PATH Project


In June 2011, we announced TCF’s single largest and most ambitious project to date: Partners Advancing Transitions in Healthcare (PATH). PATH engaged and supported a community coalition of cross-sector providers and seniors/caregivers to redesign how care is delivered, addressing problems that were identified together.

Between 2012 and 2014, TCF worked with one community/region in Ontario – Northumberland, Ontario – that was committed to working differently to design changes to improve people’s healthcare experiences moving across the continuum of care. As a result of PATH, patients, caregivers and providers co-designed the following solutions:

  • Connectivity – local seniors involved in the project are using a patient / provider portal coupled with mobile technology to store their personal health story, monitor their chronic health conditions and communicate with their healthcare providers
  • Information/planning – a new web-based resource,, has been created with information, planning tools and resources to minimize, for seniors and their caregivers, the health-related challenges that often come hand-in-hand with our later years
  • Volunteer Transition Coaches – 31 volunteer transition coaches have been recruited, trained and assigned to seniors in the community to help support those with the new technology tools and those who might not have support from family members or others as they manage the numerous transitions across the healthcare system
  • Person-Centred Care – a Person-Centred Care Model has been developed and, related to this, a Patient and Family Advisory Model is being developed to help healthcare providers tap into and use input from patients and their caregivers

TCF’s formal involvement in PATH ended in 2015. In March 2016, the PATH project partners (see the full list below) announced a new initiative with the Ontario Centres of Excellence and the Ontario Telemedicine Network that would continue elements of the initial PATH project.

For more information on the current state of the PATH project, please visit the Northumberland Hills Hospital website at


Report: Charting a New PATH

Charting a New PATH is a three-part report that describes what TCF learned as participants in, and funder of, the PATH project. The reports describe the process of developing the PATH proposal and overall project, and the overall lessons we learned working with patients, family caregivers, and providers throughout the project. We have reflected on the major achievements, the unexpected opportunities, as well as which of our ambitions weren’t fully realized. PATH was an extreme learning and growing opportunity, and it’s in that spirit that we present our findings.


Click here to access the three report series.






Project Partners – Northumberland Community Partnership

In addition to the seniors and family caregivers involved in the PATH project, The Change Foundation also acknowledges the important work of the Northumberland Community Partnership, the 12 project partners involved in PATH.

Central East Community Care Access Centre Northumberland Hills Hospital (NHH)
Central East Local health Integration Network NHH Community Mental health Services
Community Care Northumberland Northumberland YMCA
Golden Plough Lodge (long term care home) Palisade Gardens Retirement Residence
Health Systems Performance Research Network Patients Canada
Northumberland Family Health Team QoC Health


PATH Resources


During the project, the Northumberland Community Partnership developed a regular e-newsletter to area residents and others interested in following PATH’s progress as well as opportunities to become involved. Below is an archive of the 10 issues developed by the community partnership that follow PATH’s development.

Read the PATH News archives:
Issue 1 – October 2013
Issue 2 – December 2013
Issue 3 – April 2014
Issue 4 – October 2014
Issue 5 – October 2014 (print version)
Issue 6 – November 2014
Issue 7 – January 15 2015
Issue 8 – March 19 2015
Issue 9 – April 22 2015
Issue 10 – July 23 2015

PATH Videos

See and hear from the people who experienced PATH first-hand in the videos below – as participants, as facilitators, and as funders.


For more information:
Please contact

Be Engaged.

Sign up for our newsletter, Top of Mind.

Select list(s) to subscribe to

By submitting this form, you are consenting to receive marketing emails from: The Change Foundation, 200 Front Street West, , Toronto, ON, M5V 3M1, You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact