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. Author manuscript; available in PMC: 2017 Jan 1.
Published in final edited form as: BMJ Qual Saf. 2015 Aug 13;25(1):9–13. doi: 10.1136/bmjqs-2015-004441

Table 1.

Description of legacy AHS innovations and new initiative

Path to Home (P2H) Care Transformation (CT) Workforce Model Transformation (WMT) CoACT
Origin Ministerial directive Local Hospital Department AHS executive AHS executive
Governance Provincial team Hospital team AHS executive Provincial team
Objective Improve patient flow and discharge process to reduce inpatient length of stay Efficiencies and new practices to reduce inpatient length of stay Improve alignment of provider skills and duties Coordinate and standardise care practices province-wide
Scope Seven pilot hospitals, then full system Single hospital Six pilot units at three hospitals Full system
Launch April 2013 September 2010 September 2013 Phase I: March 2016
Phase II: March 2017
Key elements
  • ADOD

  • Care Traffic Control

  • Key performance indicators and targets

  • Standardised operational and care processes

  • Demand and capacity realignment

  • Team integration and culture change

  • Implementation of best practices

  • Optimised transitions

  • Optimisation of RN scope of practice

  • Greater use of healthcare aides and LPNs

  • ‘Collaborative Care Model’ (team-based)

Integrate and combine the best elements of P2H, CT and WMT

ADOD, anticipated date of discharge; AHS, Alberta Health Services; LPN, licensed practical nurse; RN, registered nurse.