Grant: Catalyst Grant: Quadruple Aim and Equity

Fragmented organization of healthcare delivery is inappropriate for older adults with multiple health conditions and negatively affects equitable access to healthcare. With the introduction of Ontario Health Teams (OHT) we now have a platform for the implementation of innovations to support integrated and equitable care and achievement of the Quadruple Aim components. The principal aim of this project is to systematically evaluate the year-one implementation of a primary care-based innovation - referred to as the ELEVATE innovation - designed to support integrated transitional and care in the home for community dwelling older adults with multiple chronic conditions in two primary care practice sites in Ontario. A secondary aim is to create a platform for long-term evaluation and spread within other OHT and jurisdictions. This project builds upon foundational work with this project team and partners within our local OHT to co-design the proposed ELEVATE innovation. Findings from this study will be relevant to other primary care practices across Canada and will inform evidence-informed implementation and evaluation strategies for complex healthcare system interventions.