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:

Evaluative findings from the AHC Collaborative

Held December 11, 2015

On December 11th, join AHC Lead Faculty, Jean-Louis Denis and CFHI’s Senior Improvement Lead, Claudia Amar as we explore CFHI’s approach to evaluating and capturing key results from the Atlantic Healthcare quality improvement collaborative. This session will provide particpiants with:

  • An overview of the approach used to support design elements of the collaborative
  • Examples of success factors for delivering high-impact collaboratives
  • Approaches to employing measurement and evaluative frameworks for monitoring and tracking targets, data collection and feedback as part of quality improvement collaboratives
  • Reflections on the key levers that enable and accelerate healthcare improvement


Claudia Amar, RN, BScN, MHA, joined CFHI in 2012 and brings six years of nursing experience, including three years as a COPD clinical case manager at the Centre Hospitalier de l’Université de Montréal (CHUM). Claudia continues her work in COPD as the co-lead of the INSPIRED Approaches to COPD Care: Improving Care and Creating Value Collaborative - a spread collaborative supporting 19 teams from every province across Canada.

She is also the project lead of the evaluation for CFHI's Atlantic Healthcare Collaboration in Chronic Disease - in addition to co-designing and implementing the evaluation, Claudia offers support to the teams involved from across Atlantic Canada. Another noteworthy project is Claudia's leadership of CFHI’s organizational self-assessment tool, Accelerating Healthcare Improvement: CFHI’s Assessment Tool. Claudia holds a Master of Health Administration from the University of Montreal and is also a graduate of the University of Montreal School of Nursing.

Jean-Louis-DenisJean-Louis Denis, PhD, Jean-Louis is a member of the Royal Society of Canada, fellow of the Canadian Academy of Health Sciences and chair of the advisory board of CIHR’s Institute of Health Services and Policy Research. He was the founding academic coordinator of the FORCES/EXTRA initiative from 2003 to 2007, a training program which aims at developing Canada’s health managers’ competencies in research use. Jean-Louis is the Lead Academic Faculty for the Atlantic Healthcare Collaboration. Areas of expertise include organizational theories, organizational change and innovation, governance, healthcare reforms and medical and professional leadership. Since January 2014, Jean-Louis is an International visiting fellow at the King's Fund (London, UK) for an initial period of two years.


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.