Bridge-to-Home Spread Collaborative: Partnering with Patients and Caregivers to Improve Quality and Patient Experience through Care Transitions

The Bridge-to-Home Spread Collaborative will advance the shared priority of enhancing home and community care by spreading evidence-based innovations that provide patients and families with the knowledge and confidence they need to manage their care at home or in the community.


Bridge-to-Home Spread Collaborative

What is the Bridge-to-Home Spread Collaborative?

Since 2010, CFHI has supported 51 improvement teams across Canada to build their capacity to meaningfully engage patients and caregivers together with providers and leaders to improve the quality and experience of care. Through this work, we know that patients and families bring new and different ideas than when providers are working on their own.

CFHI is launching a new, 17-month spread collaborative to improve the quality of care and patient and caregiver experiences of care during transitions from hospital to home. Using a quality improvement (QI) approach, improvement teams – comprised of patient and caregiver advisors, providers and leaders from hospitals, home and community organizations – will implement a patient-oriented care transitions bundle that focuses on what patients and caregivers want and need to increase their confidence for a safe transition from hospital to home.


Call for Applications 

CFHI is inviting teams across Canada to apply for the Bridge-to-Home Spread Collaborative taking place from September 2018 to January 2020.

Key Dates

Key Dates

  • May 30, 2018: Call for applications
  • May 30 – August 15, 2018: Pre-application informational calls available upon request
  • June 19, 2018: Informational webinar (Recording available below)
  • August 15, 2018: Deadline for submission of application (Bridge-to-Home Spread Collaborative Expression of Commitment)
  • Week of September 10, 2018: Communication informing teams of their selection
  • October 3, 2018: Orientation webinar (for selected teams)
  • October 22, 2018: Deadline for signed memorandum of understanding (MOU)
  • November 2018: Face-to-face workshop (for selected teams)
  • December 2018 – January 2020: Webinars and coaching

The Goals of the Bridge-to-Home Spread Collaborative

This 17-month spread collaborative will support up to 12 interprofessional teams to implement key domains of the ideal care transition from hospital to home, including discharge planning, timely and relevant information, patient and caregiver education, and post-discharge follow-up. This collaborative will also enhance partnerships within interprofessional teams, including patients and caregivers, hospital, home and community providers and leaders who will work together to adapt, design, implement and evaluate a patient-oriented care transitions bundle that responds to patient and caregiver needs and deepens their involvement as part of the circle of care.

The goals of the spread collaborative are to:

  • Improve the patient and caregiver experience of transitions from hospital to home/community care
  • Improve the confidence of patients (and caregivers) to manage their care as they transition to home
  • Improve provider experience of care
  • Reduce avoidable hospital readmissions
  • Enhance the ability of teams to effectively partner with patients and caregivers in improvement initiatives

This collaborative will advance the shared priority of enhancing home and community care by spreading evidence-based innovations that provide patients and families with the knowledge and confidence they need to manage their care at home or in the community.