587e",{"type":12,"content":2631},[2632],{"type":15,"attrs":2633,"content":2634},{"textAlign":53},[2635],{"text":2636,"type":351},"Value-Based Procurement awards contracts based on quality/outcomes and cost, rather than costs alone. In 2018 the Ontario Ministry of Health and Long-Term Care - in collaboration with industry partners, hospitals and a patient panel - developed an RFP to procure cardiac devices. It included a focus on outcomes important to patients (e.g. device longevity that reduces the need for future surgeries), in addition to efficiency through large volume purchasing.",{"_uid":2638,"content":2639,"component":533},"2178ddc8-13bf-4c65-af29-4aac2764e722",{"type":12,"content":2640},[2641,2646,2650,2659,2663],{"type":395,"attrs":2642,"content":2643},{"level":1211,"textAlign":53},[2644],{"text":2645,"type":351},"Finding Value in Procurement",{"type":395,"attrs":2647,"content":2648},{"level":2381,"textAlign":53},[2649],{"text":2384,"type":351},{"type":419,"content":2651},[2652],{"type":422,"content":2653},[2654],{"type":15,"attrs":2655,"content":2656},{"textAlign":53},[2657],{"text":2658,"type":351},"Product requirements that reflected patient and health system priorities",{"type":395,"attrs":2660,"content":2661},{"level":2381,"textAlign":53},[2662],{"text":2398,"type":351},{"type":419,"content":2664},[2665],{"type":422,"content":2666},[2667],{"type":15,"attrs":2668,"content":2669},{"textAlign":53},[2670],{"text":2671,"type":351},"Initial purchase costs, as well as longer-term resource use (e.g. future surgeries to replace devices)",{"_uid":2673,"content":2674,"component":533},"b1c40d31-3270-497a-b71f-dd70ccbbeb73",{"type":12,"content":2675},[2676,2680],{"type":395,"attrs":2677,"content":2678},{"level":1211,"textAlign":53},[2679],{"text":2416,"type":351},{"type":419,"content":2681},[2682,2689],{"type":422,"content":2683},[2684],{"type":15,"attrs":2685,"content":2686},{"textAlign":53},[2687],{"text":2688,"type":351},"Including a patient panel in the procurement process resulted in a focus on product requirements that were important to patients, such as device longevity to minimize device replacements, and compatibility of devices with magnetic resonance imaging (MRI)",{"type":422,"content":2690},[2691],{"type":15,"attrs":2692,"content":2693},{"textAlign":53},[2694],{"text":2695,"type":351},"Savings were realized by procuring a large volume of devices at a provincial level, rather than individual hospitals procurements",{"_uid":2697,"content":2698,"component":533},"4f2d8fe5-8ff9-45c4-843e-a2ee18fd4246",{"type":12,"content":2699},[2700,2704],{"type":395,"attrs":2701,"content":2702},{"level":583,"textAlign":53},[2703],{"text":2455,"type":351},{"type":419,"content":2705},[2706,2717,2728],{"type":422,"content":2707},[2708],{"type":15,"attrs":2709,"content":2710},{"textAlign":53},[2711],{"text":2712,"type":351,"marks":2713},"Different Is Necessary: Approaches to Advance Value-Based Procurement in Canada (PDF)",[2714],{"type":370,"attrs":2715},{"href":2716,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://medtechcanada.org/files/Procurement_Toolkit_Files/Conference_board_of_Canada/2.%20CBOC%20_VBP-Different-Is-Necessary%20%20October%202022-Eng.pdf",{"type":422,"content":2718},[2719],{"type":15,"attrs":2720,"content":2721},{"textAlign":53},[2722],{"text":2723,"type":351,"marks":2724},"Innovation in Procurement-A Framework for Creating-Value and Mobilizing Supply Chain Transformation",[2725],{"type":370,"attrs":2726},{"href":2727,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fgs1ca.org%2Fgs1ca-components%2Fdocuments%2Fhealthcare-hscn%2F2019-may-15%2FInnovation-in-Procurement-A-Framework-for-Creating-Value-and-Mobilizing-Supply-Chain-Trasformation-May-15-2019.pptx&wdOrigin=BROWSELINK?src=https%3A%2F%2Fcrm365qa.gs1ca.org%2Fgs1ca-components%2Fdocuments%2Fhealthcare-hscn%2F2019-may-15%2FInnovation-in-Procurement-A-Framework-for-Creating-Value-and-Mobilizing-Supply-Chain-Trasformation-May-15-2019.pptx&wdOrigin=BROWSELINK",{"type":422,"content":2729},[2730],{"type":15,"attrs":2731,"content":2732},{"textAlign":53},[2733],{"text":2734,"type":351,"marks":2735},"Cardiac