Margaret Saari
Biographic Data
| ID | 6578414 |
|---|---|
| NAME | Margaret Saari |
| GIVEN NAMES | Margaret |
| FAMILY NAME | Saari |
| SIGNATURE | SAARI M |
| AFFILIATIONS | University of Toronto |
| ORCID | 0000-0003-0901-5148 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2017 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Examining the Influence of Integrated Home and Community Care Programs on Quadruple Aim and Health Equity Outcomes Across the Health Care System
Future research should adopt a balanced approach, incorporating all Quadruple Aim and Health Equity domains. A learning health system model, linking data, knowledge and practice, is recommended to enable continuous improvement and resource alignment
From Understanding to Action
Background: To remain in their community, a person’s combination of self-care abilities, family support and formal care must match their level of need. When this does not happen, the individual can experience negative outcomes such as unmet needs, caregiver burnout, or increased use of facility-based care. Having an accurate understanding of care needs is critical not only at an individual level, but also at a program or population level for orga…
Caring in Changing Times
Background: Having a skilled workforce is essential for the delivery of high quality, integrated home and community care. Home Health Nursing (HHN) Competencies provide a unified understanding of the knowledge, skills and attributes required for safe and ethical care, serving as a resource to support consistency in care delivery across locations of care. However, to be used effectively for workforce training and development, competencies must ref…
Building a Sustainable Home and Community Care Workforce
Background: Availability of high-quality integrated home and community care is essential to providing older adults with more opportunities to age in their communities. However, health human resource challenges continue to pose a barrier to expanding home and community care capacity. Skill gaps, where differences exist between employer expectations and the skills the workforce possesses, can result in negative outcomes for both providers and patie…
Building, scaling and spreading community-based transitional care programs—Bold change leadership for evidence-based integrated care
Background: Since 205, SE Health has been on a bold change leadership journey to operationalize transitional models of home and community care with 20+ system partners including hospitals and regional health authorities. Join us to learn and share successes, challenges, and opportunities for scale and spread of community-driven integrated care solutions. Audience: As one of Canada largest not-for-profit social enterprises working across the care …
What should we consider when implementing digital assessments in integrated health and social care? Ten action areas for implementation planning
Background: Health system fragmentation contributes to poor health and social outcomes for older adults with multimorbidity and their care partners. Integrated team-based models of care are recommended to improve health service delivery to older adults with complex needs. Standardized assessment instruments deployed on digital platforms are considered a necessary component of integrated care, as they can facilitate information sharing and develop…
Valuing the patient voice
Introduction: Around the world, people are living longer in their communities. To support aging in place, understanding a person’s holistic care needs, including information about caregiver support, is essential to develop meaningful plans for integrated care centered around preferences, strengths, and needs. Using evidence-based assessment instruments to support these discussions are essential for meaningful engagement and shared decision-making…
Examining the influence of integrated home and community care on Quadruple Aim and Health Equity outcomes across the health system
Introduction: Many countries with publicly funded health systems, such as Canada, are looking to transform how people receive long-term care and services by shifting more care into the community and strengthening community-based options . Despite the potential of integrated home and community care to address the needs of an aging population in their desired location, the influence of these programs on the broader health system is not well underst…
Meeting in the middle
Introduction/Background: For Canada to realize the goal of high-quality integrated care, macro-level health system and policy changes are necessary, but these can take time. Researchers can partner with meso-level organizations to take immediate action on meaningful, collaborative and evidence-based change leading the way for larger scale improvements across the system. Approach: Applied health researchers serve as a critical link between meso-le…
Observe, Coach, Assist, Report
Background: In Canada, most paid home care is provided by an unregulated workforce of personal support (PS) providers. Given their frequent and consistent interactions with clients, PS providers are well-positioned to identify unaddressed client needs; however little infrastructure exists to communicate these observations with the broader home care team. To support deeper integration of PS providers and their contributions into home care teams, t…
Is this really equity? Engaging experts-by-experience in Learning Health Systems to generate meaningful change solutions
Background:Learning Health Systems (LHS) require rigorous integration of evidence, experience, expertise, and values as a formula to produce equitable and meaningful change solutions for population health and wellbeing. The Participatory Research to Action (PR2A) Framework can guide authentic engagement of experts-by-experience across the LHS learning cycle. Audience:To produce equity-driven solutions in a learning health system, a rigorous appro…
Facilitating delivery of goal-oriented care through the collection, presentation, and use of meaningful data
