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target=\"_blank\">https://www.healthcareexcellence.ca/en/news/2023-04-14-first-ever-enhanced-recovery-resources-for-cesarean-delivery\u003C/a>\u003Cbr/>\u003Cbr/>\u003C/p> \u003Cbr/> \u003Cp>Cesarean deliveries are common in Canada, making up nearly one-third of deliveries performed each year. There’s an opportunity to increase the uptake of surgical best practices to improve the experience and outcomes of those who have c-sections.\u003C/p>\u003Cp>Led by Healthcare Excellence Canada and partners, Enhanced Recovery Canada\u003Csup>TM\u003C/sup>(ERC) is launching the world's first comprehensive resources for enhanced recovery after cesarean delivery. These include a Canadian\u003Ca href=\"https://www.healthcareexcellence.ca/en/resources/enhanced-recovery-canada/resources-for-healthcare-providers-and-leaders/cesarean-delivery-resource-for-providers-and-leaders\">clinical pathway\u003C/a>with physician orders templates and data collection resources. These materials are supported by complementary\u003Ca href=\"https://www.healthcareexcellence.ca/en/resources/enhanced-recovery-canada/resources-for-patients-and-caregivers/cesarean-delivery-resources-for-patients-and-caregivers\">patient resources\u003C/a>, including a downloadable booklet and animated video to help guide patients before and after surgery.\u003C/p>\u003Cp>The Enhanced Recovery Canada clinical pathway for cesarean deliveries reduces complications and supports shorter hospital stays and safer transitions after surgery. It’s based on\u003Ca href=\"https://erassociety.org/\" rel=\"noopener\" target=\"_blank\">Enhanced Recovery After Surgery (ERAS) Society\u003C/a>guidelines and endorsed by the\u003Ca href=\"https://www.sogc.org/\" rel=\"noopener\" target=\"_blank\">Society of Obstetricians & Gynaecologists of Canada (SOGC)\u003C/a>and the\u003Ca href=\"https://www.cas.ca/en/home\" rel=\"noopener\" target=\"_blank\">Canadian Anesthesiologists' Society\u003C/a>\u003Cu>.\u003C/u>\u003C/p>\u003Ch2>Reaching the quadruple aim\u003C/h2>\u003Cp>Not only is this clinical pathway for cesarean deliveries best practice, it also puts the quadruple aim well within reach – improving patient outcomes and patient experience, supporting the clinician experience, and lowering costs.\u003C/p>\u003Cp>While there may already be some uptake of ERAS cesarean delivery best practices across Canada, this has not been consistent or widespread. ERC’s new clinical pathway resources will give all providers and patients evidence-based best practices to improve the experience and outcome of cesarean deliveries.\u003C/p>\u003Cp>With the launch of these new tools, surgical teams across the country that want to help patients feel better and recover faster are encouraged to download the new clinical pathway and patient resources.\u003C/p>\u003Ch2>A comprehensive package\u003C/h2>\u003Cp>ERC promotes engaging the full care team, so they are knowledgeable about each other’s roles and where they intersect. ERC resources for cesarean delivery emphasize the importance of including patients, families and care partners from the time surgery is being planned to understanding the important role they play in care when leaving the hospital.\u003C/p>\u003Cp>Putting the full Enhanced Recovery Canada clinical and patient bundle into practice is key to its success.\u003C/p>\u003Ch2>Find enhanced recovery guidance for other common surgeries\u003C/h2>\u003Cp>Clinical pathways and patient resources have been produced for other common procedures, including colorectal, gynaecological, and orthopaedic hip and knee replacement surgeries. 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Christine has more than 20 years of diverse experience in communications, stakeholder engagement and organizational planning. In her new position, she will continue leading organizational planning and performance initiatives while also overseeing an evolved portfolio of corporate services. This newly expanded department will play an essential role in strengthening HEC’s operations to deliver programs that support health system improvement.",{"type":15,"attrs":440,"content":441},{"textAlign":53},[442],{"text":443,"type":354},"Sutton has taken on the role of Executive Director, Communications and Marketing, after serving as HEC’s Manager of Enterprise and Digital Marketing for over a year. Sutton brings extensive experience in communications strategy and leadership for non-profit organizations and is also a former journalist. In leading the communications and marketing department, she guides efforts to deepen engagement with HEC’s audiences and amplify promising practices that improve healthcare quality and safety.",{"type":15,"attrs":445,"content":446},{"textAlign":53},[447],{"text":448,"type":354},"“Christine and Sutton bring strong experience as organizational leaders at Healthcare Excellence Canada and beyond,” said Jennifer Zelmer, President and CEO of HEC. “They also share a deep commitment to working with partners to shape a future where everyone in Canada has excellent care. I know I speak for everyone at HEC when I say we’re delighted they will guide our work in new ways going forward.”",{"type":15,"attrs":450,"content":451},{"textAlign":53},[452],{"text":453,"type":354},"Other roles on the senior leadership team are also evolving to meet our emerging needs.",{"type":15,"attrs":455,"content":456},{"textAlign":53},[457],{"text":458,"type":354},"HEC looks forward to working with its new senior leadership team to continue our work towards everyone in Canada having safe and high-quality healthcare.",[115,143,122,129,136,150,157],"new-changes-to-our-leadership-team","updates/new-changes-to-our-leadership-team",-8140,[],{"parent_slug":295,"umbraco_path":465,"umbraco_uuid":466},"/HealthcareExcellenceCanada/News/NewChangesToOurLeadershipTeam","b2aeecfd-95b0-4330-961c-978456248bc3","7be31ade-852e-45a2-ba89-767b9def1e14","2025-12-15T17:39:42.570Z",[],[471],{"path":472,"name":473,"lang":308,"published":299},"actualites-et-perspectives/notre-equipe-de-direction-evolue","Notre équipe de direction évolue",{"name":475,"created_at":476,"published_at":477,"updated_at":478,"id":479,"uuid":480,"content":481,"slug":541,"full_slug":542,"sort_by_date":53,"position":543,"tag_list":544,"is_startpage":286,"parent_id":300,"meta_data":545,"group_id":548,"first_published_at":549,"release_id":53,"lang":292,"path":53,"alternates":550,"default_full_slug":542,"translated_slugs":551},"Denise McCuaig joins Healthcare Excellence Canada’s leadership team as Executive Director, Health Transformation and Capacity Building","2025-12-15T17:39:43.475Z","2026-02-26T01:38:16.985Z","2026-02-26T01:38:17.002Z",123415689184353,"3bb6c848-2d57-45fc-b10f-080fc07c7f3e",{"Seo":482,"seo":485,"_uid":488,"hero":489,"types":498,"topics":499,"Noindex":286,"content":500,"audience":540,"component":374},[483],{"_uid":484,"Noindex":286,"component":333},"64dc758c-82e6-4506-a05d-6a478135d886",{"title":486,"plugin":336,"description":487},"Denise McCuaig joins Healthcare Excellence Canada","Healthcare Excellence Canada (HEC) is welcoming Denise McCuaig to its senior leadership team as Executive Director, Health Transformation and Capacity Building, effective March 26, 2023.","726db35e-6899-4aff-80bb-eef0ebe049dc",[490],{"_uid":491,"date":492,"image":493,"title":475,"author":16,"component":346,"description":487},"7ad67be5-ec78-4c9f-808a-c8a6c2b5ef8d","2023-03-21 00:00",{"id":494,"alt":495,"title":16,"source":16,"filename":496,"copyright":16,"fieldtype":284,"meta_data":497},114295380433786,"Denise McCuaig","https://a-ca.storyblok.com/f/850807391887861/747a810025/2023-denisemccuaig-banner.png",{"alt":495,"title":16,"source":16,"copyright":16},[253],[62,76],[501],{"id":16,"_uid":502,"content":503,"component":372},"61ff1ed3-8446-4845-a9ad-50c39da6a451",[504,523],{"_uid":505,"content":506,"component":371},"159c8ca8-bd75-4764-a2aa-626bfcc1bfa1",{"type":12,"content":507},[508,513,518],{"type":15,"attrs":509,"content":510},{"textAlign":53},[511],{"text":512,"type":354},"This new role is about working with partners to shape a future where everyone in Canada has safe, high-quality healthcare. She will lead a team that will provide a focal point for HEC’s work on patient safety, on equity, diversity and inclusion, and meaningful engagement of individuals, caregivers, and communities with lived experience of healthcare. They will also support healthcare leaders and teams across Canada to grow their ability to make improvements and sustain them.",{"type":15,"attrs":514,"content":515},{"textAlign":53},[516],{"text":517,"type":354},"“We’ve been fortunate to have Denise support Healthcare Excellence Canada as an Indigenous advisor since our inception and are thrilled that she is now joining our senior leadership team,” said Jennifer Zelmer, President and CEO of Healthcare Excellence Canada. “Her passion for equity, for meaningful engagement of patients and families, and for safer care – along with her rich experiences as a health executive – make her an excellent fit for this new role.”",{"type":15,"attrs":519,"content":520},{"textAlign":53},[521],{"text":522,"type":354},"“HEC’s values of partnering meaningfully, innovating courageously, acting with integrity and being inclusive closely align with my own values and with the ways I have witnessed HEC staff approach this important work,” said Denise. “I look forward to playing a small part in supporting them to grow and implement these perspectives across HEC teams and alongside our partners.”",{"_uid":524,"file":525,"link":527,"label":536,"linkType":537,"component":538,"linkLabel":539},"efaf3497-877e-4de4-8e24-b51b73c4a5c0",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":284,"meta_data":526},{},{"id":528,"url":16,"linktype":529,"fieldtype":530,"cached_url":531,"story":532},"304a9d99-ee94-4cce-9ebb-07e9a68ec98c","story","multilink","about-us/our-leading-teams/denise-mccuaig",{"name":495,"id":533,"uuid":528,"slug":534,"url":535,"full_slug":535,"_stopResolving":299},134424980510271,"denise-mccuaig","about-us/our-leadership/denise-mccuaig","Senior Leadership Team: Denise McCuaig","link","banner-link","Learn