Device Procurement (Video)",[2736],{"type":370,"attrs":2737},{"href":2738,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://www.youtube.com/watch?v=XLJFD3LARsg",{"_uid":2740,"image":2741,"title":2743,"content":2744,"component":2499},"35e6d2b8-5537-498d-89cc-82f0af6394a4",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":286,"meta_data":2742},{},"Bundled Funding for Hospital to Home Pathways",[2745,2752,2761,2796],{"_uid":2746,"image":2747,"component":1176},"8570e90b-6695-452d-838a-3d26fb2529da",{"id":2748,"alt":2749,"name":2749,"focus":16,"title":2743,"source":16,"filename":2750,"copyright":16,"fieldtype":286,"meta_data":2751,"is_external_url":288},114297819327946,"A person wearing a medical face mask is holding the hand of someone lying in bed. Two other people stand nearby, watching.","https://a-ca.storyblok.com/f/850807391887861/2ab0e9fb38/vbhc-pp-bundled-funding-for-hospital-to-home-pathways.png",{"alt":2749,"title":2743,"source":16,"copyright":16},{"_uid":2753,"content":2754,"component":533},"5efd287c-ea1f-4c19-802b-00d3de09e190",{"type":12,"content":2755},[2756],{"type":15,"attrs":2757,"content":2758},{"textAlign":53},[2759],{"text":2760,"type":351},"Bundled payments are for specific procedures or groups of patients that are designed to cross traditional silos to ensure funding follows the patient. This funding method was implemented in 2015 for some Ontario Hospitals and homecare providers through the Integrated Funding Model (IFM) Initiative. 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A small potted plant sits on the windowsill.","https://a-ca.storyblok.com/f/850807391887861/49937587ce/vbhc-pp-sweet-dreams-social-impact-bond.png",{"alt":2860,"title":2854,"source":16,"copyright":16},{"_uid":2864,"content":2865,"component":533},"6d9d09db-474a-4547-adae-edbc2cd19dab",{"type":12,"content":2866},[2867],{"type":15,"attrs":2868,"content":2869},{"textAlign":53},[2870],{"text":2871,"type":351},"The Sweet Dreams Project in Saskatoon, Saskatchewan used a Social Impact Bond to provide vulnerable mothers and children with housing, parenting support, access to educational opportunities and employment skills development. Social impact bonds are a pay for success investment model where capital from private investors is used to pay for programs or services that enhance social good. 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Consider whether there are care pathways, if systems are integrated or if they can be integrated to allow this to happen, e.g. if appropriate information and resource sharing mechanisms are in place.",{"_uid":3133,"image":3134,"title":3139,"content":3140,"component":2499},"b52fe09c-80dd-4805-a860-e3f083e65440",{"id":3135,"alt":3136,"name":16,"focus":16,"title":3136,"source":16,"filename":3137,"copyright":16,"fieldtype":286,"meta_data":3138,"is_external_url":288},114297838640596,"Icons Supportive Policy And Structures","https://a-ca.storyblok.com/f/850807391887861/36bce29809/icons-supportive-policy-and-structures.png",{},"Supportive Policy and Structures:",[3141],{"_uid":3142,"content":3143,"component":533},"bc15f630-a8a6-4489-8016-435dfc6f771c",{"type":12,"content":3144},[3145],{"type":15,"attrs":3146,"content":3147},{"textAlign":53},[3148],{"text":3149,"type":351},"Governance, accountability structures and policy/regulations need to support implementation.",{"_uid":3151,"image":3152,"title":3157,"content":3158,"component":2499},"0035d03f-3637-4d78-8054-8221d588e00e",{"id":3153,"alt":3154,"name":16,"focus":16,"title":3154,"source":16,"filename":3155,"copyright":16,"fieldtype":286,"meta_data":3156,"is_external_url":288},114297842105814,"Icons Aligned Payment