Background: Use of routinely collected health and social care data has potential to drive population health improvements. Many organizations are data rich but information poor; collecting large amounts of data but having limited ability to transform data into actionable insights. Learning health systems aim to produce these types of insights not through stand-alone research, but as by-products of care delivery, using the care environment as a liv…
Development, testing and international opportunities for a novel Patient Reported Experience Measure (PREM) of integrated home and community care
BACKGROUND: As health systems transition to more integration, it is important to measure whether the aims of integration are being achieved, including health equity and patient experience. One way to do this is by gathering self-reported data through patient-reported experience measures (PREMs). Integrating PREM data into health system improvement initiatives has been shown to improve health outcomes. As health systems around the world seek to ex…
Implementing health information systems to support integrated care delivery
Introduction: In recent years, governments from several countries have shown interest in integrated health information systems to support the delivery of integrated care. The interRAI suite of standardized, evidence-based assessments, validated across different care settings, was expressly designed for this purpose. The use of a core set of items facilitates information-sharing across sectors and continuity of care. In addition, they reduce dupli…
Integrating health and social care in the community to support a new model of Long-term Life Care at home
Background: Long-term care (LTC) reform was an international priority well before the COVID-19 pandemic. While strategies to promote de-institutionalization, rehabilitation, caregiver support and enhanced home and community care have varied by country in terms of implementation and success, the pandemic universally reinforced existing system-specific barriers and weaknesses. In Canada, heightened access issues and silo-ed delivery of community-ba…
Operationalizing a holistic health definition as a framework to guide comprehensive assessment at the point of care
Background: Holistic assessment of client needs is an important component of person-centred care planning. However, the comprehensive nature of some standardized assessment tools from a documentation perspective, such as the internationally validated interRAI Home Care (interRAI HC) assessment tool, can make conducting and experiencing the assessment as a person-centred and conversational process challenging for both the assessor and the client1.…
Comprehensive Standardized Assessment for Information Continuity
Introduction: Older adults living with frailty and multimorbidity interact with multiple care providers across different health settings increasing the risk for fragmented care and information discontinuity. Information discontinuity results in workforce inefficiencies and adverse health events, including duplication of assessment and diagnostics, medication errors and increased health service use. Standardized assessments potentiate integrated c…
Mood Disturbances Across the Continuum of Care Based on Self-Report and Clinician Rated Measures in the interRAI Suite of Assessment Instruments
The new interRAI mood scales provide reliable and valid mental health measures that can be applied across diverse populations and care settings. Incorporating a person-centered approach to assessment, the composite scale considers the person's perspective and clinician views to provide a sensitive and robust measure that considers mood disturbances related to dysphoria, anxiety, and anhedonia
Long-term life care at home
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
InterRAI Subjective Quality of Life Scale for Mental Health and Addiction Settings
Background: Measuring Quality of Life (QoL) in mental health using self-reported items is important for evaluating the quality of service and understanding the person's experience of the care received. Objective: The aim of this research was to develop and validate a self-reported QoL instrument for inpatient and community mental health settings. Methods: Data were collected from diverse research sites in Canada, Belgium, Russia, Finland, Brazil,…
An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings
Introduction: Measuring quality of life (QoL) is essential to understand how clients perceive their care. In practice, many instruments are in place to identify mental health diagnoses and measure treatment outcomes, but there are fewer standardized instruments to routinely collect information about self-reported QoL, especially across different mental health settings. Moreover, existing tools have been criticized for being built from the perspec…
Occupational hazards for home care nurses across the rural-to-urban gradient in Ontario, Canada
The purpose of this paper was to describe occupational hazards for nurses working in home care (HC) and explore how they differ across the rural-to-urban gradient. Responses (n = 823) from a cross-sectional survey conducted in 2012 of HC nurses registered to practise nursing in the Province of Ontario, Canada were used. Using chi-square analysis and posthoc pairwise tests with a Bonferroni correction, 14 occupational hazards were individually tes…
The evolving role of the personal support worker in home care in O ntario, C anada
To meet increasing demand for home care, the role of personal support workers (PSWs) is shifting from providing primarily personal and supportive care to include care activities previously provided by regulated health professionals (RHPs). Much of the research examining this shift focuses on specialty programmes, with few studies investigating the daily care being provided by PSWs, frequency of care activities being provided by PSWs, and characte…
The evolving role of the personal support worker in home care in O ntario, C anada
