NEEDS-PERCEPTIVE

RESEARCH THE ALLIANCE'S 2016-18

RESEARCH REPORT

On behalf of the entire team, I welcome you to the Alliance

for Healthier Communities' inaugural research report. The

Alliance's research program was initiated in the spring of 2016

with the appointment of Dr. Jennifer Rayner as Director of

Research & Evaluation. Since then, Jennifer has energetically

spearheaded the Alliance's research efforts; expanding the

research team, liaising with prominent primary care

researchers to build our advisory board, and engaging in

research studies that address our member organizations' most

pressing knowledge needs.

The Alliance research team has proven to be the missing

puzzle piece in our work; providing sorely needed data that

empirically supports our advocacy efforts and allows us to

better tell the story of our member organizations and

demonstrate the value of the work they do. The next pages

offer a description of our primary research undertakings and a

highlight of our collaborations - for a more comprehensive

listing, refer to the report's appendix.

A Warm Welcome from

the Alliance

Adrianna Tetley, Alliance CEO

2

Generating Knowledge that

Improves Wellbeing

The Alliance's research portfolio is firmly embedded

in the Model of Health & Wellbeing which underpins

all the work that we and our member organizations

do. It’s a dynamic, two-way relationship: the Model of

Health & Wellbeing – developed based on extensive

research evidence- informs the conception and

planning of the Alliance’s research projects. In turn,

our research findings influence how the model is

operationalized and adapted to local contexts, to

achieve our common goal of better health for 

everyone in Ontario, especially those who

experience barriers to good health. 

The Alliance's research program is needs-perceptive;

our studies seek to provide the knowledge that our

member organizations need to demonstrate their

effectiveness, evaluate their care efforts, and

enhance their operations so that they continue to

provide the highest quality of primary health care

for those that need it most.

The Model of Health & Wellbeing is at the core of our research

initiatives, which aim to validate the model's  attributes and

guide its operationalization. 

3

Understanding the Populations

We Serve

Understanding the needs, capabilities, and priorities of our primary

health care clients is the foundation of positive health outcomes.

Nowhere is this more apparent than in mental health care; most

frequently delivered in a primary care setting. Individuals in need of

mental health care are often marginalized and isolated, and have

little input into their care plans.To address this issue, we are

collaborating on a study to measure primary health care

organizations’ readiness to engage individuals receiving mental

health and addictions services in their own care plans, to ensure care

is aligned with the clients' priorities and needs. This study is

undertaken in collaboration with Dr. Nadiya Sunderji from St.

Micheal’s Hospital.

In collaboration with Dr. Richard Booth from Western University,  we

are also analyzing socio-demographic characteristics and service

utilization patterns in of individuals seeking  mental health and

addictions services in our mem community health centres (CHCs),

with a separate study focusing on older individuals' needs. 

While these studies examine specific client populations, we hope to

extend findings to inform primary health care delivery in general.

By surveying  primary health care

organization leaders, we will

examine barriers & enablers

to client engagement in mental

health care.

Examining the socio-demographic

information and service utilization

patterns of clients receiving mental

health  services  will enable us to

better understand their care needs.

4

Taking Stock of New

Challenges

The Alliance's research program proactively tackles emerging health 

care issues, anticipating the need for knowledge that informs policy

and advocacy efforts. In collaboration with Dr. Astrid Guttman and Dr.

Rick Glazier, core scientists form the Institute for Clinical & Evaluative

Sciences (ICES), the Alliance will evaluate healthcare and social

assistance utilization rates among private and government-sponsored

refugee cohorts, including the recent large Syrian refugee wave. These

findings are expected to influence health care policy and program

planning both in Canada and at the international level.

