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HEC. Last modified December 2019.",{"_uid":587,"file":588,"link":590,"label":340,"linkType":593,"component":594,"linkLabel":16},"a3f2c980-14c0-4b6c-ad10-c391293bdd68",{"id":336,"alt":337,"name":16,"focus":16,"title":337,"source":16,"filename":338,"copyright":16,"fieldtype":283,"meta_data":589,"is_external_url":285},{},{"id":16,"url":16,"linktype":591,"fieldtype":592,"cached_url":16},"story","multilink","file","banner-link","wysiwyg-program",{"_uid":597,"title":598,"component":599,"description":600,"partners_list":607},"e7bfa257-dd22-4b1a-9ebf-bbd8c17ff8dc","Partners","partners-list",{"type":12,"content":601},[602],{"type":15,"attrs":603,"content":604},{"textAlign":53},[605],{"text":606,"type":353},"Because of the key role accreditation plays in establishing patient engagement as a core feature of healthcare, the guide is closely aligned with the standards established by the Health Standards Organization (HSO)/Accreditation Canada. Throughout the guide, the HSO logo indicates the points of alignment.",[608,618,627],{"_uid":609,"link":610,"image":611,"component":616,"partner_name":617},"db49a4ff-6287-45da-a291-e7157a3e2bc6",[],{"id":612,"alt":613,"name":16,"focus":16,"title":613,"source":16,"filename":614,"copyright":16,"fieldtype":283,"meta_data":615,"is_external_url":285},114299152314143,"Atlantic Collaborative Logo","https://a-ca.storyblok.com/f/850807391887861/c05f0ccb5b/atlantic-collaborative-logo.jpg",{},"partners-item","Atlantic Collaborative",{"_uid":619,"link":620,"image":621,"component":616,"partner_name":626},"076872ad-9254-4a8d-b634-7a5b1b7f5e0c",[],{"id":622,"alt":623,"name":16,"focus":16,"title":623,"source":16,"filename":624,"copyright":16,"fieldtype":283,"meta_data":625,"is_external_url":285},114299156221729,"Helth Quality Ontario Logo","https://a-ca.storyblok.com/f/850807391887861/8d747eae6e/helth-quality-ontario-logo.jpg",{},"Health Quality Ontario",{"_uid":628,"link":629,"image":630,"component":616,"partner_name":635},"9580a49a-02f8-497e-af59-8ac30786c6d2",[],{"id":631,"alt":632,"name":16,"focus":16,"title":632,"source":16,"filename":633,"copyright":16,"fieldtype":283,"meta_data":634,"is_external_url":285},114300519825531,"Pfpsc","https://a-ca.storyblok.com/f/850807391887861/87607b8c76/pfpsc.png",{},"Patients for Patient Safety Canada",{"id":637,"_uid":638,"content":639,"component":595},"Glossary","1deae1cc-8408-44e6-9484-be902445a00e",[640],{"_uid":641,"content":642,"component":435},"9bb6f300-25f7-4586-8d21-6b452e878d14",{"type":12,"content":643},[644,649,659,668,677,686,695,704,713,736,741,768,777,786,795,804,813,820,844,860,869,878,887,910,919,928,937,945,979,992,1001,1058,1067,1076,1085,1092,1105,1118,1127,1136,1160,1173,1182,1187],{"type":369,"attrs":645,"content":646},{"level":371,"textAlign":53},[647],{"text":648,"type":353},"Glossary of Terms",{"type":15,"attrs":650,"content":651},{"textAlign":53},[652,654,657],{"text":653,"type":353},"This Glossary defines and describes the terms used in the ",{"text":318,"type":353,"marks":655},[656],{"type":575},{"text":658,"type":353},". When appropriate, use your organization's preferred or commonly used terms.",{"type":15,"attrs":660,"content":661},{"textAlign":53},[662,666],{"text":663,"type":353,"marks":664},"Accreditation: ",[665],{"type":575},{"text":667,"type":353},"A self-assessment and external peer assessment process used by health and social service organizations to accurately assess performance levels against established standards, and to implement ways to continuously improve.",{"type":15,"attrs":669,"content":670},{"textAlign":53},[671,675],{"text":672,"type":353,"marks":673},"Culture of safety: ",[674],{"type":575},{"text":676,"type":353},"Culture is \"the way we do things around here.\" Culture refers to people's shared values (what is important) and beliefs (what is held to be true), which interact with an organization's structure or system to produce behavioural norms (what people do).",{"type":15,"attrs":678,"content":679},{"textAlign":53},[680,684],{"text":681,"type":353,"marks":682},"Positive safety culture: ",[683],{"type":575},{"text":685,"type":353},"Communication is open and honest, there is mutual respect and trust among providers and patients, people are comfortable reporting safety concerns, and there are fair and just processes in place to examine, address, and learn from failures.",{"type":15,"attrs":687,"content":688},{"textAlign":53},[689,693],{"text":690,"type":353,"marks":691},"Disclosure: ",[692],{"type":575},{"text":694,"type":353},"A formal process to openly discuss a patient safety incident with the patient, their family, and members of the healthcare organization.",{"type":15,"attrs":696,"content":697},{"textAlign":53},[698,702],{"text":699,"type":353,"marks":700},"Engagement: ",[701],{"type":575},{"text":703,"type":353},"An approach to encourage the people most impacted to participate actively in defining their issues of concern, and help decide, plan, deliver, implement, evaluate, and improve initiatives, processes, and/or policies. Ongoing engagement involves developing and sustaining constructive relationships, building strong, active partnerships at various levels across the healthcare system, and holding a meaningful dialogue with partners. Types of engagement include surveys, consultations, and shared decision making, as described in the spectrum of engagement. Effective engagement is goal-focused, decision-oriented and values-based.",{"type":15,"attrs":705,"content":706},{"textAlign":53},[707,711],{"text":708,"type":353,"marks":709},"Patient engagement: ",[710],{"type":575},{"text":712,"type":353},"An approach to involve patients, families, and/or patient partners in:",{"type":386,"content":714},[715,722,729],{"type":389,"content":716},[717],{"type":15,"attrs":718,"content":719},{"textAlign":53},[720],{"text":721,"type":353},"Their own healthcare",{"type":389,"content":723},[724],{"type":15,"attrs":725,"content":726},{"textAlign":53},[727],{"text":728,"type":353},"The design, delivery, evaluation of health services",{"type":389,"content":730},[731],{"type":15,"attrs":732,"content":733},{"textAlign":53},[734],{"text":735,"type":353},"A way that fits their circumstances",{"type":15,"attrs":737,"content":738},{"textAlign":53},[739],{"text":740,"type":353},"Patients' experiential knowledge is recognized; and power is shared in ongoing, meaningful, constructive relationships at all system levels:",{"type":386,"content":742},[743,754,761],{"type":389,"content":744},[745],{"type":15,"attrs":746,"content":747},{"textAlign":53},[748],{"text":749,"type":353,"marks":750},"Direct care",[751],{"type":752,"attrs":753},"textStyle",{"color":16},{"type":389,"content":755},[756],{"type":15,"attrs":757,"content":758},{"textAlign":53},[759],{"text":760,"type":353},"Healthcare organization (service design, governance)",{"type":389,"content":762},[763],{"type":15,"attrs":764,"content":765},{"textAlign":53},[766],{"text":767,"type":353},"Health system (setting priorities and policies)",{"type":15,"attrs":769,"content":770},{"textAlign":53},[771,775],{"text":772,"type":353,"marks":773},"Public engagement: ",[774],{"type":575},{"text":776,"type":353},"involving the public/ citizens before or after they access the healthcare system (e.g. make healthy and informed decisions regarding care)",{"type":15,"attrs":778,"content":779},{"textAlign":53},[780,784],{"text":781,"type":353,"marks":782},"Spectrum (continuum, levels) of engagement: ",[783],{"type":575},{"text":785,"type":353},"The range of ways patient engagement takes place. It can span from input and consultation to shared leadership, accountability, and decision making.",{"type":15,"attrs":787,"content":788},{"textAlign":53},[789,793],{"text":790,"type":353,"marks":791},"Evaluation: ",[792],{"type":575},{"text":794,"type":353},"Collecting, analyzing, and using data and information to understand how a project, program, or policy is progressing and/or what is its impact on individuals, organizations, and/or society. Evaluation often measures success or importance in relation to goals, objectives, and needs.",{"type":15,"attrs":796,"content":797},{"textAlign":53},[798,802],{"text":799,"type":353,"marks":800},"Incident analysis (or root cause analysis): ",[801],{"type":575},{"text":803,"type":353},"Structured, rigorous, often legally-protected and confidential process to review a patient safety incident. It identifies what happened, how, why it happened, what can be done to reduce the risk of recurrence and make care safer, and what was learned. It examines the whole system of care to identify the factors that contributed to the patient safety incident.",{"type":15,"attrs":805,"content":806},{"textAlign":53},[807,811],{"text":808,"type":353,"marks":809},"Incident management: ",[810],{"type":575},{"text":812,"type":353},"Various actions and processes required immediately and on an ongoing basis following a patient safety incident. It includes immediate response, disclosure, incident analysis, sharing and