more",[115,143,122,129,136,150,157],"denise-mccuaig-joins-healthcare-excellence-canada-s-leadership-team-as-executive-director-health-transformation-and-capacity-building","updates/denise-mccuaig-joins-healthcare-excellence-canada-s-leadership-team-as-executive-director-health-transformation-and-capacity-building",-8160,[],{"parent_slug":295,"umbraco_path":546,"umbraco_uuid":547},"/HealthcareExcellenceCanada/News/DeniseMcCuaigJoinsHealthcareExcellenceCanada","bbbc78d6-6cca-477b-9a45-1743f2c0c0e8","a55be183-d4af-42d1-a2dc-a3cffafec0db","2025-12-15T17:39:43.677Z",[],[552],{"path":553,"name":554,"lang":308,"published":299},"actualites-et-perspectives/denise-mccuaig-rejoint-l-equipe-de-direction-d-excellence-en-sante-canada-au-poste-de-directrice-executive-transformation-des-soins-de-sante-et-developpement-des-capacites","Denise McCuaig rejoint l’équipe de direction d’Excellence en santé Canada au poste de directrice exécutive Transformation des soins de santé et développement des capacités",{"name":556,"created_at":557,"published_at":558,"updated_at":559,"id":560,"uuid":561,"content":562,"slug":760,"full_slug":761,"sort_by_date":53,"position":762,"tag_list":763,"is_startpage":286,"parent_id":300,"meta_data":764,"group_id":767,"first_published_at":768,"release_id":53,"lang":292,"path":53,"alternates":769,"default_full_slug":761,"translated_slugs":770},"Reflecting on 25 years","2025-12-15T17:39:44.724Z","2026-02-26T01:37:52.962Z","2026-02-26T01:37:52.991Z",123415694328930,"1b0c39d6-352e-479e-9609-2f0458d76668",{"Seo":563,"seo":566,"_uid":568,"hero":569,"types":578,"topics":579,"Noindex":286,"content":580,"audience":759,"component":374},[564],{"_uid":565,"Noindex":286,"component":333},"c0f2720e-dfcc-4398-b58f-7cb3dedefb21",{"title":556,"plugin":336,"description":567},"Nancy Quattrocchi, outgoing Vice-President, Corporate Services at Healthcare Excellence Canada, reflects on what she’s led and learned during her career here.","0397ebce-3c9f-4742-9603-087a30624821",[570],{"_uid":571,"date":572,"image":573,"title":556,"author":16,"component":346,"description":567},"efa425f0-7bdb-4601-a6a7-1a243f9abac5","2024-07-04 00:00",{"id":574,"alt":575,"title":16,"source":16,"filename":576,"copyright":16,"fieldtype":284,"meta_data":577},114295387777918,"Nancy Quattrocchi","https://a-ca.storyblok.com/f/850807391887861/cc0199ab5f/nancy-blog-image1.png",{"alt":575,"title":16,"source":16,"copyright":16},[246],[76],[581],{"_uid":582,"content":583,"component":372},"f42e67b8-ba4f-479e-b409-a65060c7ba4a",[584],{"_uid":585,"content":586,"component":371},"5a3f9e95-c8ef-4d1d-854c-91084ec09fe8",{"type":12,"content":587},[588,593,600,605,610,615,620,625,630,638,643,650,711,718,723,730,735,742,747,754],{"type":15,"attrs":589,"content":590},{"textAlign":53},[591],{"text":592,"type":354},"Nancy joined the Canadian Health Services Research Foundation (CHSRF) in 1998 as its fifth employee. Over the past 25 years, her leadership has helped guide the successful reorganization of CHSRF to the Canadian Foundation for Healthcare Improvement (CFHI), and then the launch of Healthcare Excellence Canada (HEC) following the amalgamation of CFHI with the Canadian Patient Safety Institute (CPSI). Nancy has overseen many portfolios, including finance, administration, human resources, information technology, knowledge management, performance measurement, learning systems and other functions for the organization. As she moves on to the next phase of her life, she shares some reflections.",{"type":594,"attrs":595,"content":597},"heading",{"level":596,"textAlign":53},2,[598],{"text":599,"type":354},"What are your proudest moments at HEC?",{"type":15,"attrs":601,"content":602},{"textAlign":53},[603],{"text":604,"type":354},"I’m proud of many things HEC has accomplished through its evolution. But I’d like to point out two moments that have been guided by Corporate Services and demonstrate the unique roles different departments can play in supporting the success of an organization.",{"type":15,"attrs":606,"content":607},{"textAlign":53},[608],{"text":609,"type":354},"The first relates to how an internal restructuring became a model for achieving our organization’s goals. When it existed, CHSRF aimed to foster evidence-based decision-making by bridging researchers and health system managers. Initially small, it rapidly expanded to 36 employees in five years, yet its organizational design lagged growth. The main issue was the separation between Research Programs, focused on grants and knowledge creation, and Knowledge Transfer, tasked with engaging decision-makers in applying research knowledge. This division risked creating silos, mirroring the systemic challenges CHSRF sought to address in healthcare.",{"type":15,"attrs":611,"content":612},{"textAlign":53},[613],{"text":614,"type":354},"To remedy this, I initiated leadership retreats to envision a more cohesive structure. Our objective was not just a new design but to model how organizations could overcome the traditional separation of the research and system decision-making functions. We merged functions, expanded roles, and introduced an innovative matrix structure on paper. Implementation, however, proved the real test. Establishing an operational implementation team ensured buy-in, adapted plans to staff realities, and minimized disruption, fostering swift and effective changes. The two key measures of success on this initiative were the increased sense of commitment and drive across the entire workforce, and CHSRF’s ability to point to our own structure as a model for those we worked in the health system.",{"type":15,"attrs":616,"content":617},{"textAlign":53},[618],{"text":619,"type":354},"My efforts were recognized with the 2004 Hicks Morley Vision Award from the Human Resources Professional Association for outstanding contribution to an organization's strategic goals.",{"type":15,"attrs":621,"content":622},{"textAlign":53},[623],{"text":624,"type":354},"My second example will be familiar to many. During the pandemic, it became clear that remote work could enhance productivity and work-life balance for many staff. HEC, like other organizations, grappled with how to adapt our culture and operations amidst this shift. While some mandated a return to the office once restrictions were lifted, HEC chose to lean into a deeper exploration of what truly drives effective work. By focusing on tasks and outcomes rather than physical location, HEC developed a flexible work policy and Program in January 2023. This initiative, launched as a pilot, integrated feedback from staff and managers to refine its approach over time.",{"type":15,"attrs":626,"content":627},{"textAlign":53},[628],{"text":629,"type":354},"This strategic shift proved transformative. Recognized with the 2023 Innovative HR Team Award, HEC's flexible work policy has become a cornerstone of our recruitment and retention efforts, significantly boosting morale. By empowering managers to tailor workflows to their teams' needs, we’ve fostered a more adaptable and productive workforce, demonstrating a commitment to innovation and employee well-being.",{"type":594,"attrs":631,"content":632},{"level":596,"textAlign":53},[633],{"text":634,"type":354,"marks":635},"What is your approach to partnerships?",[636],{"type":637},"bold",{"type":15,"attrs":639,"content":640},{"textAlign":53},[641],{"text":642,"type":354},"Partnerships are essential to creating change within health systems and are at the heart of HEC’s work. Partners bring diverse perspectives, as well as needs and work styles. To help strengthen HEC's capacity to collaborate, the Corporate Services department regularly seeks input on organizational policies and procedures from those we work with. One example is that we asked patient partners to provide input on our purchase of services contract template. In response to this feedback, we revised the contract to include less legalese and more plain language. In addition to patient partners, First Nations, Inuit, and Métis have also helped guide the development of several corporate policies, processes and procedures so that they foster reciprocal, meaningful partnerships.",{"type":594,"attrs":644,"content":645},{"level":596,"textAlign":53},[646],{"text":647,"type":354,"marks":648},"What are your top five pieces of advice you have for other leaders about fostering a healthy, resilient workforce?",[649],{"type":637},{"type":651,"attrs":652,"content":654},"ordered_list",{"order":653},1,[655,667,678,689,700],{"type":656,"content":657},"list_item",[658],{"type":15,"attrs":659,"content":660},{"textAlign":53},[661,665],{"text":662,"type":354,"marks":663},"Create opportunities to hear from employees – all of them!",[664],{"type":637},{"text":666,"type":354},"Provide different ways for people to provide feedback so you can hear from the quiet as well as the vocal ones. But then you need to listen and do something about it! You might just be surprised at where it will take you. Thanks in part to staff input, HEC’s office was recognized for its design in Best Offices Ottawa 2020.",{"type":656,"content":668},[669],{"type":15,"attrs":670,"content":671},{"textAlign":53},[672,676],{"text":673,"type":354,"marks":674},"Make sure the values of the organization have meaning and reflect input from different people.",[675],{"type":637},{"text":677,"type":354},"Following amalgamation, HEC embarked on a co-design process with staff and external stakeholders to develop our values. Compelling values demonstrated in day-to-day work bring staff together and attract better candidates to the organization.",{"type":656,"content":679},[680],{"type":15,"attrs":681,"content":682},{"textAlign":53},[683,687],{"text":684,"type":354,"marks":685},"Create a workplace of psychological safety and trust.",[686],{"type":637},{"text":688,"type":354},"Staff should feel free to be their authentic selves at work. Being able to express themselves freely without fear of embarrassment or retaliation leads to richer conversations, teamwork and innovation.",{"type":656,"content":690},[691],{"type":15,"attrs":692,"content":693},{"textAlign":53},[694,698],{"text":695,"type":354,"marks":696},"Have open communications … always!",[697],{"type":637},{"text":699,"type":354},"If a staff member feels disconnected or uninformed, it can lead to misunderstanding, mistrust and