Health services

Current and Completed Projects:

Quebec Council on Tobacco and Health (QCTH) – Evaluation of School and Community Programs

For over 20 years, the QCTH has offered a variety of tobacco prevention services to Quebec’s Directions de santé publique (DSP), as well as directly to school and community groups. In order to keep its services relevant to its partners and to better highlight the needs of each community, a retrospective and summative evaluation of the activities of the QCTH was conducted in June 2017 among the DSP. This second phase rather constitutes a formative evaluation that targets school and community groups. The main objectives of the project are to: identify the elements that contribute to carrying out the prevention projects within schools and community settings; identify the missing elements in the provision of tobacco prevention services; and obtain recommendations to improve the provision of tobacco prevention services.

Start-end date: September 2017 - December 2017
Sponsor: Quebec Council on Tobacco and Health

Patient Portal Value Proposition

SRDC is working with Canada Health Infoway to assess the value and impact of Canadians’ access to online Personal Health Records (PHR) in terms of accessibility, quality, and productivity in healthcare. As a part of this study, SRDC is completing a targeted literature review and evidence synthesis focused on the value of Canadians of being able to access their online healthcare information. This work will support the development of a quantitative model estimating the value of such access for citizens and health system stakeholders. SRDC will also help to identify critical success factors that maximize the benefits of online PHR access. The primary audiences for this project include federal and provincial/territorial ministries of health, health systems organizations, and digital health leaders.

Start-end date: July 2017 - November 2017
Sponsor: Canada Health Infoway

Employer tools for workplace mental health

The Mental Health Commission of Canada (MHCC) has been leading efforts to establish a mentally healthy workplace culture in Canada, starting with the National Standard for Psychological Health and Safety in the Workplace. There are many resources to help employers implement the Standard and support workplace mental health more generally, but these may be difficult to locate and use. MHCC is leading an initiative to develop a free, online, bilingual electronic tool to bring these resources together and make them easy for employers to use. SRDC has been engaged to conduct a curated inventory of relevant resources, advise on current gaps, and to provide recommendations on how to address these.

Start-end date: January 2017 - March 2017
Sponsor: Mental Health Commission of Canada

Community Hypertension Prevention Initiative

The Heart and Stroke Foundation, the Public Health Agency of Canada (PHAC), and MaRS Centre for Impact Investing (MCII) have partnered to launch a community‐based intervention to prevent cardiovascular disease, using a social impact bond as a financing vehicle. This intervention builds off of an evidence-based program called CHAP, and integrates local community partnerships, best-in-class lifestyle management resources, coaching, and digital technology to support participants in engaging in and maintaining healthy behaviours. The intervention aims to increase awareness of the risks associated with high blood pressure and to modify participant behaviour (e.g., physical activity, weight loss, smoking cessation) among pre-hypertensive Canadians 60 years of age or older. As the external validator, SRDC will be responsible for confirming the extent to which specified outcomes have been achieved – specifically in terms of volume and blood pressure outcomes – and the extent to which the risk-based funding contracts should be paid out to partners and investors. To our knowledge, this project represents the first time social finance has been used to support a population health intervention in Canada.

Heart and Stroke notice

Government of Canada news release

thestar.com notice

National Post notice

 

Start date: December 2016
Sponsor: The Heart and Stroke Foundation

Impacts of Interoperability and Information Sharing Across Settings

The implementation and utilization of electronic health technology are playing an important role in coping with the increasing demand for health care services and managing the coordination of care, especially for patients with complex medical needs who are cared for by different health care providers in a variety of settings. This study looks broadly at the impacts of interoperability and information sharing across settings in BC’s Interior Health Authority to evaluate how the utilization of a regional medical health record hub impacts clinician access to complete patient information for clinical encounters and care coordination for their patients in both inpatient and outpatient settings. The results of this study contribute to research knowledge in this field and inform future planning.

Start-end date: April 2014 - July 2015
Sponsor: Canada Health Infoway

An Evaluation of the BRIDGES Incubator Model

The BRIDGES Collaborative identifies, develops, and tests models of integrated healthcare for patients with complex chronic conditions, with the aim of reducing avoidable hospital visits and improving quality of care. Funded by the Ontario Ministry of Health, BRIDGES is run by the Departments of Medicine, Psychiatry, and Family and Community Medicine at the University of Toronto. SRDC conducted an evaluation of the impact and effectiveness of the BRIDGES model, and its potential impact on the health care system.

Start-end date: January 2014 - January 2015
Sponsor: University of Toronto

Evaluation of the Green Shield Canada Foundation Health Innovation Collaborative

The looming demographic “tsunami” of aging seniors will require a fundamental transformation of the health care system. The Health Innovation Collaborative (HIC) consists of five innovative health care organizations in Toronto working to improve care for seniors with complex medical needs through reinvented processes, shared knowledge, and technology. In collaboration with the Green Shield Canada Foundation and partner organizations, SRDC evaluated the effectiveness of the HIC and its potential impact on the quality of care and access to services and information. SRDC’s evaluation emphasizes systems thinking and the conditions for achieving collective impact in terms of equity, efficiency, and effectiveness.

Start-end date: September 2013 - September 2015
Sponsor: Green Shield Canada Foundation

Evaluating the impact of patients’ direct lab access

As part of the move toward a more modernized health care system, tele-health and digital health services provide patients with direct access to health information and advice 24/7, 365 days a year. The aim of this study is to understand the impact of direct patient access to laboratory results in B.C. in terms of healthcare access, quality, and productivity. Through interviews with physicians and a survey of service subscribers and a general population panel, the study examines how direct access to lab results compares to traditional means of access (i.e., via the physicians’ office) in terms of service reliability and efficiency, patient experience, patients’ utilization of healthcare services, and physicians’ practices and workloads. Results of this study support future planning around patient access to health information and contribute to the peer-reviewed literature.

Start-end date: July 2013 - March 2014
Sponsor: Canada Health Infoway

Community Action for Seniors Independence – Evaluation Framework

Workshop facilitation with government officials to develop a logic model for a project delivering non-medical support and services to frail seniors.

Start-end date: September 2009 - September 2010
Sponsor: United Way of the Lower Mainland

Evaluation of the BC Healthy Living Alliance (BCHLA) Initiatives

BCHLA is a provincial coalition of organizations working together to improve the health of British Columbians. The coalition has implemented 16 initiatives in the health promotion and population health areas, designed to deliver activities across the province in three themes: Healthy Eating, Physical Activity, and Tobacco Reduction. In the first phase of the evaluation project, SRDC conducted evaluability assessments for each initiative as well as the clusters or themes to produce evaluation plans and budgets for “evaluable” projects and clusters. In the second phase, SRDC evaluated 6 of the 16 initiatives, as well as a case study of the Community Capacity Building Strategy and provided technical assistance to the other BCHLA initiatives that were not part of the evaluation project. Some of the evaluations involved vulnerable populations, such as Aboriginal communities.

Start-end date: July 2007 - May 2010
Sponsor: Michael Smith Foundation for Health Research
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