CIHR – Catalyst Grant: Quadruple Aim And Equity – Application
Well-being, Health and Biomedical Discovery
Deadlines
Academic Unit: Inquire within your unit
Memorial Deadline: Thursday 21st, October 2021
External Deadline: Tuesday 26th, October 2021
Description
The CIHR Institute of Health Services and Policy Research (IHSPR) has identified “Accelerate the discovery of innovations that transform health care delivery systems to achieve the Quadruple Aim and improve health equity for all” as a core priority in its new 2021-2026 strategic plan. The Quadruple Aim is centred on four overarching goals to redesign health care systems: improve the patient experience of care; improve the health of populations; improve the health care provider experience; and improve value for money. IHSPR has placed health equity at the centre of these aims to encourage that all improvement and transformation efforts are done with a view to improving health equity for all. Strengthening Canada’s health systems through innovation and health equity also feature prominently in CIHR’s new strategic plan.
Research has a critical role to play in accelerating the identification, implementation, evaluation and spread of health care delivery system innovations with the greatest potential to achieve the Quadruple Aim and health equity for all. In recent years, several Canadian provinces and territories have made significant changes to the financing, governance, funding and delivery of health care services. Select examples of these changes include the shift away from regionalized towards centralized governance models of healthcare delivery, implementation of integrated care delivery systems, interdisciplinary team-based models for primary health care delivery with incentive-based funding and, most recently, large-scale implementation of virtual health care services in response to the COVID-19 pandemic. Oftentimes, these types of macro/meso-level delivery system innovations are implemented with limited evidence and are not rigorously evaluated based on outcomes achieved. They are sometimes implemented as pilot programs that remain local or limited in scope even when their outcomes are positive. It is challenging, therefore, for health care decision makers to decipher which delivery system innovations hold the greatest potential to achieve the Quadruple Aim and improve health equity for all, how to spread and scale successful innovations, and how to adapt them to their own settings and contexts.
This opportunity supports one-year knowledge creation and knowledge implementation projects (see below), grounded in an integrated knowledge translation (iKT) approach, (i.e., where knowledge users are engaged in the entire research process) aligned to one or more relevant research areas.
- Knowledge creation grants:
- Knowledge synthesis projects that synthesize the evidence from qualitative, quantitative and/or multi-method research and provide decision makers with high-quality, timely, accessible and relevant evidence to inform policy/practice; or
- Comparative policy analysis projects that analyze, from a cross-jurisdictional perspective, the innovations and their implications (positive, negative, intended and unintended) and provide decision makers with high-quality, timely, accessible and relevant evidence of implementable, system-scalable innovations; or
- Evaluation grants that evaluate the impact of delivery system innovations on the Quadruple Aim goals and health equity.
- Knowledge implementation grants:
- Scale and spread grants that support the development of strategies to adapt innovations that have been shown (with supporting evidence) to accelerate achievement of the Quadruple Aim and health equity for all to new sites, settings, and/or populations; or
- Focused implementation grants that support evidence-informed implementation and evaluation of an innovation designed to accelerate achievement of the Quadruple Aim and health equity for all, using appropriate implementation science methodologies.
All projects must be of high priority to the project’s policy and/or decision maker(s) and be designed to inform or advance their decision-making and identify policy and/or implementation considerations for the Canadian context. Projects are also intended to catalyze future research that is grounded in an iKT approach and can be pursued through CIHR’s Project Grant competition or other forthcoming strategic funding competitions.
Additional information can be found at ResearchNet.