stress – and ultimately stifle teamwork and collaboration. Being open doesn’t mean always having the answer. I’ve learned that saying “I don’t know” is okay because it means I’m being authentic, which is an ingredient of good leadership.",{"type":656,"content":701},[702],{"type":15,"attrs":703,"content":704},{"textAlign":53},[705,709],{"text":706,"type":354,"marks":707},"Be flexible.",[708],{"type":637},{"text":710,"type":354},"By providing staff with options for how they work, leaders signal that they trust them to deliver on their goals and care about their well-being. This, in turn, boosts productivity and morale. At HEC, with an award-winning flexible work policy, we have seen a more diverse and inclusive workforce, a wider pool of candidates who bring fresh perspectives to the table, and a culture where each person can thrive, no matter where they live and work from.",{"type":594,"attrs":712,"content":713},{"level":596,"textAlign":53},[714],{"text":715,"type":354,"marks":716},"What’s one of the hardest lessons you’ve learned during your time as Vice-President, Corporate Services?",[717],{"type":637},{"type":15,"attrs":719,"content":720},{"textAlign":53},[721],{"text":722,"type":354},"While systems or technology may be able to evolve quickly, human beings need time to adapt to change. I have learned many lessons over the years about how to support change among a large group of individuals with diverse needs. Specifically, how important it is to involve staff in change where possible, keep them informed of shifts as they’re happening, and be a steady and reassuring voice throughout the change process. I now recognize the importance of adapting my communication approach depending on who I’m speaking to and how they’re affected. Above all, being authentic and open is essential for earning the trust of staff and being an effective leader.",{"type":594,"attrs":724,"content":725},{"level":596,"textAlign":53},[726],{"text":727,"type":354,"marks":728},"What gives you hope for the future of healthcare?",[729],{"type":637},{"type":15,"attrs":731,"content":732},{"textAlign":53},[733],{"text":734,"type":354},"The number of passionate individuals across Canada committed to improvement and making progress, despite the challenges in our health systems. Even when the world was grappling with Covid-19, teams participating in our programs reported improvements in how they do their work, in patient and provider experience and in outcomes. This year, HEC worked with thousands of leaders to advance innovative healthcare practices. As we continue to make more connections between the people, practices and passion that create change, we will absolutely see safer, high-quality care for more people in Canada.",{"type":594,"attrs":736,"content":737},{"level":596,"textAlign":53},[738],{"text":739,"type":354,"marks":740},"What’s one piece of advice you have for new employees at HEC?",[741],{"type":637},{"type":15,"attrs":743,"content":744},{"textAlign":53},[745],{"text":746,"type":354},"Innovation is messy and is not done in a straight and neat path. Being resilient, flexible and adaptive to change both in the external environment and in the internal ways of getting to those outcomes are key ingredients to success. If you continue to connect to the “why” of this work, the path to get there will be less important and the outcomes, when you get there, will be so spectacular.",{"type":594,"attrs":748,"content":749},{"level":596,"textAlign":53},[750],{"text":751,"type":354,"marks":752},"What are you most excited about for your next chapter?",[753],{"type":637},{"type":15,"attrs":755,"content":756},{"textAlign":53},[757],{"text":758,"type":354},"I am both excited and petrified as I venture into this unknown territory. One of HEC’s former Board chairs used the term “rewirement” to describe this next phase (rather than retirement). There is a big journey of rediscovery ahead, but I am ready to shift my focus to my growing family, exploring new interests and places and reflecting on what else could come next. Like everything in my life to date, this won’t be a straight line. I suspect there will be a few starts, restarts and maybe even some stalls, but it will be so much fun. And, of course, once that first grandchild arrives, I will be that cool “Gigi” ready to spoil them rotten.",[115,143,122,129,136,150,157],"Nancy-Quattrocchi-reflecting-on-25-years","updates/Nancy-Quattrocchi-reflecting-on-25-years",-8180,[],{"parent_slug":295,"umbraco_path":765,"umbraco_uuid":766},"/HealthcareExcellenceCanada/News/ReflectingOn25Years","bc482e05-41d7-46f4-aeaf-dcbf9b3bb815","a62c9be1-24e4-4477-84bd-d907274cb733","2025-12-15T17:39:44.822Z",[],[771],{"path":772,"name":773,"lang":308,"published":299},"actualites-et-perspectives/nancy-quattrocchi-retour-sur-25-ans-de-carriere","Nancy Quattrocchi Retour sur 25 ans de carrière",{"name":775,"created_at":776,"published_at":777,"updated_at":778,"id":779,"uuid":780,"content":781,"slug":943,"full_slug":944,"sort_by_date":53,"position":945,"tag_list":946,"is_startpage":286,"parent_id":300,"meta_data":947,"group_id":950,"first_published_at":951,"release_id":53,"lang":292,"path":53,"alternates":952,"default_full_slug":944,"translated_slugs":953},"New Reimagining LTC teams will improve long-term care quality and safety","2025-12-15T17:39:45.922Z","2026-02-26T01:37:27.801Z","2026-02-26T01:37:27.833Z",123415699215459,"e79cbfe0-9fd4-47dd-84c9-7fa53fae6084",{"Seo":782,"seo":785,"_uid":788,"hero":789,"types":799,"topics":800,"Noindex":286,"content":801,"audience":942,"component":374},[783],{"_uid":784,"Noindex":286,"component":333},"295ec2f6-a909-4729-9864-f78e12046779",{"title":786,"plugin":336,"description":787},"New Reimagining LTC","Reimagining LTC supports long-term care homes to implement quality improvement projects focused on fostering a healthy work environment to deliver safer, higher quality person-centred care.","2b4d977c-bea1-482e-ac4a-08415dc3ba00",[790],{"_uid":791,"date":792,"image":793,"title":775,"author":16,"component":346,"description":798},"98b97392-78eb-4d3d-b322-4fbd5929bcee","2023-04-20 00:00",{"id":794,"alt":795,"title":16,"source":16,"filename":796,"copyright":16,"fieldtype":284,"meta_data":797},114299785162696,"A healthcare worker talks to a seated woman in a yellow shirt, both wearing masks, in a well-lit room.","https://a-ca.storyblok.com/f/850807391887861/9b096ed5ec/2022-ltc30-tile.jpg",{"alt":795,"title":16,"source":16,"copyright":16},"Today, Healthcare Excellence Canada is welcoming 237 long-term care homes in all 10 provinces to the Reimagining LTC: Enabling a Healthy Workforce to Provide Person-Centred Care (Reimagining LTC)  program.",[253],[69,46,106,32,98,76],[802],{"_uid":803,"content":804,"component":372},"66a958ff-b61b-44b6-b747-0a1113862263",[805,933],{"_uid":806,"content":807,"component":371},"90ffde37-3f74-4668-affb-fa74d6520dd5",{"type":12,"content":808},[809,830,834,839,884,889,894],{"type":15,"attrs":810,"content":811},{"textAlign":53},[812,814,828],{"text":813,"type":354},"Today, Healthcare Excellence Canada is welcoming 237 long-term care homes in all 10 provinces to the ",{"text":815,"type":354,"marks":816},"Reimagining LTC: Enabling a Healthy Workforce to Provide Person-Centred Care ",[817],{"type":537,"attrs":818},{"href":819,"uuid":820,"anchor":53,"custom":821,"target":822,"linktype":529,"story":823},"/programs/reimagining-ltc","940f2fdc-7a78-4749-acb8-14fd90d06467",{},"_self",{"name":824,"id":825,"uuid":820,"slug":826,"url":827,"full_slug":827,"_stopResolving":299},"Reimagining LTC",123451171984567,"reimagining-ltc","programs/reimagining-ltc",{"text":829,"type":354},"(Reimagining LTC) program.",{"type":15,"attrs":831,"content":832},{"textAlign":53},[833],{"text":787,"type":354},{"type":15,"attrs":835,"content":836},{"textAlign":53},[837],{"text":838,"type":354},"While participating teams are implementing diverse projects specific to their long-term care home, all share a common goal of strengthening resilience in long-term care. Some specific areas of focus for the projects include:",{"type":840,"content":841},"bullet_list",[842,849,856,863,870,877],{"type":656,"content":843},[844],{"type":15,"attrs":845,"content":846},{"textAlign":53},[847],{"text":848,"type":354},"Improving care for people with dementia",{"type":656,"content":850},[851],{"type":15,"attrs":852,"content":853},{"textAlign":53},[854],{"text":855,"type":354},"Strengthening person-centred care",{"type":656,"content":857},[858],{"type":15,"attrs":859,"content":860},{"textAlign":53},[861],{"text":862,"type":354},"Creating healthy workplace cultures",{"type":656,"content":864},[865],{"type":15,"attrs":866,"content":867},{"textAlign":53},[868],{"text":869,"type":354},"Improving staff well-being",{"type":656,"content":871},[872],{"type":15,"attrs":873,"content":874},{"textAlign":53},[875],{"text":876,"type":354},"Creating and sustaining psychologically safe and healthy workplace environments",{"type":656,"content":878},[879],{"type":15,"attrs":880,"content":881},{"textAlign":53},[882],{"text":883,"type":354},"Appropriate use of antipsychotic medications",{"type":15,"attrs":885,"content":886},{"textAlign":53},[887],{"text":888,"type":354},"“People living and working in long-term care want and deserve excellence in care,” said Jennifer Zelmer, President and CEO of Healthcare Excellence Canada. “Through Reimagining LTC, we look forward to working with more than 235 teams from across the country to work towards this goal, together.”",{"type":15,"attrs":890,"content":891},{"textAlign":53},[892],{"text":893,"type":354},"Teams receive funding of up to $10,000 per home and implementation and capacity-building support such as coaching, monthly webinars, quality improvement workshops and mental health first aid training. They also benefit from peer-to-peer learning and building connections with others facing similar challenges in long-term care.",{"type":15,"attrs":895,"content":896},{"textAlign":53},[897,899,907,909,915,917,923,925,931],{"text":898,"type":354},"The program will enable participating teams to accelerate efforts to align with the new ",{"text":900,"type":354,"marks":901},"National Long-Term Care Services standard ",[902],{"type":537,"attrs":903},{"href":904,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://longtermcarestandards.ca/","_blank","url",{"text":908,"type":354},"released by the ",{"text":910,"type":354,"marks":911},"Health Standards Organization",[912],{"type":537,"attrs":913},{"href":914,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://healthstandards.org/",{"text":916,"type":354},", and ",{"text":918,"type":354,"marks":919},"CSA Z8004, Long-Term Care Home Operations and Infection Prevention and Control",[920],{"type":537,"attrs":921},{"href":922,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://www.csagroup.org/store/product/CSA%20Z8004%3A22/",{"text":924,"type":354},", the National Standard of Canada published by ",{"text":926,"type":354,"marks":927},"CSA Group",[928],{"type":537,"attrs":929},{"href":930,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://www.csagroup.org/",{"text":932,"type":354},".",{"_uid":934,"image":935,"component":941},"13ad79b1-e73d-4c57-ad10-d24a98eabd9e",{"id":936,"alt":937,"name":16,"focus":16,"title":938,"source":16,"filename":939,"copyright":16,"fieldtype":284,"meta_data":940,"is_external_url":286},114299773845442,"Map of Canada with large yellow circles showing numbers per region: 84 in the West, 29 and 19 in the Prairies, 15 in North, 47 in Ontario, 20 in Quebec, 12, 4, 5, 2 in the East.","20230403 Reimaginingltc Teammap PPT","https://a-ca.storyblok.com/f/850807391887861/29582af2b8/20230403-reimaginingltc-teammap-ppt.png",{"alt":937,"title":938,"source":16,"copyright":16},"simple-image",[129,150],"new-reimagining-ltc-teams-will-improve-long-term-care-quality-and-safety","updates/new-reimagining-ltc-teams-will-improve-long-term-care-quality-and-safety",-8200,[],{"parent_slug":295,"umbraco_path":948,"umbraco_uuid":949},"/HealthcareExcellenceCanada/News/NewReimaginingLTC","bd6823c7-655b-4930-876c-177d6c3a7a5d","0500b0c2-643d-465a-8409-3b05e1bd74df","2025-12-15T17:39:46.019Z",[],[954],{"path":955,"name":956,"lang":308,"published":299},"actualites-et-perspectives/repenser-les-sld-les-nouvelles-equipes-vont-ameliorer-la-qualite-et-la-securite-des-soins-de-longue-duree","Repenser les SLD : les nouvelles équipes vont améliorer la qualité et la sécurité des soins de longue durée",{"name":958,"created_at":959,"published_at":960,"updated_at":961,"id":962,"uuid":963,"content":964,"slug":1197,"full_slug":1198,"sort_by_date":53,"position":1199,"tag_list":1200,"is_startpage":286,"parent_id":300,"meta_data":1201,"group_id":1204,"first_published_at":1205,"release_id":53,"lang":292,"path":53,"alternates":1206,"default_full_slug":1198,"translated_slugs":1207},"Reigniting patient safety: Moving towards safer care","2025-12-15T17:39:46.873Z","2026-02-26T01:36:51.642Z","2026-02-26T01:36:51.672Z",123415703123044,"69b0e8a3-191c-4c33-b250-dc0ac48087be",{"seo":965,"_uid":967,"hero":968,"types":977,"topics":978,"Noindex":286,"content":979,"audience":1196,"component":374},{"title":958,"plugin":336,"description":966},"As part of this year’s Canadian Patient Safety Week (CPSW), our annual campaign to inspire improvements in healthcare safety and quality across Canada, HEC’s President and CEO Jennifer Zelmer hosted an exclusive fireside chat for CPSW registrants.","d2223aee-ff72-47e9-bdb2-6e945012ab18",[969],{"_uid":970,"date":971,"image":972,"title":958,"author":16,"component":346,"description":966},"569eb531-7a30-4996-848d-917c755d2388","2023-11-22 00:00",{"id":973,"alt":974,"title":958,"source":16,"filename":975,"copyright":16,"fieldtype":284,"meta_data":976},114295438498713,"Doctor in white coat warmly shaking hands with a patient in clinic waiting area.","https://a-ca.storyblok.com/f/850807391887861/2f7c6f1711/2023-cpsw-firesidechat-blogheader.png",{"alt":974,"title":958,"source":16,"copyright":16},[246],[76],[980],{"_uid":981,"content":982,"component":372},"b09d29ba-79b4-4d9a-8e09-f25691218af6",[983],{"_uid":984,"content":985,"component":371},"0790da8e-0ae4-4ac3-84f6-3d5e3b250c43",{"type":12,"content":986},[987,992,997,1020,1025,1068,1074,1079,1100,1105,1110,1115,1120,1125,1146,1151,1156,1161,1166,1171,1176,1181,1186,1191],{"type":15,"attrs":988,"content":989},{"textAlign":53},[990],{"text":991,"type":354},"As part of Canadian Patient Safety Week (CPSW) 2023, our annual campaign to inspire improvements in healthcare safety and quality across Canada, HEC’s President and CEO Jennifer Zelmer hosted an exclusive fireside chat for CPSW registrants. The virtual event brought together a panel of experts who shared their experiences, knowledge and strategies to reinvigorate patient safety.",{"type":15,"attrs":993,"content":994},{"textAlign":53},[995],{"text":996,"type":354},"Our panelists included:",{"type":840,"content":998},[999,1006,1013],{"type":656,"content":1000},[1001],{"type":15,"attrs":1002,"content":1003},{"textAlign":53},[1004],{"text":1005,"type":354},"Professor Jason Leitch CBE, National Clinical Director for Scotland",{"type":656,"content":1007},[1008],{"type":15,"attrs":1009,"content":1010},{"textAlign":53},[1011],{"text":1012,"type":354},"Dr. Robin McGee, Registered Clinical Psychologist, author and member of Patients for Patient Safety Canada",{"type":656,"content":1014},[1015],{"type":15,"attrs":1016,"content":1017},{"textAlign":53},[1018],{"text":1019,"type":354},"Dr. James Makokis, a Nehiyô two-spirit Family Physician, Saddle Lake Cree Nation, Alberta",{"type":594,"attrs":1021,"content":1022},{"level":596,"textAlign":53},[1023],{"text":1024,"type":354},"How can we improve and reinspire efforts for patient safety?",{"type":15,"attrs":1026,"content":1027},{"textAlign":53},[1028,1030,1043,1045,1051,1053,1066],{"text":1029,"type":354},"From ",{"text":1031,"type":354,"marks":1032},"hospital harm",[1033],{"type":537,"attrs":1034},{"href":1035,"uuid":1036,"anchor":53,"custom":1037,"target":822,"linktype":529,"story":1038},"/resources/rethinking-patient-safety","3469e084-177f-495d-a5ec-7a7882bb627e",{},{"name":1039,"id":1040,"uuid":1036,"slug":1041,"url":1042,"full_slug":1042,"_stopResolving":299},"Rethinking Patient Safety",113881326087952,"rethinking-patient-safety","resources/rethinking-patient-safety",{"text":1044,"type":354},", ",{"text":1046,"type":354,"marks":1047},"shortages in the health workforce ",[1048],{"type":537,"attrs":1049},{"href":1050,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://www.who.int/health-topics/health-workforce",{"text":1052,"type":354},"to ",{"text":1054,"type":354,"marks":1055},"systemic issues like racism",[1056],{"type":537,"attrs":1057},{"href":1058,"uuid":1059,"anchor":53,"custom":1060,"target":822,"linktype":529,"story":1061},"/about-us/our-strategy","11dc12df-642c-41f2-8ded-5fc599e84e2f",{},{"name":1062,"id":1063,"uuid":1059,"slug":1064,"url":1065,"full_slug":1065,"_stopResolving":299},"Our Strategy",134433951389266,"our-strategy","about-us/our-strategy",{"text":1067,"type":354},", we still have work to do to create safer care for all. But progress is possible when we see the cumulative effects of our actions. Here are some key takeaways from our panelists on how to improve and reinspire efforts for patient safety.",{"type":594,"attrs":1069,"content":1071},{"level":1070,"textAlign":53},3,[1072],{"text":1073,"type":354},"Find early supporters",{"type":15,"attrs":1075,"content":1076},{"textAlign":53},[1077],{"text":1078,"type":354},"Referencing the father of quality improvement, Joseph Juran, Professor Jason Leitch said, “All improvements are local; all improvements happen project by project.… it’s usually individual people who come together.”",{"type":15,"attrs":1080,"content":1081},{"textAlign":53},[1082,1084,1090,1092,1098],{"text":1083,"type":354},"Using an example in clinical care, a key strategy that enabled Professor Leitch and his colleagues to “",{"text":1085,"type":354,"marks":1086},"fix intensive care safety",[1087],{"type":537,"attrs":1088},{"href":1089,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://pubmed.ncbi.nlm.nih.gov/21471498/",{"text":1091,"type":354},",” and which ultimately led to the ",{"text":1093,"type":354,"marks":1094},"Scottish Patient Safety Programme",[1095],{"type":537,"attrs":1096},{"href":1097,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://www.gov.scot/publications/scottish-improvement-journey-nationwide-approach-improvement-compiled-2016-17/pages/4/",{"text":1099,"type":354},", was working with early supporters. When they achieved promising results (eradicating infections) with their first five units, it made it easy to recruit other units, which led to a wider rollout. Finding and working with early supporters is one strategy then that can enable safety improvements across the system.",{"type":594,"attrs":1101,"content":1102},{"level":1070,"textAlign":53},[1103],{"text":1104,"type":354},"Find your community",{"type":15,"attrs":1106,"content":1107},{"textAlign":53},[1108],{"text":1109,"type":354},"“There’s a world of difference between being the one person on a committee [as] the patient voice to having two people,” recalled Dr. Robin McGee. “Yet, I hadn’t really had any real traction on patient advocacy until I joined Patients for Patient Safety Canada and had access to supportive assistance.”",{"type":15,"attrs":1111,"content":1112},{"textAlign":53},[1113],{"text":1114,"type":354},"Professor Leitch echoed the sentiment, \"You need tools, pals and courage. [...] You need the tools with which to do the change, you need a group of people around you to help you do it and then you need the courage with which to do it.