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Canada’s Strategy for Patient- Oriented Research (SPOR) SPOR Network in Primary and Integrated Health Care Innovations (PIHCI) Programmatic Grants 1

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Canada’s Strategy for Patient-Oriented Research (SPOR)

SPOR Network in Primary and Integrated Health Care Innovations (PIHCI)

Programmatic Grants

1

Overview • Strategy for Patient-Oriented Research

(SPOR)

• PIHCI Network

• Programmatic Grants Funding Opportunity

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Strategy for Patient-Oriented Research (SPOR)

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Ensuring that the right patient receives the right intervention at the right time.

Objective

Foster evidence-informed health care by bringing innovative diagnostic and therapeutic approaches to

the point of care, so as to ensure greater quality, accountability, and accessibility of care.

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SPOR Principles

• Patients, decision-makers and clinicians need to be involved in all aspects of the research to ensure questions and results are relevant and ensure integration into policy and practice;

• Funding under SPOR is based on a 1:1 matching formula with non-federal government partners to ensure relevance and applicability;

• Effective patient-oriented research requires a multi-disciplinary approach; and

• SPOR is outcome driven and incorporates performance measurement and evaluation as integral components of the initiative.

Core Elements of SPOR

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Support for People and Patient-Oriented Research and Trials (SUPPORT) Units

SPOR Networks

Capacity development

Clinical Trials

Patient engagement

Pan-Canadian SPOR Network in Primary and Integrated Health Care Innovations

Distributed network of networks Strategic scope: delivery of primary and integrated health care (including primary prevention) both horizontally and vertically across the care continuum to address: • Individuals with complex needs across the life

course, including age groups from children to older adults; and,

• Multi-sector integration of upstream prevention strategies and care delivery models.

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Pan-Canadian Network Objectives

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• Create cross-jurisdictional opportunities to conduct research on the comparative efficiency, cost-effectiveness and scalability of innovative and integrated models of care that build on the foundations of CBPHC and facilitate transitions into and along the care continuum.

2 • Accelerate the timely investigation of new interventions and approaches in integrated care across multiple jurisdictions and sectors.

3 • Catalyze research on and scale-up of cost-effective and innovative approaches to integrated health care delivery.

4 • Support capacity building among researchers, clinicians, decision-makers and

citizens/patients/families for timely generation and use of integrated health care knowledge.

5 • Foster the exchange of information and evidence on successful and

unsuccessful interventions and innovative models of integrated health care across jurisdictions to inform policy development.

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AB Network SK

Network MB Network

ON Network

QC Network

BC Network

NS Network

Newfoundland and Labrador

Network

Network Leadership Council

and National Coordination NWT

Network

NB Network

PEI Network

Primary and Integrated Health Care Innovations (PIHCI) Network

Tripartite Leadership of PIHCI Networks / Leadership Council:

• Researcher • Policy/Decision Maker • Clinician • Patients (on Leadership Council)

Member Network Contacts

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N.B.: It is required that applicants interested in applying to this funding opportunity consult with the relevant member

networks prior to conceptualizing an application.

Province/Territory Manager

Province/Territory Manager

Newfoundland and Labrador

Nicole Porter [email protected]

Manitoba Gayle Halas [email protected]

Nova Scotia

Beverley Lawson [email protected] Sara Wuite [email protected]

Saskatchewan

Janice Braden [email protected]

Prince Edward Island Angela Riveroll [email protected]

British Columbia Melody Monro [email protected]

New Brunswick Andrea Elizabeth Bowes [email protected]

Northwest Territories Kimberly Fairman [email protected]

Quebec Danielle Schirmer [email protected] Shandi Miller [email protected]

Saskatchewan Janice Braden [email protected]

Ontario Dilzayn Panjwani [email protected] Ivy Wong [email protected]

Alberta Cliff Lindeman [email protected] Anh Pham [email protected]

