Linkage Tool for the Transitions in Care Team Grants: List of interested individuals

Notice

IMPORTANT: We invite you to complete this short survey. Once complete, your information will be added to the table below to facilitate collaborations.

The information is provided in the language in which it was submitted by the respondent.

The table below shows information about organizations, researchers and individuals who are interested in sharing information and/or forging collaborations in relation to the Transitions in Care: Team Grants

The information was provided on a voluntary basis and in no way confers any advantages in the evaluation and funding of applications.

The table will be updated weekly, until the application deadline (January 24, 2019).


Contact information
Name
Email
Phone Number
Affiliation
Website Address
Province/Territory
Stakeholder Role Focus Areas Topic of Interest Application Stream Additional Information
Jason McVicar
jmcvicar@toh.ca
613-986-5628
Uottawa
ON

Scientific lead (and independent researcher); Clinical lead

Changing health status or care: Key populations to optimize transition outcomes Surgery for the Inuit is often a very significant medical experience that largely occurs outside Inuit Nunangat, which creates additional stresses during a major life event. We aim to use existing health databases to explore the differences in quality outcomes around the time of surgery for Inuit patients compared to the general population. This area of health research and will assist in advocacy and policy development to improve the lives of the Inuit. Stream 1: PHSI solutions for transitions in care gaps; Stream 2: eHIPP solution for transitions in care gaps Anesthesiologist & Assistant Professor, University of Ottawa Department of Anesthesiology & Pain Medicine The Ottawa Hospita
Jonathan White
jswhite1@ualberta.ca
780-735-5147
Alberta Health Services
AB
Health systems decision-maker; Clinical lead Across Life Trajectories; Changing Health status or care Interested in improving transitions into and out of surgical care, improving integration between specialists and primary care Stream 1: PHSI solutions for transitions in care gaps Happy to discuss various options for collabaration.
Jean-Claude Coallier
jean-claude.coallier@usherbrooke.ca
819-821-8000 ext. 61806
Université de Sherbrooke
QC
eHealth innovation partner; Scientific lead (and independent researcher) Across Life Trajectories; Changing Health status or care Vieillissement; éducation thérapeutique; littéracie technologique; insuffisance cardiaque; diabète Stream 2: eHIPP solution for transitions in care gaps Je m'intéresse plus particulièrement aux aspects psychologiques et éducatifs de l'engagement dans les traitements, particulièrement à ceux faisant appels aux technologies en santé.
Yvonne Bohr
bohry@yorku.ca
416-736-2100 X 40561
York Universigty
The Infant and Child Mental Health Lab
NUN ON
Scientific lead (and independent researcher) Changing health status or care: Key populations to optimize transition outcomes e-mental health interventions for youth in remote communities Stream 2: eHIPP solution for transitions in care gaps I am interested in researching, in collaboration with members of geographically remote communities, culturally specific eHealth prevention and intervention tools that build resiliency in children and youth.
Peter A Cornish
pcornish@mun.ca
709-699-4230
Memorial University of Newfoundland
Stepped Care 2.0
NFLD SK
eHealth innovation partner; Health systems decision-maker; Scientific lead (and independent researcher); Clinical lead Across Life Trajectories; Changing Health status or care
  • Development of integrated (interdisciplinary and cross-sectoral), rapid access system of mental health care youth and adults
  • Stepped Care 2.0 – the model I developed - is being implemented in post-secondary institutions across Canada and the United States. It is also being piloted in the public health system across Newfoundland and Labrador
  • Lower step interventions include a variety of e-mental health programs
  • Key to success is continuous outcome monitoring of progress and patient engagement via web-based platform
Stream 2: eHIPP solution for transitions in care gaps In kind support of change management training and sharing of intellectual property on Stepped Care 2.0 model
Tom Stelfox
tstelfox@ucalgary.ca
403-944-0732
University of Calgary & Alberta Health Services
The Calgary Critical Care Research Network
AB
Health systems decision-maker; Scientific lead (and independent researcher) Changing health status or care; Key populations to optimize transition outcomes Our team is proposing to develop, implement and evaluate a transitions in care communication bundle to facilitate continuity of care for patients with critical illness. Stream 1: PHSI solutions for transitions in care gaps We have an established academia-health system partnered research team that has conducted foundational research to describe the challenges of transitions in care for patients critically ill patients admitted to the intensive care unit (ICU). We propose to build on this existing program of work by developing and testing a communication bundle to facilitate continuity of care for these high risk patients. We are interested in any patient/family advisors, clinicians, researchers, health system decision-makers, governmental organizations, non-governmental organizations and industry members who are interested in partnering to address this persistent healthcare challenge.
Christian Rochefort
christian.rochefort@usherbrooke.ca
450-466-5000 ext: 4830
University of Sherbrooke
QC
Scientific lead (and independent researcher) Changing health status or care; Key populations to optimize transition outcomes patient safety; acute care hospitals; nurse staffing; health informatics; transitioning from hospital to home care; clinical and administrative databases; care transitions Stream 2: eHIPP solution for transitions in care gaps I have more than 10 years of expertise in using clinical and administrative databases to support decision-making in health care. I am interested in being a scientific lead on a care transition project involving health information technologies and/or health informatics.
Martha Mackay
mmackay@providencehealth.bc.ca
604-682-2344 ext: 63127
UBC/Providence Health Care
BC
Scientific lead (and independent researcher); Clinical lead Changing health status or care; Key populations to optimize transition outcomes transitioning from hospital to home, particularly cardiac patients who have co-morbid depression (mechanisms to communicate this to primary care providers are needed); access to care for ethnic minorities with cardiac disease Stream 1: PHSI solutions for transitions in care gaps Interested in many facets of this issue (e-health or other solutions), as a PI or co-investigator. My research and clinical area of expertise is cardiovascular disease/care. I have conducted research related to both ethnicity and depression as they relate to cardiac patients.
Julia Moore
julia.moore@thecenterfor
implementation.com