\"",{"type":15,"attrs":1116,"content":1117},{"textAlign":53},[1118],{"text":1119,"type":354},"The bottom line: there’s strength in numbers. When you have a community advocating and working alongside you, the load gets lighter. Plus, the support is invaluable in cultivating the courage to keep pushing for improvements.",{"type":594,"attrs":1121,"content":1122},{"level":1070,"textAlign":53},[1123],{"text":1124,"type":354},"Acknowledge and address systemic issues",{"type":15,"attrs":1126,"content":1127},{"textAlign":53},[1128,1130,1136,1138,1144],{"text":1129,"type":354},"Health inequalities continue to exist in Canada. Whether due to social or economic inequality or other forms of systemic oppression, these issues lead to patient harm. ",{"text":1131,"type":354,"marks":1132},"Dr. James Makokis",[1133],{"type":537,"attrs":1134},{"href":1135,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://speakerscanada.com/keynote-speaker/dr-james-makokis/",{"text":1137,"type":354}," pointed to Indigenous health outcomes as an example where these communities continue to have the poorest outcomes in the country. The root causes? ",{"text":1139,"type":354,"marks":1140},"Colonialism",[1141],{"type":537,"attrs":1142},{"href":1143,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://www.canada.ca/en/public-health/services/publications/science-research-data/key-health-inequalities-canada-national-portrait-executive-summary.html",{"text":1145,"type":354},", racism and dehumanization.",{"type":15,"attrs":1147,"content":1148},{"textAlign":53},[1149],{"text":1150,"type":354},"Dr. Makokis described many of his patients delaying treatment or seeking treatment far from home where they “know [they] might be treated well” versus places close to home where they’ll be treated poorly simply because they are Indigenous. These forms of harm are often not recognized as patient safety issues.",{"type":15,"attrs":1152,"content":1153},{"textAlign":53},[1154],{"text":1155,"type":354},"Safer care means rethinking patient safety to include cultural safety. It’s about having an anti-oppression lens on processes like the complaint system. How do we capture data? Who is looking at the data? Are people from groups who are racialized or discriminated against included? Dr. Makokis encouraged listeners to be self-reflective and look more critically to address these issues.",{"type":594,"attrs":1157,"content":1158},{"level":1070,"textAlign":53},[1159],{"text":1160,"type":354},"Humanize the process",{"type":15,"attrs":1162,"content":1163},{"textAlign":53},[1164],{"text":1165,"type":354},"“What has happened historically is when there’s a case of harm and the patient or family is trying to seek answers on how this preventable error occurred in the first place, they’re often met with defensive [or] even a refusal to speak to the patient,” said Dr. McGee. “[This] actually increases the degree of harm that arises from the incident.”",{"type":15,"attrs":1167,"content":1168},{"textAlign":53},[1169],{"text":1170,"type":354},"To reinvigorate patient safety, Dr. McGee emphasized the need to make the process more human for those receiving care and those delivering care. One way to do this is through supporting healing after harm approaches (such as the Mutual Healing program at Covenant Health) where healthcare providers and patients engage in mutual healing through open discussions. Dr. Makokis also expanded on the need to humanize care more broadly, bringing us back to the intent of the original treaties as symbolized by the Two Row Wampum belt of mutual respect and partnership.",{"type":594,"attrs":1172,"content":1173},{"level":1070,"textAlign":53},[1174],{"text":1175,"type":354},"Advocate: Everyone can contribute to safer care",{"type":15,"attrs":1177,"content":1178},{"textAlign":53},[1179],{"text":1180,"type":354},"“I have no choice but to bravely advocate,” explained Dr. Makokis. “I’ve been extremely discriminated against and physically assaulted even as [someone] who has inherent power by being a physician. But what about […] Indigenous patients, trans patients and People of Colour who have zero power within these systems?”",{"type":15,"attrs":1182,"content":1183},{"textAlign":53},[1184],{"text":1185,"type":354},"Patient advocacy is exhausting work. The responsibility to advocate doesn’t fall only on patients but on everyone within the system. When we all advocate for safer care, we can make care safer in every way for everyone.",{"type":594,"attrs":1187,"content":1188},{"level":596,"textAlign":53},[1189],{"text":1190,"type":354},"What’s next?",{"type":15,"attrs":1192,"content":1193},{"textAlign":53},[1194],{"text":1195,"type":354},"Our health systems are complex, but they can evolve. When we work together to reinspire patient safety, we can also be ‘Rethinking Patient Safety’ to implement new approaches that address systemic challenges to make care safer for everyone.",[115,143,122,129,136,150,157],"reigniting-patient-safety-moving-towards-safer-care","updates/reigniting-patient-safety-moving-towards-safer-care",-8220,[],{"parent_slug":295,"umbraco_path":1202,"umbraco_uuid":1203},"/HealthcareExcellenceCanada/News/ReignitingPatientSafetyMovingTowardsSaferCare","be5cc57f-f891-4a72-b6cc-ddf11e79798a","f99ee41a-9eca-48a1-a075-014384fc6e46","2025-12-15T17:39:46.971Z",[],[1208],{"path":1209,"name":1210,"lang":308,"published":299},"actualites-et-perspectives/raviver-l-interet-pour-la-securite-des-patients-progresser-vers-des-soins-plus-surs","Raviver l’intérêt pour la sécurité des patients : progresser vers des soins plus sûrs",{"name":1212,"created_at":1213,"published_at":1214,"updated_at":1215,"id":1216,"uuid":1217,"content":1218,"slug":1437,"full_slug":1438,"sort_by_date":53,"position":1439,"tag_list":1440,"is_startpage":286,"parent_id":300,"meta_data":1441,"group_id":1444,"first_published_at":1445,"release_id":53,"lang":292,"path":53,"alternates":1446,"default_full_slug":1438,"translated_slugs":1447},"My year as a Harkness Fellow with Kaiser Permanente","2025-12-15T17:39:48.086Z","2026-02-26T03:21:45.986Z","2026-02-26T03:21:46.015Z",123415708083301,"cb995201-0d9c-42e8-9626-3b196fdb396d",{"seo":1219,"_uid":1221,"hero":1222,"types":1252,"topics":1253,"Noindex":286,"content":1254,"audience":1436,"component":374},{"title":1212,"plugin":336,"description":1220},"Angel Arnaout is an independent researcher who participated in the Commonwealth Fund’s Harkness Fellowship in Health Care Policy and Practice Innovations","6264b79e-6c61-4668-b502-abd64981addd",[1223],{"_uid":1224,"date":1225,"image":1226,"title":1212,"author":1229,"component":346,"description":1230},"e2833113-ed43-4dd9-9c4d-741824e1142d","2022-10-18 00:00",{"id":1227,"filename":1228,"fieldtype":284},114295404764039,"https://a-ca.storyblok.com/f/850807391887861/0786a2f9b5/20221018-harkness-blogheader.png","Angel Arnaout, M. D., M. Sc., FRCSC, FACS, MBA ",{"type":12,"content":1231},[1232],{"type":15,"attrs":1233,"content":1234},{"textAlign":53},[1235,1237,1250],{"text":1236,"type":354},"Angel Arnaout is an independent researcher who participated in the ",{"text":1238,"type":354,"marks":1239},"Commonwealth Fund’s Harkness Fellowship in Health Care Policy and Practice Innovations",[1240],{"type":537,"attrs":1241},{"href":1242,"uuid":1243,"anchor":53,"custom":1244,"target":822,"linktype":529,"story":1245},"/programs/canadian-harkness-fellowship","ba7986d2-76d4-4306-8c75-f49fa037149b",{},{"name":1246,"id":1247,"uuid":1243,"slug":1248,"url":1249,"full_slug":1249,"_stopResolving":299},"Canadian Harkness Fellowship",123451200705724,"canadian-harkness-fellowship","programs/canadian-harkness-fellowship",{"text":1251,"type":354},". Although HEC supports the recruitment of fellows from Canada for this program, the views expressed herein do not necessarily represent the HEC’s views, or our funder, Health Canada. ",[246],[84],[1255],{"_uid":1256,"content":1257,"component":372},"2526b13e-331e-4c13-80e2-e703d4db7120",[1258],{"_uid":1259,"content":1260,"component":371},"bbc46733-3749-4b40-a8b3-b0adc8a54c66",{"type":12,"content":1261},[1262,1267,1280,1285,1290,1348,1353,1389,1394,1399,1411,1416],{"type":15,"attrs":1263,"content":1264},{"textAlign":53},[1265],{"text":1266,"type":354},"The new digital age of medicine has the potential to democratize access to care, improve efficiency and support patients as they actively engage with their healthcare. As organizations struggle with adopting digital technologies, innovative design approaches are an excellent way to envision a future configuration of health services that effectively uses digital resources.",{"type":15,"attrs":1268,"content":1269},{"textAlign":53},[1270,1272,1278],{"text":1271,"type":354},"I explored this topic of digital transformation in healthcare for an entire year in the United States during my fellowship with the ",{"text":1238,"type":354,"marks":1273},[1274],{"type":537,"attrs":1275},{"href":1242,"uuid":1243,"anchor":53,"custom":1276,"target":822,"linktype":529,"story":1277},{},{"name":1246,"id":1247,"uuid":1243,"slug":1248,"url":1249,"full_slug":1249,"_stopResolving":299},{"text":1279,"type":354}," (“fellowship”) in 2021.Under the mentorship of the Cancer Quality and Digital Strategy Team at the Kaiser Permanente Headquarters in California, I contributed to the integration of digital technology into the cancer system strategy and helped identify methods to transform the way cancer care is delivered and received.",{"type":594,"attrs":1281,"content":1282},{"level":596,"textAlign":53},[1283],{"text":1284,"type":354},"Five key things I learned from my Harkness Fellowship",{"type":15,"attrs":1286,"content":1287},{"textAlign":53},[1288],{"text":1289,"type":354},"My time during the fellowship was spent participating in strategy meetings, conducting in-depth interviews with key opinion leaders in the field, examining Kaiser Permanente’s existing standard operating procedures for virtual care services, and envisioning possible future digital patient and provider touch points along the entire cancer care continuum. From this research, five key themes emerged.",{"type":651,"attrs":1291,"content":1292},{"order":653},[1293,1304,1315,1326,1337],{"type":656,"content":1294},[1295],{"type":15,"attrs":1296,"content":1297},{"textAlign":53},[1298,1302],{"text":1299,"type":354,"marks":1300},"Successful digital health initiatives require an integrated enterprise-wide strategy with buy-in at all levels in the short and long-term. ",[1301],{"type":637},{"text":1303,"type":354},"Digital transformation is not about the technology or tool itself but also about operations, workflow integration, and the patient and provider experience. A strategy that values this commitment with robust, long-term funding and alignment of provider incentives will contribute to successful integration.",{"type":656,"content":1305},[1306],{"type":15,"attrs":1307,"content":1308},{"textAlign":53},[1309,1313],{"text":1310,"type":354,"marks":1311},"Digital technology needs to be used in a way that is appropriate, personalized and compassionate for the patient. ",[1312],{"type":637},{"text":1314,"type":354},"The