Health Workforce Innovation Challenge
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- Topics
- Health workforce
- Health Equity
- Patient engagement
- Audience
Healthcare leader
Quality or safety improvement lead
Point of care provider
What is the Health Workforce Innovation Challenge?
Offered by Healthcare Excellence Canada in 2023 to 2024, the Health Workforce Innovation Challenge (“the Challenge”) provided financial awards, coaching, resources and a peer network to nearly 150 healthcare teams interested in taking steps to retain and support their staff.
Teams came from urban, rural and remote areas in every province. They demonstrated that solutions can be applied in any healthcare setting: long-term care, hospitals, primary care, home and community care, mental health and addictions, healthcare associations, and health regions and authorities.
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How healthcare organizations are addressing workforce challenges
Nearly three-quarters of reporting teams made progress on their goals during the Challenge, improving turnover rates, work-life balance and patient care. By fostering a culture of creativity and continuous improvement, teams found that even small changes can make a significant difference for their workforce.
Inspiring outcomes from different settings include:
Family health team
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Trialed an optional compressed work week that maintained the same level and access of service for patients while improving work-life balance.
Rehabilitation and complex continuing care hospital
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Implemented improved scheduling models, leadership visibility and engagement, wages, and professional development, leading to significant reductions in their monthly turnover rate.
Emergency medical services team
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Extended shifts from 10.5 hours to 12 hours, which allowed staff to retain their vacation and sick leave benefits as full-time employees, boosted provider satisfaction, introduced a break, enhanced camaraderie, and improved patient care.
Primary care centre
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Introduced a voluntary compressed work week that led to a 30 percent jump in work-life balance ratings in less than three months.
Children’s hospital emergency department
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Made intentional efforts to improve team culture, which resulted in a 22 percent improvement in emotional exhaustion scores and overall wellbeing.
Allied health professionals
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Focused on strengthening accessible and responsive leadership, which resulted in turnover rates dropping by more than two-thirds year-over-year.
Our mission was to truly understand our staff’s needs before proposing solutions. We found that recognition and greater visibility from leadership was the top concern. We engaged with the Challenge at every level—Board, senior leadership, and frontline staff. This led to a 70% drop in our vacancy rate and a significant improvement in retention.
Six Strategies for Strengthening the Workforce
This one-page guide outlines six ways health systems in Canada can improve to better support and retain the health workforce.
Based on evidence and feedback from health leaders nationwide, it describes six strategies that can help make health systems more supportive and sustainable for those who work in them.
Flexible work structures
Sustainable staffing
Supportive and inclusive workplaces
Safe work environments
Career advancement
Equitable and appropriate compensation
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Health workforce success stories
Nearly 200 awards were given to teams making measurable impact in key areas of improvement. Three teams won the highest cumulative number of awards throughout the Challenge: Red Lake Hospital ($83,500), Brant Community Healthcare System – Peer Support Program ($65,000), and Marathon Family Health Team ($62,000).
Red Lake Hospital: Creating connections and fostering collaboration
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At Red Lake Hospital (Red Lake, Ontario), daily 15-minute quality improvement huddles were introduced to enhance inter-departmental communication and collaboration. Based on lean management principles, the huddles provided a platform for clinical and non-clinical team members to address operational challenges and improve unit performance.
One staff member noted that the huddles “have created a sense of unity and focus on what matters most.” This initiative led to a nearly 50% increase in staff reporting improved communication, highlighting the importance of teamwork and leadership commitment.
Brant Community Healthcare System: Building a supportive and inclusive workplace
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Brant Community Healthcare System (Brantford, Ontario) increased awareness and access to their Peer Support Program designed to improve the psychological health and safety of employees, professional staff, volunteers, and learners. By engaging trained peer volunteers, the program provided a platform for staff to openly discuss their challenges, significantly enhancing the workplace environment.
One staff member expressed, “it is an amazing program for staff. I have used it, and it helps. Kudos to this program and all the support!” The program’s success was evident with a 66% increase in referrals and a notable decrease in the turnover rate from 14.47% to 8.89%. This story highlights the importance of gaining staff trust and engagement to foster a culture of inclusivity and support.
Marathon Family Health Team: Innovative work-life balance solutions
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The Marathon Family Health Team (Marathon, Ontario) trialed a six-month, 4.5-day compressed workweek to improve work-life balance. Staff could opt to work extra hours Monday to Thursday for Friday afternoons off without using vacation or sick time. This innovative approach led to a 16.3% improvement in work-life balance and a 20.15% drop in burnout.
One staff member shared, “finishing work early on Fridays almost feels like a long weekend every week.” The initiative not only improved staff satisfaction but also maintained high patient care standards. This story demonstrates the value of customizing approaches to fit unique local needs and the positive impact of flexible work structures on staff well-being.
In their words
Canada’s healthcare system is facing real challenges with healthcare workforce shortages and healthcare worker burnout. However, impactful solutions are emerging. Healthcare Excellence Canada’s innovation challenge ran for 12 months from 2023 to 2024 and helped turn these solutions into realities.
Award winners
Through the Health Workforce Innovation Challenge, participating teams had several opportunities to win monetary prizes – via random draws or submissions that were reviewed and rated by a panel of judges.
