Home is Where the Health is: Scaling up INSPIRED approaches to COPD care 

Across Canada today, an estimated 800,000 Canadians live with chronic obstructive pulmonary disease (COPD). This population is among the highest users of hospital care in Canada and the situation is expected to worsen, as one in four Canadians is set to develop the disease in their lifetime.

In 2014–15, CFHI worked with 19 teams from healthcare organizations in all 10 provinces in an improvement collaborative that aimed to transform care for people living with COPD and support their caregivers.

CFHI is now launching a new scale collaborative to build on the success of the first improvement collaborative and expand already-implemented INSPIRED approaches.

The call for applications is now closed. CFHI will communicate directly with all applicants. A merit review will take place and teams will be announced in the coming months.

INSPIRED COPD Scale Collaborative



The INSPIRED COPD Outreach ProgramTM was developed by Dr. Graeme Rocker and his team at Capital Health (now the Nova Scotia Health Authority) in Halifax. INSPIRED is a hospital-to-home model of care, providing specialized support for patients living with moderate to severe COPD and their families.

Services include self-management education, action plans, psychosocial and spiritual care support, and advance care planning.

Scaling up

CFHI is launching a scale collaborative to provide support for up to six health regions, jurisdictions or systems to expand already-implemented INSPIRED approaches that have demonstrated significant improvements in patient-reported, clinical and health system outcomes to date.

The INSPIRED scale collaborative will help healthcare organizations across Canada to identify and reach all patients within their jurisdiction who stand to benefit, as well as to ensure that all providers who could deliver INSPIRED have the capacity and skills required to do so. Scaling up will create more equitable access to improved quality of care for patients living with advanced COPD and their families.

CFHI is focusing on shifting care from acute- to home- and community-based settings. The scale collaborative will support this shared federal/provincial/territorial priority by reducing the number of patients in hospital who could be better cared for at home or in the community.

INSPIRED Scale Collaborative Prospectus »

Informational Webinar

What does it mean to scale up INSPIRED?

  • It means looking across an entire system, identifying the population that stands to benefit from INSPIRED, and outlining a plan for reaching them.
  • It means developing partnerships across sectors.
  • It means considering how to develop the skills of new providers or expand the reach of existing providers to deliver INSPIRED.

INSPIRED Resource Hub

INSPIRED Resource Hub logoVisit our INSPIRED Resource Hub, where healthcare leaders, providers, patients and families can find resources on shifting COPD care from hospital- to home- and community-based models. Look for resources on self-management education, action plans, advance care planning, and evaluation for quality assurance. Browse resources on the INSPIRED Resource Hub »



INSPIRED COPD Outreach Program™ Change Package: Implementing an INSPIRED Approach to Care for Patients Living with Advanced COPD

This change package outlines all the components of the INSPIRED COPD Outreach Program™ and provides resources, tips and a suggested measurement approach. Download the INSPIRED Change Package »