Models","https://a-ca.storyblok.com/f/850807391887861/2f38302ba8/icons-aligned-payment-models.png",{},"Aligned Payment Models:",[3159],{"_uid":3160,"content":3161,"component":533},"7a413987-e9c2-46c4-9d64-a58bc15c9679",{"type":12,"content":3162},[3163],{"type":15,"attrs":3164,"content":3165},{"textAlign":53},[3166],{"text":3167,"type":351},"It is important that payment models allow the flexibility to pursue value, and that they enable higher value behaviours and decisions.",{"_uid":3169,"image":3170,"title":3175,"content":3176,"component":2499},"c8f9fbaf-ce80-4944-a956-8c75b97c67cd",{"id":3171,"alt":3172,"name":16,"focus":16,"title":3172,"source":16,"filename":3173,"copyright":16,"fieldtype":286,"meta_data":3174,"is_external_url":288},114297815358920,"Icons Proven Solutions","https://a-ca.storyblok.com/f/850807391887861/8979ccd975/icons-proven-solutions.png",{},"Proven Solutions:",[3177],{"_uid":3178,"content":3179,"component":533},"f8937ffc-39eb-41a0-9156-be3d18dd5bb8",{"type":12,"content":3180},[3181],{"type":15,"attrs":3182,"content":3183},{"textAlign":53},[3184],{"text":3185,"type":351},"Solutions that have been tried and tested and have worked effectively in a similar context. 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Do the stakeholders have realistic expectations of the time required? Different initiatives will require different amounts of time. For example, a procurement initiative may take less time, and a social impact bond may take more time.",{"type":12,"content":3205},[3206,3218],{"type":15,"attrs":3207,"content":3208},{"textAlign":53},[3209,3216],{"text":3210,"type":351,"marks":3211},"Experienced VBHC practitioners",[3212],{"type":370,"attrs":3213},{"href":3214,"uuid":53,"anchor":53,"custom":3215,"target":373,"linktype":286},"https://a-ca.storyblok.com/f/850807391887861/f772980a77/vbhc-design-day-outcomes-summary-e-1.pdf",{},{"text":3217,"type":351}," identified 12 minimum criteria that are important to a successful value-based initiative. 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COVID-19 has only further exposed stark gaps in both care and equity. As healthcare organizations across the country work through different phases of the pandemic, we have an opportunity to expand the reach of successful innovations to build a system that is resilient, responsive, sustainable, and cares for all people equitably.",{"type":15,"attrs":3288,"content":3289},{"textAlign":53},[3290],{"text":3291,"type":351},"Pandemic Recovery and Resilience Self-Assessment and Toolkit helps guide healthcare leaders and policymakers to renew health systems strained by the pandemic and better prepare for future health emergencies. Informed by input from health leaders from across the country, the toolkit helps you assess your progress in nine priority areas. It also identifies options for moving ahead, highlighting innovative approaches that provide patient-focused solutions.",{"type":15,"attrs":3293,"content":3294},{"textAlign":53},[3295,3297,3303],{"text":3296,"type":351},"It is recommended that you download and save the PDF file to your system in order to enter and save results. This self-assessment and toolkit includes built-in features that are best experienced using an Adobe Reader with Java enabled. ",{"text":3298,"type":351,"marks":3299},"Download the Adobe Acrobat Reader",[3300],{"type":370,"attrs":3301},{"href":3302,"uuid":53,"anchor":53,"custom":53,"target":373,"linktype":374},"https://get.adobe.com/reader/",{"text":393,"type":351},{"type":15,"attrs":3305,"content":3306},{"textAlign":53},[3307],{"text":3308,"type":351},"The nine areas include:",{"type":419,"content":3310},[3311,3318,3325,3332,3339,3346,3353,3360,3367],{"type":422,"content":3312},[3313],{"type":15,"attrs":3314,"content":3315},{"textAlign":53},[3316],{"text":3317,"type":351},"health human resources",{"type":422,"content":3319},[3320],{"type":15,"attrs":3321,"content":3322},{"textAlign":53},[3323],{"text":3324,"type":351},"backlogs