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Expertise

Implementation and change management

To support change management and assist change in partnership with and for the population and any person or organization working in health in the fields of research, care and social services.

Leverage research in the various stages of change management, from identifying the scope of the change to implementation, as well as in the identification of indicators to achieve the desired objective.

Our expertise

  • Identifying good practices to adapt a learning health system
  • Assessment of readiness to adopt a learning health system
  • Identifying and mobilizing resources in support of change on health network care and service trajectories. Examples:
    • Change Facilitators
    • Continuous Quality Improvement Officer
  • Creation of clinical decision support tools
  • Support in the identification of:
    • The current situation
    • The good practices
    • The desired change
    • The implementation and support of change
    • The measurement indicators to assess change

Our services

Consultation

Support for applications from the LHS portal and winning teams of targeted award programs:

  • In the preparation of teams applying for grants;
  • In the deployment of projects;
  • In the implementation and scaling;
  • In collaboration with continuous quality improvement resources on care trajectories and change facilitators;
  • In coordinating the identification of good practices to support change.

Training

Deployment of training and mentoring:

  • Knowledge translation
  • In assessing the potential for scaling up.

Tools

Development of implementation and change management tools:

  • Decision making tools;
  • Scientific Watch on Learning Health Systems. Subscribe here
  • Scaling potential assessment tool;

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
  • Care
  • Social services
  • Management
  • The population

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.

Our trainings

See all (in french)

Our communities of practice

Patient partners community expériences

The expériences community includes patient partners actively involved in the governance of the patient partnership and strategy as well as directly in research teams. It brings together various members of the Québec health and social services network, including researchers. This initiative comes from the Partnership Axis of the Unité de soutien SSA Québec and the Centre of Excellence in Partnership with Patients and the Public (CEPPP).

See details and join the community

Community of fellows

This community gathers FRQ fellows who are participating in the complementary training and capacity building program on patient-oriented research, the learning health system, trajectories of care and the quintuple aim, in partnership with the Fonds de recherche du Québec.

See details

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 frequent users of emergency services
  • Further integrate the social and community streams with the health stream
  • Identify the decision-making issues for frequent users of services with complex needs

Features

  • Multidisciplinary and interprofessional team
  • Active involvement of six patient partners in all phases of the project
  • Support for most resources in the Unité de soutien SRAP du Québec

Process

  • Systematic review, collection of data on decision-making needs and methods to integrate health care and social streams
  • Developing and validating clinical tools
  • Developing the toolCONECT-6 for identifying individuals at risk of becoming frequent users of emergency services, and implementing it in the clinical setting
  • Improving training for clinical staff
  • Optimizing nurses’ role in monitoring patients with complex needs at risk of becoming frequent 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 $4M grant over four years to implement case management intervention similar to the V1SAGES program model in ten primary care clinics in five Canadian provinces
  • A $575K grant from the MSSS’s Programme ciblé d’octrois de subventions, in partnership with the Unit and the FRQ-S
  • Continuation of the demonstration project. The team is developing an online training series for clinical teams. In addition, they are aiming to scale the V1SAGES approach at other clinical institutions in Quebec.

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

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

How knowledge exchange in primary health care research can benefit people with diabetes: A qualitative study was presented by an SRAP fellow

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Read more about How knowledge exchange in primary health care research can benefit people with diabetes: A qualitative study was presented by an SRAP fellow

Webinar and survey: Implications of a lack of access to information for public health

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Read more about Webinar and survey: Implications of a lack of access to information for public health

Dr. Alain Vanasse is a recipient of the Innovation Québec – Janssen Partnership

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Read more about Dr. Alain Vanasse is a recipient of the Innovation Québec – Janssen Partnership

Deliverables and tools

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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

Accès RECHERCHE

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Read more about Accès RECHERCHE

CoPaQ: Measuring health care costs for patients

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Read more about CoPaQ: Measuring health care costs for patients

Rapid and Rigorous TransCultural Adaptation (RR-TCA) methods

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Read more about Rapid and Rigorous TransCultural Adaptation (RR-TCA) methods

Publications

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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

CONECT-6: the first case-finding tool to rapidly identify patients suffering from chronic disease with complex health needs

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Read more about CONECT-6: the first case-finding tool to rapidly identify patients suffering from chronic disease with complex health needs

Learning resulting from a multicentric study: a new article by Marie-Eve Poitras and her team as part of the Unité de soutien SRAP du Québec demonstration project

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Read more about Learning resulting from a multicentric study: a new article by Marie-Eve Poitras and her team as part of the Unité de soutien SRAP du Québec demonstration project

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 Denis Chênevert.

Denis Chênevert

Scientific codirection – Axis Change Management

Portrait of France Légaré.

France Légaré

Scientific codirection – Axis Change Management

Portrait of Yves Couturier.

Yves Couturier

Accès Recherche portal

Newsletter

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