pandemic has demonstrated the need for humanity in care delivery. At this time, digital technologies have reduced the ability to incorporate touch and recognition of non-verbal cues in the patient-provider interaction. Proper training in the use of digital technology for both the provider and patient, as well as a heightened sensitivity for non-verbal cues on the part of the provider, can help deliver a compassionate, patient-centric digital cancer experience.",{"type":656,"content":1316},[1317],{"type":15,"attrs":1318,"content":1319},{"textAlign":53},[1320,1324],{"text":1321,"type":354,"marks":1322},"The quality of care delivery needs to be inherent to digital health technologies.",[1323],{"type":637},{"text":1325,"type":354}," Just like in-person care, virtual care must satisfy the requirements of quality and safety (effectiveness, timeliness, equity, patient centricity, efficiency). Traditional metrics to assess these quality domains can be modified and tailored for digital technology use.",{"type":656,"content":1327},[1328],{"type":15,"attrs":1329,"content":1330},{"textAlign":53},[1331,1335],{"text":1332,"type":354,"marks":1333},"Digital technology can contribute meaningfully to evidence-informed care delivery and healthcare system sustainability. ",[1334],{"type":637},{"text":1336,"type":354},"The benefits of digital technology not only include the ability for passive capture of data regarding patterns of care but also the ability to have provider/patient support systems that encourage practices in accordance with evidence-informed care. Data can be used to assess gaps between evidence-informed guidelines and real-world practices, and recommender systems (algorithms that synthesize information and provide a recommendation) can support evidence-based behaviours.",{"type":656,"content":1338},[1339],{"type":15,"attrs":1340,"content":1341},{"textAlign":53},[1342,1346],{"text":1343,"type":354,"marks":1344},"Digital tools and analytics can be used to improve cancer care at a population level. ",[1345],{"type":637},{"text":1347,"type":354},"Artificial intelligence can be used to anticipate the future demand for healthcare services and identify the proper complement of services required to deliver the best outcomes for a specific population. These services should include community services that address the social determinants of health.",{"type":15,"attrs":1349,"content":1350},{"textAlign":53},[1351],{"text":1352,"type":354},"In addition to these considerations for implementation, there are implications for policy-makers as well. Although my area of focus was on cancer care, these principles can be applied in multiple care and policy settings.",{"type":651,"attrs":1354,"content":1355},{"order":653},[1356,1367,1378],{"type":656,"content":1357},[1358],{"type":15,"attrs":1359,"content":1360},{"textAlign":53},[1361,1365],{"text":1362,"type":354,"marks":1363},"There is a need for a cohesive national digital cancer strategy to adopt new technologies through a unified, systematic, and evidence-informed approach. ",[1364],{"type":637},{"text":1366,"type":354},"The strategy should embed the ability to conduct rapid experimentation on technologies on a large scale to inform the evidence for its use.",{"type":656,"content":1368},[1369],{"type":15,"attrs":1370,"content":1371},{"textAlign":53},[1372,1376],{"text":1373,"type":354,"marks":1374},"Metrics need to be developed to assess the quality and safety of care. ",[1375],{"type":637},{"text":1377,"type":354},"Along with ongoing evaluation, monitoring and improvement.",{"type":656,"content":1379},[1380],{"type":15,"attrs":1381,"content":1382},{"textAlign":53},[1383,1387],{"text":1384,"type":354,"marks":1385},"The healthcare workforce needs to be equipped for a digital future. ",[1386],{"type":637},{"text":1388,"type":354},"Digital technologies can augment skillsets. Digital services can help automate certain simpler tasks so that providers can focus on safe, timely and compassionate care. Culture change, education and training can also be more purposefully implemented on a large scale.",{"type":15,"attrs":1390,"content":1391},{"textAlign":53},[1392],{"text":1393,"type":354},"The fellowship helped me solidify my career goals and build on the skills needed to get there. Although I am still a full-time practicing surgeon, my view of cancer care delivery at a healthcare systems level has changed, and my focus is on using my skills to both help the individual patient and the population. The single-payer healthcare system in Canada has the unique ability to address cancer system challenges and deliver large-scale improvements at a population level. Digital technology use is integral and can be leveraged for this purpose.",{"type":15,"attrs":1395,"content":1396},{"textAlign":53},[1397],{"text":1398,"type":354},"With the learnings I’ve gained from this fellowship, I look forward to opportunities to work with regional, provincial and national Canadian healthcare system partners and the Commonwealth Fund to impact global healthcare change and policy positively.",{"type":15,"attrs":1400,"content":1401},{"textAlign":53},[1402,1404],{"text":1403,"type":354},"Are you someone who likes to tackle sticky health policy and practice issues? ",{"text":1405,"type":354,"marks":1406},"Learn more about the fellowship and how to apply.",[1407],{"type":537,"attrs":1408},{"href":1242,"uuid":1243,"anchor":53,"custom":1409,"target":822,"linktype":529,"story":1410},{},{"name":1246,"id":1247,"uuid":1243,"slug":1248,"url":1249,"full_slug":1249,"_stopResolving":299},{"type":594,"attrs":1412,"content":1413},{"level":1070,"textAlign":53},[1414],{"text":1415,"type":354},"Looking for resources to improve virtual care delivery?",{"type":15,"attrs":1417,"content":1418},{"textAlign":53},[1419,1421,1434],{"text":1420,"type":354},"HEC, in partnership with Canada Health Infoway, has developed a Virtual Care ",{"text":1422,"type":354,"marks":1423},"Clinician Change 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care.",[143],"my-year-as-a-harkness-fellow-with-kaiser-permanente","updates/my-year-as-a-harkness-fellow-with-kaiser-permanente",-8240,[],{"parent_slug":295,"umbraco_path":1442,"umbraco_uuid":1443},"/HealthcareExcellenceCanada/News/MyYearAsAHarknessFellowWithKaiserPermanente","c053e364-d7c1-4ccb-a9f3-bc263edebfed","39733150-8881-45de-a0e1-65c6a8094fd0","2025-12-15T17:39:48.176Z",[],[1448],{"path":1449,"name":1450,"lang":308,"published":299},"actualites-et-perspectives/mon-annee-de-boursiere-harkness-chez-kaiser-permanente","Mon année de boursière Harkness chez Kaiser Permanente",{"name":1452,"created_at":1453,"published_at":1454,"updated_at":1455,"id":1456,"uuid":1457,"content":1458,"slug":1696,"full_slug":1697,"sort_by_date":53,"position":1698,"tag_list":1699,"is_startpage":286,"parent_id":300,"meta_data":1700,"group_id":1703,"first_published_at":1704,"release_id":53,"lang":292,"path":53,"alternates":1705,"default_full_slug":1697,"translated_slugs":1706},"Healthcare Excellence Canada supports teams in delaying patients' needs for long-term care, encouraging aging at home","2025-12-15T17:39:49.026Z","2026-02-26T01:55:14.181Z","2026-02-26T01:55:14.207Z",123415711929446,"14bf3dcc-6259-440d-8af7-837d081444ce",{"seo":1459,"_uid":1461,"hero":1462,"types":1490,"topics":1491,"Noindex":286,"content":1492,"audience":1695,"component":374},{"title":1452,"plugin":336,"description":1460},"Healthcare Excellence Canada has invited 26 organizations across Canada to participate in its Enabling Aging in Place collaborative from January 2024 to September 2025.","888ceb1c-eeb1-4c2d-a43d-06577224e72e",[1463],{"_uid":1464,"date":1465,"image":1466,"title":1452,"author":16,"component":346,"description":1469},"5673d658-11f0-4575-a43a-3e96a65b1b50","2024-02-22 00:00",{"id":1467,"filename":1468,"fieldtype":284},114297947905517,"https://a-ca.storyblok.com/f/850807391887861/eaecbccc46/20240222-eaip-newsheader-groupphoto2.png",{"type":12,"content":1470},[1471],{"type":15,"attrs":1472,"content":1473},{"textAlign":53},[1474,1476,1488],{"text":1475,"type":354},"Healthcare Excellence Canada has invited 26 organizations across Canada to participate in its ",{"text":1477,"type":354,"marks":1478},"Enabling Aging in Place",[1479],{"type":537,"attrs":1480},{"href":1481,"uuid":1482,"anchor":53,"custom":1483,"target":822,"linktype":529,"story":1484},"/programs/enabling-aging-in-place","55ec5ec1-cdad-4ca3-8923-16d512d9201d",{},{"name":1477,"id":1485,"uuid":1482,"slug":1486,"url":1487,"full_slug":1487,"_stopResolving":299},123451159434422,"enabling-aging-in-place","programs/enabling-aging-in-place",{"text":1489,"type":354}," collaborative from January 2024 to September 2025.",[253],[69,32,106,18,98,55],[1493,1627],{"_uid":1494,"content":1495,"component":372},"9618b772-b642-413f-a0c1-3ee3932393b1",[1496,1525,1533],{"_uid":1497,"content":1498,"component":371},"ff4710dd-2d8f-42a9-974e-76f731277179",{"type":12,"content":1499},[1500,1520],{"type":15,"attrs":1501,"content":1502},{"textAlign":53},[1503,1505,1518],{"text":1504,"type":354},"The collaborative seeks to foster collaboration among local health and social service organizations and support the implementation of ",{"text":1506,"type":354,"marks":1507},"promising practices",[1508],{"type":537,"attrs":1509},{"href":1510,"uuid":1511,"anchor":53,"custom":1512,"target":822,"linktype":529,"story":1513},"/resources/promising-practices-for-enabling-aging-in-place","d1a0ccab-fd83-4a8d-9a1b-154ef057dba2",{},{"name":1514,"id":1515,"uuid":1511,"slug":1516,"url":1517,"full_slug":1517,"_stopResolving":299},"Promising Practices for Enabling Aging in Place",113881410326314,"promising-practices-for-enabling-aging-in-place","resources/promising-practices-for-enabling-aging-in-place",{"text":1519,"type":354}," that not only delay entry to long-term care but also deliver positive outcomes for safety, health and overall quality of life. Simultaneously, it aims to minimize emergency department visits, alleviate the burdens on care partners and enhance the efficient use of healthcare resources.",{"type":15,"attrs":1521,"content":1522},{"textAlign":53},[1523],{"text":1524,"type":354},"Applications to participate in the collaborative came from across Canada and included a wide range of organization