of services",{"type":422,"content":3326},[3327],{"type":15,"attrs":3328,"content":3329},{"textAlign":53},[3330],{"text":3331,"type":351},"regional system integration",{"type":422,"content":3333},[3334],{"type":15,"attrs":3335,"content":3336},{"textAlign":53},[3337],{"text":3338,"type":351},"ongoing pandemic response and managing surge capacity",{"type":422,"content":3340},[3341],{"type":15,"attrs":3342,"content":3343},{"textAlign":53},[3344],{"text":3345,"type":351},"equity in population health",{"type":422,"content":3347},[3348],{"type":15,"attrs":3349,"content":3350},{"textAlign":53},[3351],{"text":3352,"type":351},"mental health and substance use",{"type":422,"content":3354},[3355],{"type":15,"attrs":3356,"content":3357},{"textAlign":53},[3358],{"text":3359,"type":351},"care of older adults",{"type":422,"content":3361},[3362],{"type":15,"attrs":3363,"content":3364},{"textAlign":53},[3365],{"text":3366,"type":351},"virtual care",{"type":422,"content":3368},[3369],{"type":15,"attrs":3370,"content":3371},{"textAlign":53},[3372],{"text":3373,"type":351},"patient partnership and engagement",{"type":15,"attrs":3375,"content":3376},{"textAlign":53},[3377],{"text":3378,"type":351},"Whether you work in a regional health authority or healthcare delivery system, or in a provincial, territorial, or federal health department, this toolkit is a simple self-assessment that helps you and your team quickly recognize what’s working, where the gaps are, and how you can move forward.",{"type":15,"attrs":3380,"content":3381},{"textAlign":53},[3382],{"text":3383,"type":351},"There is a tremendous opportunity to expand the reach of proven innovations and apply what’s working in other places. With more than 125 innovations included in the toolkit, we’ve prioritized approaches that are interconnected by each of the nine themes, meaning taking action in one area can help drive progress in others.",{"type":15,"attrs":3385,"content":3386},{"textAlign":53},[3387],{"text":3388,"type":351},"However, we’re not finished looking for more innovations, help us find additional tools and innovations that renew policy and practice to add to this growing inventory.",{"type":15,"attrs":3390,"content":3391},{"textAlign":53},[3392],{"text":3393,"type":351},"In the coming months, HEC will be building on this toolkit with further resources and learning opportunities. We also want to hear from you about the innovations and tools that are making a difference in your organization. Please connect with us at innovations@hec-esc.ca and let’s collaborate as we all move through the pandemic and work to renew and strengthen our health systems.",{"_uid":3395,"file":3396,"link":3401,"label":3256,"linkType":543,"component":544,"linkLabel":16},"52d209ce-491e-45c9-9161-583659ddbc5b",{"id":3397,"alt":3398,"name":16,"focus":16,"title":3398,"source":16,"filename":3399,"copyright":16,"fieldtype":286,"meta_data":3400,"is_external_url":288},114293142853924,"20220524 Pandemicrecoverytoolkit EN Tabulating","https://a-ca.storyblok.com/f/850807391887861/9dedc99c92/20220524-pandemicrecoverytoolkit-en-tabulating.pdf",{},{"id":16,"url":16,"linktype":386,"fieldtype":541,"cached_url":16},[143,129,136,150,157,122],[200,192,185],"pandemic-recovery-and-resilience-self-assessment-and-toolkit","resources/pandemic-recovery-and-resilience-self-assessment-and-toolkit",-16730,[],{"parent_slug":615,"umbraco_path":3409,"umbraco_uuid":3410},"/HealthcareExcellenceCanada/Resources/PandemicRecoveryAndResilienceSelfAssessmentAndToolkit","c11e0f55-45f6-4bad-b8eb-9efc79575f21","0733e053-238f-4c21-a224-c9b226ade218","2025-11-18T19:04:35.575Z",[],[3415],{"path":3416,"name":3417,"lang":308,"published":294},"ressources/reprise-et-resilience-apres-la-pandemie-auto-evaluation-et-trousse-d-outils","Reprise et résilience après la pandémie : auto-évaluation et trousse d’outils",102,1776087587460]