Jacobi Elliott
Biographic Data
| ID | 6774397 |
|---|---|
| NAME | Jacobi Elliott |
| GIVEN NAMES | Jacobi |
| FAMILY NAME | Elliott |
| SIGNATURE | ELLIOTT J |
| AFFILIATIONS | University of Waterloo |
| ORCID | 0000-0001-8740-4638 |
| VERIFIED | Yes |
| TOTAL WORKS | 32 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 32 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
A Characterization of Older Adults in Primary Care in Three Canadian Provinces
Background Understanding the characteristics of older patients in primary care is important to develop appropriate and targeted programs. Objective We describe the characteristics of older adults (aged 70+) accessing primary care in three Canadian provinces. Methods Participants (n = 594) completed a survey package comprising demographics, health system usage, presence of chronic conditions, and a quality-of-life measure, the EQ-5D-5L. Frailty wa…
The ‘recipe for success’: Co-designing strategies to enhance care transitions from hospital to home
Background: There is growing recognition of the importance and benefits of patient-and caregiver-centred care approaches for older adults and individuals with complex medical needs during points of care transitions. Effective care transitions can improve patient, caregiver, and provider experiences, and reduce avoidable emergency department visits and readmissions. Despite the widely recognized benefit of effective care transitions, health care p…
Using Human-centred Design to Explore a Day in the Life of a Population Health Management Analyst
Introduction: Population Health is one of the International Foundation for Integrated Care’s 9 pillars of integrated care and Population Health Management (PHM) is gaining interest as a means of addressing some of the greatest challenges in population health and wellbeing around the world. In our workshop at ICIC 2023, an international audience validated 5 key structures required to operationalize Integrated Care and PHM: Population Registry; Pro…
Valuing the patient voice: Leveraging a self-reported comprehensive assessment instrument to support shared decision-making and goal-oriented care
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…
Improving Equitable Access to Better Integrated Lower Limb Preservation Care and Supports
Our region in Ontario, Canada, is experiencing high numbers of lower limb amputations. With earlier identification and improved access to ongoing preventative interventions, we know we may be able to avoid lower limb amputation and improve the quality of life and health outcomes for these patients. In early 2023, a Lower Limb Preservation Working Group was established to co-develop better integrated care pathways for populations at risk of lower …
Equity Inclusion Diversity and Anti-Racism: Moving further, faster together
Background: Equity, inclusion, diversity, and anti-racism (EIDAR) are goals for many organizations. However, not all have the human resources to devote the time and effort into this work. There is a wide spectrum of human and financial resources in our communities dedicated to equity – on one end there are dedicated equity teams and on the other end people are doing their full-time jobs and writing policies. This often leaves some organizations f…
Responding to Covid-19 with integrative health and sheltering models for persons experiencing homelessness in Canada: A case study exploring implementation
Introduction: Throughout the COVID-19 pandemic, persons experiencing homelessness in Canada were disproportionately put at high risk for infection and adverse health outcomes, which prompted many regions to respond by adopting integrative health and sheltering programs to address the unique health inequities faced by this population. Objectives: We aimed to deepen our understanding of the experiences and processes related to the adoption of such …
Understanding the role of ‘care managers’ across the health care system: A qualitative exploration
Background: Older adults receive care from multiple health care providers and across sectors, making it difficult to coordinate care. Ineffective care coordination leads to poor health outcomes, greater service use, and increased system costs. One proposed solution to better integrate care across the system is through the implementation of a care manager role - someone to organize and oversee care. Based on previous research, we know that one poi…
Implementing health information systems to support integrated care delivery: Learning from international challenges
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…
A ‘Wholistic Needs’ Tool: The Process of Co-designing a Proactive Screener to Identify and Support Health and Social Needs
Based in Ontario, Canada, this ongoing co-design initiative aims to develop a Wholistic Needs Pre-Screener for proactive identification and management of health and social needs for the 525,000 people in the Middlesex London Ontario Health Team’s attributed population. The significance of this tool was underscored in prior co-design efforts, where patients, caregivers, and providers identified several key themes for improvement in healthcare with…
Integrated care for adults with chronic musculoskeletal disorders: Scoping review protocol
Objective: This protocol aims to guide the process to conduct scoping review on synthesizing the extent of the use, approaches, and evidence behind the implementation of integrated care approaches for people with chronic musculoskeletal disorders. Introduction: Evidence shows that care for people with chronic musculoskeletal (MSK) disorders is fragmented and siloed among different services and providers. In Canada, services are rarely integrated …
How Canadian caregivers of persons living with dementia are managing in a fragmented system
People living with dementia (PLWD) often need many different health and social services throughout their journey, and navigating and accessing these services can be challenging due to a lack of integration in dementia care. PLWD often rely on caregivers, usually family members, to help them navigate the system and access the care and services they need. The importance of better co-ordination and integration of health, community, and residential d…
ICT-Refugee: The development, implementation, and evaluation of an integrated care team to support refugee patients as they transition from temporary to permanent primary care