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PIHCI Network Timeline

2015

2015-2016

Provincial/Territorial Networks Established Management & Operations Grants rolled out over the year to 11 networks Interim Leadership Council begins meeting to coordinate across networks – made up of all tripartite leads

2017 →

Leadership Council Established September Each network invited to nominate a primary and secondary member October Network meetings at SPOR Summit to formalize network structure November Inaugural Leadership Council Meeting

Fall 2016

Multi-year Funding Opportunity & Sustainability Larger 4 year programmatic grants to be launched and Network Coordinating Office established

Early 2017

PIHCI Network Funding Opportunities Quick Strikes, (initial) National Coordinating Office, Knowledge Syntheses and Comparative Policy Analysis grants rolled out, funding start dates between 09/01/15 and 12/01/16

Pan-Canadian Network Events Leadership Council supports process to update provincial priorities and collaborates to plan and host the PIHCI Research Day at the CAHSPR Pre-conference Day

PIHCI Network – Quick Strike Projects

Playing Telephone: Exploring the potential for interdisciplinary shared decision making for medication therapy in shared electronic health records

Let's Discuss Health: implementation and assessment in primary care of a web strategy to motivate patients to self-manage their health and support collaboration with health care providers

Evaluating the implementation and impact of an online tool used within primary care to improve the income security of patients with complex health and social needs in Ontario and Manitoba

Characterizing high system use across the primary-tertiary care continuum: parallel analyses of select Canadian health datasets

Improving End-of-life Care in the Community

Validation of Administrative and Primary Care Electronic Medical Record derived Frailty algorithms

Improving care and outcomes of patients with CKD managed in primary care

A Comparative Analysis of Centralized Waiting Lists for Unattached and Complex Patients Implemented in Six Canadian Provinces

Improving Outcomes for Youth with Type 1 Diabetes in Transition to Adult Care Through Strengthening Integration with Primary Care: An Exploratory, Cross-Provincial Study

Creation of a Comprehensive Health Profile of Children in New Brunswick and Prince Edward Island and Development of Intra-Provincial Population-Based Birth Cohorts

Children with complex health conditions: Let's learn who they are and their needs to better serve them!

Examiner les innovations pour soutenir les patients defavorises ayant des besoins de soins de sante communautaires complexes et integres

HOTSPOTTING: Identifying superusers of health care services with mental health and addiction problems

PIHCI Network – Comparative Policy Analyses

Integrating paramedics into primary care to optimize patient time in the community at end of life

Policies and program innovations that connect primary health care, social services, public health and community supports in Canada: A comparative policy analysis

What are the impacts of being formally enroled with a GP on continuity and integration of care? Evidence from a comparison of Quebec and British Columbia

PIHCI Network – Knowledge Syntheses

Integrating end of life care to help people stay in the community: The essentials for success

Case management in primary care to improve outcomes among frequent users of health care services with chronic conditions: a realist synthesis of what works, for whom and in what circumstances

Dimensions of Quality for Mobile Applications in Chronic Disease Management.

Interventions and Policies Influencing Primary Healthcare Professionals Managing Chronic Diseases: An Evidence Synthesis

Building Cross-Generational Wellness and Resilience in Multi-Generational Indigenous Households: A Scoping Review Identifying and Understanding the Health

and Social Care Needs of Older Adults with Multiple Chronic Conditions and their Caregivers: A Scoping Review

Evaluating the comparative effectiveness of comprehensive geriatric assessment for improving patient and healthcare system outcomes: A systematic review and network meta-analysis

Evaluation of primary health care integration strategies for adults with chronic health conditions: A systematic review

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SPOR PIHCI Network – Programmatic Grants

Objective

To support cross-jurisdictional programs of research that respond to the priorities of the Primary and Integrated Health Care Innovations (PIHCI) Network in order to generate findings that will guide evidence-informed policy decision-making, with the intent of having an impact on the health system for all Canadians within four years.

