CPGI Collaborative Learning and Seminar Series (CLASS)

CPGI CLASS is a series of interactive sessions led by experts drawn from the CPGI faculty and beyond. These sessions will take place by teleconference enhanced by an online component.

Past CLASS discussions

The Knowledge-to-Action Cycle December 14, 2010
Patient and Public Involvement in CPGs
November 29, 2010
Performance Measurement October 7 & 21, 2010

The Knowledge-to-Action Cycle

Tuesday, December 14
12:15 - 1:30 pm EST

Ian Graham uses the knowledge to action cycle (Graham et al, 2006 Lost in Knowledge Translation: Time for a Map? Journal of Continuing Education in the Health Professions, Vol. 26, pp. 13–24) to help guideline developers bridge the “valley of death” between research and clinical practice.  He described what he means by the idea of participatory guideline development and demonstrate how engaging end users in the guideline development process can facilitate their uptake.


  • Listen to an audio recording of the discussion (COMING SOON)

Seminar Leader: Ian D. Graham PhD

Dr. Ian Graham is Vice-President of the Knowledge Translation and Public Outreach Portfolio at Canadian Institutes of Health Research. At CIHR, he is responsible for knowledge translation, partnerships and citizen engagement, communication and public outreach, and pan-institute affairs and initiatives. Dr Graham is on leave from his position as Associate Professor in the School of Nursing, University of Ottawa and Senior Social Scientist in the Clinical Epidemiology Program of the Ottawa Hospital Research Institute. He holds cross-appointments in the Departments of Medicine and Epidemiology & Community Medicine and is an adjunct associate professor in the School of Nursing at Queen's University, Kingston, Ontario. Dr. Graham obtained a B.A. in sociology from McGill University, an M.A. in sociology from the University of Victoria, and a Ph.D. in medical sociology from McGill University. Dr. Graham's research has largely focused on knowledge translation (the process of research use) and conducting applied research on strategies to increase implementation of research findings and evidence-based practice. He has also advanced KT science through the developed two planned action models, the Ottawa Model of Research Use and more recently the Knowledge to Action Model, as well as the Practice Guideline Evaluation and Adaptation Cycle. Specific research projects have related to the adaptation, implementation, and quality appraisal of clinical practice guidelines, as well as the uptake of guidelines and decision support tools by practitioners. He has published over 200 peer reviewed papers. He is co-editor of Knowledge Translation in Health Care published by Wiley-Blackwell (2009).

Patient and Public Involvement in CPGs

Monday, November 29
12:15 – 1:30 pm EST

There is growing evidence that patients can play important roles in improving the quality of healthcare and in the implementation of evidence into practice. However, patient and public involvement poses a number of practical and methodological challenges for guideline organizations:
• What involvement strategies are most effective?
• How to recruit the right people?
• How to ensure that patients bring a relevant contribution?
Dr. Antoine Boivin led a spirited discussion of ways to inform and involve the public in clinical guideline activities.


Seminar Leader: Antoine Boivin MD, PhD(c)

Antoine Boivin is a founder of the Guideline International Network Patient and Public Involvement Working Group (G-I-N PUBLIC) and a doctoral candidate at the Scientific Institute for Quality of Healthcare. His research interests focus on patient and public involvement in quality improvement. Dr Boivin is currently leading a cluster randomized trial of public involvement in quality indicator prioritization, and is co-principal investigator on a knowledge synthesis of patient involvement in guideline development and implementation. Dr Boivin is a practicing family physician in Abitibi-Témiscamingue, Quebec.

Performance Measurement

Performance Measurement 101, and Integrating Performance Measurement into CPGs, both led by Dr. Patrice Lindsay, were a huge success. Participants were introduced to the concept of performance measurement and explored the relationship between performance measurement and clinical practice guidelines.

Further reading on performance measurement

  • Download a list of helpful resources, references and links.

PART 1: Performance Measurement 101
Thursday, October 7
12:15-1:30pm EST

This seminar introduced participants to the concept of performance measurement, as well as a selection of performance measurement frameworks and models currently available.

• Understand the meaning, goals, and uses of performance measurement.
• Discussed some of the similarities and differences of a selection of performance measurement frameworks and models currently available.
• Became familiar with the different types of performance indicators (structure/process/outcome indicators)
• Began thinking about how performance measurement fits into the CPG development process

PART 2: Integrating Performance Measurement into CPGs
Thursday, October 21
12:30-2:30pm EST

In this seminar, participants explored the process, benefits and challenges of integrating performance measurement into CPGs.

• Defined and discussed the relationship between performance measures and clinical practice guidelines
• Discussed criteria for selecting, populating and analyzing performance measures within CGPs
• Explored resources available for identifying and adapting existing performance indicators or frameworks

Seminar Leader: Patrice Lindsay RN, PhD
Director, Performance & Standards, Canadian Stroke Network
Member, Canadian Task Force for Preventative Health Care
Lecturer, University of Toronto
Associate Investigator, Ottawa Health Research Institute