learning.",{"type":15,"attrs":814,"content":815},{"textAlign":53},[816],{"text":817,"type":353,"marks":818},"Patient and family:",[819],{"type":575},{"type":386,"content":821},[822,833],{"type":389,"content":823},[824],{"type":15,"attrs":825,"content":826},{"textAlign":53},[827,831],{"text":828,"type":353,"marks":829},"Patient",[830],{"type":575},{"text":832,"type":353},": Person who is receiving, has received, or has requested health services. It refers to all other terms for patient, including client, resident, person, and individual.",{"type":389,"content":834},[835],{"type":15,"attrs":836,"content":837},{"textAlign":53},[838,842],{"text":839,"type":353,"marks":840},"Family:",[841],{"type":575},{"text":843,"type":353},"Person(s) whom the patient wishes to be involved in their care, and act on their behalf or interests. Family is defined by the patient. This person speaks up on behalf of the patient with the patient's input.",{"type":15,"attrs":845,"content":846},{"textAlign":53},[847,851,853,858],{"text":848,"type":353,"marks":849},"Note: ",[850],{"type":575},{"text":852,"type":353},"because of the inconsistent terminology some use the term ",{"text":854,"type":353,"marks":855},"\"those most impacted",[856,857],{"type":575},{"type":583},{"text":859,"type":353},"\" instead of patient.",{"type":15,"attrs":861,"content":862},{"textAlign":53},[863,867],{"text":864,"type":353,"marks":865},"Patient partner (or advisor)",[866],{"type":575},{"text":868,"type":353},": An individual who experienced care in the healthcare system (as a patient, family member or caregiver) and who, as part of a patient group (e.g., patient/family council), engages in shaping decisions, policies, and/or practices at all system levels.",{"type":15,"attrs":870,"content":871},{"textAlign":53},[872,876],{"text":873,"type":353,"marks":874},"Patient representative: ",[875],{"type":575},{"text":877,"type":353},"An employee working in a healthcare setting who helps patients and families with their specific concerns, and answers their questions while in a healthcare facility. This person is the link between patients/ families, and providers/ organization.",{"type":15,"attrs":879,"content":880},{"textAlign":53},[881,885],{"text":882,"type":353,"marks":883},"Person (Patient, family) Centred Care: ",[884],{"type":575},{"text":886,"type":353},"An approach to care where patients and healthcare professionals partner to:",{"type":386,"content":888},[889,896,903],{"type":389,"content":890},[891],{"type":15,"attrs":892,"content":893},{"textAlign":53},[894],{"text":895,"type":353},"Give patients a voice in the design and delivery of the care and services they receive",{"type":389,"content":897},[898],{"type":15,"attrs":899,"content":900},{"textAlign":53},[901],{"text":902,"type":353},"Allow patients to be proactive in their healthcare journey for better health outcome; and",{"type":389,"content":904},[905],{"type":15,"attrs":906,"content":907},{"textAlign":53},[908],{"text":909,"type":353},"Improve the experience of patients",{"type":15,"attrs":911,"content":912},{"textAlign":53},[913,917],{"text":914,"type":353,"marks":915},"People-centred care: ",[916],{"type":575},{"text":918,"type":353},"An approach to care that consciously adopts individuals', carers', families' and communities' perspectives as participants in, and beneficiaries of, trusted health systems that are organized around the comprehensive needs of people rather than individual diseases, and respects their preferences. People-centred care is broader than patient and person-centred care, encompassing not only clinical encounters, but also including attention to the health of people in their communities and their crucial role in shaping health policy and health services.",{"type":15,"attrs":920,"content":921},{"textAlign":53},[922,926],{"text":923,"type":353,"marks":924},"Patient empowerment (or activation): ",[925],{"type":575},{"text":927,"type":353},"Helping patients gain control over their own lives and increase their capacity to act on issues that they themselves define as important. Aspects of empowerment include self-efficacy, self-awareness, confidence, coping skills, and health literacy.",{"type":15,"attrs":929,"content":930},{"textAlign":53},[931,935],{"text":932,"type":353,"marks":933},"Patient experience: ",[934],{"type":575},{"text":936,"type":353},"The sum of all interactions, shaped by an organization's culture, that influence patient perceptions, across the continuum of care.",{"type":15,"attrs":938,"content":939},{"textAlign":53},[940,943],{"text":78,"type":353,"marks":941},[942],{"type":575},{"text":944,"type":353},": The pursuit of the reduction and mitigation of unsafe acts within the health care system, as well as the use of best practices shown to lead to optimal patient outcomes. Patient safety is one of the dimensions of quality.",{"type":386,"content":946},[947,958,965,972],{"type":389,"content":948},[949],{"type":15,"attrs":950,"content":951},{"textAlign":53},[952,956],{"text":953,"type":353,"marks":954},"Patient safety incident: ",[955],{"type":575},{"text":957,"type":353},"An event or circumstance which could have resulted, or did result, in unnecessary harm to a patient. It includes:",{"type":389,"content":959},[960],{"type":15,"attrs":961,"content":962},{"textAlign":53},[963],{"text":964,"type":353},"Near miss: A patient safety incident that did not reach the patient. Replaces \"close call.\"",{"type":389,"content":966},[967],{"type":15,"attrs":968,"content":969},{"textAlign":53},[970],{"text":971,"type":353},"No harm incident: A patient safety incident that reached a patient, but no discernible harm resulted.",{"type":389,"content":973},[974],{"type":15,"attrs":975,"content":976},{"textAlign":53},[977],{"text":978,"type":353},"Harmful incident: A patient safety incident that resulted in harm to the patient. Other terms sometimes still used to describe a harmful incident are: adverse event or critical incident.",{"type":386,"content":980},[981],{"type":389,"content":982},[983],{"type":15,"attrs":984,"content":985},{"textAlign":53},[986,990],{"text":987,"type":353,"marks":988},"Patient safety science: ",[989],{"type":575},{"text":991,"type":353},"Methods to acquire and apply safety knowledge to create highly reliable systems that approach \"fail-safe\" conditions (i.e., those in which the operator cannot perform the function improperly). Past effort has been directed toward developing defences, which are barriers that prevent an unsafe act from resulting in harm. Over the years, healthcare has developed many of these barriers, and usually several must be breached for patient harm to occur",{"type":15,"attrs":993,"content":994},{"textAlign":53},[995,999],{"text":996,"type":353,"marks":997},"Measurement: ",[998],{"type":575},{"text":1000,"type":353},"A process essential to monitoring success. It indicates what's working and what's not, and can provide evidence for others to improve the quality of patient safety.",{"type":386,"content":1002},[1003,1014,1025,1036,1047],{"type":389,"content":1004},[1005],{"type":15,"attrs":1006,"content":1007},{"textAlign":53},[1008,1012],{"text":1009,"type":353,"marks":1010},"Measures(metrics): ",[1011],{"type":575},{"text":1013,"type":353},"Standard for determining an organization or initiative's activities and performance.",{"type":389,"content":1015},[1016],{"type":15,"attrs":1017,"content":1018},{"textAlign":53},[1019,1023],{"text":1020,"type":353,"marks":1021},"Performance measures: ",[1022],{"type":575},{"text":1024,"type":353},"Monitors, evaluates, and communicates the extent to which various activities of the organization or the healthcare system meet their key objectives.",{"type":389,"content":1026},[1027],{"type":15,"attrs":1028,"content":1029},{"textAlign":53},[1030,1034],{"text":1031,"type":353,"marks":1032},"Process measures:",[1033],{"type":575},{"text":1035,"type":353}," Assesses what is being done and how (e.g., engagement activities, strategies or methods which directly affect the outcome), what is working well, and what needs to be changed or improved (e.g., the delivery of timely prophylactic antibiotics to reduce surgical site infection).",{"type":389,"content":1037},[1038],{"type":15,"attrs":1039,"content":1040},{"textAlign":53},[1041,1045],{"text":1042,"type":353,"marks":1043},"Outcome measures: ",[1044],{"type":575},{"text":1046,"type":353},"Determines what effects the engagement had, what it did or did not accomplish, and what success looks like (e.g., to reduce falls, teams should measure the number of falls).",{"type":389,"content":1048},[1049],{"type":15,"attrs":1050,"content":1051},{"textAlign":53},[1052,1056],{"text":1053,"type":353,"marks":1054},"Balancing measures: ",[1055],{"type":575},{"text":1057,"type":353},"Determines if improvements in one part of the system were made at the expense of other processes in other parts of the system (e.g., in a project to reduce the average length of stay for a group of patients, the team should also monitor the percent of readmissions within 30 days for the same group).",{"type":15,"attrs":1059,"content":1060},{"textAlign":53},[1061,1065],{"text":1062,"type":353,"marks":1063},"Providers (or clinicians): ",[1064],{"type":575},{"text":1066,"type":353},"Includes physicians, nurses, and allied health care professionals who directly provide healthcare services to patients. The term does not include the family members providing care (family caregivers or care partners).",{"type":15,"attrs":1068,"content":1069},{"textAlign":53},[1070,1074],{"text":1071,"type":353,"marks":1072},"Quality of care: ",[1073],{"type":575},{"text":1075,"type":353},"The degree to which healthcare services produce the desired health outcomes and measure up to current evidence and knowledge. The attributes most often used to describe quality care are safe, patient-centred, accessible, appropriate, effective, efficient, and equitable. Each province or organization may have their own quality frameworks.",{"type":15,"attrs":1077,"content":1078},{"textAlign":53},[1079,1083],{"text":1080,"type":353,"marks":1081},"Quality Improvement: ",[1082],{"type":575},{"text":1084,"type":353},"A systematic approach to making changes that lead to better patient outcomes and stronger health system performance. It involves applying quality improvement science, which provides a robust structure, tools, and processes to assess and accelerate efforts for testing, implementing, and spreading good practices.",{"type":15,"attrs":1086,"content":1087},{"textAlign":53},[1088],{"text":1089,"type":353,"marks":1090},"Information",[1091],{"type":575},{"type":386,"content":1093},[1094],{"type":389,"content":1095},[1096],{"type":15,"attrs":1097,"content":1098},{"textAlign":53},[1099,1103],{"text":1100,"type":353,"marks":1101},"Qualitative information",[1102],{"type":575},{"text":1104,"type":353},": Descriptive information, such as patient stories, notes from interviews or focus group discussions, and observation notes. Qualitative information can be systematically analyzed to identify issues of interest.",{"type":386,"content":1106},[1107],{"type":389,"content":1108},[1109],{"type":15,"attrs":1110,"content":1111},{"textAlign":53},[1112,1116],{"text":1113,"type":353,"marks":1114},"Quantitative information",[1115],{"type":575},{"text":1117,"type":353},": Information that measures characteristics using a numeric value (e.g., gender, income, marital status, etc.). The numeric values can be statistically analyzed to identify issues of interest.",{"type":15,"attrs":1119,"content":1120},{"textAlign":53},[1121,1125],{"text":1122,"type":353,"marks":1123},"Stakeholder: ",[1124],{"type":575},{"text":1126,"type":353},"A person who has a vested interest in engagement outcomes and who could be affected by any decisions taken or changes made. Stakeholders could include: patients, families, caregivers, providers, administrative staff, suppliers, organizational partners, the community, the public and others.",{"type":15,"attrs":1128,"content":1129},{"textAlign":53},[1130,1134],{"text":1131,"type":353,"marks":1132},"System levels: ",[1133],{"type":575},{"text":1135,"type":353},"The healthcare system is comprised of many sub-systems operating at different levels (e.g., outside of the organization, within the organization and/or program level, at point of care) each with specific goals, resources (e.g., human, financial, equipment), and formal or informal processes.",{"type":386,"content":1137},[1138,1149],{"type":389,"content":1139},[1140],{"type":15,"attrs":1141,"content":1142},{"textAlign":53},[1143,1147],{"text":1144,"type":353,"marks":1145},"Point of care: ",[1146],{"type":575},{"text":1148,"type":353},"direct care (patient and family receiving care and providers and others who deliver care and services)",{"type":389,"content":1150},[1151],{"type":15,"attrs":1152,"content":1153},{"textAlign":53},[1154,1158],{"text":1155,"type":353,"marks":1156},"Organization: ",[1157],{"type":575},{"text":1159,"type":353},"program/ unit/service and facility/organization/ health region (service design and delivery, strategy, system planning, organizational design, governance)",{"type":386,"content":1161},[1162],{"type":389,"content":1163},[1164],{"type":15,"attrs":1165,"content":1166},{"textAlign":53},[1167,1171],{"text":1168,"type":353,"marks":1169},"System: ",[1170],{"type":575},{"text":1172,"type":353},"the sum of all the organizations, institutions, and resources that deliver health care services to meet the health needs of a target population (policy, planning, resourcing, research, education, accreditation)",{"type":15,"attrs":1174,"content":1175},{"textAlign":53},[1176,1180],{"text":1177,"type":353,"marks":1178},"Validated tool/survey/questionnaire: ",[1179],{"type":575},{"text":1181,"type":353},"A measurement tool that has been tested for reliability (produces consistent results) and validity (produces true results).",{"type":369,"attrs":1183,"content":1184},{"level":371,"textAlign":53},[1185],{"text":1186,"type":353},"References",{"type":386,"content":1188},[1189,1212,1219,1236,1251,1263,1270,1285,1300,1307],{"type":389,"content":1190},[1191],{"type":15,"attrs":1192,"content":1193},{"textAlign":53},[1194,1196,1210],{"text":1195,"type":353},"Healthcare Excellence Canada. ",{"text":1197,"type":353,"marks":1198},"Patient Safety and Incident Management Toolkit",[1199],{"type":1200,"attrs":1201},"link",{"href":1202,"uuid":1203,"anchor":53,"custom":1204,"target":1205,"linktype":591,"story":1206},"/resources/patient-safety-and-incident-management-toolkit","a435d8be-066f-4225-b67f-87e078ea10e8",{},"_self",{"name":1197,"id":1207,"uuid":1203,"slug":1208,"url":1209,"full_slug":1209,"_stopResolving":290},113880277560800,"patient-safety-and-incident-management-toolkit","resources/patient-safety-and-incident-management-toolkit",{"text":1211,"type":353},". Glossary. 2015.",{"type":389,"content":1213},[1214],{"type":15,"attrs":1215,"content":1216},{"textAlign":53},[1217],{"text":1218,"type":353},"Carman KL, Dardess P, Maurer M, Sofaer S, Adams K, Bechtel C, Sweeney J. Patient and family engagement: a framework for understanding the elements and developing interventions and policies. Health Aff (Millwood). 2013 Feb;32(2):223-31",{"type":389,"content":1220},[1221],{"type":15,"attrs":1222,"content":1223},{"textAlign":53},[1224,1226,1234],{"text":1225,"type":353},"Charles Vincent, René Amalberti. Safer Healthcare. ",{"text":1227,"type":353,"marks":1228},"Strategies for the Real World",[1229],{"type":1200,"attrs":1230},{"href":1231,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},"https://link.springer.com/book/10.1007/978-3-319-25559-0","_blank","url",{"text":1235,"type":353},". Springer, Cham. 2016.",{"type":389,"content":1237},[1238],{"type":15,"attrs":1239,"content":1240},{"textAlign":53},[1241,1243,1249],{"text":1242,"type":353},"Emanuel LL, Taylor L, Hain A, Combes JR, Hatlie MJ, Karsh B, Lau DT, Shalowitz J, Shaw T, Walton M, eds. ",{"text":1244,"type":353,"marks":1245},"The Patient Safety Education Program – Canada (PSEP – Canada) Curriculum",[1246],{"type":1200,"attrs":1247},{"href":1248,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},"https://era.library.ualberta.ca/items/1f8210e1-d99b-47a2-ada3-4df6e8e4c4eb",{"text":1250,"type":353},". © PSEP – Canada, 2016.",{"type":389,"content":1252},[1253],{"type":15,"attrs":1254,"content":1255},{"textAlign":53},[1256,1258],{"text":1257,"type":353},"European Patients Forum. Patient Empowerment: ",{"text":1259,"type":353,"marks":1260},"https://www.eu-patient.eu/policy/Policy/patient-empowerment/",[1261],{"type":1200,"attrs":1262},{"href":1259,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},{"type":389,"content":1264},[1265],{"type":15,"attrs":1266,"content":1267},{"textAlign":53},[1268],{"text":1269,"type":353},"Health Quality Council of Alberta. The Alberta Quality Matrix for Health.",{"type":389,"content":1271},[1272],{"type":15,"attrs":1273,"content":1274},{"textAlign":53},[1275,1277,1283],{"text":1276,"type":353},"Health Quality Ontario. ",{"text":1278,"type":353,"marks":1279},"Quality Matters: Realizing Excellent Care for All",[1280],{"type":1200,"attrs":1281},{"href":1282,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},"http://www.hqontario.ca/Portals/0/documents/health-quality/realizing-excellent-care-for-all-en.pdf",{"text":1284,"type":353},". 