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Introduction: Engagement is defined as patients, families, their representatives, and health professionals working in active partnership at various levels across the healthcare system to improve health. Engagement is identified as a cornerstone in the planning, delivering, and evaluating of integrated care networks (partnerships between organisations to meet health needs across an area, to coordinate services and to plan in a way that improves population health and reduces inequalities). Engagement however is still a novice area that is conceptualized in various ways by researchers and integrated care networks. Engagement can be influenced by organizational culture & structure, readiness, history, funding, and policies.Aims, Objectives, Theory or Methods: In 2019, the Ministry of Health and Long-term care in Ontario, Canada, announced the Ontario Health Teams as an innovative integrated care network model to deliver integrated person-centred care to Ontarians. Engagement with individuals, their caregivers and the community at large was among the main pillars of this innovation. The aim of our study was to evaluate via a multi-level case study in one OHT in Ontario the engagement strategy, activities and impact. A co-design approach was utilized in this case study where patient and caregiver advisors co-planned all the details of the case study and were co-investigators as well.Highlights or Results or Key Findings: The case study has three levels of inquiry, a network level, an organization level, and a person level. The network level will be explored via document analysis related to the development and operation of the Patient and Family Advisory Council as well as interviews with its members. At the organizational level, we are exploring the readiness of each organization within the network to patient and caregiver engagement utilizing the Measuring of Organizational Readiness for patient Engagement (MORE) survey. This is going to be followed by interviews with representatives from partner organizations within the network to explore their history and capacity for engagement. The person level will unveil the impact of the engagement on patients, caregivers and providers utilizing the Public and Patient Engagement Evaluation Tool (PPEET).The study is in progress and the findings will be available for the conference in May.Conclusion: To date research around engagement within integrated care networks has been largely focused on planning. The proposed co-designed evaluation has the potential to improve implementation and outcomes of engagement by highlighting the case of one network who committed to engagement from the early days of its creation.Implications for applicability/transferability, sustainability, and limitations: Given the comprehensiveness of this case study, the results can inform other related initiatives on how to a) assess the readiness of various partners within a network to implementing engagement strategies, b) barriers and facilitators to implementation and operationalization and c) impact of engagement on patients, caregivers, and providers. |
