| Foreword |
| by Mark Poznansky, Ph.D., President, Robarts Research Institute |
xi |
| by Ross Tsuyuki, MD, BSc (Pharm), MSc, Pharm D, Director, The Epidemiology Coordinating and Research Centre (EPICORE) |
xv |
 |
| Acknowledgements |
xix |
|
| Introduction |
1 |
|
| Part 1: The Theory |
| Chapter 1: |
How We Got to Where We Are |
11 |
| Chapter 2: |
Defining Quality of Care |
25 |
| Chapter 3: |
The Care Gap and Its Causes |
35 |
| Chapter 4: |
The Prescribing Gap |
43 |
| Chapter 5: |
The Compliance, Concordance and Adherence Gaps: Challenges and Opportunities |
51 |
| Chapter 6: |
Access, Health and the Economy: Can We Afford Access Gaps? |
67 |
| Chapter 7: |
The Care Gap Gorilla: Bigger Gaps for Older Patients |
81 |
|
| Part 2: The Practice—Patient Health Management (PHM) |
| Chapter 8: |
Background and Rationale of Patient Health Management |
97 |
| Chapter 9: |
Learning Experiences: The Epidemiology Coordinating and Research Centre (EPICORE), the Heart Function Clinic and the Clinical Quality Improvement Network (CQIN) |
111 |
| Chapter 10: |
A Pivotal Experience: Improving Cardiovascular Outcomes in Nova Scotia |
143 |
| Chapter 11: |
Other Experiences in Patient Health Management |
165 |
|
| Part 3: What Have We Learned So Far? |
| Chapter 12: |
What Works: The Action Plan |
189 |
| Chapter 13: |
What Doesn't Work |
197 |
|
| Part 4: Vision for the Future |
| Chapter 14: |
The Strategic Alternatives |
203 |
| Chapter 15: |
Skate to Where the Puck Will Be: Wayne Gretzky's Strategic Plan |
213 |
|
| Appendices |
| Appendix A: |
Statement of Institutional Ethics |
221 |
| Appendix B: |
Management Guideline Template, Heart Function Clinic, circa 1994 |
224 |
| Appendix C: |
CQIN Mission, Goals and Objectives |
224 |
| Appendix D: |
Representative CQIN Partnership/Governance Structure |
225 |
| Appendix E: |
Physician Order Sheet for Management of Patients with Heart Attack from a Representative CQIN Hospital, circa 1992–1996 |
227 |
| Appendix F: |
ICONS Members and Affiliations |
228 |
| Appendix G: |
ICONS Care Map: Management of Anticoagulation in Atrial Fibrillation |
230 |
| Appendix H: |
ICONS Care Map: Management of Heart Failure |
231 |
| Appendix I: |
ICONS Standardized Discharge Order Sheet |
234 |
| Appendix J: |
ICONS Provider Newsletter |
235 |
| Appendix K: |
ROCQ Project Outline |
236 |
| Appendix L: |
CURATA Treatment Algorithm for Osteoarthritis Patients |
237 |
| Appendix M: |
Examples of Diabetes Hamilton Newsletters |
238 |
|
| Bibliography |
239 |
|
| Index |
247 |