To meet increasing demand for home care, the role of personal support workers (PSWs) is shifting from providing primarily personal and supportive care to include care activities previously provided by regulated health professionals (RHPs). Much of the research examining this shift focuses on specialty programmes, with few studies investigating the daily care being provided by PSWs, frequency of care activities being provided by PSWs, and characte…
Occupational hazards for home care nurses across the rural-to-urban gradient in Ontario, Canada
The purpose of this paper was to describe occupational hazards for nurses working in home care (HC) and explore how they differ across the rural-to-urban gradient. Responses (n = 823) from a cross-sectional survey conducted in 2012 of HC nurses registered to practise nursing in the Province of Ontario, Canada were used. Using chi-square analysis and posthoc pairwise tests with a Bonferroni correction, 14 occupational hazards were individually tes…
The evolving role of the personal support worker in home care in O ntario, C anada
To meet increasing demand for home care, the role of personal support workers (PSWs) is shifting from providing primarily personal and supportive care to include care activities previously provided by regulated health professionals (RHPs). Much of the research examining this shift focuses on specialty programmes, with few studies investigating the daily care being provided by PSWs, frequency of care activities being provided by PSWs, and characte…
InterRAI Subjective Quality of Life Scale for Mental Health and Addiction Settings
Background: Measuring Quality of Life (QoL) in mental health using self-reported items is important for evaluating the quality of service and understanding the person's experience of the care received. Objective: The aim of this research was to develop and validate a self-reported QoL instrument for inpatient and community mental health settings. Methods: Data were collected from diverse research sites in Canada, Belgium, Russia, Finland, Brazil,…
An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings
Introduction: Measuring quality of life (QoL) is essential to understand how clients perceive their care. In practice, many instruments are in place to identify mental health diagnoses and measure treatment outcomes, but there are fewer standardized instruments to routinely collect information about self-reported QoL, especially across different mental health settings. Moreover, existing tools have been criticized for being built from the perspec…
Mood Disturbances Across the Continuum of Care Based on Self-Report and Clinician Rated Measures in the interRAI Suite of Assessment Instruments
The new interRAI mood scales provide reliable and valid mental health measures that can be applied across diverse populations and care settings. Incorporating a person-centered approach to assessment, the composite scale considers the person's perspective and clinician views to provide a sensitive and robust measure that considers mood disturbances related to dysphoria, anxiety, and anhedonia
Long-term life care at home
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Integrating health and social care in the community to support a new model of Long-term Life Care at home
Background: Long-term care (LTC) reform was an international priority well before the COVID-19 pandemic. While strategies to promote de-institutionalization, rehabilitation, caregiver support and enhanced home and community care have varied by country in terms of implementation and success, the pandemic universally reinforced existing system-specific barriers and weaknesses. In Canada, heightened access issues and silo-ed delivery of community-ba…
Operationalizing a holistic health definition as a framework to guide comprehensive assessment at the point of care
Background: Holistic assessment of client needs is an important component of person-centred care planning. However, the comprehensive nature of some standardized assessment tools from a documentation perspective, such as the internationally validated interRAI Home Care (interRAI HC) assessment tool, can make conducting and experiencing the assessment as a person-centred and conversational process challenging for both the assessor and the client1.…
Comprehensive Standardized Assessment for Information Continuity
Introduction: Older adults living with frailty and multimorbidity interact with multiple care providers across different health settings increasing the risk for fragmented care and information discontinuity. Information discontinuity results in workforce inefficiencies and adverse health events, including duplication of assessment and diagnostics, medication errors and increased health service use. Standardized assessments potentiate integrated c…
Building, scaling and spreading community-based transitional care programs—Bold change leadership for evidence-based integrated care
Background: Since 205, SE Health has been on a bold change leadership journey to operationalize transitional models of home and community care with 20+ system partners including hospitals and regional health authorities. Join us to learn and share successes, challenges, and opportunities for scale and spread of community-driven integrated care solutions. Audience: As one of Canada largest not-for-profit social enterprises working across the care …
What should we consider when implementing digital assessments in integrated health and social care? Ten action areas for implementation planning
Background: Health system fragmentation contributes to poor health and social outcomes for older adults with multimorbidity and their care partners. Integrated team-based models of care are recommended to improve health service delivery to older adults with complex needs. Standardized assessment instruments deployed on digital platforms are considered a necessary component of integrated care, as they can facilitate information sharing and develop…
Valuing the patient voice
Introduction: Around the world, people are living longer in their communities. To support aging in place, understanding a person’s holistic care needs, including information about caregiver support, is essential to develop meaningful plans for integrated care centered around preferences, strengths, and needs. Using evidence-based assessment instruments to support these discussions are essential for meaningful engagement and shared decision-making…
