CFHI On Call Webinars

The Triple Aim for Patients with Complex Care Needs: Canadian Lessons

Held November 20, 2014

The second of 4 webinars in our Caring for the 5% Webinar Series.


How can your organization improve care for complex and high-cost patients?

Developed by the Institute for Healthcare Improvement, the Triple Aim framework is garnering attention worldwide as a promising quality improvement (QI) approach to tackling inappropriate use of healthcare services and poor coordination of care. Most recent applications of the Triple Aim address the ‘top 5%’ high risk/high cost (HRHC) patient population that consumes an average 65% of healthcare spending.

The Canadian Foundation for Healthcare Improvement has supported two cohorts of Canadian teams enrolled in IHI’s Triple Aim Collaboratives. These Canadian teams have demonstrated improvements in the areas of: care optimization, care coordination, preventive health and efficient use of specialty care.

This interactive webinar will share results of a summative evaluation of the 1st cohort of Canadian teams enrolled in IHI’s Triple Aim Improvement Community and feature the story of how Alberta Health Services, Edmonton Zone, is using the Triple Aim to improve the health and experience of care for HRHC populations while lowering the per-capita cost.

Learning Objectives:

  1. Learn the requirements – including leadership, culture and improvement capability – to deliver on the Triple Aim promise.
  2. Learn how to design and implement Triple Aim projects to drive systemic quality improvement.
  3. Learn how one healthcare delivery organization in Canada is interpreting and applying the IHI Triple Aim for HRHC.

Speaker Biographies:

Elina FarmanovaElina Farmanova, BSc, MSc, PhD (ca), Improvement Lead, CFHI

Elina is an Improvement Lead with the Canadian Foundation for Healthcare Improvement. In this position, Elina works closely with teams of healthcare and other professionals across Canada and the U.S. to promote the organizational concept of Triple Aim and introduce incremental improvements in the organization and delivery of healthcare services. Elina supports her work with an extensive knowledge and more than ten years of applied health systems research experience with a particular focus on primary healthcare and the provision of mental health services. Her work included extensive evaluation and improvement projects and programs across the continuum of care related to producing positive health outcomes for individuals and communities. Elina has a background in life sciences from Azerbaijan State University and the Washington University in St. Louis, and is currently working to complete her doctorate in population health with the University of Ottawa. Her academic research work is closely related to utilizing the concept of health literacy to empower language minority populations to foster sustainable disease prevention and health promotion practices as well as to improve communication during clinical encounters between healthcare providers and patients.

Eric VanSpronsenEric VanSpronzen, a Primary Care Manager in the Primary Care & Chronic Disease Management department

Eric VanSpronsen has 15 years of experience working in community. He has worked with Cree and Inuit communities of northern Quebec, rural communities in western Uganda, as well as multiple communities across Alberta. His work has related to empowering community stakeholders to develop, implement, evaluate and improve projects and programs related currento producing positive health outcomes for individuals and communities. This work has spanned the fields of environmental health, public health, and most recently includes primary health care.

Currently, Eric is a Primary Care Manager in the Primary Care & Chronic Disease Management department of Alberta Health Services, Edmonton Zone. As the Measurement Lead for the Alberta Health Services, Edmonton Zone Triple Aim Initiative Eric works collaboratively with the Project Teams and the Measurement Improvement Team to measure the impact of the initiative on population health, experience of care and reduced costs. He also works with these same players to determine how this information can be used to inform practice changes that more effectively serve the Project Team clients. Clients for this work are part of the complex, high needs population in an area of Edmonton, Alberta that has the highest acute care utilization, lowest health status and highest exposure to poverty and homelessness in Alberta.

His interest in collaborative and shared measurement is grounded in the excitement felt in the room when people see their work has had an impact in areas that matter to them.


Stephen Samis imageStephen Samis, Vice-President, Programs, CFHI

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Jennifer VermaJennifer Verma, Senior Director, Collaboration for Innovation and Improvement, CFHI

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