Expertise

Implementation and change management

These services are aimed at any team or organization working in the field of healthcare and social services and planning or implementing change. They may also be offered, depending on the purpose of your request, if you are involved in research or if you are a citizen.

Our services

These services are aimed at any team or organization working in the field of healthcare and social services and planning or implementing change. They may also be offered, depending on the purpose of your request, if you are involved in research or if you are a citizen.

Raising awareness and providing guidance on one dimension of change:

  • Clarify the change, its scope, its importance, its impact on practice
  • Plan a change and its stages
  • Implementing change and its challenges
  • Involve stakeholders in change
  • Assessing the impact of change
  • Mobilize knowledge (synthesize knowledge, identify barriers and facilitators, disseminate and implement innovations)
  • Scaling up an innovation
  • Support the use of a systematic approach and the co-creation of decision-support tools, as well as their dissemination
  • Support for the use of the PADA tool to create decision-support tools.
  • Identification and mobilization of resources to support changes in care and service trajectories in the healthcare network.
    • Examples: Practice facilitators

What is an LHS?

LHS_details_unitesoutienssa

A learning health system helps us put science into our practices. It helps us measure, analyze, apply, and then repeat the cycle. From practices to data, from data to knowledge, from knowledge to clinical and organizational practices.

In a learning health system, all forces come together to eliminate working in isolation. There is a partnership between:

  • Research
  • Health care
  • Social services
  • Management
  • The Public

To ensure that people receive the right services, at the right time, in the right place, with the right staff for their condition. This is called improving care trajectories. These trajectories should be as easy to follow as a recipe.

The demonstration project: an example of a learning health system

Project: Improve the ability to identify patients at risk of becoming frequent users of emergency services.

Begun in 2016, in support of the V1SAGES program, this flagship project helped demonstrate the value and benefits of the learning health system (LHS) approach. Led by an interprofessional team involving patients and their loved ones, it embodied a research continuum, from structured data collection and expansion of its use, to producing tools to support decision-making and, ultimately, integrating the knowledge acquired into clinical and organizational practices.

Three streams and objectives

  • Improve the ability to identify patients at risk of becoming high utilizers of emergency departments;
  • Further integrate the social and community dimension with the health dimension;
  • Identify the decision-making issues of individuals who are heavy users of services and have complex needs.

Features

  • Multidisciplinary and interprofessional team;
  • Active involvement of six patient partners in all phases of the project;
  • Support from most of the resources of the Unit’s team

Process

  • Systematic review, data collection on decision-making needs and modalities of integration of health and social dimensions;
  • Development and validation of clinical tools.
  • Development of the CONECT-6 tool, a tool for identifying individuals at risk of becoming heavy users of emergency services, and its implementation in clinics;
  • Enhanced training for clinical staff;
  • Optimization of the role of nurses in the follow-up of clients with complex needs and at risk of becoming high users of emergency services.

As part of the demonstration project, we provided POR capacity-building support to six patient partners, three researchers, six professional research staff members and ten members of the student community.

To this day, all of these people work in the POR field. This had a leverage effect, as several of them subsequently received training or career grants and substantial funding, including:

  • A $4 million grant over four years to implement a case management intervention based on the V1SAGES program model in ten primary care clinics in five Canadian provinces;
  • A $575K grant from the MSSS Targeted Granting Program in partnership with the Unit and the FRQ-S;
  • Continuation of the demonstration project. The team is working on the development of a series of online training sessions for clinical teams. In addition, it is aiming to scale up the V1SAGES approach to other clinical institutions in Québec.

Julie Godbout, Nurse, V1SAGES team case manager

Being a case manager has radically changed my relationship with clients. I used to see myself a bit like a teacher who provided knowledge to patients who just had to follow my advice and recommendations, because it was the right thing to do to be healthy! […] Now, I see myself as a resource, partner and coach.

Of course we have knowledge to pass on to patients, but they are ultimately responsible for making decisions about their lives and health. […] The case manager is there to support them, offer services, help them make decisions and navigate the health care system. They allow for a more thorough assessment of the individual’s needs.

Case management has also allowed me to develop relationships with other professionals and community resources, to better understand their roles and when and how to contact them when needed.

[…] Now when they have a patient with complex needs or a difficult situation, their instinct is to talk to other professionals. A co-development group was even set up to provide a forum to discuss these situations. Concrete solutions and concerted actions have emerged. Now that I’m replacing people in other fields, I miss these meetings.

News

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The Unité de soutien SSA Québec develops orientations for learning family medecine groups (GMFs)

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Mr. Kenneth George, patient partner, passes away

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Read more about Mr. Kenneth George, patient partner, passes away

Quebecers believe that the well-being of health care teams and science should guide health care decisions above all else

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Deliverables and tools

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Decision Aid for Colorectal Cancer Screening

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Read more about Decision Aid for Colorectal Cancer Screening

PADA: a Collaborative Digital Platform for Authors of Healthcare Decision Aids

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Read more about PADA: a Collaborative Digital Platform for Authors of Healthcare Decision Aids

An infographic summarizes how to activate Québec's learning healthcare system

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Read more about An infographic summarizes how to activate Québec's learning healthcare system

Find out what's a learning health system in 60 seconds

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Read more about Find out what's a learning health system in 60 seconds

Publications

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Informing the development of the SUCCEED reporting guideline for studies on the scaling of health interventions: A systematic review

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Read more about Informing the development of the SUCCEED reporting guideline for studies on the scaling of health interventions: A systematic review

An infographic summarizes how to activate Québec's learning healthcare system

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Read more about An infographic summarizes how to activate Québec's learning healthcare system

The Unit contributed to the Portrait sur les politiques publiques de l’Observatoire des tout-petits

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Read more about The Unit contributed to the Portrait sur les politiques publiques de l’Observatoire des tout-petits

How to meaningfully and equitably involve patients and the public in scaling up: upcoming publication of a study protocol

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Read more about How to meaningfully and equitably involve patients and the public in scaling up: upcoming publication of a study protocol

Videos

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Find out what's a learning health system in 60 seconds

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Read more about Find out what's a learning health system in 60 seconds

Écosanté: enhancing knowledge, competencies and collaboration opportunities related to health economics

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Read more about Écosanté: enhancing knowledge, competencies and collaboration opportunities related to health economics

Themes

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Québec's health system

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Read more about Québec's health system

Service request

When you apply for support from the Unité de soutien SSA Québec, you are taking part in the emergence of a learning health system (LHS). We offer three types of support: training, consultation and tools.

Team

Portrait of Marie-Soleil Harvey.

Marie-Soleil Harvey

Scientific Comanagement of the Université Laval SSA-RUISSS team

Portrait of Claude Bernard-Uwizeye.

Claude Bernard-Uwizeye

Coordination of the Change Management axis (Université Laval branch)

Portrait of Vanessa Fayolle.

Vanessa Fayolle

Coordination of the Change Management axis (HEC branch)

Portrait of Anik Giguère.

Anik Giguère

Decision-making tools

Portrait of Denis Chênevert.

Denis Chênevert

Scientific Comanagement of the Change Management axis (HEC branch)

Portrait of France Légaré.

France Légaré

Scientific Comanagement of the Change Management axis (ULaval branch)

Portrait of Yves Couturier.

Yves Couturier

Accès Recherche portal

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