A Collaborative Approach to a Chronic Care Problem:
Evaluative Results from the Atlantic Healthcare Collaboration

Le service d'interprétation simultanée est offert pour cette séance.


The Atlantic Healthcare Collaboration (AHC) for Innovation and Improvement in Chronic Disease is a prime illustration of the expression: “If you want to go far, go together.” At a time when health systems are striving to provide patient- and family-centred chronic care that meets people where they are, the Atlantic provinces came together to improve healthcare for people living with chronic disease through the AHC.

Facing escalating rates of chronic disease and rising healthcare costs, Atlantic regional health authorities – with endorsement from provincial departments of health – worked in partnership with the Canadian Foundation for Healthcare Improvement (CFHI) to make care more patient- and family-centred and sustainable. By creating a network of care teams that designed, implemented and evaluated chronic care improvements (focusing on diabetes, mental health, chronic obstructive pulmonary disease and multimorbidity), the AHC also provided organizations with the capacity to create disruptive change.

Join CFHI for a three-part webinar series where AHC improvement teams will share, through case examples, the process undertaken by clinicians and managers to shift from ‘usual’ care to good chronic illness care. Evaluative results from both the team and collaborative level will also be profiled, highlighting lessons learned from undertaking a cross-regional quality improvement collaborative.

Learning Objectives:

This series will feature results from four AHC teams that designed, implemented and evaluated improvement initaitives as well as highlight the evaluative approach taken to capture lessons learned and key results from the broader AHC collaborative. The series will: 

  • Demonstrate solutions for making the shift from disease-oriented care to patient- and family-centered care that meet people where they are
  • Profile the experience of teams scaling their improvement projects and spreading them across delivery systems
  • Assess strategies for motivating the clinical front-line to make disruptive change to improve chronic care for patients and families
  • Share key evaluative findings and approaches from both the team and collaborative level

Sessions in the series:

Lessons on self-management from Health PEI

Held October 21, 2015

On October 21, join one of CFHI’s coaches Michael Vallis, health psychologist with the Nova Scotia Health Authority, and the Health PEI improvement team for an interactive session that will provide participants with:

  • An overview of current challenges to providing self-management support and lessons learned on self-management support strategies from both an organizational and collaborative level
  • Case examples that articulate the process these organizations undertook to design, implement and evaluate their improvement projects
  • Strategies for enhancing skills and capabilities to motivate healthcare managers and the clinical front-line to make disruptive changes to improve chronic care for patients and families
  • Strategies for teaching self-care skills, to both patients and providers, and engaging patients and families in healthcare redesign and delivery


Michael VallisMichael Vallis Ph.D., R. Psych. is a registered health psychologist practicing at the Nova Scotia Health Authority - Central Zone, Halifax, and cross-appointed to Dalhousie University as Associate Professor in Family Medicine and Psychiatry and Adjunct Professor in Psychology and Health and Human Performance. He obtained his Ph.D. from the University of Western Ontario, London and his main area of expertise is in adult health psychology, with a clinical emphasis on diabetes, obesity, cardiovascular risk and gastroenterology. He has developed the Behaviour Change Institute, a training program for lifestyle counselling skills for physicians, nurses, dieticians and other healthcare providers. He regularly supervises clinical and academic students at Dalhousie and is active in research on motivation, behavioural change and adaptation to chronic disease. He is an Associate Editor of the Canadian Journal of Diabetes, is the Canadian Lead for the Diabetes Attitudes, Wishes and Needs 2 study (DAWN2), is the Canadian Co-Lead and on the International Steering Committee of the IBD Connect project. He is an academic mentor for the Canadian Foundation of HealthCare Improvement’s Atlantic Healthcare Collaboration and was recently awarded a Queen’s Diamond Jubilee Medal by the Canadian Diabetes Association.

Donna MacAuslandDonna MacAusland (Health PEI), is the Primary Health Care Program Development Lead with Community Health of Health PEI (includes primary care networks, public health and home care, geriatric and palliative care programs). Much of her current work is about building Primary Care and Chronic Disease Prevention and Management through collaborative relationships, teambuilding, integration of services and front-line training coordination. Previous work with government includes Primary Care Analyst, Provincial Project Lead/Coordinator for Primary (Health) Care Redesign, Manager of Primary Health Care Policy, Hospital Services Planner (air and ground ambulance), Coordinator in Long Term Care (public & private sectors), Health Human Resources Planner/Trainer, and Organizational Development Facilitator.


Meghan RossiterMeghan Rossiter, BPhil, MA, is Regional Liaison, Collaboration for Innovation and Improvement, Canadian Foundation for Healthcare Improvement, located in the Atlantic Provinces. She brings a background in qualitative research linked to effective governance and public policy theories, with professional interest in health systems. She is responsible for supporting CFHI’s Atlantic Healthcare Collaboration (AHC) and INSPIRED Approaches to COPD Collaborative as a main point of contact. Meghan holds a Bachelor’s degree in Interdisciplinary Leadership from the University of New Brunswick’s Renaissance College program and a Master of Arts in Public Administration from the University of Ottawa.