types and sizes ranging from large healthcare organizations to smaller community-based organizations. Acute care, primary care, paramedicine, home care, hospice, long-term care, social housing and community organizations all expressed a keen interest in participating.",{"_uid":1526,"image":1527,"component":941},"4e29c478-54ea-4a7c-a1c6-c68c069177bd",{"id":1528,"alt":1529,"name":16,"focus":16,"title":1530,"source":16,"filename":1531,"copyright":16,"fieldtype":284,"meta_data":1532,"is_external_url":286},114297953709552,"Group photo including 33 participants and HEC staff at the first in-person Enabling Aging in Place Workshop held at the University of Toronto, Chestnut Residence on February 6, 2024.","February 6 EAIP Workshop Group","https://a-ca.storyblok.com/f/850807391887861/8ec5c904bc/february-6-eaip-workshop-group.jpg",{"alt":1529,"title":1530,"source":16,"copyright":16},{"_uid":1534,"content":1535,"component":371},"ff8d026f-0379-473b-b7f2-33172c93b2d2",{"type":12,"content":1536},[1537,1542,1547,1552,1557,1562,1599,1604,1609,1614,1619],{"type":15,"attrs":1538,"content":1539},{"textAlign":53},[1540],{"text":1541,"type":354},"“It was inspiring to see so many applications that shared the goal to make health care more equitable for older adults in the community,\" said Dr. Kate Mulligan, Assistant Professor, University of Toronto and Senior Director, Canadian Institute for Social Prescribing, who served as one of the merit review panel members for the collaborative.",{"type":15,"attrs":1543,"content":1544},{"textAlign":53},[1545],{"text":1546,"type":354},"The support Enabling Aging in Place provides is aimed at facilitating the adaptation, adoption or expansion of promising practices that leverage the unique strengths of each community to address the specific needs of older adults and their care partners.",{"type":15,"attrs":1548,"content":1549},{"textAlign":53},[1550],{"text":1551,"type":354},"“The diversity of project teams shows that this goal can be achieved in many ways, as each team works with their own community's unique culture, location, language, needs and strengths,” said Dr. Mulligan.“ The Collaborative will help innovators from across the country to stay accountable for equity, to keep learning and improving and to share and learn from each other as they work to provide the best possible support for older adults and care partners to thrive at home as they age.”",{"type":15,"attrs":1553,"content":1554},{"textAlign":53},[1555],{"text":1556,"type":354},"Invited teams will receive guidance in designing implementation and evaluation plans specific for their aging in place program. HEC is committed to providing ongoing support to these teams, ensuring they are well-equipped for a successful and impactful program implementation.",{"type":15,"attrs":1558,"content":1559},{"textAlign":53},[1560],{"text":1561,"type":354},"Teams participating in this initial phase of the collaborative will receive the following:",{"type":840,"content":1563},[1564,1571,1578,1585,1592],{"type":656,"content":1565},[1566],{"type":15,"attrs":1567,"content":1568},{"textAlign":53},[1569],{"text":1570,"type":354},"Up to $15,000 in seed funding per team.",{"type":656,"content":1572},[1573],{"type":15,"attrs":1574,"content":1575},{"textAlign":53},[1576],{"text":1577,"type":354},"Virtual and in-person networking, coaching sessions and opportunities to attend learning events to facilitate nationwide collaboration.",{"type":656,"content":1579},[1580],{"type":15,"attrs":1581,"content":1582},{"textAlign":53},[1583],{"text":1584,"type":354},"Access to evidence, resources and other capacity-building supports.",{"type":656,"content":1586},[1587],{"type":15,"attrs":1588,"content":1589},{"textAlign":53},[1590],{"text":1591,"type":354},"Measurement and evaluation support.",{"type":656,"content":1593},[1594],{"type":15,"attrs":1595,"content":1596},{"textAlign":53},[1597],{"text":1598,"type":354},"Opportunities to contribute to the development of new resources tailored for aging in place programs and community-specific needs.",{"type":15,"attrs":1600,"content":1601},{"textAlign":53},[1602],{"text":1603,"type":354},"“Used to working within our small island communities, it is a rare treat to connect with teams from across the country and to access the expertise of our coach and the many resources from the HEC team. This is the kind of meaningful support we need to create real change with, and for, older adults in our communities,” said Lori Nawrot, Executive Director, Hornby Denman Health, whose community is one of the 26 invited into the collaborative. Their organization and programs support Denman Island and Hornby Island, each home to about 1,250 year-round residents. These islands are in the Northern Gulf Islands and part of the Comox Valley Regional District off the coast of Vancouver Island, BC.",{"type":15,"attrs":1605,"content":1606},{"textAlign":53},[1607],{"text":1608,"type":354},"The Enabling Aging in Place initiative aligns with HEC's broader mission to find and promote innovations that align with the care of older adults with health and social needs. It also aligns with the federal, provincial and territorial governments’ efforts to help Canadians access healthcare that allows them to age with dignity.",{"type":15,"attrs":1610,"content":1611},{"textAlign":53},[1612],{"text":1613,"type":354},"HEC remains steadfast in its commitment to ensuring that safe, equitable and high-quality healthcare is accessible to every individual in Canada, regardless of age or specific needs.",{"type":15,"attrs":1615,"content":1616},{"textAlign":53},[1617],{"text":1618,"type":354},"“Every senior deserves to age in health, in safety, and in dignity. Everyone should have the choice to age at home, in their communities and close to their loved ones,” said the Honourable Mark Holland, Minister of Health. “The Government of Canada will continue to work with provinces and territories, and support organizations like Healthcare Excellence Canada, to help all Canadians get the care they need when and where they need it.”",{"type":15,"attrs":1620,"content":1621},{"textAlign":53},[1622],{"text":1623,"type":354,"marks":1624},"Launched in 2021, HEC brings together the Canadian Patient Safety Institute and Canadian Foundation for Healthcare Improvement. We are an independent, not-for-profit charity funded primarily by Health Canada.",[1625],{"type":1626},"italic",{"id":16,"_uid":1628,"items":1629,"title":1690,"component":1691,"description":1692},"eb9f4e96-69db-463a-9f49-9bb4df7f17f7",[1630,1651,1674],{"_uid":1631,"link":1632,"image":1640,"title":1642,"component":1643,"description":1644},"50e62498-6ff3-4265-82b5-cdfd55af7ad7",[1633],{"_uid":1634,"file":1635,"component":1639},"faeb3f9c-d3c4-4705-aa65-aa3f41e4d9ec",{"id":1636,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":1637,"copyright":16,"fieldtype":284,"meta_data":1638,"is_external_url":286},146416080468062,"https://a-ca.storyblok.com/f/850807391887861/x/3099eda2ad/enabling-aging-in-place-participating-teams.pdf",{},"simple-file-only",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":284,"meta_data":1641},{},"Enabling Aging in Place  Participating 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home.",{"_uid":1675,"link":1676,"image":1681,"title":1514,"component":1643,"description":1683},"3f0bfe54-6bcf-4773-b32a-c583c0c75df6",[1677],{"_uid":1678,"link":1679,"label":539,"component":1664},"ca9a085c-5611-43e5-9f5a-5663440589af",{"id":1511,"url":16,"linktype":529,"fieldtype":530,"cached_url":1517,"story":1680},{"name":1514,"id":1515,"uuid":1511,"slug":1516,"url":1517,"full_slug":1517,"_stopResolving":299},{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":284,"meta_data":1682},{},{"type":12,"content":1684},[1685],{"type":15,"attrs":1686,"content":1687},{"textAlign":53},[1688],{"text":1689,"type":354},"Learn more about some of the many approaches that are helping older adults age in place with improved safety, health and quality of life outcomes.","For more information","ressources-redirection",{"type":12,"content":1693},[1694],{"type":15},[115,143,129,150],"healthcare-excellence-canada-supports-teams-in-delaying-patients-needs-for-long-term-care-encouraging-aging-at-home","updates/healthcare-excellence-canada-supports-teams-in-delaying-patients-needs-for-long-term-care-encouraging-aging-at-home",-8260,[],{"parent_slug":295,"umbraco_path":1701,"umbraco_uuid":1702},"/HealthcareExcellenceCanada/News/HealthcareExcellenceCanadaSupportsTeamsInDelayingPatientsNeedsForLongTermCareEncouragingAgingAtHome","c538cdf3-c3f1-4af5-8f54-e78da2f6496c","dab28010-c0d6-409b-bea8-55363e0a9cb1","2025-12-15T17:39:49.123Z",[],[1707],{"path":1708,"name":1709,"lang":308,"published":299},"actualites-et-perspectives/excellence-en-sante-canada-aide-les-equipes-a-retarder-l-entree-des-patientes-et-patients-en-soins-de-longue-duree-en-favorisant-le-vieillir-chez-soi","Excellence en santé Canada aide les équipes à retarder l’entrée des patientes et patients en soins de longue durée, en favorisant le vieillir chez soi",{"name":1711,"created_at":1712,"published_at":1713,"updated_at":1714,"id":1715,"uuid":1716,"content":1717,"slug":1903,"full_slug":1904,"sort_by_date":53,"position":1905,"tag_list":1906,"is_startpage":286,"parent_id":300,"meta_data":1907,"group_id":1910,"first_published_at":1911,"release_id":53,"lang":292,"path":53,"alternates":1912,"default_full_slug":1904,"translated_slugs":1913},"Safe-to-Say","2025-12-15T17:39:50.114Z","2026-02-26T01:34:54.198Z","2026-02-26T01:34:54.227Z",123415716369511,"3760d667-8be0-4896-b985-f0c1e38fe770",{"Seo":1718,"seo":1721,"_uid":1723,"hero":1724,"types":1738,"topics":1739,"Noindex":286,"content":1740,"audience":1902,"component":374},[1719],{"_uid":1720,"Noindex":286,"component":333},"05818ff7-1e75-47d4-a33c-452cdc2c6c00",{"title":1711,"plugin":336,"description":1722},"When this safe-to-say cultural shift happens, we can continue to improve and fine-tune our approach to creating safety, and learn and heal, together, when unintended harm does unfortunately occur.","27441579-6a35-44a5-9974-14317556ca32",[1725],{"_uid":1726,"date":1727,"image":1728,"title":1711,"author":1731,"component":346,"description":1732},"778cf48c-5fa3-4909-96c0-ef8e4ca7e327","2022-08-29 