Because of rising healthcare costs, more attention is being focused on the development of new treatment models, especially for chronic conditions that are so prevalent that even small enhancements can have big implications for quality and cost control.

One Chronic Disease Management model that has garnered attention is the Porter Model, developed by Michael Porter of Harvard Business School. It prescribes a series of multidisciplinary steps to eliminate fragmentation in the actual delivery of clinical care as well as in patient monitoring, payment procedures and more.

Saba professor of Clinical Skills Rakesh Calton, MD, became curious about evaluating the potential impact of the Porter Model on the management of Heart Failure and found an ideal situation in Ontario. Since 2013, the Ontario provincial government, along with Health Quality Ontario, has required hospitals there to implement a Quality-Based Procedure for heart failure management. The Ontario approach is similar to the Porter Model, but with some important differences.

Working with three other healthcare leaders from hospitals in Ontario, Dr. Calton looked at the potential impact of implementing the Porter Model. The article he co-wrote, “Value agenda for heart failure model in Ontario: Application of the Porter model,” which details the opportunities and challenges of fully implementing the Porter model, has been published in the November issue of the Healthcare Management Forum (a publication of The Canadian College of Health Leaders).

Dr. Calton undertook much of the work while completing a Masters in Healthcare Management at McMaster University. In preparing the paper, members of the team divided various aspects of the research based on their individual areas of expertise. Dr. Calton wrote about the epidemiological and clinical aspects of heart failure and also contributed by helping with the management model. 

Dr. Calton said the multidisciplinary nature of the research was what he found most valuable. “During this program, I had the opportunity to work with healthcare leaders from all over Canada. Our class consisted of physicians, nurses, physiotherapists, executives, managers, academicians, and technologists. It was a great learning experience for me while giving me an opportunity to share my expertise at a national level.”

It has also provided plenty of real life experience Dr. Calton can bring into the classroom at Saba. “I am a champion of quality and a proponent of Evidence-Based Medicine. I try to incorporate scientific research and recent evidence while teaching my students.”

Dr. Calton is currently working on a poster presentation which he intends to present during the American College of Healthcare Executives (ACHE) Congress on Healthcare Leadership in Chicago in March 2018. He is also mentoring two Saba students for their Research: Literature Review and Analysis projects and plans to help them get their papers published.