Social isolation is being increasingly recognized as a major threat to the

health and wellbeing of individuals. However, the inability to describe

and quantify social connectedness hampers investigations into this

growing invisible epidemic. The Alliance has undertaken the

development of a tool to quantify the degree of social isolation

experienced by an individual, to help identify those at risk and assess

the impact of targeted programming. We've also capitalized on the

experience of primary health care colleagues in the UK to set up our

Social Prescribing initiative, which aims to identify the social care needs

of clients and connect them with the needed resources in the

community, helping set such services up where none currently exist. 

The Alliance is at the forefront of

refugee care evaluation efforts;

examining social assistance

utilization and health outcomes

among different refugee cohorts. 

The Alliance is responding to the

invisible loneliness epidemic with

the development of a social

isolation quantification tool and

the undertaking of a social

prescribing project.

5

Evaluating Our Service

Delivery Efforts

Evaluating primary health care service delivery and associated

outcomes is at the core of the Alliance's research program mission.

Understanding what contributes to improved health outcomes will

allow us to create a set of best practices that further inform our

members’ service delivery. To this end, the Alliance research team

has collaborated with Dr. Carol Mulder from the Association of

Family Health Teams of Ontario (AFHTO), as well as  Dr. Rick Glazier,

Dr. Simone Dahrouge, and Dr. Michael Green  at ICES on a project

examining practice attributes that promote the delivery of high

quality health care in CHCs and FHTs (family health teams).

An evaluation of a specific primary health care intervention at an

Aboriginal Health Access Center (AHAC) is also under way in

collaboration with Maamwesying: North Shore Community Health

Services Inc. The Naandwe Noojimowin evaluation project will

evaluate the implementation and health outcomes of a 5-day

residential, indigenous-led mental health program. Results will

provide indication of the efficacy of the program as a culturally

appropriate, valid mental health treatment approach.

 

In collaboration with scientists from

ICES and the AFHTO, the Alliance is

examining practice attributes

associated with better quality of care

in CHCs and FHTs.

The Alliance is working with the

Maamwesying AHAC to examine an

innovative mental health treatment

program incorporating traditional

healing practices.

6

Evaluating Our Service

Delivery Efforts

We will examine factors contributing

to the success of   our members'

community development efforts in

order to inform future programming.

Part of what distinguishes our Model of Health & Wellbeing is that it 

considers the upstream socio-demographic factors that converge

to cause ill health in addition to the immediate medical causes of

illness. In practice, this is reflected by the breadth of our members'

extensive  community development initiatives which address the

socio-economic determinants of health.To date, these initiatives

have not been formally evaluated, resulting in missed improvement

opportunities. In collaboration with Dr. Robert Case from the

University of Waterloo, the Alliance is planning  a multi-centre

analysis of community development initiatives, drawing upon data

from our Community Reporting Initiative Tool (CIRT). Results will

allow impact assessment and inform future development efforts.

Another evaluation project the Alliance is collaborating on examines

the outcomes of the innovative online portal-based educational

program COMBAT (Combining alcohol interventions with tobacco

addictions treatment in primary care) when delivered through a

Primary Health Care provider portal, as opposed to a secure patient

portal.This work is led by  Dr. Peter Selby from the Centre for

Addiction and Mental Health (CAMH).

We will evaluate the impact of an

online smoking and alcohol use

intervention using a patient-centred

versus provider-administered

delivery portal.

7

Demonstrating Our

Effectiveness 

One of the largest research projects in the Alliance's research

portfolio is the Advancing Access to Team-Based Care (AA-TBC)

initiative, an implementation-evaluation blended project spanning

7 LHINS and involving multiple CHCs.  AA-TBC matches individuals

with complex care needs cared for by non-team physicians with the

inter-professional team at a partner CHC that offers the extended

services required by the individual.This project is being led by Dr.

Rayner and Dr. Walter Woodchis from the University of Toronto, in

addition to a large collective of scientists, patient & caregiver

representatives, and ministry officials. 

