The emergence of Ontario Health Teams (OHTs) may one day be seen to be as landmark a development in Ontario’s health system as the introduction of universal coverage for hospital-based and physician-provided care. OHTs will not achieve their desired impacts on their own. They will need to learn rapidly from one another and from those who’ve succeeded (and failed) in similar work outside Ontario. They will also need to improve rapidly and share their successes (and failures) with others. As part of the ministry’s OHT Central Program of Supports, RISE will provide support for rapid learning and improvement by OHTs.
Rapid learning and improvement involves six steps:
- identifying a problem (or goal) through an internal and external review
- designing a solution based on data and evidence generated locally and elsewhere
- implementing the plan (possibly in pilot and control settings)
- evaluating to identify what does and does not work
- adjusting, with continuous improvement based on what was learned from the evaluation
(and from other OHTs’ evaluations)
- disseminating the results to improve the coverage of effective solutions across the health system.
OHT building blocks
OHTs will initially need to learn and improve rapidly in the design of each of the eight OHT building blocks (which correspond to the OHT requirements in the ministry’s original guidance document). Designing these building blocks will require strategic choices in 58 domains. The eight building blocks and their associated domains are described in the RISE brief about OHT building blocks (and are illustrated in the figure below).
OHTs will also need to learn and improve rapidly in harnessing these building blocks to achieve specific targets related to the care experiences and health outcomes for their year 1 priority populations. They can then build on these experiences in steadily expanding their priority populations in later years, with the goal of eventually optimizing care experiences and health outcomes for the entire population in their community.
Figure: OHT building blocks, related domains, and links to the OHT full application form (click to expand)
To dive a bit deeper into the RISE supports that are already available (or soon will be available), click on ‘Access resources.’