2015.",{"type":389,"content":1286},[1287],{"type":15,"attrs":1288,"content":1289},{"textAlign":53},[1290,1292,1298],{"text":1291,"type":353},"Institute for Patient- and Family-Centered Care. ",{"text":1293,"type":353,"marks":1294},"What is patient and family centred care",[1295],{"type":1200,"attrs":1296},{"href":1297,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},"http://www.ipfcc.org/about/pfcc.html",{"text":1299,"type":353},".",{"type":389,"content":1301},[1302],{"type":15,"attrs":1303,"content":1304},{"textAlign":53},[1305],{"text":1306,"type":353},"The Beryl Institute. Defining Patient Experience.",{"type":389,"content":1308},[1309],{"type":15,"attrs":1310,"content":1311},{"textAlign":53},[1312,1314,1318,1320,1325],{"text":1313,"type":353},"World Health Organization Secretariat. ",{"text":1315,"type":353,"marks":1316},"Framework on Integrated, People-Centred Health Services",[1317],{"type":583},{"text":1319,"type":353},". World Health Organization; 2016. ",{"text":1321,"type":353,"marks":1322},"https://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_39-en.pdf?ua=1&ua=1",[1323],{"type":1200,"attrs":1324},{"href":1321,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},{"text":1299,"type":353},[129,122,150],[185,192,200],"hec-page-resource-single","engaging-patients-in-patient-safety-a-canadian-guide","resources/engaging-patients-in-patient-safety-a-canadian-guide",-16870,[],103604225865405,{"parent_slug":1335,"umbraco_path":1336,"umbraco_uuid":1337},"resources","/HealthcareExcellenceCanada/Resources/EngagingPatientsInPatientSafetyACanadianGuide","c7c8cec5-d126-4a71-bf4b-03ad6b358cbf","0e6ed5c9-e317-4daf-b78f-843de98aa9f1","2025-11-18T19:04:41.279Z",[],[1342],{"path":1343,"name":1344,"lang":303,"published":290},"ressources/engager-les-patients-dans-la-securite-des-patients-un-guide-canadien","Engager les patients dans la sécurité des patients – un guide canadien",{"name":1346,"created_at":1347,"published_at":1348,"updated_at":1349,"id":1350,"uuid":1351,"content":1352,"slug":1571,"full_slug":1572,"sort_by_date":53,"position":1573,"tag_list":1574,"is_startpage":285,"parent_id":1333,"meta_data":1575,"group_id":1578,"first_published_at":1579,"release_id":53,"lang":298,"path":53,"alternates":1580,"default_full_slug":1572,"translated_slugs":1581},"Policy Considerations: Optimizing the Use of Staffing Agencies in the Health System","2025-11-18T19:04:42.071Z","2026-02-24T13:17:54.592Z","2026-02-24T13:17:54.631Z",113881424236334,"7f9285e6-c49c-4afd-ac2c-a8d0e1833683",{"new":285,"seo":1353,"_uid":1355,"hero":1356,"type":170,"topics":1370,"Noindex":285,"content":1371,"audience":1569,"duration":16,"regional":1570,"component":1328},{"title":1346,"plugin":326,"description":1354},"This report outlines a series of policy considerations to optimize the use of staffing agencies in the Canadian health system.","48d7d641-05b8-41be-886d-0174031bb1ed",[1357],{"_uid":1358,"file":1359,"image":1367,"title":1346,"format":16,"component":346,"description":1354,"key_learning":16,"prerequisite":16},"109e867e-c75c-4e2b-8604-b6dddb40092f",[1360],{"_uid":1361,"file":1362,"label":1346,"component":341},"d11c31c0-beb7-4e19-af40-2ee7b8a6a696",{"id":1363,"alt":1364,"name":16,"focus":16,"title":1364,"source":16,"filename":1365,"copyright":16,"fieldtype":283,"meta_data":1366,"is_external_url":285},114290916501289,"Agencystaffingreport March 2025 (EN) FINAL","https://a-ca.storyblok.com/f/850807391887861/41fdd74e12/agencystaffingreport-march-2025-en-final.pdf",{},{"id":1368,"filename":1369,"fieldtype":283},114297801911747,"https://a-ca.storyblok.com/f/850807391887861/c1034a707f/agency-staffing-report-web-image-page-header-540x360-en.png",[84,18,55,39],[1372,1550],{"_uid":1373,"content":1374,"component":595},"b6893c77-1d61-4358-899e-717d1dc6d0ba",[1375,1545],{"_uid":1376,"content":1377,"component":435},"c372ed8e-c295-4509-9b24-370883424a9e",{"type":12,"content":1378},[1379,1384,1389,1394,1399,1404,1507,1512],{"type":15,"attrs":1380,"content":1381},{"textAlign":53},[1382],{"text":1383,"type":353},"Staffing agencies have been a part of the Canadian health system for many years, particularly for health facilities in northern, rural, remote locations. For the context of this report, we are referring to staffing agencies that are independent, for-profit companies that provide healthcare workers on a contract basis. Staffing agencies are often used by organizations when they face staffing shortages that can’t be filled by casual workers, part-time staff or overtime. One of the main reasons for using them is to ensure there are enough staff members to keep healthcare services running smoothly.",{"type":15,"attrs":1385,"content":1386},{"textAlign":53},[1387],{"text":1388,"type":353},"In recent years, the use of agency staff has increased due to several factors. Ongoing staff shortages within the health system worsened during the COVID-19 pandemic. Working for a staffing agency can offer health providers higher wages, more flexibility, control over their schedule and opportunities to travel. The temporary nature of these jobs may help workers avoid chronic workplace stresses. However, being a contracted worker dependent on temporary assignments has trade-offs compared to direct employment with an organization, such as a regional health authority (RHA) or a healthcare facility. For example, not all staffing agencies offer workers extended health benefits, paid vacation, or pensions.",{"type":15,"attrs":1390,"content":1391},{"textAlign":53},[1392],{"text":1393,"type":353},"In June 2024, HEC held a policy lab to explore how health systems can optimize the use of staffing agencies. The 56 people who attended brought a range of perspectives to the dialogue. There were patients, health care providers, staffing agencies, unions, employers, policy-makers and researchers.",{"type":369,"attrs":1395,"content":1396},{"level":371,"textAlign":53},[1397],{"text":1398,"type":353},"What's inside?",{"type":15,"attrs":1400,"content":1401},{"textAlign":53},[1402],{"text":1403,"type":353},"Based on evidence, policy lab discussions and follow-up interviews, participants identified 14 policy considerations to optimize the use of staffing agencies in health systems across Canada:",{"type":1405,"attrs":1406,"content":1408},"ordered_list",{"order":1407},1,[1409,1416,1423,1430,1437,1444,1451,1458,1465,1472,1479,1486,1493,1500],{"type":389,"content":1410},[1411],{"type":15,"attrs":1412,"content":1413},{"textAlign":53},[1414],{"text":1415,"type":353},"Establish vendors of record",{"type":389,"content":1417},[1418],{"type":15,"attrs":1419,"content":1420},{"textAlign":53},[1421],{"text":1422,"type":353},"Standardize agency rates",{"type":389,"content":1424},[1425],{"type":15,"attrs":1426,"content":1427},{"textAlign":53},[1428],{"text":1429,"type":353},"Limit agency rates",{"type":389,"content":1431},[1432],{"type":15,"attrs":1433,"content":1434},{"textAlign":53},[1435],{"text":1436,"type":353},"Cap the number of hours purchased",{"type":389,"content":1438},[1439],{"type":15,"attrs":1440,"content":1441},{"textAlign":53},[1442],{"text":1443,"type":353},"Ban the use of staffing agencies",{"type":389,"content":1445},[1446],{"type":15,"attrs":1447,"content":1448},{"textAlign":53},[1449],{"text":1450,"type":353},"Create regional or health authority float pools",{"type":389,"content":1452},[1453],{"type":15,"attrs":1454,"content":1455},{"textAlign":53},[1456],{"text":1457,"type":353},"Use alternate staffing models (such as job-sharing or permanent part-time roles)",{"type":389,"content":1459},[1460],{"type":15,"attrs":1461,"content":1462},{"textAlign":53},[1463],{"text":1464,"type":353},"Require competency in delivering culturally safe care",{"type":389,"content":1466},[1467],{"type":15,"attrs":1468,"content":1469},{"textAlign":53},[1470],{"text":1471,"type":353},"Implement staff-to-patient ratios",{"type":389,"content":1473},[1474],{"type":15,"attrs":1475,"content":1476},{"textAlign":53},[1477],{"text":1478,"type":353},"Cap the number of hours worked",{"type":389,"content":1480},[1481],{"type":15,"attrs":1482,"content":1483},{"textAlign":53},[1484],{"text":1485,"type":353},"Increase pay for employees",{"type":389,"content":1487},[1488],{"type":15,"attrs":1489,"content":1490},{"textAlign":53},[1491],{"text":1492,"type":353},"Offer recruitment incentives in high-need areas",{"type":389,"content":1494},[1495],{"type":15,"attrs":1496,"content":1497},{"textAlign":53},[1498],{"text":1499,"type":353},"Use flexible scheduling models",{"type":389,"content":1501},[1502],{"type":15,"attrs":1503,"content":1504},{"textAlign":53},[1505],{"text":1506,"type":353},"Develop staffing structures that facilitate better work-life balance",{"type":15,"attrs":1508,"content":1509},{"textAlign":53},[1510],{"text":1511,"type":353},"In addition, participants noted that specific situations and urgency of need affect the use of staffing agencies. Factors include:",{"type":386,"content":1513},[1514,1525,1536],{"type":389,"content":1515},[1516],{"type":15,"attrs":1517,"content":1518},{"textAlign":53},[1519,1523],{"text":1520,"type":353,"marks":1521},"Location",[1522],{"type":575},{"text":1524,"type":353},", e.g. rural, remote, northern areas; First Nations, Métis or Inuit communities; or areas near the U.S. border.",{"type":389,"content":1526},[1527],{"type":15,"attrs":1528,"content":1529},{"textAlign":53},[1530,1534],{"text":1531,"type":353,"marks":1532},"Type of position",[1533],{"type":575},{"text":1535,"type":353},", e.g. a registered nurse in an intensive care unit, a nurse practitioner in a northern community or a personal support worker in a long-term care home.",{"type":389,"content":1537},[1538],{"type":15,"attrs":1539,"content":1540},{"textAlign":53},[1541],{"text":1542,"type":353,"marks":1543},"The employer’s influence on local healthcare 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système de