How to Deliver Integrated Care Models: Lessons from Ontario

By: Kevin Smith and Adalsteinn Brown

It is clear that better integrated care (also known as bundled care, integrated health, seamless care and a number of other names) will be part of our upcoming system reforms in Ontario. In this blog post, we highlight research from The Milbank Quarterly that provides support for such reforms through the evaluation of six provincial bundled care pilots and draw out two important themes.

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Learning from success critical to health system improvement

By: Kevin Smith and Adalsteinn Brown

A new paper by University of Toronto researchers argues that we need to look beyond the typically dismal rankings for Canada’s health-care system, realize what’s working well, build off of those examples and embed quality improvement into health professional education. We agree and believe that we can make meaningful improvements in our system today by spreading the managerial and policy models that are already working well. We can also start to innovate (and evaluate) more substantial changes to our system.

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How patient complaints can help improve our health-care system

By: Dr. Kevin Smith and Prof. Adalsteinn Brown

A new paper explores novel methods to analyze and leverage patient complaint data to help prioritize, target and guide quality improvement efforts. It also points to the importance of stronger integration of hospital and community care for better care that is organized around the patient.

Like every other domain of science, health care leaders must manage the onslaught of new evidence and insight. The number of papers published each month that describe what to do or what not to do to improve health care would overwhelm even the most diligent student, let alone busy a busy manager or policy advisor. It also takes away the chance to reflect on individual papers and what they say about how our health systems are evolving.

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