00:00",{"id":1729,"filename":1730,"fieldtype":284},114295420406671,"https://a-ca.storyblok.com/f/850807391887861/0d0979f727/2021-blog-en.png","Melissa Sheldrick, Maryanne D'Arpino",{"type":12,"content":1733},[1734],{"type":15,"attrs":1735,"content":1736},{"textAlign":53},[1737],{"text":1722,"type":354},[246],[84,76,98],[1741],{"_uid":1742,"content":1743,"component":372},"cdfa80c8-bb2b-4376-ac4d-6127617d0207",[1744],{"_uid":1745,"content":1746,"component":371},"2e3b8c69-fefa-40c5-9c69-8adf1400fde5",{"type":12,"content":1747},[1748,1753,1767,1780,1794,1804,1817,1822,1827,1850,1855,1860,1878,1898],{"type":594,"attrs":1749,"content":1750},{"level":596,"textAlign":53},[1751],{"text":1752,"type":354},"Melissa Sheldrick’s Story",{"type":15,"attrs":1754,"content":1755},{"textAlign":53},[1756,1758,1765],{"text":1757,"type":354},"\"After the loss of my 8-year-old son, Andrew, to a medication error, I took it upon myself to learn everything I could about what happened and what I could do to help prevent it from happening again. There were many important lessons gleaned from my family’s tragedy, but perhaps the biggest takeaway was that this was not an individual’s fault. There were gaps in the system that allowed the error to get through and the way forward was through analysis and action. I believe a culture of learning facilitates conversation, collaboration, and the sharing of stories of successes and problems. Patients and families have an important role to play in this improvement process. Sharing Andrew’s story and ",{"text":1759,"type":354,"marks":1760},"reporting the errors",[1761],{"type":537,"attrs":1762},{"href":1763,"uuid":53,"anchor":53,"custom":1764,"target":905,"linktype":906},"http://www.mederror.ca/",{},{"text":1766,"type":354}," that occurred has led to significant improvements across pharmacy systems and has brought medication safety conversations to the forefront.\"",{"type":15,"attrs":1768,"content":1769},{"textAlign":53},[1770,1772,1778],{"text":1771,"type":354},"Melissa’s story tells the human impact of the very sad reality that ",{"text":1773,"type":354,"marks":1774},"“medications sometimes cause serious harm if incorrectly stored, prescribed, dispensed, administered or if monitored insufficiently.",[1775],{"type":537,"attrs":1776},{"href":1777,"uuid":53,"anchor":53,"custom":53,"target":905,"linktype":906},"https://www.who.int/news-room/events/detail/2022/09/17/default-calendar/world-patient-safety-day-2022",{"text":1779,"type":354},"\" ",{"type":15,"attrs":1781,"content":1782},{"textAlign":53},[1783,1785,1792],{"text":1784,"type":354},"In recognition that “[m]edications are the most widely utilized interventions in health care, and medication-related harm constitutes the greatest proportion of the total preventable harm due to unsafe care, let alone the economic and psychological burden imposed by such harm” the World Health Organization (WHO) has announced \"Medication Safety: Medication Without Harm\" as the theme for ",{"text":1786,"type":354,"marks":1787},"World Patient Safety Day on September 17, 2022",[1788],{"type":537,"attrs":1789},{"href":1790,"uuid":53,"anchor":53,"custom":1791,"target":905,"linktype":906},"https://www.who.int/campaigns/world-patient-safety-day/2022",{},{"text":1793,"type":354},". ",{"type":15,"attrs":1795,"content":1796},{"textAlign":53},[1797,1799],{"text":1798,"type":354},"\"Medication harm accounts for 50% of the overall preventable harm in medical care.\" - ",{"text":1800,"type":354,"marks":1801},"World Patient Safety Day 2022",[1802],{"type":537,"attrs":1803},{"href":1790,"uuid":53,"anchor":53,"custom":53,"target":53,"linktype":906},{"type":15,"attrs":1805,"content":1806},{"textAlign":53},[1807,1809,1815],{"text":1808,"type":354},"While medication-related harm is not a new patient safety issue, it has been ",{"text":1810,"type":354,"marks":1811},"significantly exacerbated by the ongoing COVID-19 pandemic",[1812],{"type":537,"attrs":1813},{"href":1777,"uuid":53,"anchor":53,"custom":1814,"target":905,"linktype":906},{},{"text":1816,"type":354},". This is in part because factors, such as fatigue, poor environmental conditions, and staff shortages, can contribute to medication errors. During the pandemic, all sectors have struggled significantly with Health Human Resource (HHR) issues, including understaffing, exhaustion, and burnout.",{"type":15,"attrs":1818,"content":1819},{"textAlign":53},[1820],{"text":1821,"type":354},"This challenging situation means that care providers are facing an increased risk of contributing to unintended harm which in turn is adding to the fear, anxiety, and exhaustion they are experiencing. As wave after wave of the pandemic stretches on, we could indeed be facing a perfect storm that will impact everyone who organizes, delivers, seeks, and/or receives care, including patients, healthcare providers, and loved ones.",{"type":594,"attrs":1823,"content":1824},{"level":596,"textAlign":53},[1825],{"text":1826,"type":354},"Making it safe-to-say",{"type":15,"attrs":1828,"content":1829},{"textAlign":53},[1830,1832,1839,1841,1848],{"text":1831,"type":354},"Solutions to reducing medication errors and medication-related harm are mostly the same approaches we know are needed to improve safety in all areas of healthcare. These include designing a safer healthcare system, from ward to board, by taking a proactive approach to ",{"text":1833,"type":354,"marks":1834},"creating safety ",[1835],{"type":537,"attrs":1836},{"href":1035,"uuid":1036,"anchor":53,"custom":1837,"target":822,"linktype":529,"story":1838},{},{"name":1039,"id":1040,"uuid":1036,"slug":1041,"url":1042,"full_slug":1042,"_stopResolving":299},{"text":1840,"type":354},"while balancing the prevention of harm. Hand-in-hand must be the adoption of a ",{"text":1842,"type":354,"marks":1843},"broader definition of safety ",[1844],{"type":537,"attrs":1845},{"href":1035,"uuid":1036,"anchor":53,"custom":1846,"target":822,"linktype":529,"story":1847},{},{"name":1039,"id":1040,"uuid":1036,"slug":1041,"url":1042,"full_slug":1042,"_stopResolving":299},{"text":1849,"type":354},"so we can better identify, evaluate and ultimately create improved patient safety that reflects the lived experience and captures the voices of everyone in Canada. This more holistic definition must address all types of harm, for all people affected, including psychological harm, dehumanization, delay in treatment, under treatment, and their underlying contributing factors such as racism, homophobia, discrimination, poor communication, and teamwork.",{"type":15,"attrs":1851,"content":1852},{"textAlign":53},[1853],{"text":1854,"type":354},"We also know that approaches to improving safety must include improvements in how we respond to unintended harm. Because unfortunately, despite our very best efforts to create safety and prevent harm, errors will still happen. The healthcare system is incredibly complex. And to err is human.",{"type":15,"attrs":1856,"content":1857},{"textAlign":53},[1858],{"text":1859,"type":354},"So, if we cannot eliminate harm, what can we do? We believe the answer lies in making it safe-to-say. We need to shift cultures and make it safe-to-say when something has, is—or could—go wrong. It is only when errors are managed appropriately, reported, responded to, and learned from that we can improve the system as a whole and support all people impacted to heal and take informed action to mitigate or prevent similar incidents from happening in the future.",{"type":15,"attrs":1861,"content":1862},{"textAlign":53},[1863,1865],{"text":1864,"type":354},"A culture of blaming, shaming, and fear discourages a safe-to-say environment. We need people to feel safe and supported to speak up about concerns. When unintended harm happens we need supportive cultures that facilitate interactions and build trusting relationships; putting aside feelings of guilt, shame, and fear of legal prosecution. Feeling safe-to-say will lead to increased transparency and reporting, and learning together to build and maintain a healthier work environment ",{"text":1866,"type":354,"marks":1867},"for Health Human Resources and therefore for patients, Essential Care Partners, and loved ones.",[1868],{"type":537,"attrs":1869},{"href":1870,"uuid":1871,"anchor":53,"custom":1872,"target":822,"linktype":529,"story":1873},"/updates/how-patient-safety-starts-with-healthcare-workers","7999b7c9-3622-4393-9c4d-9476671f7638",{},{"name":1874,"id":1875,"uuid":1871,"slug":1876,"url":1877,"full_slug":1877,"_stopResolving":299},"How Patient Safety Starts with Healthcare Workers",123415724541033,"how-patient-safety-starts-with-healthcare-workers","updates/how-patient-safety-starts-with-healthcare-workers",{"type":15,"attrs":1879,"content":1880},{"textAlign":53},[1881,1883,1896],{"text":1882,"type":354},"As part of this culture shift to feeling safe-to-say, patients and loved ones need to be ",{"text":1884,"type":354,"marks":1885},"engaged",[1886],{"type":537,"attrs":1887},{"href":1888,"uuid":1889,"anchor":53,"custom":1890,"target":822,"linktype":529,"story":1891},"/resources/engaging-patients-in-patient-safety-a-canadian-guide","6b1655df-9d02-45e3-9d11-66f07ce31af4",{},{"name":1892,"id":1893,"uuid":1889,"slug":1894,"url":1895,"full_slug":1895,"_stopResolving":299},"Engaging Patients in Patient Safety – a Canadian Guide",113881420570413,"engaging-patients-in-patient-safety-a-canadian-guide","resources/engaging-patients-in-patient-safety-a-canadian-guide",{"text":1897,"type":354}," as partners in safety and incident management proactively so issues can be identified through open communication in the spirit of being a true patient partners. . In the absence of this patients can feel left in the dark and re-traumatized after harm occurs.",{"type":15,"attrs":1899,"content":1900},{"textAlign":53},[1901],{"text":1722,"type":354},[115,143,122,129,136,150,157],"safe-to-say","updates/safe-to-say",-8280,[],{"parent_slug":295,"umbraco_path":1908,"umbraco_uuid":1909},"/HealthcareExcellenceCanada/News/SafeToSay","c5874de6-c398-4bbf-ae69-9625628f067b","b5896b64-3f8a-4ef8-90a8-37323a262a6c","2025-12-15T17:39:50.182Z",[],[1914],{"path":1915,"name":1916,"lang":308,"published":299},"actualites-et-perspectives/un-milieu-sur-et-a-l-ecoute","Un milieu sûr et à l’écoute",100,1776087595592]