PROJECTS

Adaptable, Diverse and Innovative​

Circumpolar health, patient safety, social determinants of health, health human resources, Canadian Medicare, health policy, methodology, clinical redesign, primary health care, globalization. 

Book

Marchildon, G., and Torgerson, R. (2013). Nunavut: A Health Systems Profile. McGill Queen's University Press: Kingston. https://www.mqup.ca/nunavut-products-9780773541474.php

Based on extensive research including visits to most health centres and facilities in Nunavut, Gregory Marchildon and I produced a comprehensive review of healthcare in Canada's newest territory. Nunavut: A Health System Profile provides an in-depth examination of population health and healthcare in the territory. 

The project, funded by the government of Nunavut also included an inventory of health services, health human resources, equipment and supplies. infrastructure, and medical travel in each of the communities. Because a circumpolar inventory did not exist at the time I adapted inventories from the World Health Organization to make it specific to the needs of northern communities. We were later sent by the government of Nunavut to Greenland to understand their health system. 

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Policy Papers

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Current Project: Framework on the Ethical Recruitment of Internationally Educated Healthcare Providers. Health Canada. https://www.canada.ca/en/health-canada/services/health-care-system/health-human-resources/federal-provincial-territorial-statement-supporting-workforce.html

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2023. Legislative Review of Pharmaceutical Services in Canada. Paper prepared for the Government of Nunavut.

2023. Legislative Review of the Pharmaceutical Workforce in Canada.

Paper prepared for the Government of Nunavut.

2023. Literature Review of Patient Safety Concepts. Paper prepared for the Health Quality Council of Alberta.

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2023. Impact Narratives for the Alberta SPOR Support Unit. Evaluation conducted for the Alberta SPOR Support Unit.

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(Lead author) Canadian Patient Safety Institute (2019). Strengthening Commitment for Improvement Together: A Policy Framework for Patient Safety. Edmonton, AB: Canadian Patient Safety Institute. https://www.patientsafetyinstitute.ca/en/toolsResources/PolicyFrameworkforPatientSafe ty Canada/Pages/default.aspx

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I developed the conceptual model for patient safety in Canada as a roadmap for jurisdictions to ensure the policy aim that "Canada has the safest care in the world". The paper was guided by high-level leaders from across Canada representing patients, f/p/t governments, professional associations, regulators, health regions and legal expertise. If you would like to see an example of my systems thinking abilities check this out!

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Misfeldt, R. (2018). Key Concepts and Selected References – Appendix 6. In Forest, PG and Martin, D. Fit for Purpose: Findings and Recommendations of the External Review of the Pan- Canadian Health Organizations - Summary Report. Commissioned by Health Canada. https://www.canada.ca/en/health-canada/services/health-care-system/reportspublications/health-care-system/findings-recommendations-external-review-pancanadian-health-organization.html

In 2018 I was asked by the external evaluators to quickly develop the key policy concepts underscoring the report including Indigenous health, learning health systems, slow medicine, population health, etc. Each concept was written in plain English and included the Canadian angle. Called a "wiki of health policy" I am able to quickly understand health policy in Canada.

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McIntosh, T, Torgerson, R., and Wortsman, A. (2007). Taking the Next Step: Options and Support for a Pan-Canadian, Multi-Professional HHR Planning Mechanism. Policy paper prepared for the Health Action Lobby (HEAL), the Canadian Nurses Association, the Canadian Medical Association and the Canadian Healthcare Association. Ottawa: Canadian Policy Research Networks: http://oaresource.library.carleton.ca/cprn/48150_en.pdf

Torgerson, R (2007). Not There Yet: Improving the Working Conditions of Canadian Nurses. Policy Paper prepared for the Office of Nursing Policy, Health Canada. Ottawa: Canadian Policy Research Networks. http://oaresource.library.carleton.ca/cprn/48150_en.pdf

McIntosh, T., Torgerson, R., and Klassen, N. (2007). The Ethical Recruitment of Internationally Educated Health Professionals: Lessons from Abroad and Options for Canada. Policy Paper prepared for Saskatchewan Health. Ottawa: Canadian Policy Research Networks. http://oaresource.library.carleton.ca/cprn/46781_en.pdf Torgerson, R.,

McIntosh, T. Torgerson, R., and Klassen, N. (2006). The Recruitment of Internationally Educated Health Professionals to Saskatchewan: Ethical Considerations. Policy Paper prepared for Saskatchewan Health. Ottawa: Canadian Policy Research Networks.