647-390-1929
The Center for Implementation
ON
Other: knowledge translation/implementation science Across Life Trajectories; Changing Health status or care I apply knowledge translation and implementation science to support projects to effectively implement evidence. Since producing individual, organizational, and systems change is challenging, by using KT/IS we can enhance the probability of achieving desired outcomes. The essential elements of KT/IS are the use of the theories, models, and frameworks to inform program development, implementation, evaluation, sustainability, spread, and scale up. Stream 1: PHSI solutions for transitions in care gaps I am interested in partnering with groups that would like to implement evidence into practice across a range of organizations/settings and would like to have implementation methods that are informed by knowledge translation/implementation science.
Andrew Mackie
andrew.mackie@albertahealth
services.ca

780-407-2101
University of Alberta
AB
Scientific lead (and independent researcher); Clinical lead Across Life trajectories; Key populations to optimize transition outcomes Transitioning from pediatric to adult health care Stream 2: eHIPP solution for transitions in care gaps I'm an academic pediatric specialist interested in partnering with eHealth innovators to implement and evaluate novel tools to facilitate pediatric to adult health care transition.
Lisa Guirguis
lisa.guirguis@ualberta.ca
780-819-4623
University of Alberta
Faculty of Pharmacy and Pharmaceutical Sciences
AB NS ON QC
Scientific lead (and independent researcher) Across Life trajectories; Key populations to optimize transition outcomes Medication safety, medication information, e-prescriptions, community pharmacy, physicians, patient partners, patient centred, electronic health records Stream 2: eHIPP solution for transitions in care gaps I am part of an interdisciplinary team that is looking to continue the development of a prototype for patient centred e-prescribing.
Sharon Kaasalainen
kaasal@mcmaster.ca
905-525-9140
McMaster University
AB MB ON QC SK
Health systems decision-maker; Scientific lead (and independent researcher); Patient/family/caregiver Across Life Trajectories; Changing Health status or care Strengthening a Palliative Approach in Long Term Care; aging; dementia; provide family support with advance care planning and end of life decision making, build capacity in long term care to implement a palliative approach; leverage resources in the community to support a palliative approach Stream 1: PHSI solutions for transitions in care gaps Our team which includes researchers, decision makers, families and residents in LTC have worked together for over 4 years to develop the program, Strengthening a Palliative Approach in Long Term Care (SPA-LTC). We hope to continue to build our network across new regions as well to form a community of practice to scale up and spread the SPA-LTC program across Canada.
Manon Choinière
manon.choiniere@umontreal.ca
514-774-2802
Research Center of the Centre hospitalier de l'Université de Montréal
QC
Scientific lead (and independent researcher) Across Life Trajectories; Changing Health status or care 1) Transition from acute to chronic pain; 2) trajectories of care among patients who suffer from chronic non-cancer pain; 3) predictors of pain patient trajectories of care; 4) opioid use Stream 1: PHSI solutions for transitions in care gaps Strong research expertise in the fields of 1) assessment and management of chronic non-cancer pain, 2) opioid use, 3) non-pharmacological modalities for the management of chronic non-cancer pain, and 4) patient registries
Syed Sibte Raza Abidi
ssrabidi@dal.ca
902-494-2129
Dalhousie University
NICHE Research Group
NS
Scientific lead (and independent researcher) Across Life Trajectories, Changing health status or care, Key populations to optimize transition in care outcomes My group conducts research in Health Informatics/e-Health with particular focus on developing and implementing e-Health based personalized health solutions to facilitate transitions in care in terms of self-management, behaviour modification, care coordination across institutions, patient empowerment and education, home-based care - remote monitoring and rapid response. We use artificial intelligence methods for health data analytics and knowledge management. Our work largely focuses on transitioning care from specialist centres to primary care--equipping physicians and patients with e-health based support services. For aging we have developed solutions to remind elderly to follow their regime. For cancer survivors we have developed solutions to reduce their anxiety, improve self-motivation and self-care efficacy. For transitioning from hospital to home our interest is home-based monitoring (unobtrusive) to assess health status, respond to queries and proactively respond to adverse events. Stream 1: PHSI solutions for transitions in care gaps We are a university research group that brings e-Health expertise in developing and implementing solutions to support transitions in care. We can bring our own solutions and develop specialized ones with our collaborators.