Red Lake Hospital - $83,500
Brant Community Healthcare System – Peer Support Program - $65,000
Marathon Family Health Team - $62,000
Hospital at Home – Island Health - $62,000
Halton Healthcare Laboratory - $40,000
Fraser Health - $32,000
Hôpital Glengarry Memorial Hospital - $26,000
Essex County Nurse Practitioner-Led Clinic - $25,000
Gabriola Medical Clinic - Rural and Remote Division of Family Practice - $25,000
Alberta Children’s Hospital Emergency Department - $22,000
Runnymede Healthcare Center - $22,000
Teams won $2,000 each through random draw for registering and being eligible to be part of the Innovation Challenge.
August 2023 winners:
AHS Children's Hospital Calgary
Camrose Primary Care Network
CISSS de la Montérégie Est
Country Roads Community Health Centre
Horizon Family Practice
Island Health
Langs
Luther Court Community Health Centre
Marathon Family Health Team
Medavie Health Services
Newfoundland and Labrador Health Services
Nova Scotia Health Central Zone
Prescott Family Health Team
Queen Square Family Health Team
Red Lake Hospital
Runnymede Healthcare Centre
South East Toronto Family Health Team
The Convalescent Home of Winnipeg
Université de Moncton
Weyburn Primary Health Care Centre
November 2023 winners:
Almonte General Hospital/Fairview Manor
Chirurgie Dix30
CHSLD Manoir Harwood
Community Addictions Peer Support Association
County of Bruce-Brucelea Haven
Femade Inc
Gateway Community Health Centre
Hand Over Hand
Health PEI
Interior Health
KB Family Practice Patient Advisory Committee and Community
Keep Breathing Respiratory Exercise Program
Lakehead Nurse Practitioner-Led Clinic
Markham Stouffville Hospital (Oak Valley Health)
North York Family Health Team
Providence Health Care
Quality & Risk Unit, Runnymede Healthcare Centre
Runnymede Healthcare Center
SE Health
Villa Beauséjour
February 2024 winners:
Co-operative Care Alliance
Loch Lomond Villa
Fraser Health
Belmont Long-term Care
BridgePoint Center for Eating Disorder Recovery
Nova Scotia Health
Hospital at Home – Island Health
McGill University Health Centre – Montreal Neurological Hospital
Celtic Court, Shannex
Saint Vincent’s Nursing Home
CHSLD Louis Denoncourt
Seaforth LTC Home
Allen Gray Continuing Care Centre
Brant Community Healthcare System
Providence Living
McGill University Health Centre
AMHS-KFLA, Kingston
McCormick Care Group
Edmonton West Family Physicians Group NPC
Camrose Primary Care Network
May 2024 winners:
Hôpital Glengarry Memorial Hospital
Groves Memorial Community Hospital
Tideview Terrace
Owen Hill Care Community
Seniors’ Community Services
Unity Health Toronto
Winchester District Memorial Hospital
NL Health Services
Victoria Hospital
Interior Health – Kelowna General Hospital
Teams received $5,000 each for submitting a summary of their innovation. The submissions were rated by a judging panel.
September 2023 winners:
AHS Children's Hospital Calgary
County of Bruce – Brucelea Haven
Essex County Nurse Practitioner-Led Clinic
Fraser Health
Hôpital Glengarry Memorial Hospital
Marathon Family Health Team
Medavie Health Services
The Convalescent Home of Winnipeg
Université de Moncton
Weyburn Primary Health Care Centre
Ten teams with the top outcomes measurement plans, as rated by judges, received awards of $5,000. Their submissions identified an aim statement, a primary indicator and a data collection and sharing strategy for their innovation.
Alberta Children's Hospital Emergency Department
Brant Community Healthcare System
Camrose Primary Care Network
Fraser Health
Halton Healthcare
Hospice Muskoka
Hospital At Home, Island Health
Island Health
Markham Stouffville Hospital (Oak Valley Health)
McGill University Health Centre
Medavie Health Services
Runnymede Healthcare Centre
Teams with the top 10 ‘dinosaur plans’ describing how to simplify or change an aspect of their tasks or practices were awarded $5,000 each. Submissions were rated by our judges.
Camrose Primary Care Network
Essex County Nurse Practitioner-Led Clinic
Gateway Community Health Centre
Hôpital Glengarry Memorial Hospital
Halton Healthcare Laboratory
Island Health (Acute Mental Health and Substance Use)
McGill University Health Centre
Perley Health
Rural and Remote Division of Family Practice (Gabriola)
Winchester District Memorial Hospital
Dinosaur Mini-Challenge Awards winners were invited to present their Dinosaur Plan pitch to a live audience of peers. Teams with the top scores as rated by our judges were awarded.
Essex County Nurse Practitioner-Led Clinic
Winchester District Memorial Hospital
Perley Health
Hôpital Glengarry Memorial Hospital
In December 2023 teams with the top 15 reports demonstrating clear and measurable improvements against their primary indicator and total healthcare worker reach won $5,000 each. Submissions were reviewed and rated by our judging panel.
