Health Systems Performance Priorities
- Expanding Audit and Feedback Services
- Establishing reporting and monitoring processes with subspecialties
- Developing a regional registry
- Appropriate Preoperative Diagnostic Testing
- Antibiotics/Antimicrobial Stewardship
- Reducing Routine Blood Testing
- Appropriate Use of PSA Testing
- Continued integration of Choosing Wisely initiatives into Medical Education and Practice
- Appropriate Use of Fecal Occult Blood Tests
- Improving the Appropriate Use of MRI for Lower Back Pain
- Appropriate Thyroid testing
CHI’s Health Systems Performance (HSP) platform is committed to developing and implementing solutions that promote access to appropriate, effective and safe health care for all Manitobans. We lead mixed-methods research to gain a deep understanding of the health-care system’s most pressing challenges, and use clinical indicators, process and quality improvement methods to redesign and strengthen the system.
The HSP team offers consultative services across many areas, including:
- Health systems design
- Quality assurance & improvement
- Appropriateness of testing and treatment
- Health leadership
- Patient safety
Members of our team lead, support and participate in key projects, including:
- Central intake processes for delivering scheduled care
- The use of indicators and reporting to improve patient care
- Patient flow
- Primary care renewal
Eric Bohm, B.Eng MD MSc FRCSC
Director, System Performancebio
Dr Bohm works at the Concordia Hip and Knee Institute in Winnipeg, Canada where he specializes in primary and revision hip and knee replacement surgery. He has undergraduate degrees in both mechanical engineering and medicine from McMasterUniversity, and a graduate degree in Community Health and Epidemiology from DalhousieUniversity. He completed his orthopedic residency at the University of Saskatchewan, and undertook an arthroplasty fellowship at DalhousieUniversity in Halifax. In 2009, he completed the prestigious ABC orthopaedic fellowship, visiting the UK, Ireland and South Africa.
His areas of research interest include access to healthcare, health care quality indicators, clinical trials, implant retrieval analysis, and radiographic stereometric analysis. He currently chairs the Winnipeg Regional Health Authority Orthopedic standards committee, the Canadian Orthopedic Association National Standards committee, and the advisory committee of the Canadian Joint Replacement. He serves as medical advisor to the Winnipeg Regional Health Authority’s orthopedic waitlist, joint replacement registry and central intake program. He is also a member of the George and Fay Yee Centre for Healthcare Innovation, where he serves as lead for Health System Performance.
Sara Kreindler , D.Phil.
Manitoba Research Chair in Health System Innovationbio
As Manitoba Research Chair in Health System Innovation, Sara is Assistant Professor with the Department of Community Health Sciences and a member of CHI's Health Systems Performance Platform. She spent eight years as an embedded researcher with the WRHA before moving into an academic role, and continues to work closely with health-system managers and policymakers at the regional and provincial levels.
Sara's mixed-methods research centers on the question of how best to design and implement models of health-services delivery. She is currently leading two large projects: (1) a multi-jurisdictional comparative case study, encompassing the 10 urban health regions and zones of Western Canada, to discover the drivers of regional variation in patient flow performance and identify the most promising strategies for improvement (CIHR funded), and (2) a province-wide study assessing system-level strategies for the improvement or "renewal" of primary care (Research Manitoba funded). She is also developing an integrative explanatory model of system change.
A Rhodes Scholar, Sara obtained her doctorate in Social Psychology at Oxford University (2004), and her expertise in social identity theory and organizational psychology continue to inform her work. She was also a 2010-11 Harkness Fellow in Health Care Policy and Practice.
Sarah Kirby, BSc, MPH
Research Project Managerbio
Sarah joined the Centre for Healthcare Innovation (CHI) in 2012 when she worked as a Project Manager and Policy Analyst. She has recently returned to the CHI as a Research Project Manager, supporting the Health Systems Performance (HSP) platform.
Sarah has a strong and diverse background in health where she has worked for close to 20 years as a public health policy analyst and program/project manager. She spent five years managing the funding distribution, reporting and evaluation of a Grants and Contributions program in Western Canada. She has managed a variety of programs and projects in public health across Canada, as well as providing project management support for the Winnipeg Regional Health Authority and the University of Manitoba, Faculty of Medicine.
Sarah has extensive experience with stakeholder and physician engagement as well as leading multi-sector, national, provincial and regional consultations and working groups to develop joint initiatives and policies in a range of health care topics.
In her role as Project Manager with HSP, Sarah is responsible for managing and overseeing our Choosing Wisely Manitoba initiatives in collaboration with Diagnostic Services Manitoba as well as the work we undertake to support health systems design, quality assurance and improvement and patient safety.