Upon arrival to Canada, government assisted refugees typically can access settlement services and universally funded health care; health care may be delivered through refugee health clinics, which are meant offer temporary care until patients are stable and able to transition to a permanent primary care practice (PCP). In Southern Ontario, Canada, we evaluated the development and implementation of an integrated care team (ICT-Refugee) that suppor…
Using Co-Design and Engagement Principles for Health System Transformation: Our Lessons Learned
Introduction: The Middlesex London Ontario Health Team (ML OHT), comprised of multiple health and social care partners, aims to support the primary and secondary healthcare needs of people living in London-Middlesex, Ontario, Canada. Co-design and engagement approaches have been intentionally and carefully embedded in all levels of the OHT work. The OHT applies co-design and engagement principles through the co-leadership of patient/caregiver par…
The co-design and co-creation of an integrated geriatric care system: A case study from Ontario, Canada, in partnership with older adult patients and providers
Background: Integrated care has been heavily researched, but additional efforts are required to move knowledge of integrated care into action, ideally at a larger scale and in a more sustainable fashion. We need a stronger grasp of how integrated care models are implemented, and how they might be tailored to unique contexts. Within the context of complex health care interventions, it is relatively rare that researchers engage in evaluations of th…
Implementation of an integrated care pathway in primary care clinics to improve the health of older adults: A realist evaluation
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
Developing a Regional Strategy for Older Adults Living With Frailty: Recommendations From Patients, Family Caregivers and Health Care Providers
The creation of a frailty strategy is imperative in recognizing and responding to the needs of older adults with complex conditions. Our approach may be relevant to other organizations and health systems interested in developing their own regional frailty strategies
A Co-design Approach for System Transformation in Southwestern Ontario, Canada
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
Co-Designing Patient Care Pathways for Population Health Management
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 geriatric medicine and mental health services to better serve older adults in Southwestern Ontario
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
Transitional Care Experiences of Patients with Hip Fracture Across Different Health Care Settings
In transitions to formal care settings, similarities were related to feeling confused, while in transitions to home, similarities existed in regards to feeling unprepared. These findings support the view that models of integrated care should consider the context to which they are applied
Co-creating and implementing resources to improve family caregiver experiences in geriatric services
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)
Implementing a new model in primary care for older canadians living with frailty
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)
Improving Care Together – Building Partnerships with Family Caregivers
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)
Improving Patient-Provider Partnerships across the Healthcare System
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)
Information sharing with rural family caregivers during care transitions of hip fracture patients
As with knowledge translation, effective strategies to improve information sharing and care continuity for older patients with chronic illness may be those that involve active facilitation of an on-going partnership that respects the knowledge of all those involved
Engaging older adults in health care research and policy: Guidelines from the CHOICE project
Introduction: Engaging the community in health care research and planning has been recognized as an important component of system improvement (1). The input and involvement of older persons is particularly critical, given that older adults are high users of the health care system, but are often excluded from health research studies. Unfortunately, guidelines for how to engage older adults in these initiatives are not readily available in the lite…
Engaging older adults in health care decision-making: Key findings and recommendations from the CHOICE knowledge synthesis project
Introduction: Engagement in shared health care decision-making has been recognized as an important, and often lacking, aspect of person-centred care. We aimed to draw on available theory, evidence and experience to develop guidelines for engaging older adults and their families in decisions around their own health care
Transitions and Translations: Health System Integration for Older Adults
Integration through engagement: A movement towards older adults’ involvement in health care research, planning and decision making
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Information sharing with rural family caregivers during care transitions of hip fracture patients
As with knowledge translation, effective strategies to improve information sharing and care continuity for older patients with chronic illness may be those that involve active facilitation of an on-going partnership that respects the knowledge of all those involved
Developing a System Navigator Role in Primary Care Using a Co-Design Approach
Background: Older Canadians with chronic diseases are the biggest users of the health care system. Primary health care services are seen as having a role in coordinating health system access and care for older adults with chronic illness, but at present lacks specific strategies to fulfil this role. The Chronic Care Model (CCM) developed by Wagner and colleagues (1996) provides a framework for developing an effective health care system for chroni…
Implementing and Evaluating a Model of Care Coordination in Primary Care for Older Adults using a Co-Design Approach
Background: Older Canadians with chronic diseases are the biggest users of the health care system. Primary health care (PHC) could play a central, coordinating role in assessing and managing older adults, but at present lacks specific strategies to fulfil this role. Priorities for enhanced care coordination in PHC include: 1) consistent processes to identify and assess older persons and create individual care plans aligned with risk levels; 2) im…
