Photo for HAMSMaRT


Official Title

Developing quality of care and resource utilization indicators to evaluate a mobile health outreach service (HAMSMaRT) in the Hamilton urban core




Local registry in low-resource settings in Hamilton collecting basic information about an existing community-based clinical program to screen and manage high-risk individuals in the community (homes or community clinics). The registry includes two arms: (1) individuals in hospital in Hamilton undergoing inpatient addiction treatment; and (2) individuals in the community who experience barriers to participating in standard health care delivery settings and processes.

To develop an evidence-based set of indicators that will be used to assess the impact of the HAMSMaRT mobile outreach service on quality of care and health resource use in order to improve the services provided.  The specific objectives are to:

  • Describe clinical characteristics of patients that have used HAMSMaRT to inform the selection of disease-specific, clinical quality of care indicators that are relevant to the program;
  • Qualitatively explore perspectives of inner city patients on quality of care to inform the selection of patient-centred quality of care indicators;
  • Describe health resource use by HAMSMaRT patients to inform the selection of health system indicators that are most relevant to the program, and
  • Finalize a set of evidence-based indicators that can be used to evaluate HAMSMaRT from a patient care and system perspective.

Study Design

Observational – registry

Primary Endpoint

For the retrospective chart review: Identify potential disease-specific quality of life indicators.

For the descriptive analysis: Identify major drivers of health resource use in the cohort and identify potential indicators of health system use.

For the qualitative study: Identify patient-centred quality of care indicators. For the Delphi study: Identify a final set of indicators from the groups identified in the retrospective review, retrospective analysis, and qualitative study.



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Principal Investigator

Tim O’Shea, JD Schwalm

Program Manager

Tara McCready

Research Coordinator

Dawn Ashforth