santé",{"name":1586,"created_at":1587,"published_at":1588,"updated_at":1589,"id":1590,"uuid":1591,"content":1592,"slug":1864,"full_slug":1865,"sort_by_date":53,"position":1866,"tag_list":1867,"is_startpage":285,"parent_id":1333,"meta_data":1868,"group_id":1871,"first_published_at":1872,"release_id":53,"lang":298,"path":53,"alternates":1873,"default_full_slug":1865,"translated_slugs":1874},"Never Events for Hospital Care in Canada","2025-11-18T19:04:51.293Z","2026-02-23T20:25:39.299Z","2026-02-23T20:25:39.330Z",113881462050616,"353ed3d3-5c43-4326-b261-bb8a60d5b02e",{"new":285,"seo":1593,"_uid":1595,"hero":1596,"type":170,"topics":1611,"Noindex":285,"content":1612,"audience":1862,"duration":16,"regional":1863,"component":1328},{"title":1586,"plugin":326,"description":1594},"\"Never events\" are patient safety incidents that result in serious patient harm or death that are preventable using organizational checks and 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Canada","https://a-ca.storyblok.com/f/850807391887861/5a0b37dc12/never-events-for-hospital-care-in-canada.pdf",{},{"id":1608,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":1609,"copyright":16,"fieldtype":283,"meta_data":1610,"is_external_url":285},139012135884161,"https://a-ca.storyblok.com/f/850807391887861/1543x1027/46c7e6c48c/shapes-2.webp",{},[76],[1613],{"_uid":1614,"content":1615,"component":595},"914ac84d-b91d-4b77-91e5-6154214ef77b",[1616,1625,1857],{"_uid":1617,"content":1618,"component":435},"2156e87f-ccee-41b0-aef6-625b0a9feb9e",{"type":12,"content":1619},[1620],{"type":15,"attrs":1621,"content":1622},{"textAlign":53},[1623],{"text":1624,"type":353},"Patients rightfully expect safe care, and healthcare providers work to provide care that results in better health and safe outcomes for patients. Unfortunately, events that harm patients do occur while care is being provided, or as a result of that care. Many of these events that cause harm are preventable using current knowledge and practices. ",{"_uid":1626,"content":1627,"component":435},"2eb20031-409c-44fe-9f28-f6d726605782",{"type":12,"content":1628},[1629,1634,1643,1653,1699,1722,1730,1739],{"type":15,"attrs":1630,"content":1631},{"textAlign":53},[1632],{"text":1633,"type":353},"An action team from the National Patient Safety Consortium developed a list of the top 15 never events for hospital care in Canada. The report focuses on events that can occur to a patient while in a healthcare facility (where care providers have a high amount of control over care).",{"type":369,"attrs":1635,"content":1637},{"level":371,"textAlign":1636},"left",[1638],{"text":1639,"type":353,"marks":1640},"Strategies to identify and reduce never events",[1641],{"type":752,"attrs":1642},{"color":16},{"type":15,"attrs":1644,"content":1645},{"textAlign":1636},[1646,1651],{"text":1647,"type":353,"marks":1648},"This work aims to provide some areas and targets for continually improving patient safety. We believe various strategies can be effective in identifying and reducing never events, including:",[1649],{"type":752,"attrs":1650},{"color":16},{"text":1652,"type":353}," ",{"type":386,"content":1654},[1655,1666,1677,1688],{"type":389,"content":1656},[1657],{"type":15,"attrs":1658,"content":1659},{"textAlign":53},[1660,1665],{"text":1661,"type":353,"marks":1662},"cultural changes",[1663],{"type":752,"attrs":1664},{"color":16},{"text":1652,"type":353},{"type":389,"content":1667},[1668],{"type":15,"attrs":1669,"content":1670},{"textAlign":53},[1671,1676],{"text":1672,"type":353,"marks":1673},"reporting and learning systems",[1674],{"type":752,"attrs":1675},{"color":16},{"text":1652,"type":353},{"type":389,"content":1678},[1679],{"type":15,"attrs":1680,"content":1681},{"textAlign":53},[1682,1687],{"text":1683,"type":353,"marks":1684},"identification of opportunities for improvement",[1685],{"type":752,"attrs":1686},{"color":16},{"text":1652,"type":353},{"type":389,"content":1689},[1690],{"type":15,"attrs":1691,"content":1692},{"textAlign":53},[1693,1698],{"text":1694,"type":353,"marks":1695},"continuous improvement supported by measurement and evaluation",[1696],{"type":752,"attrs":1697},{"color":16},{"text":1652,"type":353},{"type":15,"attrs":1700,"content":1701},{"textAlign":1636},[1702,1707,1716,1721],{"text":1703,"type":353,"marks":1704},"The ",[1705],{"type":752,"attrs":1706},{"color":16},{"text":1708,"type":353,"marks":1709},"Incident Management Toolkit",[1710,1714],{"type":1200,"attrs":1711},{"href":1202,"uuid":1203,"anchor":53,"custom":1712,"target":1205,"linktype":591,"story":1713},{},{"name":1197,"id":1207,"uuid":1203,"slug":1208,"url":1209,"full_slug":1209,"_stopResolving":290},{"type":752,"attrs":1715},{"color":16},{"text":1717,"type":353,"marks":1718},", a resource available from HEC, is designed to help healthcare organizations prevent patient safety incidents and minimize harm when incidents do occur.",[1719],{"type":752,"attrs":1720},{"color":16},{"text":1652,"type":353},{"type":369,"attrs":1723,"content":1724},{"level":371,"textAlign":1636},[1725],{"text":1726,"type":353,"marks":1727},"Never events action team",[1728],{"type":752,"attrs":1729},{"color":16},{"type":15,"attrs":1731,"content":1732},{"textAlign":1636},[1733,1738],{"text":1734,"type":353,"marks":1735},"The never events action team included the following experts and patient representatives:",[1736],{"type":752,"attrs":1737},{"color":16},{"text":1652,"type":353},{"type":386,"content":1740},[1741,1752,1767,1778,1793,1807,1818,1833,1844],{"type":389,"content":1742},[1743],{"type":15,"attrs":1744,"content":1745},{"textAlign":53},[1746,1751],{"text":1747,"type":353,"marks":1748},"Atlantic Health Quality and Patient Safety 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adults.",{"type":15,"attrs":1965,"content":1966},{"textAlign":53},[1967,1969,1975,1977,1991,1995],{"text":1968,"type":353},"The Knowledge Translation Program at ",{"text":1970,"type":353,"marks":1971},"St. Michael’s Hospital",[1972],{"type":1200,"attrs":1973},{"href":1974,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},"https://knowledgetranslation.net/",{"text":1976,"type":353}," produced the report for HEC. It builds on an earlier report, ",{"text":1978,"type":353,"marks":1979},"Reimagining Care for Older Adults",[1980,1990],{"type":1200,"attrs":1981},{"href":1982,"uuid":1983,"anchor":53,"custom":1984,"target":1205,"linktype":591,"story":1985},"/programs/reimagining-ltc","940f2fdc-7a78-4749-acb8-14fd90d06467",{},{"name":1986,"id":1987,"uuid":1983,"slug":1988,"url":1989,"full_slug":1989,"_stopResolving":290},"Reimagining LTC",123451171984567,"reimagining-ltc","programs/reimagining-ltc",{"type":583},{"text":1992,"type":353,"marks":1993},", ",[1994],{"type":583},{"text":1996,"type":353},"which identified promising practices in six key areas for future infectious disease outbreaks – used in the LTC+: Acting on Pandemic Learning Together program.",{"_uid":1998,"file":1999,"link":2004,"label":2005,"linkType":593,"component":594,"linkLabel":16},"2d9ae9ae-ccc7-45c5-9769-56bf08c1c8af",{"id":2000,"alt":2001,"name":16,"focus":16,"title":2001,"source":16,"filename":2002,"copyright":16,"fieldtype":283,"meta_data":2003,"is_external_url":285},114291033003834,"Cfhi Ltc Barriers Facilitators And Needs Report 18Dec2020 Final","https://a-ca.storyblok.com/f/850807391887861/0c13ff693d/cfhi-ltc-barriers-facilitators-and-needs-report-18dec2020-final.pdf",{"alt":2001,"title":2001,"source":16,"copyright":16},{"id":16,"url":16,"linktype":591,"fieldtype":592,"cached_url":16},"Download the report",[122,129,136,150],[185,192,200],"long-term-care-covid-19-infection-prevention-and-control","resources/long-term-care-covid-19-infection-prevention-and-control",-17160,[],{"parent_slug":1335,"umbraco_path":2013,"umbraco_uuid":2014},"/HealthcareExcellenceCanada/Resources/LongTermCareCOVID19InfectionPreventionAndControl","dd430265-0285-49fc-9a52-c9ec85799ef1","02e17703-0739-45d4-9689-14bca3ea822b","2025-11-18T19:04:53.208Z",[],[2019],{"path":2020,"name":2021,"lang":303,"published":290},"ressources/prevention-et-controle-de-la-covid-19-dans-les-etablissements-de-soins-de-longue-duree","Prévention et contrôle de la COVID-19 dans les établissements de soins de longue durée",{"name":2023,"created_at":2024,"published_at":2025,"updated_at":2026,"id":2027,"uuid":2028,"content":2029,"slug":2168,"full_slug":2169,"sort_by_date":53,"position":2170,"tag_list":2171,"is_startpage":285,"parent_id":1333,"meta_data":2172,"group_id":2175,"first_published_at":2176,"release_id":53,"lang":298,"path":53,"alternates":2177,"default_full_slug":2169,"translated_slugs":2178},"Policy Considerations for the Retaining of Internationally Educated Healthcare Workers","2025-11-18T19:04:54.663Z","2026-02-10T21:33:40.984Z","2026-02-10T21:33:41.015Z",113881475821372,"4d44a6d6-a705-4146-a0df-1e7531917a8e",{"new":285,"seo":2030,"_uid":2032,"hero":2033,"type":170,"topics":2055,"Noindex":285,"content":2056,"audience":2166,"duration":16,"regional":2167,"component":1328},{"title":2023,"plugin":326,"description":2031},"The retention of internationally educated healthcare workers can contribute to a stable healthcare workforce in Canada. The policy