| Abstrakt: |
Introduction: The Western Ontario Health Team (WOHT) is a newly formed entity aiming to support the primary and secondary healthcare needs of a population of over 514,000 in London-Middlesex, Ontario, Canada. Our first year priority population are adults with a primary diagnosis of advanced Chronic Obstructive Pulmonary Disease (COPD) and/or Congestive Heart Failure (CHF) in need of systemlevel care coordination or navigation, with special emphasis on patients who are at risk of institutionalization. Experience-based co-design and meaningful patient/client and caregiver engagement (guided by a Patient/Client & Care Partner Council) are embedded into all WOHT activities. Aims Objectives Theory or Methods: Through relationships with local patients/clients, caregiver partners, providers, and health system administrators, the co-design process is being used to collectively develop system improvement strategies. Co-design begins with recruiting a network of system stakeholders (i.e., patients/clients, caregivers, providers, system administrators), guided by an equity, diversity, and inclusion matrix to ensure representation aligning with the demographics of our local population. Discovery interviews are conducted with a subset of this network (n=40) to understand current health system experiences and opportunities for change. Findings from discovery interviews then inform broader co-design sessions with diverse stakeholder groups to co-define problems and codevelop solutions. Highlights or Results or Key Findings: Highlights and outputs of this process will include a summary of discovery interviews describing current experiences with regional COPD and CHF care, a set of co-defined problem statements with associated co-created solutions, and an implementation plan which the WOHT will implement through a plan, do, study, act (PDSA) approach. Priorities for co-creation include, but are not limited to, ensuring patients have access to a sustained care relationship, informing the development of a shared care record, and laying the infrastructure for patient individualized care plans. The co-design methodology and supporting materials including recruitment frameworks, co-design session planning guides, engagement matrices, and workplans will also be refined through this process and published. Conclusions: The WOHT embraces principles of co-design in all aspects of its system transformation agenda. This approach empowers patients/clients, care partners, providers, and administrators to drive health system change towards better outcomes. Lessons learned and materials developed through this process will inform other organizations in similar transformation activities. Implications for applicability/transferability sustainability and limitations: The co-design approach being used by the WOHT in its system transformation efforts will be scaled and repeated in additional populations. Lessons learned from this first co-design plan will be incorporated into future iterations. This approach can also be used by other regions for large-scale system planning and design purposes. [ABSTRACT FROM AUTHOR] |