Examining the influence of integrated home and community care on Quadruple Aim and Health Equity outcomes across the health system
Introduction: Many countries with publicly funded health systems, such as Canada, are looking to transform how people receive long-term care and services by shifting more care into the community and strengthening community-based options . Despite the potential of integrated home and community care to address the needs of an aging population in their desired location, the influence of these programs on the broader health system is not well underst…
Meeting in the middle
Introduction/Background: For Canada to realize the goal of high-quality integrated care, macro-level health system and policy changes are necessary, but these can take time. Researchers can partner with meso-level organizations to take immediate action on meaningful, collaborative and evidence-based change leading the way for larger scale improvements across the system. Approach: Applied health researchers serve as a critical link between meso-le…
Observe, Coach, Assist, Report
Background: In Canada, most paid home care is provided by an unregulated workforce of personal support (PS) providers. Given their frequent and consistent interactions with clients, PS providers are well-positioned to identify unaddressed client needs; however little infrastructure exists to communicate these observations with the broader home care team. To support deeper integration of PS providers and their contributions into home care teams, t…
Is this really equity? Engaging experts-by-experience in Learning Health Systems to generate meaningful change solutions
Background:Learning Health Systems (LHS) require rigorous integration of evidence, experience, expertise, and values as a formula to produce equitable and meaningful change solutions for population health and wellbeing. The Participatory Research to Action (PR2A) Framework can guide authentic engagement of experts-by-experience across the LHS learning cycle. Audience:To produce equity-driven solutions in a learning health system, a rigorous appro…
Facilitating delivery of goal-oriented care through the collection, presentation, and use of meaningful data
Background: Use of routinely collected health and social care data has potential to drive population health improvements. Many organizations are data rich but information poor; collecting large amounts of data but having limited ability to transform data into actionable insights. Learning health systems aim to produce these types of insights not through stand-alone research, but as by-products of care delivery, using the care environment as a liv…
Development, testing and international opportunities for a novel Patient Reported Experience Measure (PREM) of integrated home and community care
BACKGROUND: As health systems transition to more integration, it is important to measure whether the aims of integration are being achieved, including health equity and patient experience. One way to do this is by gathering self-reported data through patient-reported experience measures (PREMs). Integrating PREM data into health system improvement initiatives has been shown to improve health outcomes. As health systems around the world seek to ex…
Implementing health information systems to support integrated care delivery
Introduction: In recent years, governments from several countries have shown interest in integrated health information systems to support the delivery of integrated care. The interRAI suite of standardized, evidence-based assessments, validated across different care settings, was expressly designed for this purpose. The use of a core set of items facilitates information-sharing across sectors and continuity of care. In addition, they reduce dupli…
Examining the Influence of Integrated Home and Community Care Programs on Quadruple Aim and Health Equity Outcomes Across the Health Care System
Future research should adopt a balanced approach, incorporating all Quadruple Aim and Health Equity domains. A learning health system model, linking data, knowledge and practice, is recommended to enable continuous improvement and resource alignment
From Understanding to Action
Background: To remain in their community, a person’s combination of self-care abilities, family support and formal care must match their level of need. When this does not happen, the individual can experience negative outcomes such as unmet needs, caregiver burnout, or increased use of facility-based care. Having an accurate understanding of care needs is critical not only at an individual level, but also at a program or population level for orga…
Caring in Changing Times
Background: Having a skilled workforce is essential for the delivery of high quality, integrated home and community care. Home Health Nursing (HHN) Competencies provide a unified understanding of the knowledge, skills and attributes required for safe and ethical care, serving as a resource to support consistency in care delivery across locations of care. However, to be used effectively for workforce training and development, competencies must ref…
Building a Sustainable Home and Community Care Workforce
Background: Availability of high-quality integrated home and community care is essential to providing older adults with more opportunities to age in their communities. However, health human resource challenges continue to pose a barrier to expanding home and community care capacity. Skill gaps, where differences exist between employer expectations and the skills the workforce possesses, can result in negative outcomes for both providers and patie…
Health care (17 works) · Medicine (17 works) · Nursing (15 works) · Integrated care (13 works) · Business (12 works) · Geriatric Care and Nursing Homes (10 works) · Computer Science (9 works) · Psychology (9 works) · Interprofessional Education and Collaboration (7 works) · Political science (7 works)