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Table 3 Key events between initiation and sustainability of PP

From: Partnering with patients in quality improvement: towards renewed practices for healthcare organization managers?

 

Case 1 – Mental Health

Initiation

2013–2014

• Initiation of Partners in Care Programs in two clinical teams

• Initiation of a large-scale partnership approach in the HCO

• Department of research and professional practices responsible for implementing the PP

• Recruitment of a PA to help the department structure and implement PP activities

Deployment

2015

• Development of a reference framework for PP and elaboration of a logic model to organize the integration of PAs in QI

• Development of a five-step process for involving PAs in QI

• Presentations on PP made at different levels of the HCO and explanatory documents of the PP approach

• Mental health team completed two QI cycles with two PAs and support from UofM

Sustainability

2015–2017

• HCO merged with eight other HCOs following Quebec healthcare system reform

• CEO decided to continue and adapt the PP approach in the new HCO

• Quality department responsible for implementing PP

• Mental health team completed seven QI cycles with PAs and 200 PAs involved in several QI activities at different levels within the HCO