Researching effective models of care for complex conditions

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Who are the most important populations to focus on to improve value in the health system? What evidence-based models of care can be used provincially to improve value?  What combination of resources and organizations can best serve the diverse needs across Ontario? The Bridgepoint Collaboratory for Research and Innovation has received two grants to help answer these questions and research the most effective models of care for people with complex health conditions.

“These studies will provide an evidence base for the Ontario government on what is needed to properly care for individuals who are managing multiple chronic health problems at different stages of the life course,” says Kerry Kuluski, a Research Scientist with the Bridgepoint Collaboratory for Research and Innovation. “Most importantly, the findings will unearth the needed ingredients for a model of care that is truly patient centred.”

Two studies; a patient centred focus

One study will focus on young to mid-life adults (18-64) with chronic conditions who require Complex Continuing Care. In partnership with the Institute for Clinical Evaluative Sciences, the Collaboratory and other Complex Continuing Care centres from across Ontario will examine the needs of this population including: the services they use and how much they cost; the experience and care needs of this population; and, identify the components of care models for the different typologies of this population.

The second study will look at patient reported outcomes as a measurement for value in the health system, from a person-centred perspective.  Bridgepoint patients and care providers will be engaged to identify a set of patient outcome measures that are relevant to them and have potential to identify the gaps in the existing approaches to treatment and management. What is novel about this project is the use of technologies to gather data from patients and explore outcomes through their eyes.

These two Bridgepoint projects are part of an eight project proposal submitted by the Health System Performance Research Network, a multi-institutional, multi-university group, led by Dr. Walter Wodchis from the University of Toronto. The focus of these projects is to shift the healthcare system away from provider-based performance measurement to person-centred performance measurement. The grants are funded by the Health System Research Fund from the Ministry of Health and Long-Term Care.