Identifying optimal patient-centered models for the effective prevention and detection of vascular conditions

Deliberating on the Models of Optimal Vascular Network Delivery of  Prevention & Integrated Care in Canada (MOVnPICC)

Principal investigator: 
Dr. Peter Liu, University of Ottawa Heart Institute 

Dr. Janusz Kaczorowski, Université de Montréal
George Wells, Ottawa Hospital Research Institute

Blair O’Neill, University of Alberta

Vascular diseases and its complications account for the major causes of mortality and morbidity in Canada and worldwide.  Models of prevention strategies and care delivery for vascular conditions are highly variable across Canada, but when carefully deliberated and implemented, can potentially affect quality, costs and outcomes for care of vascular conditions.  There is currently no compendium of the various vascular prevention or care models across Canada, nor potential comparative effectiveness evaluation and construction of optimal models of vascular prevention and delivery.  The MOVnPICC team proposes to seek to (1) complete an inventory of the different models of care for both acute and chronic vascular related conditions across Canada; and (2) To compare the strategies, guideline adherence, resource implications and potential evaluations of the care delivery models as they exist today, where the data is available.  This is in preparation for Phase II project where international comparisons will be made, and evaluations of the various models and their advantages and disadvantages will be sought.

This project proposal is directly in line with the Theme I of the CIHR funded Vascular Network Program – Optimizing prevention and delivery of care of vascular conditions.  This project specifically is designed to address the second priority area for pilot projects in addressing “Inventory of Models of the Prevention and Management of Vascular Conditions in Canada”.


Structured inventory of evidence-based models for the effective prevention and management of vascular conditions in Canada

Principal investigator:
Dr. Janusz Kaczorowski, Université de Montréal

Sheldon Tobe
, University of Toronto
Hans Krueger, H. Krueger & Associates, Inc.
Claudio Del Grande, Université de Montréal

Obtaining scientifically based evidence on the most effective ways to encourage, support, and sustain optimal vascular care is essential for planning the next generation of vascular health promotion and disease management models. The proposed project relates to the second priority research area for pilot projects within the Vascular Network Research Theme I (Improving Prevention and Management of Vascular Conditions\Inventory of models for the prevention and management of vascular conditions in Canada).

We aim to perform a comprehensive and systematic review of the existing literature on models of vascular care and prevention within Canada and selected countries, and critically appraise these models in terms of effectiveness, sustainability and scalability. We will develop an objective evaluation matrix capturing the above criteria based on the GRADE process and our prior work in this area. Our overarching goal is to summarize the existing state of knowledge and make evidence-informed recommendations towards the implementation of sustainable and scalable vascular models yielding significant, positive outcomes. Vascular Network members will be consulted to provide structured feedback on the completeness of the included models and draft recommendations. The key deliverables of the project include a systematic review manuscript to be published in a peer-reviewed journal, policy briefs, and a comprehensive inventory of prevention and management models of vascular conditions.

We have assembled a multidisciplinary team of investigators covering the wide range of skills and expertise required to meet our objectives and which has previous experience of successful collaboration. This project will provide the opportunity to make a significant investment in graduate students and young investigators. Our systematic and consultative approach will enable knowledge translation and exchange within the Canadian vascular community and beyond, and potentially impact health policies.