Improving Care Together – Building Partnerships with Family Caregivers
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)
Improving Patient-Provider Partnerships across the Healthcare System
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)
Co-creating and implementing resources to improve family caregiver experiences in geriatric services
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)
Implementing a new model in primary care for older canadians living with frailty
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)
Transitional Care Experiences of Patients with Hip Fracture Across Different Health Care Settings
In transitions to formal care settings, similarities were related to feeling confused, while in transitions to home, similarities existed in regards to feeling unprepared. These findings support the view that models of integrated care should consider the context to which they are applied
Implementation of an integrated care pathway in primary care clinics to improve the health of older adults: A realist evaluation
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
Developing a Regional Strategy for Older Adults Living With Frailty: Recommendations From Patients, Family Caregivers and Health Care Providers
The creation of a frailty strategy is imperative in recognizing and responding to the needs of older adults with complex conditions. Our approach may be relevant to other organizations and health systems interested in developing their own regional frailty strategies
A Co-design Approach for System Transformation in Southwestern Ontario, Canada
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
Co-Designing Patient Care Pathways for Population Health Management
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 geriatric medicine and mental health services to better serve older adults in Southwestern Ontario
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
How Canadian caregivers of persons living with dementia are managing in a fragmented system
People living with dementia (PLWD) often need many different health and social services throughout their journey, and navigating and accessing these services can be challenging due to a lack of integration in dementia care. PLWD often rely on caregivers, usually family members, to help them navigate the system and access the care and services they need. The importance of better co-ordination and integration of health, community, and residential d…
ICT-Refugee: The development, implementation, and evaluation of an integrated care team to support refugee patients as they transition from temporary to permanent primary care
Upon arrival to Canada, government assisted refugees typically can access settlement services and universally funded health care; health care may be delivered through refugee health clinics, which are meant offer temporary care until patients are stable and able to transition to a permanent primary care practice (PCP). In Southern Ontario, Canada, we evaluated the development and implementation of an integrated care team (ICT-Refugee) that suppor…
Using Co-Design and Engagement Principles for Health System Transformation: Our Lessons Learned
Introduction: The Middlesex London Ontario Health Team (ML OHT), comprised of multiple health and social care partners, aims to support the primary and secondary healthcare needs of people living in London-Middlesex, Ontario, Canada. Co-design and engagement approaches have been intentionally and carefully embedded in all levels of the OHT work. The OHT applies co-design and engagement principles through the co-leadership of patient/caregiver par…
The co-design and co-creation of an integrated geriatric care system: A case study from Ontario, Canada, in partnership with older adult patients and providers
Background: Integrated care has been heavily researched, but additional efforts are required to move knowledge of integrated care into action, ideally at a larger scale and in a more sustainable fashion. We need a stronger grasp of how integrated care models are implemented, and how they might be tailored to unique contexts. Within the context of complex health care interventions, it is relatively rare that researchers engage in evaluations of th…
The ‘recipe for success’: Co-designing strategies to enhance care transitions from hospital to home
Background: There is growing recognition of the importance and benefits of patient-and caregiver-centred care approaches for older adults and individuals with complex medical needs during points of care transitions. Effective care transitions can improve patient, caregiver, and provider experiences, and reduce avoidable emergency department visits and readmissions. Despite the widely recognized benefit of effective care transitions, health care p…
Using Human-centred Design to Explore a Day in the Life of a Population Health Management Analyst
Introduction: Population Health is one of the International Foundation for Integrated Care’s 9 pillars of integrated care and Population Health Management (PHM) is gaining interest as a means of addressing some of the greatest challenges in population health and wellbeing around the world. In our workshop at ICIC 2023, an international audience validated 5 key structures required to operationalize Integrated Care and PHM: Population Registry; Pro…
Valuing the patient voice: Leveraging a self-reported comprehensive assessment instrument to support shared decision-making and goal-oriented care
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…
Improving Equitable Access to Better Integrated Lower Limb Preservation Care and Supports
Our region in Ontario, Canada, is experiencing high numbers of lower limb amputations. With earlier identification and improved access to ongoing preventative interventions, we know we may be able to avoid lower limb amputation and improve the quality of life and health outcomes for these patients. In early 2023, a Lower Limb Preservation Working Group was established to co-develop better integrated care pathways for populations at risk of lower …
Medicine (25 works) · Health care (20 works) · Nursing (18 works) · Political science (16 works) · Computer Science (13 works) · Integrated care (10 works) · Psychology (10 works) · Sociology (9 works) · Business (8 works) · Gerontology (8 works)