Kevin Chan
kevinjchan@aol.com
416-994-2565
Memorial University of Newfoundland
NFLD
Health systems decision-maker, Scientific lead (and independent researcher), Clinical lead Across Life Trajectories, Changing health status or care I work as Clinical Chief of Children's Health and Chair of Pediatrics at Memorial. I'm interested in the adolescent to adult transition, and transitions between tertiary to primary and secondary care. I'm also interested in telehealth linkages in resolving these transitions. Stream 1: PHSI solutions for transitions in care gaps Willing to partner to test and facilitate. Potentially to provide financial support if the opportunity is right and aligns with provincial government priorities.
Catherine Demers
demers@hhsc.ca
905-521-2100 ext: 73324
McMaster University
Ontario
Scientific lead (and independent researcher), Clinical lead Changing health status or care, Key populations to optimize transition in care outcomes Our research team is interested in promoting self-care in older patients with heart failure at hospital discharge. We are looking at providing support using a decision tool in the home setting to prevent hospital readmissions. Stream 2: eHIPP solution for transitions in care gaps We are looking at developing an eHealth innovation with a partner for development and testing of an application.
Kenneth Chapman
ken.chapman.airways@gmail.com
4166035499
University of Toronto
Inspiration Research Limited
ON
Scientific lead (and independent researcher); Clinical lead Changing health status or care; Key populations to optimize transitions in care outcomes Our centre manages severe asthma and COPD. In Canada, 80% of asthma is managed in primary care and there are often substantial shortcomings such as failure to confirm the diagnosis in objective terms. COPD poses similar problems and is associated with frequent hospitalization and readmission rates. We seek to develop home monitoring and coaching tools to improve collaborative management with community practitioners. Stream 2: eHIPP solution for transitions in care gaps We are currently collaborating in the development of eHealth apps and are anxious to test there usefulness in practice.
Bruce Forde
bforde@cambian.com
604-649-7638
Cambian
AB, BC, MB, NB, NFLD, NWT, NS, NUN, ON, PEI, QC, SK, YK
eHealth innovation partner Across Life Trajectories; Changing health status or care; Key populations to optimize transitions in care outcomes Cambian offers a collaborative healthcare information services platform. Patients and their families use the platform to participate in shared decision-making and care planning. Care providers, researchers, and administrators use the platform to manage treatment, education, data tracking and analysis. The platform includes leading-edge assessment technologies, biometrics, personalized education, analytics, and secure communications for multidisciplinary research and care teams. Stream 2: eHIPP solution for transitions in care gaps Cambian is interested in supporting researchers that want to investigate the use of data and tools to improve transitions in care. A focus for us is person and family centred approaches for chronic disease research and care. The Cambian platform provides powerful application features, integration capabilities, and meets stringent privacy and security requirements. We typically offer the platform as an in-kind contribution for research projects and look to be engaged as active partners in the team for data collection, analysis, and applications.
Andrew Pinto
andrew.pinto@utoronto.ca
416-864-6060 x77350
The Upstream Lab & University of Toronto
ON
Scientific lead (and independent researcher); Clinical lead Changing health status or care; Key populations to optimize transitions in care outcomes My research team, The Upstream Lab, is focused on designing and evaluating interventions that address the social determinants of health. I am interested in transitions between hospital and home, and the linkages between primary care and tertiary care electronic health records. Stream 1: PHSI solutions for transitions in care gaps Our team brings significant experience in addressing social needs at the individual or family level, as well as experience in collecting data on social determinants and integrating this into electronic health records.
Emma Folz
emma.folz@ahs.ca
403-955-7929
Alberta Health Services
AB
Health systems decision-maker; Clinical lead Changing health status or care; Key populations to optimize transitions in care outcomes Intensive care units to inpatient units, Neonatal intensive care units to inpatient units, Pediatric intensive care units to inpatient units, Neonatal intensive care units to Pediatric intensive care units, improvement of patient and family experience, improvement of health care teams efficiency, experice Stream 1: PHSI solutions for transitions in care gaps; Stream 2: eHIPP solution for transitions in care gaps Successful solutions on a small scale in place following quality improvement process.
Sonia Udod
sonia.udod@umanitoba.ca
204-474-7467
University of Manitoba
MB
Scientific lead (and independant researcher)