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Research Areas • Cross-jurisdictional research projects must respond to one

or more of the Network priorities, which were determined in consultation with the PIHCI member networks and their stakeholders.

• Research questions must focus on patients with complex needs across the life course (a relatively small subgroup of the population with high health needs that accounts for a significant amount of health care utilization and costs – from children to older adults)

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Funding Opportunity Timeline

Activity Date

Funding Opportunity Launch 2017-07-25

PIHCI Network Common LOI Deadline 2017-08-11

CIHR Letter of Intent Deadline 2017-09-26

Application Deadline 2017-11-28

Anticipated Notice of Decision 2018-02-28

Funding Start Date 2018-01-01

CIHR Deadline Network Deadline

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PIHCI Network Common Letter of Intent (LOI)

Accessible at: https://goo.gl/FcRaCj (in Eng and Fr) Purpose: to access PICHI Network resources

• Developmental support from PIHCI member networks • Letters of Support from member networks • Matching funds from some member networks

Developmental support examples • Facilitate cross provincial partnerships • Provide patient feedback on early draft of proposal • Assistance in applying for/finding matched

contribution • Alignment of network priorities

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PIHCI Network Common Letter of Intent (LOI)

... Cont’d Content:

• List of each member of the project team indicating researcher, clinician, policy maker, or patient;

• Identification of how the application aligns to PIHCI Network priorities in each participating jurisdiction;

• Project title; • Brief description; • Indication of non-federal matching fund sources; • Identification of established cross-jurisdictional

collaborations; • Description of intersectoral and interdisciplinary project

components; and • Details of the patient/community engagement plan.

• Total amount available from CIHR is $4,000,000 (approximately four (4) grants).

• The maximum amount per grant is $250,000 per year for up to four years for a total of $1,000,000.

• Only one project may be funded per grouping/combination of jurisdictions. An exception will be made in the event that there are no remaining un-funded applications in the fundable range.

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Funding under SPOR is based on a 1:1 matching formula with non-federal government partners to ensure

relevance and applicability.

Funds Available

Eligibility • The Nominated Principal Applicant (NPA) must

be an independent researcher or knowledge user affiliated with a CIHR eligible institution.

• All research projects must be cross-jurisdictional in scope:

A minimum of four member networks must be involved

A letter of support from the tripartite leadership of each member network involved is required if one of the leads is not listed as a Principal Applicant.

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Eligibility (Continued)

• Each member network involved must have at least one Principal Applicant or Knowledge User listed on the application

• Patients must play a key role on the research team; a minimum of one Principal Applicant or Principal Knowledge User must be a patient

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Application Process • Please read all instructions in THE FUNDING OPPORTUNITY to

familiarize yourself with the application process before applying.

• An overview of CIHR’s application processes can be found under Application Process.

• The application process for these funding opportunities is comprised of two steps: LOI and Application.

• To complete your Letter of Intent and full application, follow the instructions in the Grants – Application Guidelines along with any additional instructions found below under “Specific Instructions

• All participants listed (other than Collaborators) will require a CIHR PIN.

• Reminder to applicants: Please ensure that your application is complete (includes all required signatures) and is submitted on time to CIHR. 23

Evaluation Criteria To support the strategic objectives of this funding opportunity, the *following factors will be considered:

1. Research Approach 2. Potential Impact 3. Patient Engagement and Partnership

*Please review the funding opportunity for the detailed evaluation criteria

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Peer Review • The peer review committee will be created

specifically for this funding opportunity.

• Multidisciplinary International panel Members will include, but are not limited to, patients, patient engagement experts, researchers, health professionals and policy makers.

• For further information on CIHR’s peer review principles, see Peer Review: Overview section of CIHR’s website.

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For more information

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For all questions on the Funding Opportunity and How to Apply:

CIHR Contact Centre Telephone: 613-954-1968 Toll Free: 1-888-603-4178

Email: [email protected]

For questions related to Network proposal development and support :

Contact the manager of the member network

(contact info on Slide 9)