considerations contained within this report encompass options focused on achieving this goal.","116cbf21-dc9e-4b30-97a5-8edb5842d0e6",[2034],{"_uid":2035,"file":2036,"image":2044,"title":2023,"format":16,"component":346,"description":2049,"key_learning":16,"prerequisite":16},"e56dfa52-a0da-4c3a-88b9-1dfc79b5905e",[2037],{"_uid":2038,"file":2039,"label":2023,"component":341},"076461d4-ba96-4806-aebf-13f86623af29",{"id":2040,"alt":2041,"name":16,"focus":16,"title":2041,"source":16,"filename":2042,"copyright":16,"fieldtype":283,"meta_data":2043,"is_external_url":285},114290878314271,"Policyconsiderationsoniehwretention (EN) FINAL","https://a-ca.storyblok.com/f/850807391887861/6d3bfb5d67/policyconsiderationsoniehwretention-en-final.pdf",{},{"id":2045,"alt":2046,"title":16,"source":16,"filename":2047,"copyright":16,"fieldtype":283,"meta_data":2048},114299662405539,"Jan Byrd (Director of Health Policy at HEC) photographed with International Educated Healthcare Workers Policy Lab participants Jean Amour, Shaymaa Elbadawy, Monika Balhara, Damilola Iduye, Jenny Maevski, and Aparna Gandhi in Halifax, NS in January 2024.”","https://a-ca.storyblok.com/f/850807391887861/6792ebc825/team-image.png",{"alt":2046,"title":16,"source":16,"copyright":16},{"type":12,"content":2050},[2051],{"type":15,"attrs":2052,"content":2053},{"textAlign":53},[2054],{"text":2031,"type":353},[84,39],[2057,2156],{"_uid":2058,"content":2059,"component":595},"ac8a1a01-2685-4ed3-ba65-5f641072970a",[2060,2069],{"_uid":2061,"content":2062,"component":435},"9d578549-11cc-455f-a4bb-99b6e6e6696d",{"type":12,"content":2063},[2064],{"type":15,"attrs":2065,"content":2066},{"textAlign":53},[2067],{"text":2068,"type":353},"Internationally educated healthcare workers (IEHW) contribute to safe, high-quality health services and a stable long-term workforce. This report outlines eight policy considerations for helping retain them. ",{"_uid":2070,"content":2071,"component":435},"f5ea2e21-10ce-48a8-8256-90a83f0cbc51",{"type":12,"content":2072},[2073,2078,2083,2087,2092,2151],{"type":15,"attrs":2074,"content":2075},{"textAlign":53},[2076],{"text":2077,"type":353},"There are ongoing efforts across Canada to recruit and retain Internationally Educated Healthcare Workers (IEHW) to address a shortage across the country. Federal, provincial and territorial governments have committed to joint and separate strategies to streamline licensing, reduce financial barriers, recruit ethically and leverage new or existing immigration pathways for key healthcare professions looking to enter Canada’s health workforce.",{"type":15,"attrs":2079,"content":2080},{"textAlign":53},[2081],{"text":2082,"type":353},"In January 2024, HEC convened diverse participants from across Canada to review evidence and co-design policy solutions and multi-sectoral strategies aimed at improving IEHW retention. This report synthesizes discussions between41participants, ranging from healthcare workers and policy makers to community leaders and patient partners.",{"type":369,"attrs":2084,"content":2085},{"level":371,"textAlign":53},[2086],{"text":1398,"type":353},{"type":15,"attrs":2088,"content":2089},{"textAlign":53},[2090],{"text":2091,"type":353},"Based on evidence, policy lab discussions and follow-up interviews, participants identified eight policy considerations:",{"type":1405,"attrs":2093,"content":2094},{"order":1407},[2095,2102,2109,2116,2123,2130,2137,2144],{"type":389,"content":2096},[2097],{"type":15,"attrs":2098,"content":2099},{"textAlign":53},[2100],{"text":2101,"type":353},"Include IEHW voices in decision-making.",{"type":389,"content":2103},[2104],{"type":15,"attrs":2105,"content":2106},{"textAlign":53},[2107],{"text":2108,"type":353},"Streamline licensure and accreditation processes that uphold high standards for safety, quality and readiness to 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employers.",{"id":16,"cta":2157,"_uid":2162,"items":2163,"title":2165,"component":1568},[2158],{"_uid":2159,"link":2160,"label":1560,"component":1561},"bbf9514c-d6c9-4acf-84ff-020196444430",{"id":1555,"url":16,"linktype":591,"fieldtype":592,"cached_url":1556,"story":2161},{"name":1558,"id":1559,"uuid":1555,"slug":1335,"url":1556,"full_slug":1556,"_stopResolving":290},"fd5ef47c-f591-498d-b859-cdaa51f5753b",[2164,1565,1564,1566],"a64de4ee-47bb-4b76-9a4f-c6d177d132b9","Related Resources",[150,136,143],[185,192,200],"policy-considerations-for-the-retaining-of-internationally-educated-healthcare-workers","resources/policy-considerations-for-the-retaining-of-internationally-educated-healthcare-workers",-17200,[],{"parent_slug":1335,"umbraco_path":2173,"umbraco_uuid":2174},"/HealthcareExcellenceCanada/Resources/PolicyConsiderationsForTheRetainingOfInternationallyEducatedHealthcareWorkers","e21ff7a6-4e92-40aa-b5cf-aeecd4377419","f9772ad0-9875-4f69-b50b-6f91ccd1efd3","2025-11-18T19:04:54.743Z",[],[2179],{"path":2180,"name":2181,"lang":303,"published":290},"ressources/considerations-strategiques-pour-la-retention-du-personnel-de-sante-forme-a-l-etranger","Considérations stratégiques pour la rétention du personnel de santé formé à l’étranger",{"name":2183,"created_at":2184,"published_at":2185,"updated_at":2186,"id":2187,"uuid":2188,"content":2189,"slug":2289,"full_slug":2290,"sort_by_date":53,"position":2291,"tag_list":2292,"is_startpage":285,"parent_id":1333,"meta_data":2293,"group_id":2295,"first_published_at":2296,"release_id":53,"lang":298,"path":53,"alternates":2297,"default_full_slug":2290,"translated_slugs":2298},"Policy Guidance on Emergency Department Closures in Northern, Rural and Remote Regions","2025-11-18T19:05:01.958Z","2026-02-26T12:52:29.266Z","2026-02-26T12:52:29.309Z",113881505787716,"4add659a-5505-45e1-9d22-78b61680f0f9",{"new":285,"seo":2190,"_uid":2193,"hero":2194,"type":170,"topics":2214,"Noindex":285,"content":2215,"audience":2287,"duration":16,"regional":2288,"component":1328},{"title":2191,"plugin":326,"description":2192},"Emergency Department Closures","Explore policy and practice options for delivering care when emergency departments close in northern, rural and remote communities.","6c0b928b-81ff-44d0-9f9d-bbb64a5ca9ca",[2195],{"_uid":2196,"file":2197,"image":2205,"title":2183,"format":16,"component":346,"description":2208,"key_learning":16,"prerequisite":16},"777c1f79-e3b0-4f0e-b8bb-3c1abcda6e4e",[2198],{"_uid":2199,"file":2200,"label":2183,"component":341},"b903f01e-e0cc-42f5-9c39-ee4fa372c26d",{"id":2201,"alt":2202,"name":16,"focus":16,"title":2202,"source":16,"filename":2203,"copyright":16,"fieldtype":283,"meta_data":2204,"is_external_url":285},114291687557089,"20230502 Emergencydepartmentclosures Policyguidance EN FA","https://a-ca.storyblok.com/f/850807391887861/7b3b6c53d4/20230502-emergencydepartmentclosures-policyguidance-en-fa.pdf",{},{"id":2206,"filename":2207,"fieldtype":283},114298799406788,"https://a-ca.storyblok.com/f/850807391887861/8ae13c2620/2023-edclosurespolicyguidance-tile.png",{"type":12,"content":2209},[2210],{"type":15,"attrs":2211,"content":2212},{"textAlign":53},[2213],{"text":2192,"type":353},[84,18,39,62],[2216],{"_uid":2217,"content":2218,"component":595},"706d4192-0ee4-47ed-9dfc-a8a58093c68a",[2219,2282],{"_uid":2220,"content":2221,"component":435},"953d16c4-a3f7-4fe5-9136-d09fc563f251",{"type":12,"content":2222},[2223,2228,2233,2238,2262,2267,2272,2277],{"type":15,"attrs":2224,"content":2225},{"textAlign":53},[2226],{"text":2227,"type":353},"June 2023",{"type":15,"attrs":2229,"content":2230},{"textAlign":53},[2231],{"text":2232,"type":353},"On February 1, 2023, Healthcare Excellence Canada convened diverse participants from nine provinces and territories to explore policy options for improving emergency department care and addressing closures. Patient partners, frontline providers, health leaders, regulatory bodies, national associations and policy-makers in government all joined in the collaborative discussion. This report synthesizes these discussions and highlights opportunities for responsive ways to deliver care to residents of northern, rural and remote communities.",{"type":15,"attrs":2234,"content":2235},{"textAlign":53},[2236],{"text":2237,"type":353},"The report presents three key insights about how to prevent or mitigate emergency department closures in these communities:",{"type":1405,"attrs":2239,"content":2240},{"order":1407},[2241,2248,2255],{"type":389,"content":2242},[2243],{"type":15,"attrs":2244,"content":2245},{"textAlign":53},[2246],{"text":2247,"type":353},"A stable, experienced and sustainable workforce: Strategies to support communities in training, retaining and supporting their workforce can contribute to avoiding service disruptions.",{"type":389,"content":2249},[2250],{"type":15,"attrs":2251,"content":2252},{"textAlign":53},[2253],{"text":2254,"type":353},"Connections to timely and appropriate care: Supporting local health resources to build capacity in primary and community services can reduce pressures on emergency departments and ensure more timely access to appropriate care.",{"type":389,"content":2256},[2257],{"type":15,"attrs":2258,"content":2259},{"textAlign":53},[2260],{"text":2261,"type":353},"Health