Project 465780

TRANSFORM HF, a strategic initiative of the Ted Rogers Centre for Heart Research, aims to empower collaboration and patient-driven equitable care. To leverage this priority, three core projects will be pursued: 1) integrating surveys that assess patient outcomes and experiences into into clinical practice, 2) evaluating patient experiences in digital health programs (Medly), and 3) assessing the four deployments of the Safe, Managed, and Responsive Transitions (SMaRT) Program that aims to use a nurse-led model of care for complex patients facilitated by technology. All projects will use patient engagement approaches to examine heart failure patient care experiences and use of digital health programs. The first project will use interviews to assess how surveys that assess patient outcomes and experiences can be integrated into clinical practice. These surveys have shown to be effective in improving patient health outcomes and helping providers to provide care. From this project, we can create tools that will help support the use of these surveys in practice to ground care in patient experiences. The second project will use interviews to assess patient experiences using Medly across varying communities. Medly has been shown to improve self-management and quality of life in patients. This project will help provide insight into how we can improve patient experiences across a variety of settings to increase equitable access to care. The third project will use interviews to assess and improve how the SMaRT program is delivered among diverse communities in Ontario. The SMaRT program's goal is to reduce hospital re-admissions and mortality. This project will help to provide information on how we can reduce barriers to care and optimal patient experiences across communities in Ontario.