CAHSPR HHR Theme Group Awards 2014

Congratulations to the winners of

The CAHSPR HHR Theme Group ''Best HHR Presentation/Poster Award''

We are very pleased to congratulate the following winners of the CAHSPR HHR Theme Group "Best HHR Presentation/Poster Award". Posters and presentations considered for entry were selected from the 2014 CAHSPR Conference Program and evaluated by judges/ experts in the field of HHR namely: Dr. Morris Barer, Dr. Ivy Lynn Bourgeault, Dr. Maria Mathews, Dr. Gillian Mulvale, Dr. Christine Covell.

The award ceremony took place at the annual CAHSPR conference on Thursday May 15th 2014 and were presented by Dr. Gillian Mulvale, new Co-Chair of the CAHSPR HHR Theme Group. Winners were received an invitation to showcase their HHR research on the CHHRN website and upcoming newsletter in addition to a webinar presentation to be hosted in the fall 2014.

Best Non-Student HHR Poster Award Winner!

Picture - Markle-Reid

Dr. Maureen Markle-Reid

Dr. Maureen Markle Reid is a tenured Associate Professor and a Canada Research Chair in Aging, Chronic Disease and Health Promotion Intervention in the School of Nursing, and the scientific Director of the Aging Commnunity and Health Research Unit at McMaster University. She is also an Associate Member in the Departement of Clinical Epidemiology and Biostatistics and an Associate Researcher in the Gilbrea Centre for Studies in Aging in McMaster. The goal of her research is to enhance the health-related quality of life community-living older adutls with multiple chronic conditions and their family caregivers. To accomplish this goal, she has led numerous interprofessional teams in studies involving the design, evaluation and translation of new and innovative health promotion interventions. Recent studies have focused on fall prevention, stroke rehabilitation, depresion, deabetes, dementia, dementia and the uptake and spread of reseharch evidence. Her research has been supported by over 7,5 millions in multi-year peer-reviewed funding. 

Summary of the Poster: 

The objectives of this study were to examine the feasibility  and acceptability of a new 6-month interprofessional (IP) nusre-led mental health promotion intervention, and to explore it's effects on reducing depressive symptoms in older home care clients (> 70 years) using personal support services. A one-groupe pre-test study design was used. The intervention was six-month evidence-based depression care management strategy led by a Registered Nurse (RN) that used in IP approach. Of the 142 study participants, 56 % had depressive symptoms, and 38% of these participants had moderate to severe depressive symptoms. The findings provide initial evidence for the feasibility, acceptability ans sustained effects of the intervention in reducing depressive symptoms and anxiety, improving health-related quality of life (HRQoL), and reducing use of hospitalization, ambulance services, and emergency room visits over the study period. Future research should evaluate it's efficacy using a randomized clinical trial in different settings. 

Markle Poster

Markle-Reid, Pierce, T., McAiney, C., Forbes, D., & Gibson, M. (2014, May 12-15). The feasibility, acceptability and effects of an interprofessional nurse-led mental health promotion intervention in older home care clients. Canadien Association of Healt Services and Policy Research Conference, Toronto, ON.


danielle Danielle Fréchette, MPA

Mrs. Danielle Fréchette is Executive Director of the Office of Health Systems Innovation and External Relations at the Royal College of Physicians and Surgeons of Canada.  With more than 25 years experience in the field of social policy, she has supported the development of the Royal College’s health policy and governance functions since the early 1990s.Mrs. Fréchette graduated from the University of Ottawa in both Arts and Communications, following which she obtained a Masters in Public Administration from Queen’s University.  Her governance-related interests center on innovations that optimize decision-making and accountability.  Her health policy-related research interests focus on numerous aspects of human resources for health, and health care system effectiveness and efficiency.Mrs. Fréchette is involved in a number of collaborative initiatives such as technical co-lead of the National Physician Survey, Canada’s largest census survey of physicians in training and in practice and the International Health Workforce Collaborative on which she serves as the Canadian lead.  She also participates in advisory and other capacities on various projects and committees.

Summary of the poster

Examining factors for specialist physician under-unemployment in Canada

There have been signs and growing evidence that some newly certified medical specialists have had difficulties obtaining employment in their field. The main objective of this longitudinal study is to examine the factors underlying new medical specialist under/unemployment in Canada. A mixed method research design combining qualitative and quantitative approaches was applied. Fifty-one voluntary, confidential interviews were conducted with selected stakeholders including specialty and subspecialty medicine committee chairs and program directors, senior hospital leaders, postgraduate deans, medical and surgical residents, recent graduates, government officials and practicing medical specialists. Longitudinal quantitative survey data was collected since 2011 through an online survey administered to every new Royal College specialty and subspecialty certificant (N=3D2002 in 2011 and N=3D2231 in 2012 with response rates of 655(32.9%) and 713(31.9%) respectively. Driving factors are: (1) Economic: decreased hospital hiring, operating room time and resources; delayed retirements; (2) Health System/Structural: increased reliance on residents for call service and patient care reduces job openings; misalignment between workforce plans and residency intake resulting in some ‘oversupply’; compensation models not incentivizing creation of positions; interprofessional care models/changing scopes of practice reducing the need for specialist positions; (3) Individual/Contextual: work location influencers include desire to be in the same city as spouse/partner and family members, and preference for a particular city or academic center; lack of career counseling. Summary profile of under-unemployed population: Most impacted specialists are from procedural disciplines; 16% new specialists reported employment challenges post-certification; additional training is sought as an alternative to unemployment or to be more employable. Ongoing research is needed to examine specialty and jurisdiction-specific variations in more detail to avoid, among others, over-correction in enrolment quotas. Strategies to address findings and identified data gaps require collaboration from educational, research and public sectors. A national strategy and institute, as exist in other countries should be considered.

