Table 1

Description of legacy AHS innovations and new initiative

Path to Home (P2H)Care Transformation (CT)Workforce Model Transformation (WMT)CoACT
OriginMinisterial directiveLocal Hospital DepartmentAHS executiveAHS executive
GovernanceProvincial teamHospital teamAHS executiveProvincial team
ObjectiveImprove patient flow and discharge process to reduce inpatient length of stayEfficiencies and new practices to reduce inpatient length of stayImprove alignment of provider skills and dutiesCoordinate and standardise care practices province-wide
ScopeSeven pilot hospitals, then full systemSingle hospitalSix pilot units at three hospitalsFull system
LaunchApril 2013September 2010September 2013Phase 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.