Improving the Patient Experience through an Integrated Ambulatory Musculoskeletal Care Model

May 15, 2013
12 pm to 1:00 pm ET


Located in downtown Toronto, the Holland Orthopaedic and Arthritic Centre of Sunnybrook Health Sciences Centre is the largest hip and knee joint replacement centre in Canada, performing over 2,200 procedures annually. In 2006, the leadership team identified a critical need for restructuring the traditional model of care delivery. Major system-wide changes were implemented that reconfigured how patients with hip and knee arthritis access care; a key element is the role of the Advanced Practice Physiotherapist in referral management and post operative follow up. This team-based model of care has won prestigious awards from the Ontario Ministry of Health and Long Term Care in 2007 and the Canadian College of Health Service Executives 3M Award in 2010. Key components have now been transferred to the shoulder and spine specialty clinics. Due to its impact, the model has been adopted by other sites across Canada and garnered international interest.

On May 15th, please join Dr. Jeffrey Gollish, Deborah Kennedy and Susan Robarts, who as a team have led the system-wide changes that were required to improve access and quality of care for patients, in a live discussion!

Guest Speakers:

Jeffrey Gollish, BASc, MD, FRCSC

Dr. Jeffrey Gollish is an Orthopaedic Surgeon at the Holland Centre where he is Head of the Arthroplasty Program and Medical Director. Dr. Gollish has championed the role of the Advanced Practice Physiotherapist and team-based model of care among his colleagues and decision-makers across Canada.

He has a keen interest in improving care processes for the hip and knee arthroplasty population including the development and implementation of standardized care pathways and protocols. An accessible leader, he has motivated and inspired Holland Centre multidisciplinary teams toward innovative patient care solutions.

Dr. Gollish’s surgical subspecialty interests are in complex/revision hip and knee replacement, and less invasive techniques in joint replacement. His research has investigated: the impact of surgical techniques and peri-operative care protocols on functional outcomes; the role of multimodal analgesia in improving short and long term outcomes following hip and knee replacement; and the impact of new models of care on patient wait times.

Deborah Kennedy, MSc, BScPT

Deborah is the Manager of Rehabilitation and Program Development at the Holland Centre. She was a key driver in the development and implementation of the Hip and Knee Arthritis Program. Deborah leads the inter-professional team toward excellence through continual program evaluation, quality assurance initiatives and individual mentoring. She has a Master’s Degree in Clinical Health Sciences and is a recognized expert in outcome measurement with numerous publications pertaining to the arthroplasty population. More recently, her research interests have focused on the evaluation of new models of care.

A physiotherapist by background, Deborah is an Assistant Clinical Professor in the School of Rehabilitation Science at McMaster University and an Instructor in the Department of Physical Therapy at the University of Toronto. She is a tireless advocate for optimizing the patient experience.

Susan Robarts, MSc, BHScPT, BSc

Susan Robarts is an Advanced Practice Physiotherapist and the team’s clinical supervisor at the Holland Centre. As part of the leadership team, Susan created the role and became the first Advanced Practice Physiotherapist in the Hip and Knee Arthritis Program developing the core clinical elements. She was instrumental in managing change throughout the program’s evolution and led the transfer of key elements to the Shoulder and Spine Program.

Susan holds a Master's of Science degree from Queen's University; she has co-authored several papers and delivered presentations on the subject of development, implementation and evaluation of the role and impact on care. Susan’s vision for healthcare sees professionals working to their full scope of practice to optimize patient care and create system efficiency.


Maria Judd, Senior Director, Corporate Innovation and Development, CFHI

As Senior Director, Corporate Innovation and Development, Maria Judd is responsible for developing and implementing strategies, programs and activities in support of CFHI’s mission, and leading business development initiatives. Maria’s passion for healthcare improvement has evolved from her diverse roles within the health system, such as a community health centre board member, clinician, program manager and researcher. She has extensive experience in knowledge transfer and exchange, establishing and promoting new ventures, creating education programs, developing clinical practice guidelines and convening expert groups.

Prior to joining CFHI in 2005, Maria worked in a variety of health-related organizations. As the best practices program manager for the Canadian Physiotherapy Association, she designed a program of activities to support evidence-informed practices among members and their colleagues. She also coordinated the Cochrane Collaboration’s Musculoskeletal Group at the University of Ottawa where much of her work focused on the development of evidence-based resources, such as systematic reviews, and supporting knowledge translation activities. Maria holds a Master of Science in Epidemiology and Community Medicine from the University of Ottawa and a Bachelor of Science in Physical Therapy from the University of Toronto.