service design that reflects community voices and new models of care: A co-design process facilitating locally driven solutions and expanding access to culturally safe services will help meet the needs of northern, rural and remote populations.",{"type":369,"attrs":2263,"content":2264},{"level":371,"textAlign":53},[2265],{"text":2266,"type":353},"Why this work matters",{"type":15,"attrs":2268,"content":2269},{"textAlign":53},[2270],{"text":2271,"type":353},"The sustainability and stability of emergency department services in northern, rural and remote areas in Canada has been an issue for health leaders and health system planners for several decades. Changing demographics, sub-optimally connected health system structures, rising costs of providing care and challenges maintaining the health workforce have contributed to intermittent and sometimes permanent closures of emergency departments in small communities.",{"type":15,"attrs":2273,"content":2274},{"textAlign":53},[2275],{"text":2276,"type":353},"Smaller populations and smaller teams can make the sustainability of services more precarious, requiring creative solutions to optimize resources and support care needs. Solutions will require strategic investments, new roles and types of providers, close attention to the issue of recruiting international graduates and appropriate use of technology.",{"type":15,"attrs":2278,"content":2279},{"textAlign":53},[2280],{"text":2281,"type":353},"As health systems incorporate adaptations emerging from the pandemic, there is opportunity to catalyze creative approaches to the delivery of care. Agile leadership, in combination with an inclusive approach to innovation that focuses on the needs of communities, will assist in implementing responsive policies and practices.",{"_uid":2283,"file":2284,"link":2286,"label":2183,"linkType":593,"component":594,"linkLabel":16},"97fcf08a-8c91-4817-b0fb-7352fd9a254c",{"id":2201,"alt":2202,"name":16,"focus":16,"title":2202,"source":16,"filename":2203,"copyright":16,"fieldtype":283,"meta_data":2285,"is_external_url":285},{},{"id":16,"url":16,"linktype":591,"fieldtype":592,"cached_url":16},[129,150],[185],"policy-guidance-on-emergency-department-closures-in-northern-rural-and-remote-regions","resources/policy-guidance-on-emergency-department-closures-in-northern-rural-and-remote-regions",-17370,[],{"parent_slug":1335,"umbraco_uuid":2294},"f1b10c27-629b-4a7b-ac94-698ce0ae595f","b6eb69e3-e42b-48a5-acff-3ea571680b68","2025-11-18T19:05:02.104Z",[],[2299],{"path":2300,"name":2301,"lang":303,"published":290},"ressources/recommandations-strategiques-sur-la-fermeture-de-services-d-urgence-dans-les-regions-nordiques-rurales-et-eloignees","Recommandations stratégiques sur la fermeture de services d’urgence dans les régions nordiques, rurales et éloignées",{"name":2303,"created_at":2304,"published_at":2305,"updated_at":2306,"id":2307,"uuid":2308,"content":2309,"slug":2374,"full_slug":2375,"sort_by_date":53,"position":2376,"tag_list":2377,"is_startpage":285,"parent_id":1333,"meta_data":2378,"group_id":2381,"first_published_at":2382,"release_id":53,"lang":298,"path":53,"alternates":2383,"default_full_slug":2375,"translated_slugs":2384},"Rapid Evidence Profile: Providing Palliative Care for People Experiencing or at Risk of Homelessness","2025-11-26T23:50:36.373Z","2026-02-26T13:14:38.205Z","2026-02-26T13:14:38.234Z",116782843449556,"c2eca19b-be5d-4a6f-a202-01e53e0e630f",{"new":285,"seo":2310,"_uid":2313,"hero":2314,"type":170,"topics":2322,"Noindex":285,"content":2323,"audience":2372,"duration":16,"regional":2373,"component":1328},{"title":2311,"plugin":326,"description":2312},"Rapid Evidence Profile","An overview of evidence and experiences providing palliative care for people experiencing or at risk of homelessness.","02e81bdf-e2e8-4a8b-8a39-6b7ea37a2821",[2315],{"_uid":2316,"file":2317,"image":2318,"title":2303,"format":16,"component":346,"description":2312,"key_learning":16,"prerequisite":16},"369c1cf5-e6ed-4f9f-b201-7089647a1851",[],{"id":2319,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":2320,"copyright":16,"fieldtype":283,"meta_data":2321,"is_external_url":285},138976226714993,"https://a-ca.storyblok.com/f/850807391887861/1500x1000/109216f5cf/shapes-5.webp",{},[46,98],[2324],{"_uid":2325,"content":2326,"component":595},"a0f0a5e9-1337-4af7-b22c-b89abbd81cc6",[2327,2334],{"_uid":2328,"file":2329,"link":2331,"label":2333,"linkType":1200,"component":594,"linkLabel":2005},"8fe8d05e-c4da-4ecf-aa35-1cd901dd840b",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":2330},{},{"id":16,"url":2332,"target":1232,"linktype":1233,"fieldtype":592,"cached_url":2332},"https://www.mcmasterforum.org/docs/default-source/product-documents/rapid-evidence-profiles/hec_rep-29.2_palliative-care-for-homeless_report-appendices_2022-09-22.pdf?sfvrsn=b6386a4b_10"," Rapid Evidence Profile: What do we know from evidence and experiences from other jurisdictions about providing palliative care for those who are experiencing or at risk of homelessness? ",{"_uid":2335,"content":2336,"component":435},"a5b1600d-d66e-412a-a0a6-31dbb943ca10",{"type":12,"content":2337},[2338,2348,2353,2358,2363,2368,2370],{"type":15,"attrs":2339,"content":2340},{"textAlign":53},[2341,2342,2346],{"text":1703,"type":353},{"text":2343,"type":353,"marks":2344},"Rapid Evidence Profile: What do we know from evidence and experiences from other jurisdictions about providing palliative care for those who are experiencing or at risk of homelessness?",[2345],{"type":583},{"text":2347,"type":353}," provides an overview of evidence and experiences providing palliative care for people experiencing or at risk of homelessness. It includes experiences from provinces and territories in Canada, and other countries including Australia, Finland, New Zealand, Sweden, the United Kingdom and the United States.",{"type":15,"attrs":2349,"content":2350},{"textAlign":53},[2351],{"text":2352,"type":353},"This resource intends to inform and guide program development related to providing palliative care for people experiencing or at risk of homelessness.",{"type":15,"attrs":2354,"content":2355},{"textAlign":53},[2356],{"text":2357,"type":353},"This overview was completed by the McMaster University Health Forum with support from Healthcare Excellence Canada.",{"type":369,"attrs":2359,"content":2360},{"level":371,"textAlign":53},[2361],{"text":2362,"type":353},"Authors: ",{"type":15,"attrs":2364,"content":2365},{"textAlign":53},[2366],{"text":2367,"type":353},"McMaster University Health Forum",{"type":15,"attrs":2369},{"textAlign":53},{"type":369,"attrs":2371},{"level":371,"textAlign":53},[150,143,136],[185,192,200],"rapid-evidence-profile-providing-palliative-care-for-people-experiencing-or-at-risk-of-homelessness","resources/rapid-evidence-profile-providing-palliative-care-for-people-experiencing-or-at-risk-of-homelessness",-17670,[],{"parent_slug":1335,"umbraco_path":2379,"umbraco_uuid":2380},"/HealthcareExcellenceCanada/Resources/RapidEvidenceProfile","4e4ed4da-6dd7-4228-b145-2aaffdb4e52d","7d9f5448-3e67-4046-b746-20d166aad1fa","2025-11-26T23:50:36.442Z",[],[2385],{"path":2386,"name":2387,"lang":303,"published":290},"ressources/profil-de-donnees-probantes-rapide-soins-palliatifs-aux-personnes-en-situation-ou-a-risque-d-itinerance","Profil de données probantes rapide : soins palliatifs aux personnes en situation ou à risque d’itinérance",{"name":2389,"created_at":2390,"published_at":2391,"updated_at":2392,"id":2393,"uuid":2394,"content":2395,"slug":2483,"full_slug":2484,"sort_by_date":53,"position":2485,"tag_list":2486,"is_startpage":285,"parent_id":1333,"meta_data":2487,"group_id":2490,"first_published_at":2491,"release_id":53,"lang":298,"path":53,"alternates":2492,"default_full_slug":2484,"translated_slugs":2493},"Addressing Frailty in the Community: Connecting to Community-Based Services","2025-11-26T23:53:11.426Z","2025-12-22T14:24:15.349Z","2025-12-22T14:24:15.371Z",116783478509803,"7942f5bd-6ce3-49cb-89fa-901a8afedd64",{"new":285,"seo":2396,"_uid":2399,"hero":2400,"type":170,"topics":2407,"content":2408,"audience":2481,"duration":16,"regional":2482,"component":1328},{"title":2397,"plugin":326,"description":2398},"Connecting to Community-Based Services","This report highlights the ways that the ‘Advancing Frailty Care in the Community’ teams connected frail older adults to community-based services.","1ed403a1-6178-4c45-91ab-f548a789034a",[2401],{"_uid":2402,"file":2403,"image":2404,"title":2389,"format":16,"component":346,"description":2398,"key_learning":16,"prerequisite":16},"73821ec4-8c97-4841-b0d1-df27ffebd459",[],{"id":2405,"filename":2406,"fieldtype":283},114297902968285,"https://a-ca.storyblok.com/f/850807391887861/93a49701bd/2023-afcc-communitylinkages-tile.png",[32,84,69,98],[2409],{"_uid":2410,"content":2411,"component":595},"8a0dbc0c-9d81-44d1-8f8f-f814ebc22469",[2412,2473],{"_uid":2413,"content":2414,"component":435},"f82f7c1f-fcd6-4aa7-80d3-79c979d277c3",{"type":12,"content":2415},[2416,2420,2440,2445,2468],{"type":369,"attrs":2417,"content":2418},{"level":371,"textAlign":53},[2419],{"text":2389,"type":353},{"type":15,"attrs":2421,"content":2422},{"textAlign":53},[2423,2425,2438],{"text":2424,"type":353},"The ‘Addressing Frailty in the Community: Connecting to Community-Based Services’ report highlights the ways that 17 teams participating in the ",{"text":2426,"type":353,"marks":2427},"Advancing Frailty Care in the Community collaborative",[2428],{"type":1200,"attrs":2429},{"href":2430,"uuid":2431,"anchor":53,"custom":2432,"target":1205,"linktype":591,"story":2433},"/programs/advancing-community-frailty-care","23a32a2d-928f-4e3f-acc8-9e56903354e5",{},{"name":2434,"id":2435,"uuid":2431,"slug":2436,"url":2437,"full_slug":2437,"_stopResolving":290},"Advancing Frailty Care in the Community ",124534046147856,"advancing-community-frailty-care","programs/advancing-community-frailty-care",{"text":2439,"type":353}," connected frail older adults to community-based services.",{"type":15,"attrs":2441,"content":2442},{"textAlign":53},[2443],{"text":2444,"type":353},"Participating teams chose from a menu of evidence-informed frailty models (or adapted others as appropriate) and they all followed the same basic care pathway. Approaches included:",{"type":386,"content":2446},[2447,2454,2461],{"type":389,"content":2448},[2449],{"type":15,"attrs":2450,"content":2451},{"textAlign":53},[2452],{"text":2453,"type":353},"Using dedicated staff such as a system navigator or community connector to refer to supports and services.",{"type":389,"content":2455},[2456],{"type":15,"attrs":2457,"content":2458},{"textAlign":53},[2459],{"text":2460,"type":353},"Connecting to in-house services.",{"type":389,"content":2462},[2463],{"type":15,"attrs":2464,"content":2465},{"textAlign":53},[2466],{"text":2467,"type":353},"Connecting to both in-house and external services.",{"type":15,"attrs":2469,"content":2470},{"textAlign":53},[2471],{"text":2472,"type":353},"This resource was informed by final team reports and interviews with implementation team members.",{"_uid":2474,"file":2475,"link":2480,"label":2389,"linkType":593,"component":594,"linkLabel":16},"602fedfd-47be-422a-b4d7-7bd769896bf1",{"id":2476,"alt":2477,"name":16,"focus":16,"title":2477,"source":16,"filename":2478,"copyright":16,"fieldtype":283,"meta_data":2479,"is_external_url":285},114291131914069,"AFCC Community Linkages","https://a-ca.storyblok.com/f/850807391887861/089a9138e9/afcc-community-linkages.pdf",{},{"id":16,"url":16,"linktype":591,"fieldtype":592,"cached_url":16},[129,150,122],[192,200],"addressing-frailty-in-the-community-connecting-to-community-based-services","resources/addressing-frailty-in-the-community-connecting-to-community-based-services",-18130,[],{"parent_slug":1335,"umbraco_path":2488,"umbraco_uuid":2489},"/HealthcareExcellenceCanada/Resources/ConnectingToCommunityBasedServices","a058e818-c0ca-46cb-ae25-b5ab340dba65","42967974-aaa2-49ba-b1b6-d4795cd7de02","2025-11-26T23:53:11.464Z",[],[2494],{"path":2495,"name":2496,"lang":303,"published":290},"ressources/reduire-la-fragilite-en-milieu-communautaire-aiguillages-vers-les-services-communautaires","Réduire la fragilité en milieu communautaire : aiguillages vers les services communautaires",{"name":2498,"created_at":2499,"published_at":2500,"updated_at":2501,"id":2502,"uuid":2503,"content":2504,"slug":2576,"full_slug":2577,"sort_by_date":53,"position":2578,"tag_list":2579,"is_startpage":285,"parent_id":1333,"meta_data":2580,"group_id":2583,"first_published_at":2584,"release_id":53,"lang":298,"path":53,"alternates":2585,"default_full_slug":2577,"translated_slugs":2586},"Rapid review: Delivering primary care services in non-traditional healthcare settings to people experiencing homelessness","2025-11-26T23:53:26.269Z","2026-02-25T19:52:32.416Z","2026-02-25T19:52:32.432Z",116783539310832,"66ee92eb-572f-4247-b11c-cfd3edf76df0",{"new":285,"seo":2505,"_uid":2508,"hero":2509,"type":170,"topics":2517,"Noindex":285,"content":2518,"audience":2574,"duration":16,"regional":2575,"component":1328},{"title":2506,"plugin":326,"description":2507},"Rapid review Delivering primary care services","An overview of promising models of care and key findings that support equitable access to primary care for people experiencing homelessness.","214a0ce8-27c0-4419-9cdf-c99ef8cfdb59",[2510],{"_uid":2511,"file":2512,"image":2513,"title":2498,"format":16,"component":346,"description":2507,"key_learning":16,"prerequisite":16},"4a114fd0-9cd6-4a92-92a1-9074a816351f",[],{"id":2514,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":2515,"copyright":16,"fieldtype":283,"meta_data":2516,"is_external_url":285},138976226047341,"https://a-ca.storyblok.com/f/850807391887861/1500x1000/b44bb247e6/shapes-6.webp",{},[91,98,46],[2519,2553,2564],{"_uid":2520,"content":2521,"component":595},"f4dcdbc4-debc-417c-996d-2f1c285a23e3",[2522],{"_uid":2523,"content":2524,"component":435},"f0a90e1a-e6d3-4f86-b805-7114c55849ea",{"type":12,"content":2525},[2526,2538,2543,2548],{"type":15,"attrs":2527,"content":2528},{"textAlign":53},[2529,2530,2536],{"text":1703,"type":353},{"text":2531,"type":353,"marks":2532},"Rapid Review: Delivering Primary Care in Non-Traditional Healthcare Settings to Individuals Experiencing Homelessness",[2533],{"type":1200,"attrs":2534},{"href":2535,"uuid":53,"anchor":53,"custom":53,"target":1232,"linktype":1233},"https://ihpme.utoronto.ca/research/research-centres-initiatives/nao/rapid-reviews/rapid-review-34/",{"text":2537,"type":353}," identifies promising models of care that support equitable access to primary care for people experiencing homelessness.",{"type":15,"attrs":2539,"content":2540},{"textAlign":53},[2541],{"text":2542,"type":353},"People experiencing homelessness often face barriers, including stigma or exclusion, when accessing primary care. This results in higher rates of unmet needs and trips to the emergency room. One approach to better meet the needs of people experiencing homelessness is to provide primary care outside of traditional primary care clinics.",{"type":15,"attrs":2544,"content":2545},{"textAlign":53},[2546],{"text":2547,"type":353},"This report was completed by the North American Observatory on Health Systems and Policies with support from Healthcare Excellence Canada.",{"type":15,"attrs":2549,"content":2550},{"textAlign":53},[2551],{"text":2552,"type":353},"The report identified the following six key considerations for providing primary care services to people experiencing homelessness in non-traditional settings.",{"id":16,"_uid":2554,"content":2555,"component":595},"09dc8b38-b592-4d42-aa61-71e784c73163",[2556],{"_uid":2557,"image":2558,"component":2563},"dd954eb5-7181-4eba-be20-3c68185bf4c3",{"id":2559,"alt":2560,"name":16,"focus":16,"title":16,"source":16,"filename":2561,"copyright":16,"fieldtype":283,"meta_data":2562,"is_external_url":285},114298617466516,"Key considerations for delivering primary care services to people experiencing homelessness: Foster positive interpersonal relationships between people experiencing homelessness and healthcare providers, include peer support workers and interprofessional team members to address the complex needs of people experiencing homelessness, establish a welcoming and inclusive environment to encourage access to primary care and social connectedness, support system navigation and build connections to mainstream care to help reduce barriers, enable collection and sharing of health information to improve care continuity and support evaluation of primary care programs, and adopt sustainable and adaptive funding models.","https://a-ca.storyblok.com/f/850807391887861/1c25f585f0/infographic-key-considerations-for-delivering-primary-care.png",{"alt":2560,"title":16,"source":16,"copyright":16},"simple-image",{"_uid":2565,"content":2566,"component":595},"ed77ebed-56c8-4b63-a559-91987617e33a",[2567],{"_uid":2568,"file":2569,"link":2571,"label":2531,"linkType":1200,"component":594,"linkLabel":2573},"e30b0566-f682-4390-8eeb-87f19e30ac96",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":2570},{},{"id":16,"url":2572,"target":1232,"linktype":1233,"fieldtype":592,"cached_url":2572},"https://naohealthobservatory.ca/research/rapid-review-34/","Download",[150,143,136],[200,192,185],"rapid-review-delivering-primary-care-services-in-non-traditional-healthcare-settings-to-people-experiencing-homelessness","resources/rapid-review-delivering-primary-care-services-in-non-traditional-healthcare-settings-to-people-experiencing-homelessness",-18230,[],{"parent_slug":1335,"umbraco_path":2581,"umbraco_uuid":2582},"/HealthcareExcellenceCanada/Resources/RapidReviewDeliveringPrimaryCareServices","aa34c24d-b74b-4f7c-8812-692ba43286df","a82c07cf-86b9-45a5-8acf-f0dd04cbfee9","2025-11-26T23:53:26.305Z",[],[2587],{"path":2588,"name":2589,"lang":303,"published":290},"ressources/revue-rapide-prestation-de-soins-de-sante-primaires-en-milieu-non-traditionnel-chez-les-personnes-en-situation-d-itinerance","Revue rapide : Prestation de soins de santé primaires en milieu non traditionnel chez les personnes en situation d’itinérance",20,1776087585328]