Ali McGill & Vahid Salehi

Biography | Biographie

Ali McGill is a PhD candidate in Interdisciplinary Studies at Memorial University in Newfoundland. Her dissertation will focus on using a novel research methodology, the Functional Resonance Analysis Method (FRAM) to examine and map the process of community based Comprehensive Geriatric Assessment in St. John’s, Newfoundland. The FRAM will be used to identify the cumulative activities involved in this process and how activities are interconnected and interdependent. Once the process is mapped, older adults and their family caregivers will be followed on their patient journey through the process to identify strengths, vulnerabilities, and the variabilities they encounter. Policy and practice recommendations to improve arising from this research can potentially more accurately reflect the dynamic and variable conditions encountered in the process by older adults, their family, and health and social care providers. Ali has been a Registered Nurse since 2002 and currently practices as Nurse Practitioner in Saint John, New Brunswick.

Ali McGill est candidate au doctorat en études interdisciplinaires à l’Université Memorial de Terre-Neuve. Sa dissertation portera sur l’utilisation d’une nouvelle méthodologie de recherche, l’analyse par résonance fonctionnelle (FRAM), pour examiner et cartographier le processus communautaire des évaluations gériatriques complètes à St. John’s, Terre-Neuve. La FRAM sera utilisée pour identifier les activités cumulatives comprises dans ce processus et comment les activités sont reliées et interdépendantes. Une fois le processus cartographié, les aînés et leurs aidant naturels seront suivis pendant leur trajectoire-patient dans le processus pour identifier les forces, les vulnérabilités, et les variabilités qu’ils rencontrent. Les recommandations d’améliorations en matière de politiques et de pratiques provenant de cette recherche ont le potentiel de refléter plus précisément la dynamique et les conditions variables rencontrées dans le processus par les aînés, leur famille, et les prestations de soins de santé et sociaux. Ali est infirmière autorisée depuis 2002 et pratique actuellement comme infirmière praticienne à Saint John, au Nouveau-Brunswick.

Biography | Biographie

Vahid Salehi is a PhD candidate at Memorial University of Newfoundland. His research interests are centered around understanding, modelling, and improving operations in socio-technical systems using a wide range of analytical techniques and systemic approaches such as functional resonance analysis method (FRAM) and multi-criteria decision-making (MCDM). He is interested and has experience in modelling and testing systems that improve human-systems performance in socio-technical domains such as healthcare. He has published more than 30 papers in reputable academic journals and conferences.

Vahid Salehi est candidat au doctorat de l’Université Memorial de Terre-Neuve. Ses intérêts de recherche portent sur la compréhension, le modelage et l’amélioration des opérations des systèmes socio-techniques à l’aide d’une vaste gamme de techniques d’analyse et d’approches systémiques comme la méthode d’analyse par résonance fonctionnelle (FRAM) et la prise de décision à critères multiples (MCDM). Il s’intéresse et possède de l’expérience avec les systèmes d’essai et de modelage qui améliorent le rendement des systèmes humains dans les domaines socio-techniques comme les soins de santé. Il a publié plus de 30 articles dans des périodiques académiques et des conférences.

Presentation Summary | Sommaire de la présentation

Mapping and Modelling Complex Health Care Processes for Older Adults using the Functional Resonance Analysis Method | Cartographier et modeler les processus complexes des soins de santé pour les aînés grâce à la méthode d’analyse par résonance fonctionnelle

The purpose of this study was to model and analyze hospital to home transition processes of frail older adults identifying the challenges within the process. This study was conducted in three hospitals in three cities in New Brunswick. The Functional Resonance Analysis Method (FRAM) was employed to model daily operations of the transition process. The perspectives of healthcare providers and older adults/caregivers were used to build the model. A case study approach was then used to track individual journeys of older adults/caregivers through the transitions process using a customized version of the FRAM, DynaFRAM. The results found five categories of functions contributed to the transition model, admission, assessment, synthesis, decision-making, and readmission. The outcomes of using DynaFRAM revealed challenges, such as waitlists for geriatric units, team-based care, lack of a discharge planner, financial concerns, and follow-up plans. The FRAM method can be applied widely to identify work practices that are more or less successful, so that procedures and practices can be adapted to nudge healthcare processes towards paths that will yield better outcomes. Future research is planned using the FRAM and DynaFRAM to model and analyze the process of Comprehensive Geriatric Assessment in the community setting in St. John’s Newfoundland.