The lack of comprehensive client encounter data  hampers service

planning, program evaluation, and effectiveness measurement

efforts. Through Count Everyone,The Alliance is working to create a

comprehensive registry of all clients receiving LHIN/MOH-funded

services at CHCs. Team-based data will be linked at ICES to provide

CHCs with reporting analytics, and a CHC data set will also be sent to

the MOHLTC to be used for planning, policy, and evaluation. 

To demonstrate the cost-effectiveness of our CHCs' operations, a

costing study is currently underway, aiming to develop a streamlined

and comparable costing approach for CHCs in Ontario. 

The Alliance is also developing a

costing system that more accurately

reflects CHCs' operating costs.

To more accurately reflect the work

of our members, the Alliance is

developing a comprehensive service

provision registry for CHCs.

We are evaluating our team-care

expansion initiative for scale-up

recommendations.

8

Creating a Culture of 

Continuous Learning

The Alliance strives to create a culture of continuous improvement

through innovation, one where new knowledge is continually

integrated into health care delivery - in other words, to increase our

and our member organizations' capacity as a Learning Health System

(LHS) by increasing data a and tools available for quality improvement,

evaluation, and research. One of the most exciting initiatives in the

Alliance research portfolio is the Learning Health System for Ontario

Primary Care (LeHSOn-PC), an innovative research project employing

artificial intelligence and interactive visualization tools to generate

more person-centered diagnoses and care plans.

Using Chronic Kidney Disease (CKC) as a prototype, artificial

intelligence tools will be used in real-time to analyze EMR data from

individuals similar to the client during the consult, producing

recommended treatment plans visualized in an easy manner to

promote a conversation regarding care goals between the provider

and the client. The project will be based at select Alliance CHCs,

under the leadership of Dr. Rayner and Dr. Merrick Zwarenstein from

the University of Western Ontario, with the aim of eventually

expanding the model to include other chronic diseases such as

diabetes. 

The Alliance is partnering with a large

collective of scientists, primary care

providers, and other stakeholders to

implement artificial intelligence tools

that automate research and enhance

the real-time integration of findings

into client-provider consults for

more client-centered care.

9

By the Numbers

14

20

Primary health care research

initiatives

50+Collaborators from academia,

primary care, & public health

23National & International

conferences & presentations 

6 Peer-reviewed articles in

national and international

journals 

10 

External studies including        

opt-in data from our members

Ensuring Data 

Comprehensiveness  

Our partnership with the Institute for Clinical and Evaluative

Sciences (ICES) facilitates the voluntary inclusion of our

members' primary health care data in important studies and

analyses. Voluntary data opt-ins ensure that the needs of our

clients, their care experience, and the work our members do

is reflected in primary care research studies and associated

findings. Over the past two years, 20 research projects (and

counting) facilitated through ICES have included CHC data

and yielded important findings with the potential to impact

policy and care provision. These projects have examined a

broad range of topics. A few are listed below; for a more

complete listing, please refer to the appendix.

A highlight of ICES projects including opt-in CHC data:

Primary care physician comprehensiveness algorithm

comparison with MOH

Sub-region population planning data to inform LHIN

and MOHLTC 

Cancer screening rates among disadvantaged and

immigrant populations by model of care

11 

Partnerships

Dr. Rayner is a member of the INSPIRE-PHC (Innovations

Strengthening Primary Healthcare through Research) network,

which brings together of over 125 Ontario Primary Care (PHC)

researchers, clinician-scientists, and policymakers to share

knowledge and expertise.

.

Dr. Rayner is also a member of Centre for Studies in Family Medicine

(CSFM) at the Schulich School of Medicine and Dentistry in Western

University. Members of the CSFM team share expertise and collaborate on

important primary care research projects.

The Canadian Centre for Advanced Practice Nursing Research

(CCAPNR) at McMaster University also benefits from Dr. Rayner's

expertise, through her post doctoral fellow membership. The

CCAPNR is a collective of inter-disciplinary researchers tackling

problems challenging health and social services.

