Learning series 2026 - Session 2: Goal Oriented Care: Building data analytics capacity for proactive care

In this Learning Session we learned about METHIS: a digitally supported Goal Oriented Care (GOC) approach for adults with multimorbidity in primary care, supported by Learning Health System (LHS) principles embedded within participating practice based research and learning networks. The study will evaluate the effectiveness, cost-effectiveness, and sustainability of METHIS in primary care. This multinational study across Portugal, Norway and Canada will use a stepped-wedge cluster randomised controlled trial design involving patients aged ≥60 years with multimorbidity in primary care practices within PBRNs in Portugal and Norway. Practices will transition sequentially from usual care to the intervention. The intervention comprises: (1) structured GOC training for primary care teams; (2) implementation of the METHIS digital platform to support goal elicitation, shared decision-making, and monitoring; and (3) application of LHS principles, including patient engagement to promote continuous learning and improvement.

Panelists:

Sabrina Wong, RN, PhD, FAAN, FCAHS

• Professor and Core Faculty, School of Nursing and Centre for Health Services and Policy Research, UBC 
• Interim Scientific Director, Canadian Primary Care Research Consortium 
• Co-chair, Canadian Primary Care Research Network

Luís Velez Lapão, PhD, Habilitation

• Professor of Health Management, Innovation and Digital Health 
• Coordinator of the IDeaS Intelligent Decision-Support Systems Laboratory 
• WHO Collaborating Center for Health Workforce Policy and Planning, Universidade Nova de Lisboa 
• Member of the Digital Transformation Research Group at INOV LAB 
• Lisbon -Stanford University/Elsevier World's Top 2% Scientists 2024 and 2025

Carolyn Steele Gray, PhD

• Senior Investigator, Lunenfeld
• Tanenbaum Research Institute, Sinai Health 
• Tier 2 Canada Research Chair in Implementing Digital Health Innovation 
• Implementation Scientist whose program of work focuses on the role of digital health in supporting integrated, person-centred and primary care delivery for patients with complex needs.