The Centre for Integrated Care is an innovation centre committed to evidence-based research, education and evaluation to support the advancement of Integrated Care across Canada.
St. Joseph’s Health System (SJHS) is an internationally recognized leader in the development and implementation of new Models of Integrated Care. Our perspective is founded in our health system’s service delivery capabilities across the complete continuum of care; coupled with our commitment to academic research and discovery. Our extensive experience in the adoption of Models of Integrated Care provides a unique vantage point from which to share our learnings and partner to further the field of Integrated Care.
The SJHS Centre for Integrated Care is a ‘practical hands-on’ resource for our System members and strategic partners to help drive the development, adoption and evaluation of models of Integrated Care; with additional research, educational, advisory, quality improvement, performance management and partnership activity.
A Living Lab - Canada's Largest Integrated Care Program
Today, with over 17,000 patients served, and over 30,000 Hospital bed days saved, St. Joseph’s has established a proven track record of effectively implementing new Models of Integrated Care at scale, coaching multiple organizations, serving diverse clinical populations, driving value for health care dollars, and improving outcomes for patients. Actively developing, implementing and operationalizing Integrated Care programs to serve Surgical, Chronic & Complex Disease Management, Mental Health & Addictions, and Older Adult populations; St. Joseph’s and Niagara Health are Canada’s largest and most mature living lab for Models of Integrated Care.
Research & Evaluation
Discovery is at the heart of all we do. We seek to revolutionize research, innovation and the adoption of evidence-based Models of Integrated Care through:
- The practical application of population health management, actionable intelligence / analytics, and clinical decision support tools. We positively impact priority outcomes and how care is delivered across the continuum of care.
- By evaluating the clinical, economic and social impact of new models of Integrated Care, evidence-based pathways & advanced technologies, through the lens of the Quadruple Aim.
Our independent research team is affiliated with the Research Institute at St Joe’s Hamilton, and McMaster University Faculty of Health Sciences.
The Centre of Integrated care is committed to enabling sustainable transformational system change through the development and adoption of models of Integrated Care. Our experienced advisory and coaching services team collaborates with our System members and partner with numerous healthcare providers to support their Integrated Care journey. Ongoing guidance is provided through our Community of Practice, educational resources, events, thought leadership, and collaborative publications.
Quality Improvement & Performance Management
The Centre for Integrated Care adheres to evidence-based principles of quality improvement and performance management. We collaborate within our living lab and partner organizations to
- Develop standard policy and process for Integrated Funding management.
- Co-design methodology to support Care Path development and Integrated Service Delivery.
- Creation of resources, tools and common indicators for quality improvement.
We have developed an Integrated Care Maturity Model to help organizations assess and further their Integrated Care journey.
The Centre for Integrated Care is committed to partnerships with patients, caregivers, providers, funders, and academic organizations to achieve our objectives and to enable the advancement of Integrated Care across Canada.
Click here to access the Center for Integrated Care website.
“TeamUHN is partnering with the St. Joseph’s Health System’s Centre for Integrated Care to bring our collective expertise and experience together… We’re already seeing how focusing on the comprehensive care experience can lead to successful and sustainable care improvements to support diverse patient populations.”
Dr. Kevin Smith, President & CEO, University Health Network
In 2012, St. Joseph’s Health System pioneered an approach to Integrated Care for Surgical and Chronic Complex patient populations. Our model proved very successful and the Ministry of Health asked us to coach other organizations across the province. We called our model: Integrated Comprehensive Care (ICC).
What is Integrated Comprehensive Care?
ICC is an evidence-based Model of Care that supports patients with One Team, One Record, One Number to Call, 24/7. ICC is enabled by a co-designed integrated service delivery model and an integrated funding model, which we refer to as One Fund. Our focus is to make the patient experience as seamless as possible, while utilizing existing resources across the healthcare continuum, to deliver an integrated and comprehensive care experience. ICC enables sustainable transformational system change.
Patient and Provider Co-design
The principle of patient and provider co-design and the iterative nature of program development support the creation of trust, transparency and common purpose for all those involved in delivering care across the patient’s continuum of care. ICC as a program is adaptable over time, which ensures its ongoing effectiveness. ICC’s evidence-based approach must be firmly embedded in the cross-organizational culture, both in the clinical and administrative functions.
“Our ICC program has resulted in a capacity saving of up to $4,000 capacity savings per patient, realized through a 30% reduction in emergency department visits and 30% reduction in hospital re-admissions; with a 98% patient satisfaction approval rating.”
-Dr. Carolyn Gosse, VP Integrated Care, SJHS
Learn more about Integrated Comprehensive Care Four Guiding Principles
Watch how the ICC program impacted Maureen’s recovery.