Torgerson, R., and McIntosh, T. (2006). Taming of the Queue III: Where the Rubber Meets the Road. Colloquium Report. Ottawa: Canadian Policy Research Networks. http://oaresource.library.carleton.ca/cprn/44140_en.pdf

Torgerson, R., Wortsman, A., and McIntosh, T. (2006). Towards a Broader Framework for Understanding Accessibility in Canadian Health Care. Paper prepared for the Canadian Nurses' Association. Ottawa: Canadian Policy Research Networks. http://oaresource.library.carleton.ca/cprn/43661_en.pdf

Torgerson, R., McIntosh, T., and Wortsman, A. (2006). Nursing Skills and Mobility: Facilitating the Transfer and Tracking of Nurses across Canada. Paper prepared for the Canadian Nurses Association. Ottawa: Canadian Policy Research Networks. https://pdfs.semanticscholar.org/da7c/86f743ad3a5d24ae4ab605a2274553ce5406.pdf

McIntosh, R., and Torgerson, R. (2006). Setting Priorities and Getting Direction: Conference Report Consultation Conference on Health Human Resource Planning. Paper prepared for the Government of Saskatchewan. Ottawa: Canadian Policy Research Networks. http://oaresource.library.carleton.ca/cprn/41687_en.pdf

Smadu, M. , Bilan, M., Bingham, M., Brunskill, D., Chambers, I., Clatney, L., Cripps, S., Domm, E., Dunn-Pierce, T., Eisler, K., Fahlman, J., Torgerson, R., Lyons, S., McIntosh, T., Sawatzky, J., Schellenberg, N., Wagner, S. (2006). Promoting High Quality Workplaces: Learning from Saskatchewan. Report submitted to Health Canada’s Health Policy Research Program. Ottawa: Health Canada.

Torgerson, R. (2004). Canada: A coordinated and comprehensive approach to health human resource planning. Busse, R., and Schlette, S. (eds). Health Policy Developments: Focus on Health and Aging, Pharmaceutical Policy and Human Resources. Issue 2. Bertelsmann Foundation Publishers.

Reports

Misfeldt, R., Brierley, M., Rostami, M., Zarrabi, M., Smeland, M., Goodwin, D., Yu, S., Deutschlander, S., Mallinson, S., & Sklar, S. (2017). It’s Your Move: Evaluating Improvements to Client Handling Practices in Alberta. Final Report. Calgary: Alberta Health Services.

Suter, E., Misfeldt, R., Mallinson, S., Wilhelm, A., Boakye, O., Marchildon, G., Kendel, D., Nasmith, L., Wong, S., & Lai, D. (2014). Comparative Review of the Policy Landscape of Team based Primary Health Care Service Delivery in Western Canada. Calgary, AB: Workforce Research and Evaluation, Alberta Health Services.

Suter, E., McBride, K., Birney, A., Sharma, K., Deutschlander, S., & Misfeldt, R. (2014). Enhanced Recovery After Surgery Data Collection Evaluation. Calgary, AB: Workforce Research and Evaluation, Alberta Health Services.

Suter, E, Misfeldt, R., Birney, A., Charland, P. (2014). Centralized Intake for Comprehensive Osteoarthritis and Rheumatory Arthritis: Current and Potential Health Care Providers. Paper prepared for the Bone and Joint Strategic Clinical Network. Calgary: Workforce Research and Evaluation, Alberta Health Services.

Misfeldt, R., Hepp, S., Armitage, G., and Lait, J. (2013). Interprofessional Teams in Primary Care Networks: An Exploratory Review. Calgary: Workforce Research and Evaluation, Alberta Health Services.

Hastings, S., Armitage, G., Mallinson, S., Jackson, K., Linder, J., Misfeldt, R., Suter, E., Anderson, B., Lewis, S. Lorenzetti, D., Mattern, L, Moffat, M., Oelke, N., Phillipon, D., and Sproule, J. (2013). Exploring the Relationship between Governance Models in Healthcare and Health Workforce Transformation: A Systematic Review. Calgary: Workforce Research and Evaluation, Alberta Health Services.

Torgerson, R., Lait, J., Armitage, G., Linder, J., Hepp, S., Jackson, K., and Suter, E. (2012). Incentives for Health Care Providers: An Overview of Systematic Reviews. Paper prepared for the Institute for Health Economics. Calgary: Workforce Research and Evaluation, Alberta Health Services.

Torgerson, R., and Oelke, N. (2012). Creating an Integrated Primary Care Model for Patient-Centred Chronic Pain Management: Meeting Report. Report prepared for Campus Alberta, Health Outcomes and Public Health. 

Marchildon, G., and Torgerson, R. (2010). Inventory of Health Services, Equipment and Supplies, Medical Travel, Human Resources and Infrastructure in Nunavut's 25 Remote Communities. Iqaluit: Government of Nunavut.

Labonte, R., and Torgerson, R. (2003). Frameworks for Analyzing the Links Between Globalization and Health. Paper prepared for the Globalization, Trade and Health Group, World Health Organization.

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Selected Peer Reviewed Journal Articles

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Kovacs Burns, K., Davis, D., Popescu, I., Laeeque, H., Misfeldt, R., Thrall, C., and Kossey, S. (2020). Patient engagement in a large-scale change initiative: “as safe as possible, as soon as possible”. Healthcare Quarterly. Special Edition.

