Niagara model for hip fracture care gains global attention
A year after Niagara Health launched a new program to improve care for older adults with hip fractures, the approach is now attracting attention from clinicians around the world.
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The Niagara Health Knowledge Institute (NHKI) was established in May 2023 with a generous donation by the McCall MacBain Foundation.
Our Purpose
Improve patient care and experience by embedding research into clinical practice.
Our Vision
Transform healthcare through leading community hospital-based research.
Our Values
Equity | Collaboration | Continuous Learning | Innovation | Empowerment
Harpreet Bassi, PhD, is the Executive Vice-President, Strategy, Research and Redevelopment.
With a career spanning more than 20 years in the health-care sector, Harpreet has held key leadership positions at Health Quality Ontario, Cancer Care Ontario, The Centre for Effective Practice and The Change Foundation. Most recently, she served as the Director of Policy for Ontario’s Deputy Premier and Minister of Health. She holds an Honours Bachelor of Arts degree from the University of Toronto, a Masters of Public Administration from Queens University and a PhD in Health and Rehabilitation Science from the University of Western Ontario.
Harpreet sits on the Board of Directors for Public Health Ontario and holds an Adjunct Faculty position within the School of Health Sciences at Western University.
Harpreet was born and raised in Scarborough, Ontario. In her leisure time, Harpreet enjoys reading, writing and hiking.
Dr. Jennifer Tsang (she/her), MD, PhD, FRCPC, ABOM, completed her Doctorate of Medicine Degree (Cum Laude) at the University of Ottawa in 2003. She returned to Toronto where she completed her residency training in Internal Medicine in 2006 followed by fellowship training in Adult Critical Care Medicine in 2008. While working as an adult critical care physician at Sunnybrook Health Sciences Centre in Toronto, she completed her PhD study at the University of Toronto in the field of molecular biology to understand the biology of sepsis. In 2013, she joined Niagara Health as an adult critical care physician and in 2015, she was appointed as the Physician Research Lead. In 2020, she received designation as an American Board of Obesity Medicine Diplomate for the provision of specialized care to patients with obesity in Southern Ontario. She is currently the Executive Director and Chief Scientist of the Niagara Health Knowledge Institute; an Associated Professor in the Department of Medicine, McMaster University; and the Regional Deputy Research Director, Internal Medicine Residency Program, McMaster University. She founded the Critical Care Research Program at Niagara Health, a program that was recognized by Health Standards Organization as a Leading Practice. She has over 95 peer-reviewed research publications and over $85 million in research grant funding as Principal Applicant and Co-Applicant. She received the McMaster University Department of Medicine Early Career Research Award in 2015, Canadian Critical Care Trials Group Early Career Research Award in 2018 and the McMaster University Department of Medicine Mid-Career Research Award in 2020.
Her academic work focuses on health research transformation in Canada by increasing research capacity in community hospitals across Canada. She is active in expanding clinical trials to Niagara Health and other community hospitals across Canada and is co-investigator of over 20 multicentre clinical trials. She is heavily involved at the provincial level and national level. At the provincial level, she sits on the planning committee of the Critical Care Services Ontario’s Critical Care Clinical Practice Rounds. She also sits on the Ontario Hospital Association’s Hospital-Based Coordination Working Group with a vision to develop a fully integrated health research and healthcare delivery system across Ontario. At the national level, she is the co-founder and co-chair of the Canadian Community ICU Research Network and the co-chair of the COVID-19 Network of Clinical Trials Networks Community Acute and Critical Care Working Group with the mandate to provide financial support and mentorship to community hospitals in developing research programs. She is a Council Member of the Royal College Physicians and Surgeons of Canada and a member of the Royal College Research and Evaluation Advisory Committee. She is a Board Member of the Canadian Critical Care Trials Group. She is also active in educating and equipping health and research professionals in a broad range of research methodologies through supervising graduate students and postdoctoral fellows, and through her involvement as a steering committee member and mentor of the innovative CIHR-funded Life-Threatening Illness National Group (LifTING) Research Training Platform with the mandate to address the lack of translation of new scientific knowledge into improved healthcare practices and the ongoing health inequities despite significant advances in health sciences. She is a co-investigator of the CIHR-Funded Health Systems Impact Research Training Program. Outside of her clinical and academic work, she served as a Board Member at Quest Community Health Centre in Niagara from 2019-2024 and she was the Co-Chair I from 2023-2024.
Internationally, she serves on the Platform for Developing Precision Approaches to Interpandemic and pandemic Trials, PRIME Ireland, the Patient Partner Involvement and Engagement Working Group for the Global Federation of Platform Trials, the InFACT/ISARIC Global Acute Care Research Collaboration, and the World Health Organization’s Global Optimization of Respiratory Support Collaboration Working Group.
