The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Evidence-into-Practice Application 2024

Please complete the application form below.

We recommend drafting your answers before completing this online form.
All text boxes are limited to 200 words maximum.
If you are unable to access or complete your application online, or wish to request an accommodation or an alternate format, please email Isabel.Moore@islandhealth.ca to discuss options.

To Save Your Answers and Return Later:

Click the Save and Return Later button at the bottom of the page.
On the next screen, enter your email address and a survey link with your saved responses will be emailed to you. You can return to continue working on the application at any time by clicking on that link.

Lead Applicant Name

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Lead Applicant Email

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Applicant Role/Job Title

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Project Title

* must provide value

Additional Team Members and Departments: Identify all other team members and roles, as well as all departments or Island Health sites involved in or impacted by this project.

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Project Summary: In plain language, describe the evidence you used (or are using), how you implemented it, and what the outcomes were. This summary should be suitable for a general audience. (See this blog post for some tips and resources.) (200 words maximum)

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Geographic Region: Indicate where your project took place. Select island-wide if all of the above.

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Campbell River, Comox, Courtenay, Mt. Waddington, Strathcona

Port Alberni, West Coast, Nanaimo, Oceanside

Cowichan Valley, Ladysmith, Saanich (Northern), Gulf Islands

Victoria, Saanich (Southern), Esquimalt, Sooke, West Shore

Island-wide

Research Priority Areas: Please indicate the priority areas addressed by your project. Select all that apply.

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Indigenous Health

Equity, diversity, and inclusion

Mental Health and Substance Use

Seniors Health

Primary Care Networks and Clinics

Home and Community Care

Population Health and Health Promotion

Under-Resourced Communities and/or people who are unhoused

Acute and Ambulatory Services

Palliative and End-of-Life Care

Care Team Safety and Wellness

Virtual and Technology-Enabled Care

COVID-19

Child and Family, including Maternal Health

Alignment with Island Health's Strategic Framework: Indicate the goal(s) this project supports. Select all that apply.

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Improve experience, quality & outcomes for the people we serve.

Improve the experience, health & wellbeing of all people at Island Health.

Increase value & ensure sustainability.

Improve population health & wellness and reduce health inequities.

Alignment: How does your project address the Island Health goals and priorities you selected above? You can refer to other planning documents or priorities as appropriate. (200 words maximum)

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Evidence: Summarize the evidence you used to make the change. How did you generate, identify, evaluate, and/or synthesize that evidence, and what were your sources? (200 words maximum)

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Change: What was the existing practice or previous process, and how did it compare to the change you made based on the evidence above? (200 words maximum)

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Planning and Implementation: How did you plan for and take action to implement the change? (200 words maximum)

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Challenges: What barriers or challenges did you encounter in making change, and how did you overcome them? (200 words maximum)

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Audience and Engagement: Who were your target audiences and collaborators (e.g. co-workers, patients, decision-makers), and how did you engage them in planning and implementation? (200 words maximum)

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Equity, Diversity, and Inclusion: How did you incorporate equity, diversity, and inclusion throughout your project to ensure that everyone involved (including team members) was able to participate fully, safely, and fairly? (200 words maximum)

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Impact: How did you measure the change and evaluate the outcomes? Include details about your measurements and any relevant data. (200 words maximum)

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Sustainability and Spread: What strategies have you used to sustain the change you made? Have you expanded to other areas or departments within Island Health, or do you plan to do so? (200 words maximum)

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References: If you have cited any references in your answers above, you may upload a list here as a PDF document.

Upload file

I confirm that my immediate supervisor is aware and supportive of this application. If my application is successful, they agree to manage the funds through the departmental operating account.

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Yes

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Supervisor Name

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Island Health Operating Account Number: If my application is successful, funds should be deposited in the following account (enter number)

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To Save Your Answers and Return Later:

Click the Save and Return Later button at the bottom of the page.
On the next screen, enter your email address and a survey link with your saved responses will be emailed to you. You can return to continue working on the application at any time by clicking on that link.

When you submit this application, you will be automatically redirected to a brief and anonymous self-identification questionnaire, which collects important data on gender, age, identity, and disability.

Please take a minute to provide this information so that we can improve access and equity for future applicants.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.