Brant Community Healthcare System
Camrose Primary Care Network
CBI Health
Hôpital Glengarry Memorial Hospital
Hospital at Home, Island Health
Island Health (Acute Mental Health & Substance Use)
KB Family Practice (Patient Advisory Committee and Community
Langs
Marathon Family Health Team
Markham Stouffville Hospital (Oak Valley Health)
Medavie Health Services
NL Health Services (DEIR Council)
NL Health Services (Mental Health and Addictions Program)
Quality & Risk Unit, Runnymede Healthcare Centre
Red Lake Hospital
In March 2024 teams with the top 16 reports demonstrating clear and measurable improvements against their primary indicator and total healthcare worker reach won $5,000 each. Submissions were reviewed and rated by our judging panel.
Fraser Health – Leadership Program
BridgePoint Center for Eating Disorder Recovery
Alberta Children’s Hospital
Runnymede Healthcare Centre
Réseau de santé Vitalité
Prescott Family Health Team
Essex County Nurse Practitioner-Led Clinic
Gateway Community Health Centre
Runnymede Healthcare Centre – Health & Safety Unit
Les Résidences Mgr Chiasson inc.
Fraser Health – The Working Mind
Gabriola Medical Clinic
Kingston Health Sciences Center
Brant Community Healthcare System
McCormick Care Group
The Ottawa Hospital
Awarded to teams that achieve the best mid-term score based on the combination of the team’s retention percentage increase between its ‘Baseline Data’ and its ‘Reported Data’ up to, and including, December 2023.
Stream 1 – Northern/Remote Stream:
$25,000 – Red Lake Hospital
$15,000 – Marathon Family Health Team
Stream 2 – Teams from the rest of Canada:
$25,000 – Brant Community Healthcare System – Peer Support Program
$15,000 – Halton Healthcare Laboratory
$10,000 – Les Résidences Mgr Chiasson inc.
$5,000 – Alberta Children's Hospital Emergency Department; Runnymede Healthcare Center
$2,500 – Chirurgie Dix30
Teams with the top 17 plans outlining innovation and creative approaches for engaging senior leadership in the success of their initiative won $5,000 each. Submissions were reviewed and rated by our judging panel.
Loch Lomond Villa
Fraser Health
South East Toronto Family Health Team
Marathon Family Health Team
Runnymede Healthcare Center
Brant Community Healthcare System – Peer Support Program
Langs
Essex County Nurse Practitioner-Led Clinic
Island Health - Acute Mental Health and Substance Use
Quality & Risk Unit, Runnymede Healthcare Centre
Hospice Muskoka
Brant Community Healthcare System – Clinical Education Team
Gabriola Medical Clinic
Perley Health
Island Health – North Vancouver Island
Kootenay Boundary Family Practice Patient Advisory Committee and Community
University Health Network
A total of 15 prizes of $1,500 were awarded through a random draw to teams that reviewed and provided back to HEC revisions to short descriptions of their initiatives.
Keep Breathing Respiratory Exercise Program - Evolve Wellness Studio
NL Health Services – DEIR Council
Hôpital Glengarry Memorial Hospital
The Convalescent Home of Winnipeg
Red Lake Hospital
Island Health - Acute Mental Health & Substance Use
Quality & Risk Unit – Runnymede Healthcare Center
Saint Vincent’s Nursing Home
Creative Options Regina
Halton Healthcare
Kootenay Boundary Family Practice Patient Advisory Committee and Community
Northern Health
McCormick Care Group
The Ottawa Hospital
GMF-U Sacré-Coeur
Teams with the top 10 plans identifying strategies for long-term sustainability planning of their initiatives won $5,000 each. Submissions were reviewed and rated by our judging panel.
Keep Breathing Program - Evolve Wellness Studio
Medavie Health Services
Hôpital Glengarry Memorial Hospital
Marathon Family Health Team
CISSS de la Montérégie Est
Les Résidences Mgr Chiasson Inc.
Cambridge Memorial Hospital
Halton Healthcare
University Health Network
CIUSSS du l'Ouest-de-l'île-de-Montréal
Eight awards of $10,000 each were awarded through a random draw to teams moving the dial on a collective impact indicator related to healthcare worker reach. For each month of eligible healthcare worker reach data submitted by a team, they received one ballot entry into the draw.
Fraser Health – Leadership Program
North York Family Health Team
Guelph Community Health Centre
CISSS de la Montérégie Est
The Convalescent Home of Winnipeg
Brant Community Healthcare System – Peer Support Program
Gabriola Medical Clinic - Rural and Remote Division of Family Practice
Northern Health
For both Innovation Challenge streams, prizes of up to $50,000 awarded to teams that submit the top three reports demonstrating clear and measurable improvements associated with their innovation. Submissions were reviewed and rated by our judging panel.
Stream 1 – Northern/Remote Stream:
$50,000 – Red Lake Hospital
$25,000 – Marathon Family Health Team
Stream 2 – Teams from the rest of Canada:
$50,000 – Hospital at Home – Island Health
$25,000 – Brant Community Healthcare System - Peer Support Program
$15,000 – Halton Healthcare Laboratory
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