Changing health status or care

Key populations to optimize transition in care outcomes

I am the PI of Translating Evidence for Nursing LEADership (LEAD) and Health Services to Improve Outcomes Program which focuses on enhancing nurse leader development critical to the creation of high quality healthcare workplaces, and that lead to quality nurse, patient, and organizational outcomes. Stream 1: PHSI solutions for transitions in care gaps Background in nursing leadership and nurse manager role, PhD from U of T. Top Researcher in Scio Health, Saskatchewan Health Research Foundation
Eric Urzada
eric.urzada@ibm.com
306-529-8585
Insight to Impact at ISM Canada Inc. (an IBM company)
AB, BC, MB, NB, NFLD, NWT, NS, NUN, ON, PEI, QC, SK, YK
eHealth innovation partner

Across Life Trajectories

Changing health status or care

Key populations to optimize transition in care outcomes

We are a full service IT company with an robust Advanced Analytics team. Stream 2: eHIPP solution for transitions in care gaps ISM Canada, an IBM company has built an extensive analytics practice with skills & personnel most organizations cannot invest in internally. ISM provides expertise in collecting, manipulating & analyzing data to provide insights and inform decision making. ISM's competencies lie in Predictive , Geospatial & Cognitive Analytics. (creating predictive models, 3D visualization, creating dashboards, using AI to review imagery, etc.) as well as more traditional IT services such as business reporting, managed services, cloud computing, Microsoft infrastructure & IoT, data centre management, data security & professional services. The goal of ISM analytics practice is to enable researchers to gain new and granular insights, shift decision making, and improve policy creation. We move you from reporting and hindsight, to predictive decision models. I am hoping that you would consider bringing in ISM Canada as your eHealth Innovation Partner and explore if there is any alignment with your research strategy?
Shelley Doucet
sdoucet@unb.ca
506-654-3419
University of New Brunswick
NaviCare/SoinsNavi
NB
Scientific lead (and independent researcher) Across life's trajectories; changing health status or care; key populations to optimize transition in care outcomes Our team is interested in conducting research on transitions in care for children, youth, and young adults (e.g. moving across stages of their conditions, from childhood to adulthood, between care settings, etc). We are currently engaged in exploring the use of navigation and different e-health innovations support these transitions. Stream 1 and 2 Our team’s multi-method community-based research involves intersectoral partnerships with a variety of stakeholders, such as health professionals, economists, patients, regulatory bodies, community members, and government. We develop programs that address the navigational/transitional barriers and gaps in services identified through research, with the goal to promote collaborative patient-centered care that is accessible and meets patients’ needs. We can readily access matching funds and are happy to partner with other teams doing research in these areas.
Susan Stevens
susan.stevens@nshealth.ca
902-491-5885
Nova Scotia Health Authority
Health systems decision-maker Across Life Trajectories; Changing health status or care; Key populations to optimize transition in care outcomes Nova Scotia Health Authority provides home care and long term care services to approximately 40,000 people every year. We are interested in improving the quality of care and experience for individuals and their families accessing home care and long term care services. We are especially interested in addressing the unique needs of specific populations as well as the transitions across the lifespan. Stream 1: PHSI solutions for transitions in care gaps;   Stream 2: eHIPP solution for transitions in care gaps As the publicly funded provincial health authority, we deliver services across the health continuum and throughout a person’s life. We offer an opportunity for researchers to work with us on health improvement initiatives and research projects which will result in positive change.
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