12 

Student Projects

The Alliance has welcomed many students over the past two years. They have examined different

topics and joined us for varying amounts of time but they all invariably brought an inquisitive spirit

and a strong sense of enthusiasm for the work of our members and the issues impacting delivery of

quality care to all. Below is a highlight of our students' recent projects:

  

Rebecca Lyon,  an MPH practicum student from the University of Toronto’s Dalla Lana

School of Public Health joined the Alliance research team in January 2018 to work on a

case study on the operationalization of the Model of Health & Wellbeing at Wellfort CHC.

Natasha Tobias, an MPH practicum student from Western University, joined the Alliance in

May 2018. Natasha is looking at community governance to understand how CHCs that

exemplify this attribute operationalize community ownership, and the impact this has on

program delivery. 

                           . Usman Khan is an MPH student from Western University, starting his practicum with the

Alliance in May 2018. Usman is aiming to develop an understanding of care and services

provided by the inter-professional teams at CHCs to people with mental health and

addiction issues, to facilitate optimal incorporation of mental health care in a primary

care model.

                 

                          

Sydney Jopling, a Masters student at the Institute of Health Policy, Management and

Evaluation at UofT, is undertaking an evaluation of the Solo Physicians in Need (SPiN)

teamcare initiative. She is co-supervised by Dr. Rayner.

 13 

Alliance Research Team

Dr. Jennifer Rayner

PhD Biostatistics &

Epidemiology (Western)

Director, Research & Evaluation

Natasha Tobias

MPH (Western)

Practicum Student

Rebecca Lyon

MPH (UofT)

Practicum Student

Rafal Ramzi

MSc (McGill)

Assistant

Dariya Gusovsky

MSc (UCL, UK)

Policy Analyst

Usman Khan

MPH (Western)

Practicum Student

14  

Research Advisory Council

(RAC)

Adrianna Tetley

RAC Chair; CEO, Alliance

for Healthier Communities

Dr. Imaan Bayoumi

Assistant Professor,

Department of Family

Medicine, Queen's 

Dale McMurchy

President, Dale McMurchy

Consulting

Dr. Laura Muldoon

Primary care physician;

Somerset West Community

Health Centre

Dr. Kathryn Brohman

Associate Professor; Smith

School of Business, Queen's

Dr. Robert Case

Associate Professor, Social

Development Studies,

Renison University College

Dr. Simone Dahrouge

Scientist; Vice-Chair,

Research, Department of

Family Medicine; University

of Ottawa

Dr. Rick Glazier

Senior Scientist, ICES

Core Scientist, Centre for

Urban Health Solutions,

St. Michael's Hospital

15  

Research Advisory Council

(RAC)

Pamela Williamson

Executive Director;

Noojmowin Teg Health

Centre

Wangari Tharao

Program and Research

Manager; Women’s Health in

Women’s Hands (WHIWH)

Community Health Centre

Dr. Andrew Pinto

Public Health and Preventive

Medicine specialist; family

physician; St. Michael's

Hospital

Dr. Walter Wodchis

Professor, IHPME, UofT

Research Chair, Trillium Health

Partners

Dr. Merrick Zwarenstein

Professor, Schulich School of

Medicine & Dentistry, Western

Senior Scientist, ICES

Dr. Yogendra Shakya

 Senior Research Scientist,

Access Alliance

Assistant Professor (Adjunct),

DLSPH, UofT

16

Appendix

Primary Research Projects 

Social Prescribing: Connecting People, Health and

Community (June, 2018). Principal Investigator: Jen

Rayner - Research & Evaluation Lead, Alliance for

Healthier Communities

 Social Isolation Tool (Aug., 2017). Principal

Investigator: Jen Rayner - Research and Evaluation

Lead, Alliance for Healthier Communities.

Count Everyone (May, 2017). Principal Investigator: Jen

Rayner - Research & Evaluation Lead, Alliance for

Healthier Communities

Justice Perceptions of Family Physicians & Nurse

Practitioners on Community-Governed

Interprofessional Teams - Phase 2 (July, 2016).