Presented by DANIELLE FRÉCHETTE, Executive Director, Health Systems Innovation and External Relations, Royal College of Physicians and Surgeons of Canada; CAROLE JACOB, Royal College of Physicians and Surgeons of Canada

Best Student HHR Poster Award Winner 

Dr. Jenna Evans & Agnes Grudniewicz

JEVANS Dr. Jenna Evans is a Post-Doctoral Fellow at the Institute of Health Policy, Management & Evaluation at the University of Toronto, and a Certified Health Executive with the Canadian College of Health Leaders. Her work focuses on intellectual capital and knowledge management in healthcare organizations, and on the implementation, measurement, and management of integrated care initiatives. Her research and teaching interests include integrated care, quality improvement, organizational culture and cognition, knowledge/learning, complex-adaptive systems, and organizational and systems change. Dr. Evans holds a Bachelor of Health Studies with Honours in Health Management from York University (2008) and a PhD in Health Services Research from the University of Toronto (2014). Her doctoral studies were funded by a Vanier Canada Graduate Scholarship and the Health System Performance Research Network (HSPRN). To learn more about Dr. Evans’ work, please visit: LinkedIn, HSPRN, and Twitter @DrJenEvans.


AGRUD Agnes Grudniewicz is a PhD Candidate at the Institute of Health Policy, Management & Evaluation at the University of Toronto and a trainee at the Li Ka Shing Knowledge Institute at St. Michael’s Hospital. Her doctoral work focuses on knowledge translation in primary care. In addition to her thesis, Agnes is also working with the Health System Performance Research Network on organizational factors in integrated healthcare delivery models. Her doctoral studies are funded by a Doctoral Research Award from the Canadian Institutes of Health Research (CIHR) and a Strategic Training Initiative in Health Research (STIHR) fellowship with KT Canada. Agnes also completed an Honours Bachelor of Commerce in Finance, receiving the gold medal for academic achievement. To learn more, please visit Agnes’ LinkedIn page.

Research Summary :

Organizational Factors in Integrated Healthcare Delivery Models: A Review of Measurement Tools

The mixed performance outcomes of integrated care models may be explained partly by differences in organizational context and capabilities. This study aims to conceptualize the context for integrated care, and to identify, organize, and assess measurement instruments and scales that can be used to describe and compare the organizational context and capabilities required for effective integrated care delivery. More explicit attention to organizational capabilities and context, through standardized measurement and monitoring, offers a promising avenue for improving the implementation, management, performance, and/or sustainability of integrated care interventions by providing information on organizational characteristics, strengths and weaknesses, and potential threats or opportunities. A key theme emerging from this work is the need to measure the quality of work environments as a means to better understand the performance and sustainability of new models of care. A healthy workplace and engaged workforce increase the probability of successful change.

For an overview of the “Context for Integrated Care” Framework, review methods, and key findings to date, please view our award-winning Research Poster.



kapral3  Olena Kapral

Olena Kapral is a first year PhD student at the Johnson-Shoyama Graduate School of Public Policy at the University of Regina. She obtained a Bachelor of Health Sciences at the University of Ontario Institute of Technology and a Master of Arts in Public Administration at the University of Ottawa. Miss Kapral’s research interests centre on the regulation of health professions in Canada and the institutional barriers associated with the implementation of team-based care models in primary care. Currently, Miss Kapral is conducting a policy analysis of the integration of pharmacists in primary care settings and the enhancement of scopes of pharmacists’ practice to facilitate collaboration. 

Summary of presentation : 

Policy makers have become highly interested in the potential of primary care to address the challenge of managing chronic conditions by encouraging the development and practice of team-based care. Many provinces have furthered the implementation of primary care teams through the enhancement of the scopes of practices of regulated professions as a mechanism to help facilitate collaboration between health providers. In particular, recognizing the value of pharmacists in developing and managing drug therapies for patients with complex and chronic diseases, there has been a movement across Canada to integrate pharmacists into primary care teams.

While there has been notable progress at the clinical level in developing the role of clinical pharmacists, there is limited information about the structural or institutional level factors of primary care models that may affect the integration of clinical pharmacists in primary care teams. This study focused one of these factors: the regulatory and legislative context. A comparative case study of the regulatory and legislative context in Ontario and Saskatchewan was developed using discourse analysis of publicly available documents (i.e. reports, house hansard transcripts, news articles, etc.) and policy analysis of legislative amendments.

Results of the study provide initial evidence that the regulatory frameworks governing health professions appear to create exclusive policy networks for the provincial government, regulatory bodies and professional associations. The nature of the discussion within these policy networks influenced the direction taken by each province to amend scopes of pharmacists’ practice that explain some of the difference in scopes of practice. The discussions supported the idea that enhancing scopes of practice would facilitate collaboration but the resulting amendments do not appear to impact the role of clinical pharmacists in primary care teams. Further research involving interviews with key stakeholders is needed to identify what factors will help integrate pharmacists, and other health professions, into primary care teams.

Health Canadacihr logo1This initiative has been generously funded by grants from Health Canada and the Canadian Institutes of Health Research. The views expressed here do not necessarily reflect those of the funders.