Kreindler SA. The three paradoxes of patient flow. BMC Health Serv Res; in press.
International Journal of Health Care Quality Assurance, Undefined, 4
Canadian journal of surgery. Journal canadien de chirurgie, Undefined, 5
Jas Singh, Angelos Politis, Lynda Loucks, David R Hedden, Eric R Bohm
Acta orthopaedica, Undefined,
Ola Rolfson, Kate Eresian Chenok, Eric Bohm, Anne Lübbeke, Geke Denissen, Jennifer Dunn, Stephen Lyman, Patricia Franklin, Michael Dunbar, Søren Overgaard, Göran Garellick, Jill Dawson
Acta orthopaedica, Undefined,
Eric R Bohm, Katy Molodianovitsh, Alina Dragan, Naisu Zhu, Greg Webster, Bas Masri, Emil Schemitsch, Michael Dunbar
2016 Patient-reported outcome measures in arthroplasty registries Report of the Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries Part II. Recommendations for selection, administration, and analysis.
Acta orthopaedica, Undefined,
Ola Rolfson, Eric Bohm, Patricia Franklin, Stephen Lyman, Geke Denissen, Jill Dawson, Jennifer Dunn, Kate Eresian Chenok, Michael Dunbar, Søren Overgaard, Göran Garellick, Anne Lübbeke
Gait & posture, Undefined,
Allison L Clouthier, Eric R Bohm, John F Rudan, Barbara L Shay, Michael J Rainbow, Kevin J Deluzio
Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine, Undefined, 10
Shabnam Pejhan, Eric Bohm, Jan-Mels Brandt, Urs Wyss
BMJ Quality & Safety, Undefined,
Archives of osteoporosis, Undefined,
Boris Sobolev, Pierre Guy, Katie Jane Sheehan, Lisa Kuramoto, Eric Bohm, Lauren Beaupre, Jason M Sutherland, Michael Dunbar, Donald Griesdale, Suzanne N Morin, Edward Harvey, Eric Bohm, Lauren Beaupre, Michael Dunbar, Donald Griesdale, Pierre Guy, Edward Harvey, Erik Hellsten, Susan Jaglal, Hans Kreder, Lisa Kuramoto, Adrian Levy, Suzanne N Morin, Katie Jane Sheehan, Boris Sobolev, Jason M Sutherland, James Waddell
Health research policy and systems, Undefined, 1
Zaheed Damani, Gail MacKean, Eric Bohm, Brie DeMone, Brock Wright, Tom Noseworthy, Jayna Holroyd-Leduc, Deborah A Marshall
The Canadian Journal of Metallurgy and Materials Science , Undefined,
Journal of the American Geriatrics Society, Undefined, 1
Peter Cram, Lin Yan, Eric Bohm, Paul Kuzyk, Lisa M Lix, Suzanne N Morin, Sumit R Majumdar, William D Leslie
The bone & joint journal, Undefined, 4
S Lacny, E Bohm, G Hawker, J Powell, D A Marshall
Journal of orthopaedic research : official publication of the Orthopaedic Research Society, Undefined, 2
Katie J Sheehan, Boris Sobolev, Pierre Guy, Eric Bohm, Erik Hellsten, Jason M Sutherland, Lisa Kuramoto, Susan Jaglal, Eric Bohm, Lauren Beaupre, Michael Dunbar, Donald Griesdale, Pierre Guy, Edward Harvey, Erik Hellsten, Susan Jaglal, Hans Kreder, Lisa Kuramoto, Adrian Levy, Suzanne N Morin, Katie J Sheehan, Boris Sobolev, Jason M Sutherland, James Waddell
Emergency medicine journal : EMJ, Undefined, 3
Sara A Kreindler, Yang Cui, Colleen J Metge, Melissa Raynard
Journal of evaluation in clinical practice, Undefined, 2
Lucy Frankel, Claudia Sanmartin, Gillian Hawker, Carolyn De Coster, Michael Dunbar, Eric Bohm, Tom Noseworthy
The Journal of arthroplasty, Undefined, 1
Trevor C Gascoyne, Matthew G Teeter, Leah E Guenther, Colin D Burnell, Eric R Bohm, Douglas R Naudie
Canadian journal of surgery. Journal canadien de chirurgie, Undefined, 4
Eric Bohm, Lynda Loucks, Kristy Wittmeier, Lisa M Lix, Luis Oppenheimer
Canadian Journal of Community Mental Health, Undefined,
Canadian Medical Association Journal, Undefined, no. 17 1311-1314