Principal Investigators: Laura Muldoon - Physician,

Somerset West CHC; Jen Rayner - Research and

Evaluation Lead, Alliance for Healthier Communities.

Costing Study (??). Principal Investigators: Jen Rayner -

Research and Evaluation Lead, Alliance for Healthier

Communities; Walter Wodchis - Professor, IHPME at

UofT.

 Advancing Access to Team-Based Care

(AA-TBC; variable start dates) Principal Investigators:

Jen Rayner - Research & Evaluation Lead, Alliance for

Healthier Communities; Walter Wodchis - Professor,

IHPME at UofT.

 

An Evaluation of Community Development

Initiatives in Ontario Community Health Centres (April,

2018). Robert A. Case - Professor, University of

Waterloo.; Jen Rayner - Research & Evaluation Lead,

Alliance for Healthier Communities.

Optimizing Canada's Healthcare for Refugees (April,

2018). Principal Investigators: Astrid Guttman - Chief

Science Officer, ICES; Richard Glazier - Primary Care

Program Leader, ICES; Jen Rayner- Research &

Evaluation Lead, Alliance for Healthier Communities.

Learning Health System for Ontario Primary Care

(LeHSOn-PC; Jan., 2018). Principal Investigators:

Merrick Zwarenstein - Professor, Family Medicine,

Western University; Jen Rayner - Research and

Evaluation Lead, Alliance for Healthier Communities.

17

Collaborations

What practice attributes promote better quality of

care in interprofessional teams such as FHTs and

CHCs? (July, 2017). Principal Investigators: Carol

Mulder -Provincial Lead, Quality Improvement and

Decision Support (QIDS), AFHTO, and Jen Rayner

-Research and Evaluation Lead, Alliance for

Healthier Communities. 

Mental health system utilization of older adults in

Ontario: Detecting indicators and

generating a predictive model to inform care,

resource allocation, and advocacy for the

future ( Feb., 2017). Principal Investigator: Richard

Booth - Assistant Professor, School of Nursing,

Western University.

Decreasing Health Disparities: An Evaluation of a

Novel Model of HIV Care in a Canadian Population

with High Rates of Homelessness and Substance

Abuse (June, 2016). Principal Investigator: Michael

Silverman - Chair of Infectious Diseases, Schulich

School of Medicine & Dentistry at Western

University.

 

Examining if a Patient Portal (designed to give patients

secure access to health information) is a More

Effective Method for Delivering Brief Interventions and

Offering Educational Resources to Patients (May,

2018). Principal Investigator: Dr. Peter Selby -  Deputy

Physician-in-Chief, Education, and the Chief, Primary

Care, Centre for Addictions & Mental Health (CAMH).

Measuring Organizational Readiness for Client

Engagement (March, 2018). Principal Investigator:

Nadiya Sunderji -  Psychiatrist, St.Michael's Hospital.

Immunization Coverage Among Newcomers to

Ontario (March, 2018). Principal Investigator: Sarah

Wilson - Adjunct Scientist, ICES; Medical

epidemiologist, Public Health Ontario. 

Naandwe Noojimowin Evaluation (Formerly known as

Beauty For Ashes; Sept., 2017). Co-Principal

Investigators: Jennifer Walker - Canada Research

Chair in Indigenous Health, Laurentian; Core Scientist,

Institute for Clinical and Evaluative Sciences (ICES);

Gloria Daybutch, Executive Director, Maamwesying.

18

Institute of Clinical Evaluative Sciences (ICES) Projects with Opt-In CHC Data

Infants Born to Women with Disabilities: Health and

Healthcare (April, 2018). Principal Investigator: Hillary

Brown -  ICES; UofT, Scarborough.  

Comparison of Primary Care Asthma Performance

Indicators (PC-API) Between Patients Referred to the

Primary Care Asthma Program (PCAP) and Patients

Not Referred to the PCAP (April, 2018). Principal

Investigator: Wenjia Chen; Teresa To - The Hospital

for Sick Children.

