D3-c - Co-design as a Tectonic Shift in Primary Care Collaboration

3. Integrated care and community response

  • Date: Thursday, October 8, 2020
  • Concurrent Session D
  • Time: 4 :00 pm – 4 :30 pm
  • Style: Rapid-fire presentation
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership, Clinical providers, Administrative staff
    , Representatives of stakeholder/partner organizations

Learning Objectives

Participants will be provided with an overview of an integrated primary care approach to planning for ongoing community response and transformation in Central region. This approach represents a tectonic shift that allows primary care leaders the ability to co-design together and with other sectors to support system transformation.    

Objectives specifically will include:

  • To describe an emerging regional primary care leadership table and demonstrate its effectiveness in creating a regional primary care priority list and work plan
  • To provide links and full knowledge exchange for others to adapt and adopt this framework freely including terms of reference and work planning
  • To support sharing of additional ideas and perspectives on collaboration and encouraging a spread of this approach as a means of connecting all regions to ensure primary care is consistently involved across the province
  • To encourage primary care to seek out opportunities to be organized and involved in local and regional response and transformation  


In response to COVID-19, Central Region clinical leadership representing family medicine was organized through a Primary Care Central Region Leadership table. The early focus was to secure and/or create capacity to address structural, supply chain and clinical decision making.

With the initial wave of the pandemic abating this creates the opportunity to shift the focus of this table – capitalizing on early trust and connection, to address ongoing COVID-19 as well as system transformation opportunities.

The presentation will provide an overview of the repurposed table and the formation of the Central Region Primary Care Council. Key areas of the presentation will be:

  •  Overview of the shared purpose, key of which is to “Harness the collective leadership of primary care in coordinating and organizing a shared response to system transformation”
  • Visual representation of the Council and how it relates to other provincial structures as well as local supports such as OHTs and other forms of integrated networks of care
  • Review of roles and responsibility and accountability mechanisms
  • Membership – specifically the voice of Chiefs/Division Lead of Family Medicine as well as primary care lead from either the OHT, physician network or association
  • Highlight initial actions and outcomes to date    

Primary care has at times been characterized as unorganized and hard to determine a single source of voice. The “tectonic shift” is to collaborate and co-design system change with primary care – over time developing greater capacity, relationship and trust that will lead to greater and greater integration and transformation.


  • Dr. David Daien, Family Physician - Division Head of Primary Care, Trillium Health Partners & Ontario Health Central Region
  • Dr. David Makary, Family Physicians - Chief of Family Medicine, Southlake Regional Health Centre & Ontario Health Central Region


  • Dave Pearson, Director, Ontario Health Central Region