Benzies, K., Shah, V., Aziz, A., Lodha, A., and Misfeldt, R. (2019). The health care system is making ‘too much noise’ to provide family-centred care in neonatal intensive care units: Perspectives of health care providers and hospital administrators.  Intensive and Critical Care Nursing, 50: 44-53. https://doi.org/10.1016/j.iccn.2018.05.001

Mallinson, S., Misfeldt, R., Boayke, O., Suter, E., and Wong, S. (2018). Comparative policy analysis: identifying policy options for team-based primary care in Western Canada. SAGE Research Methods Cases. doi: http://dx.doi.org/10.4135/9781526428363

Misfeldt, R., Suter, E., Oelke, N., Hepp, S., and Lait, J. (2017). Creating high performing primary health care teams in Alberta, Canada: Mapping out the key issues using a socioecological model. Journal of Interprofessional Education and Practice. Vol. 6: 27- 32. doi: http://dx.doi.org/10.1016/j.xjep.2016.11.004

Misfeldt, R., Suter, E., Mallinson, S., Boakye, O., Wong, S., and Nasmith, L. (2017). Exploring context and the factors shaping team-based primary healthcare policies in three Canadian provinces: a comparative analysis. Healthcare Policy, 13(1): 74-93 doi: 10.12927/hcpol.2017.25190

Suter, E., Mallinson, S., Misfeldt, R., Boakye, O., Nasmith, L., and Wong, S. (2017). Advancing team-based primary health care: a comparative analysis of policies in western Canada. BMC Health Services Research, 17: 493. doi: 10.1186/s12913- 017- 2439-1

Misfeldt, R., and Hepp, S. (2017). Research design of overview of reviews: incentives for health care providers. SAGE Research Methods. DOI: http://dx.doi.org/10.4135/97815264097

Suter, E., Birney, A., Charland, P., Misfeldt, R., Weiss, S., Squire Howden, J., Hendricks, J., Lupton, T., and Marshall, D. (2015). Identifying the optimal use of health care providers in the centralized intake of arthritis. Human Resources for Health. 13:41. Open Access. doi: 10.1186/s12960-015-0033-3

Misfeldt, R., Linder, J., Lait, J., Hepp, S., Armitage, G., Jackson, K., and Suter, E. (2014). Financial and non-financial incentives for healthcare providers in Canada: an overview of reviews. Journal of Health Services Research and Policy. 19 (1): 52-61. doi: 10.1177/1355819613505746 Hepp, S.,

Misfeldt, R., Lait, J., Armitage, G., and Suter, E. (2014) Organizational factors influencing interprofessional team functioning in primary care networks. Healthcare Quarterly, 17(2): 57-61. doi:10.12927/hcq.2014.23877

Macdonald, J., Raphael, D., Labonte, R., Colman, R., Torgerson, R. and Hayward, K. (2009). Income and health in Canada: Canadian researchers' conceptualizations make policy change unlikely. International Journal of Health Services. 39(3): 525-43. doi: 10.2190/hs.39.3.f

Raphael, D., Labonte, R., Colman, R., Hayward, K., Torgerson, R., & Macdonald, J. (2006). Income and Health in Canada: Research Gaps and Future Opportunities. Canadian Journal of Public Health. 97(Suppl. 3): S16-S23. https://www.jstor.org/stable/41965617

Labonte, R., and Torgerson, R. (2005). Interrogating globalization, health and development: towards a comprehensive framework for research, policy and political action. Critical Public Health, 15(2): 157-179. https://doi.org/10.1080/09581590500186117

Raphael, D., MacDonald, J., Colman, R., Labonte, R., Hayward, K., and Torgerson, R. (2005). Researching income and income distribution as a determinant of health in Canada: gaps between theoretical knowledge, research practice, and policy implementation. Health Policy. 72(2):217-32. https://doi.org/10.1080/09581590500186117

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Book Chapters

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Raphael, D., Labonte, R., Colman, R., Hayward, K., Torgerson, R., and Macdonald, J. (2010). Income and Health in Canada. In Raphael, D. (ed). Health Promotion and Quality of Life in Canada: Essential Readings. Toronto: Canadian Scholars' Press Ltd.

Dickinson, H., and Torgerson, R. (2008). Medicare: Saskatchewan's Gift to the Nation. In J. Porter (ed). Perspectives of Saskatchewan: 1905-2005. Winnipeg: University of Manitoba Press. https://uofmpress.ca/books/detail/perspectives-of-saskatchewan

Labonte, R., and Torgerson, R. (2008). Interrogating Globalization, Health and Development: Towards a Comprehensive Framework for Research, Policy and Political Action. In J. Green and R. Labonte (eds). Critical Perspectives in Public Health. Abington, U.K.: Routledge. https://www.researchgate.net/publication/291842378_Critical_Perspectives_in_

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