Building a Better Understanding of Belonging, Mental

Health, and Addictions: Mapping & Measuring the

Needs of People Facing Mental Illness and/or

Addictions Who Use Ontario Health Centers (Jan.,

2018). Principal Investigator: Richard Booth - Western

University.

The Healthy Immigrant Effect in Mental Health (Jan.,

2018). Principal Investigator: Joyce Cheng - CAMH;

UofT.

INSPIRE-PHC 2: Innovations Supporting Primary

Health Care through Research (Jan., 2018). Principal

Investigator: Rick Glazier - ICES. 

 

19 

HIV Prevalence, Access to Care & Treatment in People

in Provincial Correctional Facilities in Ontario (Nov.,

2017). Principal Investigator: Fiona Kouyoumdijan - St.

Michael's Hospital; ICES. 

Primary Care Physician Comprehensiveness Algorithm

Comparison with MOH (Aug., 2017). Principal

Investigator: Rick Glazier - ICES. 

Rate of Cancer Screening by Area Income,

Immigration Status and Primary Care in Ontario by

LHIN and Sub-Region (April, 2017). Principal

Investigator: Rick Glazier - ICES.

 Interprofessional Teams Access Gaps in Care (April,

2017). Principal Investigator: Rick Glazier - ICES.

 Attachment, Access, Continuity and Mental Health

Gaps in Care (April, 2017). Principal Investigator: Rick

Glazier - ICES. 

Practice-Based Primary Care Denominators for

Ontario Sub-Regions (Feb., 2017). Principal

Investigator: Rick Glazier - ICES.

Institute of Clinical Evaluative Sciences (ICES) Projects with Opt-In CHC Data

Maternal and Perinatal Outcomes in Women Who

Experience Incarceration in Ontario, Canada: A

Retrospective Cohort Study  (Oct., 2016). Principal

Investigator: Fiona Kouyoumdijan - St. Michael's

Hospital; ICES.

 Care of Hotel Dieu HIV Oupatient Clinic Patients

(July, 2016). Principal Investigator: Flora Matheson -

ICES. 

Sociodemographic characteristics of young

children receiving primary health care and

community based supports at Ontario Community

Health Centres (Feb., 2016). Principal Investigator: ??

LHIV (and sub-projects LHIV Linkage; OCS and

Attrition) (Jan, 2016). Principal Investigator: Curtis

Cooper - University of Ottawa, Ottawa Hospital

Research Institute.

 

20 

Prisoner Participation in Cancer Screening in Ontario,

Canada: a Retrospective Cohort Study (Feb., 2017).

Principal Investigator: Fiona Kouyoumdijan - St.

Michael's Hospital; ICES. 

Gender Disparities in Child Health and Healthcare by

Maternal Country of Origin (Jan., 2017). Principal

Investigator: Ariel Pulver - Dalla Lana School of Public

Health, UofT. 

Post-Release Health Care Utilization in an HIV+

Population (Nov., 2016). Principal Investigator: Fiona

Kouyoumdijan - St. Michael's Hospital; ICES. 

 Examining Inequities in Access to Care in Ontario by

Immigrant Class (Nov., 2016). Principal Investigator:

Laura Anderson - Wellesley Institute. 

Cancer Screening Rates Among Disadvantaged and

Immigrant Populations by Model of Care (Oct., 2016).

Principal Investigator: Mandana Vahabi - Ryerson

University.

Glazier, R.H., Rayner, J., and  Kopp, A. (2015). Examining

Community Health Centres According to Geography

and Populations Served, 2011/12-2012/13. Toronto,

Ontario: Institute for Clinical and Evaluative Sciences

Martin-Misener, R., Kilpatrick, K., Donald, F., Rayner, J.,

Bryant-Lukosius, D., Valaitis, R.,  Carter, N., Miller, P.A.,

Landry, V., Harbman, P., Charbonneau-Smith, R.,

McKinlay, R.J.,  Ziegler, E., Boesveld, S., Lamb. A. (2016).

