Knowledge to Action
Building a knowledge infrastructure to support evidence-informed health care decision making: a collaborative approach between the Champlain Local Health Integration Network (LHIN) and the University of Ottawa.
The Champlain LHIN is one of 14 newly established regional health care systems in Ontario. It has the responsibility to effectively plan, coordinate and fund health systems for a population of 1.1 million citizens living in diverse settings. One of the major challenges it faces is the development of knowledge capacity and infrastructure to support evidence-informed decision making.
The Ottawa Hospital Research Institute and University of Ottawa has a concentration of expertise in the areas of information retrieval, knowledge synthesis and knowledge translation. It houses the University of Ottawa Evidence based Practice Centre, the Canadian Cochrane Network and Centre, four Cochrane entities, two CIHR Evidence on TAP centres, a CIHR knowledge synthesis capacity building program, and has internationally recognized knowledge translation researchers.
The overall objective of the CIHR-funded Knowledge to Action research program is to build a partnership between the Champlain LHIN and applied health researchers at the University of Ottawa (UofO) and Ottawa Hospital Research Institute (OHRI). In particular, the program seeks to develop and assess the impact of a regional knowledge infrastructure that supports evidence-informed decision making by managers and stakeholders of the Champlain LHIN.
Our partnership will address 2 key components of a regional knowledge infrastructure through a series of push and pull activities:
Knowledge intelligence services (push activities)
- Rapid Response Service: identification of relevant knowledge syntheses,
studies and literature and a summary of the evidence that addresses topics submitted from managers and
decision makers within the LHIN.
Evidence summaries produced by the KTA team to-date are:
- Health Services in the 21st Century
- Electronic Health Records (EHRs)
- Post Partum Care for Gestational Diabetes Mellitus (funded by the Ontario Ministry of Health and Long Term Care and the Champlain LHIN)
- Timing of Elective Repeat Cesarean Section
- What is known about options and approaches to intrapartum management of women with gestational diabetes mellitus (GDM)? (funded by the Public Health Agency of Canada in collaboration with The Ottawa Hospital)
- Pedometer-based Interventions to Reduce Risk for and Manage Chronic Disease
- What are the drivers of in-hospital formula supplementation in healthy term neonates and what is the effectiveness of hospital-based interventions designed to reduce formula supplementation?
- What is known about 3rd and 4th degree lacerations during vaginal birth?
- What is known about the maternal and newborn risks of non-indicated induction of pregnant women at term?
- What is the evidence of the effectiveness and safety of emergency department short stay units?
- What input and output variables have been used in models of patient flow in acute care hospital settings?
- What are the maternal and newborn outcomes associated with episiotomy during spontaneous vaginal delivery?
- What is the evidence supporting universal versus risk-based maternal screening to prevent group B streptococcal infection in newborns?
- Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners
- Evidence map of physical activity and exercise interventions for the treatment of chronic diseases
- Horizon Scanning Service: to provide a knowledge horizon scanning service that will identify relevant knowledge syntheses and key articles addressing the self-identified interests of managers and decision makers and push out information to these decision makers.
Capacity building in evidence-informed decision making (pull activities)
The partnership will provide workshops for LHIN management addressing the principles of evidence-informed decision making. Workshops will focus on the contribution of research evidence to policy and decision making, how to identify and appraise sources of evidence and how participants can make use of the knowledge intelligence services.
Curriculum content will be adapted to a specific research question (e.g. diabetes management) identified by the LHIN as timely and relevant. Workshops will be resourced by OHRI researchers and other Faculty members from the UofO community.
Upcoming workshops will be posted here with dates, times and locations as they become available.
Evaluation of the impact of the knowledge infrastructure will be undertaken. Activities will include:
- Assessment of LHIN management’s ability to understand research evidence and the intentions to seek and use evidence to inform decision making;
- Key informant interviews with LHIN managers to assess perceptions on the value and use of evidence and their perspectives on the knowledge infrastructure;
- Exploratory content analysis of key policy documents to assess organizations’ use of evidence in the development of policies e.g. citation of systematic reviews.
Links to online resources for health services management, policymakers, stakeholders and decision makers
- McMaster University's Program in Policy Decision-Making
- McMaster Health Forum
- CADTH's Rx for Change Database
- SUPPORT Collaboration
- Trip Database
For information or to comment on the Knowledge to Action research program, please contact the study coordinator at firstname.lastname@example.org
Canadian Institutes of Health Research [KAL-86796]