Background Content

Call to Action # 22: Health (18-24)

Transition In Care Initiative

July 16, 2019

IIPH supports the CIHR Transitions in Care (TiC) Initiative (CIHR, 2019b), which is co-led by ICRH, IHDCYH, IHSPR, IIPH in collaboration with IA, ICR, IGH and IMHA. Transitions in care are when transfer of responsibility and accountability for some or all aspects of patient care occurs among providers, institutions, and/or sectors (e.g., federal and provincial jurisdictions, or education, judicial and other environments). Our Canadian health systems are organized in a way that requires individuals to receive health services from a number of care providers, in a number of locations, leading to multiple transitions in care over time. This is especially true for individuals experiencing changes to their health status, as they grow older, experience a change in care need and/or have a change in their location of care. This initiative is a multi-Institute, multi-pillar and trans-disciplinary initiative that integrates CIHR’s commitment to the health and wellness of Indigenous Peoples, Sex- and Gender-Based Analysis, Training and Early Career Development, and Data Use and Management across three primary focus areas: across life’s trajectories; changing health status or care; and key populations to optimize transition outcomes.

TiC Initiative Objectives:

  • To inform actionable health system changes within the TiC focus areas through systematically identifying transition in care knowledge gaps and/or identifying effective evidence-based interventions and/or policies;
  • To address transition in care gaps and/or determine effectiveness of implemented activities through evaluation of existing evidence, policy and/or best and wise practices;
  • To address identified transition in care gaps at a local, regional and/or national level through identification, adoption, spread and scale, and iterative evaluation of evidence-based practices and/or solutions;
  • To improve quality of life, and support efficiencies and sustainability of health care delivery with a potential to stimulate economic growth and competitiveness through development, adoption, scaling and iterative evaluation of innovative policies and/or best and wise practices for transitions in care; and,

To achieve measurable and sustainable impacts in the health system, and for patients, through effective partnerships among researchers, health providers, patients, family, care-givers, agencies, government, industry and other relevant stakeholders.