Nurse Practitioner Caseload in Primary Health Care:

Scoping Review. International Journal of Nursing

Studies, pp. 170-182 DOI information:

10.1016/j.ijnurstu.2016.07.019

 

21 

Rayner, J., Muldoon, L., Bayoumi, I., McMurchy, D.,

Mulligan, K., Tharao, W., (June., 2018). Delivering

Primary Health Care as Envisioned - A Model of

Health and Wellbeing Guiding

Community-Governed Primary Care Organizations.

Journal of Integrated Care 26 (3): 231-241.

Rayner, J., Glazier, R., Donald, F., Martin-Misener, R.

(submitted July, 2018). Understanding Nurse

Practitioner Outcomes in Ontario, Canada.

Rayner, J., Glazier, R., Donald, F., Martin-Misener, R.

(submitted July, 2018). Nurse Practitioner

Standardized Reporting: A mixed methods review of

the Nurse Practitioner Reporting Tool.

Rayner, J., & Muldoon, L. (2017). Staff Perceptions of

Community Health Centre Team Function in

Ontario. Can Fam Physician,63 (7): 335-340.

Peer-Reviewed Publications

Conference Presentations

Rayner, J. Advancing Access to Team-Based Care.

Achieving Excellence Together Conference (2018, June

18) Toronto, Canada Presenting on AA-TBC.

Rayner, J. and Zwarenstein, M.  Learning Health Systems:

How to harness data to improve the health of

populations served. AOHC Health Equity Action and

Transformation Conference (June 13-14, 2018) Toronto,

Canada.

19th Canadian Collaborative Mental Healthcare

Conference (2018, June 1-2), Toronto, Canada:

         Gusovsky, D. Rethinking Successful Outcomes: 

         How do Interprofessional Teams in CHCs 

         Challenge understandings of effective Outcomes 

         in Mental Healthcare.

       

         Tang, V., Ion, A., Rayner, J., Mulder, C., QI4CC team,

         and Sunderji, N. Readiness for Patient Engagement  

         in Ontario's Primary Care Teams.  

22  

Canadian Association of Health Services and Policy

Research (CAHSPR) Conference (2018, May 29-30)

Montreal, Canada:

         Rayner, J. Harnessing the Power of Data to         

         Improve the Health of Populations.

         Rayner, J., and Zwarenstein, M. Learning Health  

         Systems within Ontario Community Health Centres.

 

         Rayner, J., Zwarenstein, M., Reid, R., and Forrest, C. 

         Learning Health Systems (LHS) speed healthcare 

        improvement. 

Baker, G.R., Rayner, J. Adaptation and standardization of

integrated care practices to facilitate scale-up and spread:

Insights from Ontario case studies . 18th International

Conference on Integrated Care (2018, May 23-25),

Utrecht, Germany.

Conference Presentations

Parpia, R., and Rayner, J. Association of measures of

marginalization and use of Ontario Community Health

Centres for preventative and social determinants of

health-related care in young children. Pediatric

Academic Societies (PAS) 2018 Meeting (2018, May 5-8)

Toronto, Canada.

 Carter, N., Martin- Misener, R., Donald, F., Kilpatrick, K.,

Bryant-Lukosius, D., Raynor, J., Ziegler, E., Bennewies, N.

Perspectives of Primary Care Team Members on Factors

that Influence Nurse Practitioner Workload, Productivity

and Caseload (oral presentation).  Advanced Practice

Nursing Deutsches Network 4th International Congress

(2017,  September 8)  Frieburg, Germany

.

Shift the Conversation: Community Health and

Wellbeing - AOHC 2017 Conference (2017, June 7-8),

Toronto, Canada:

         Rayner, J., and Zwarenstein, M. Innovation, 

         Research and Learning: Building a Learning Health

         System (learning session).

