Managing Multimorbidities: An Integrated and Collaborative Care Approach

June 18, 2014
12:00-1:00 PM ET


The number of Canadians who live with one or more chronic disease(s) is on the rise. Recent statistics show that 29% of Canadians report having one chronic condition, 15% have two, and 7% are affected by three or more.1  Managing the care of patients with multimorbidities (two or more chronic conditions) presents an important challenge to the healthcare system in Canada and the overall management of chronic disease. Current approaches are often fragmented and fail to offer an integrated approach to managing multiple conditions. As a result, clinical outcomes and patient experiences are often suboptimal. Better outcomes are possible through the use of integrated care approaches. This includes promoting interprofessional teams, teaching self-care skills (to both providers and patients), and engaging patients.

This On Call webinar looks at approaches to improve patient care as they travel through the system, focusing on collaborative interprofessional and patient-provider relationships. Join CFHI and guest speakers Dr. Michael Vallis, Associate Professor, Family Medicine, Dalhousie University and Dr. Tara Sampalli, Assistant Director, Quality and Research in Primary Healthcare, Capital District Health Authority, Nova Scotia.

Learning Objectives:

  • Learn about collaborative care models/frameworks to support patients with multiple chronic conditions (or multimorbidity)
  • Discuss the types of self-management skills that support and maintain a focus on patient care as they travel through the system
  • Explore strategies for strengthening patient centredness through system-level shifts and multiprofessional care teams


Michael-Vallis-125T. Michael Vallis, Ph.D., R. Psych.

Dr. Vallis is a registered health psychologist practicing at the Capital Health, 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.

SampalliTara Sampalli, Ph.D.

Dr. Sampalli holds the positions of Assistant Director for Quality and Research in Primary Healthcare, Capital Health and Assistant Professor of Medical Informatics at Dalhousie University. Holding a Ph.D. degree in Health Informatics, Dr. Sampalli effectively blends research with practice bringing the novel concept of “embedded research” into healthcare. Her research interests include chronic disease management and multimorbidities, integrated models of care, knowledge management and application of innovative IT solutions in healthcare. 


Erin-Leith-125Erin Leith, Director, Collaboration for Innovation and Improvement, CFHI


1 Health Council of Canada. How Do Sicker Canadians with Chronic Disease Rate the Health Care System? Results from the 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults. Toronto, Canada: Health Council of Canada; 2011.