Quadruple Aim and Equity End-of-Grant Workshop: Summary Report


On November 21-22, 2023, CIHR’s Institute of Health Services and Policy Research (IHSPR), Institute of Aging (IA), Institute of Musculoskeletal Health and Arthritis (IMHA), Institute of Population and Public Health (IPPH), Institute of Neurosciences, Mental Health and Addiction (INMHA), Strategy for Patient-Oriented Research (SPOR) and the CMA Foundation hosted an end-of-grant workshop to convene the 50 funded research teams of the Quadruple Aim & Equity funding program.

The goal of the one-year catalyst grant competition was to generate relevant and timely evidence about the impacts of innovations in how healthcare systems and services are organized, delivered, governed, held accountable, financed, and/or funded on the Quadruple Aim principles (better population health outcomes, improved care and patient experience, improved provider satisfaction, and lower costs/better value) and health equity. All projects were of high priority to the research team’s policy and/or decision maker(s) and designed to inform decision-making and identify policy/implementation considerations for the Canadian context.

The purpose of the end-of-grant workshop was to convene the funded research teams, program partners and relevant stakeholders to:

  1. share progress, challenges, barriers and enablers;
  2. share and learn successful strategies for incorporating the Quadruple Aim and health equity within research; and
  3. provide a forum for knowledge exchange and networking.

In addition to the research teams presenting their research findings, the workshop included an open dialogue with panelists who shared their perspectives on the role of evidence and research in integrating the Quadruple Aim and equity into policy and practice, and small breakout discussions on the power and impact of partnerships and future actions after a one-year grant.

Moving from outcomes to impact: why health systems should use the Quintuple Aim framework

The workshop opened with a multi-stakeholder panel to explore the differences between clinical outcomes and impacts when striving for the Quintuple Aim principles (Quadruple Aim plus health equity). The panelists included Alex Haagaard (design researcher, patient perspective), Dr. Antoine Groulx (Full Professor, Université Laval; Scientific Director, Quebec SPOR SUPPORT Unit; Family Physician), Dr. Nakia Lee-Foon (Health Equity Research Lead, Institute for Better Health), and Dr. Verna Yiu (Provost and Vice-President (Academic), University of Alberta). The panelists reflected upon their expertise and experience and discussed how the Quintuple Aim principles can ideally be aligned to eliminate healthcare disparities and improve overall health system performance.

The panelists discussed the challenges of translating research into effective healthcare practices and policies, underscoring the necessity of involving communities in the design of services. Trust building with equity deserving and rights holding communities and stakeholders was deemed essential as was defining health equity within different contexts. Although challenging, addressing health inequities and focusing on upstream determinants of health were deemed highly important.

The panel highlighted the importance of measuring progress and outcomes in achieving healthcare goals, including rigorous evaluation of intervention implementation and quantitative measures and qualitative experiences of patients and providers. The panel stressed the need to demonstrate a return on investment, while also enhancing population health and quality of life. Questions about reconciling differences in value for money between different stakeholders and the challenges policy-makers face in allocating limited funds to various demands were also raised. Overall, the integration of the Quintuple Aim principles into policy and practice requires a multifaceted approach, with co-design, trust-building, stakeholder engagement, and measurement and evaluation all playing a crucial role in achieving success.

Research Findings

Over the course of the two days, the 50 teams presented their research which spanned several topics areas including health system organization, health workforce, equitable primary care, mental health services, models of care for older adults, specialized care, patient-centered care, virtual care, digital health innovations and population and public health.

For more information about the research projects, please download the program’s Evidence Brief Booklet [ PDF (4.1 MB) - external link ].

The Power and Impact of Partnerships

Workshop participants had the opportunity to reflect and discuss the power of partnerships in advancing research and how partnerships contribute to overall project success and impact. The following key points were discussed:

Future Actions: what comes after a one-year grant

Workshop participants had the opportunity to reflect and discuss opportunities and actionable steps for sustaining momentum of research projects through effective knowledge mobilization and future Quadruple Aim and health equity research. The following key points were discussed:


Thank you to all who participated in the Quadruple Aim and Equity End-of-Grant Workshop. CIHR-IHSPR is grateful to all our partners, speakers, presenters, moderators and facilitators who generously shared their time and expertise and whose involvement enriched the success of the workshop.

For more information on other research programs focused on Quadruple Aim and Equity, visit CIHR’s Institute of Health Services and Policy Research.

Date modified: