Pilot project V1SAGES approach

Date

2022-2024

Partners

Ministère de la santé et des services sociaux du Québec
Centre d’expertise en santé de Sherbrooke
Unité Soutien SSA Québec
Nord-de-l’Île-de-Montréal regional health authority
Estrie regional health authority-CHUS

Aim

Pilot project for the implementation of a case management program based on the V1SAGES approach with the goal of considering scaling up.

Publications and presentations

Results

• Planning the scale-up of integrated care programs: A qualitative multiple-case study of case management for adults with complex needs in Quebec, Canada

Communication

• Planning scale-up of integrated care programs for people with complex needs: A multiple case study. Annual Conference of the North American Primary Research Group (NAPCRG) 2024.

Poster

• Successful organizational conditions and pitfalls of the implementation of a case management program for people with complex needs. North American Primary Care Research Group (NAPCRG) Annual Conference 2023.

Report

• Evaluation report on the pilot project to implement the V1sages approach. (French only)

Results

The present pilot study highlights factors affecting the implementation of the V1SAGES approach:

• Challenges in patient identification due to poor access to patient information and medical records, and multiple informatics platforms.
• Few or no interorganizational communication channels.
• A lack of case manager legitimacy and challenges in interorganizational collaboration, as well as variable medical leadership in primary care clinics.
• A need for individual and collective support for case managers, as well as organizational strategies to manage change.
• Difficulty in tracking indicators and ensuring provider accountability.

This study recommends:

• Developing a common information platform and planning case-finding to reach patients.
• Improving communication and information transfer across the organization to increase effectiveness.
• Promoting interprofessional collaboration and ensuring an appropriate method of remuneration to encourage uptake.
• Providing support mechanisms and planning change management to facilitate implementation.
• Organizing appropriate governance and establishing indicators and evaluation tools for maintenance.

Team

Principal investigators

Catherine Hudon, Professor, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke

Maud-Christine Chouinard, Professor, Faculty of Nursing, Université de Montréal

Co-investigators

Grégory Moullec, Professor, School of Public Health – Department of Social and Preventive Medicine, Université de Montréal

Lourdes Rodriguez del Barrio, Professor, School of social work, Université de Montréal

Project manager

Catherine Maisonneuve, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke

Research staff

Émilie Angrignon-Girouard, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke

Mathieu Bisson, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke

Alexandra Lemay-Compagnat, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke

Patient partners

René Benoit

André Gaudreau

Marie-Dominique Poirier

Implementation team

Emmanuelle Britton, Assistant Director, Professional Services and Clinical Relevance Department, Outaouais regional health authority

Édith Chartier, Head of Relevance and Frontline Access Department, Outaouais regional health authority

Chantal Lapierre, Program Administration Manager, Centre Jean-Jacques Gauthier, Nord-de-l’Ile-de-Montréal regional health authority

Giovanni Miliani, Prison Health Services and Chronic Diseases Coordinator, Nord-de-l’Ile-de-Montréal regional health authority

Professional and clinical staff

Marie-Thérèse Cazelais, Planning, Programming and Research Officer, Outaouais regional health authority

Sonia Tatta, Clinical nurse, Centre Jean-Jacques Gauthier, Nord-de-l’Ile-de-Montréal regional health authority

David Gourdes, Clinical nurse, Centre Jean-Jacques Gauthier, Nord-de-l’Ile-de-Montréal regional health authority