         

         Haj-Ali, W. and Rayner, J. Making use of data to 

         drive practice improvement (learning  session).

23  

 North American Primary Care Research Group

Conference (2016, Nov.12-16), Colorado, USA:

         Donald, F., Martin-Misener, R., Rayner, J. Patient 

         Characteristics and Other Factors that Influence 

         Nurse Practitioner Patient Panel Size. Oral   

         Presentation. 

         Rayner, J., Muldoon, L., Bayoumi, I., Tharao, W.,

         McMurchy, D. Community Health Centres:

         Creating a Roadmap to Improved Health and 

        Wellness. Poster Presentation. 

         Rayner, J. Donald, F., Glazier, R. Understanding

         Activities for NPs in Ontario: A Comparison of

         Standardized Data Reporting, Time and Motion 

         Data and Focus Group Results. Poster 

         Presentation. 

        Martin-Misener, R., Rayner, J., Donald, F. 

        Perspectives of Primary Care Team Members on  

        Factors that Influence Nurse Practitioner Activities 

        and Patient Panel Size. Oral Presentation

Conference Presentations

Association of Ontario Health Centres, Annual General

Meeting (2016, June 8-9) Toronto, Canada:

          Rayner, J. Key Note Address. An Evidence based  

          Model of Health and Wellbeing: Deliver, 

          Demonstrate, Communicate!

         

          Rayner, J. & Kroeker, A. Understanding Health 

          Inequities and Access to Primary Care in the SW 

          LHIN.

         

 Association of Family Health Teams 2016 Conference

(2016, Oct. 17-18), Toronto, Canada. Rayner, J. &

Kroeker, A. Understanding Health Inequities and Access

to Primary Care in the SW LHIN. 

Association of Family Health Teams 2016 Conference

 (2016, Oct. 17-18), Toronto, Canada: Rayner, J.

Understanding NP activities in Family Health Teams: A

tale of three data sources. Leading primary care to

strengthen a polpulation-focused health system. 

24  

Students

Victoria Jean Howgego, Masters of Nursing, Western

University, Summer Practicum Student "Ontario

Community Health Centres:The Future of Primary Care "

Sydney Jopling, Masters student at IHPME, UofT. Co-

supervised by Jen Rayner "An interprofessional

team-based primary health care program for patients

with complex health and social needs: impact

on health services utilization"

Natasha Tobias, MPH stdent, Western University

Summer Practicum Student "Operationalization of

Community Governance at the CHC level"

Usman Khan, MPH stdent, Western University, Summer

Practicum Student "Evaluation of Mental Health and

Addictions services offered at CHCs"

Jacqueline Kueper PhD student, Epidemiology &

Biostatistics, Western University PhD student, working

on LeHSON project "Learning Health System for Ontario

Primary Care (LeHSOn-PC)"

25  

Rebecca Lyon, Masters of Public Health, Dalla Lana

School of Public Health, UofT. Practicum student

"Case study on the oprtationalization of the MHWB at

Wellfort CHC"

Nicole Pilato Masters of Nursing, Western University

Summer Practicum Student "Social Isolation

Screening Tool"

Julia Fusrova, PhD, York Unviersity, Faculty of

Environemtnal Studies. Knowledge Management

internship student "Evaluating the evaluation:

what works, for whom and when"

Anum Khan, PhD,  University of Toronto "Managing

multi-morbidity in primary care: Examining integration

efforts within and across organizational boundaries"

Amanda Arsenault Masters of Nursing, Western

University. Summer Student "Evaluation Framework

for a primary care outreach project for Migrant

Workers ‘Truly Green’"

500-970 Lawrence Ave. W.

Toronto, ON, M6A 3B6

To learn more about the Alliance and get involved:

 www.AllianceON.org

www.facebook.com/AllianceON

www.twitter.com/AllianceON

416-236-2539

Prepared by: Rafal Ramzi