Elaina Orlando, PhD is the Research Manager at the Niagara Health Knowledge Institute. She is also Assistant Professor (Part-Time) in the Department of Health Research Methods, Evidence & Impact at McMaster University where she is the Co-Coordinator for the graduate course, HRM 755 Applied Qualitative Research Methods. Elaina also holds a role as Adjunct Professor in the Department of Health Sciences at Brock University. Elaina started her career as a public health epidemiologist before transitioning to Niagara Health in 2013 where she has worked in quality improvement and patient safety as well as leading integrated home and community care and discharge planning teams before assuming her current role in the NHKI. As Research Manager, Elaina oversees the daily operations of the NHKI, ensuring efficient, effective and ethical conduct of research activities. As a mixed methods researcher with qualitative expertise in case study methodology and qualitative description, Elaina also enjoys collaborating with colleagues on research studies across the healthcare continuum that focus on building research capacity in community hospitals and contributing to A Healthier Niagara.
Dr. Jennifer Tsang (she/her), MD, PhD, FRCPC, ABOM, completed her Doctorate of Medicine Degree (Cum Laude) at the University of Ottawa in 2003. She returned to Toronto where she completed her residency training in Internal Medicine in 2006 followed by fellowship training in Adult Critical Care Medicine in 2008. While working as an adult critical care physician at Sunnybrook Health Sciences Centre in Toronto, she completed her PhD study at the University of Toronto in the field of molecular biology to understand the biology of sepsis. In 2013, she joined Niagara Health as an adult critical care physician and in 2015, she was appointed as the Physician Research Lead. In 2020, she received designation as an American Board of Obesity Medicine Diplomate for the provision of specialized care to patients with obesity in Southern Ontario. She is currently the Executive Director and Chief Scientist of the Niagara Health Knowledge Institute; an Associated Professor in the Department of Medicine, McMaster University; and the Regional Deputy Research Director, Internal Medicine Residency Program, McMaster University. She founded the Critical Care Research Program at Niagara Health, a program that was recognized by Health Standards Organization as a Leading Practice. She has over 95 peer-reviewed research publications and over $85 million in research grant funding as Principal Applicant and Co-Applicant. She received the McMaster University Department of Medicine Early Career Research Award in 2015, Canadian Critical Care Trials Group Early Career Research Award in 2018 and the McMaster University Department of Medicine Mid-Career Research Award in 2020.
Her academic work focuses on health research transformation in Canada by increasing research capacity in community hospitals across Canada. She is active in expanding clinical trials to Niagara Health and other community hospitals across Canada and is co-investigator of over 20 multicentre clinical trials. She is heavily involved at the provincial level and national level. At the provincial level, she sits on the planning committee of the Critical Care Services Ontario’s Critical Care Clinical Practice Rounds. She also sits on the Ontario Hospital Association’s Hospital-Based Coordination Working Group with a vision to develop a fully integrated health research and healthcare delivery system across Ontario. At the national level, she is the co-founder and co-chair of the Canadian Community ICU Research Network and the co-chair of the COVID-19 Network of Clinical Trials Networks Community Acute and Critical Care Working Group with the mandate to provide financial support and mentorship to community hospitals in developing research programs. She is a Council Member of the Royal College Physicians and Surgeons of Canada and a member of the Royal College Research and Evaluation Advisory Committee. She is a Board Member of the Canadian Critical Care Trials Group. She is also active in educating and equipping health and research professionals in a broad range of research methodologies through supervising graduate students and postdoctoral fellows, and through her involvement as a steering committee member and mentor of the innovative CIHR-funded Life-Threatening Illness National Group (LifTING) Research Training Platform with the mandate to address the lack of translation of new scientific knowledge into improved healthcare practices and the ongoing health inequities despite significant advances in health sciences. She is a co-investigator of the CIHR-Funded Health Systems Impact Research Training Program. Outside of her clinical and academic work, she served as a Board Member at Quest Community Health Centre in Niagara from 2019-2024 and she was the Co-Chair I from 2023-2024.
Internationally, she serves on the Platform for Developing Precision Approaches to Interpandemic and pandemic Trials, PRIME Ireland, the Patient Partner Involvement and Engagement Working Group for the Global Federation of Platform Trials, the InFACT/ISARIC Global Acute Care Research Collaboration, and the World Health Organization’s Global Optimization of Respiratory Support Collaboration Working Group.
Elaina Orlando, PhD is the Research Manager at the Niagara Health Knowledge Institute. She is also Assistant Professor (Part-Time) in the Department of Health Research Methods, Evidence & Impact at McMaster University where she is the Co-Coordinator for the graduate course, HRM 755 Applied Qualitative Research Methods. Elaina also holds a role as Adjunct Professor in the Department of Health Sciences at Brock University. Elaina started her career as a public health epidemiologist before transitioning to Niagara Health in 2013 where she has worked in quality improvement and patient safety as well as leading integrated home and community care and discharge planning teams before assuming her current role in the NHKI. As Research Manager, Elaina oversees the daily operations of the NHKI, ensuring efficient, effective and ethical conduct of research activities. As a mixed methods researcher with qualitative expertise in case study methodology and qualitative description, Elaina also enjoys collaborating with colleagues on research studies across the healthcare continuum that focus on building research capacity in community hospitals and contributing to A Healthier Niagara.
Heather O'Grady completed her PhD in rehabilitation science at McMaster University. Her research interests are focused on knowledge translation and patient-engaged research in the context of critical illness. Heather has training in qualitative research and, during her PhD, completed a mixed-methods study to develop and test an infographic to support patients and families during the research consent process. She leads one of the six NHKI Strategic Initiatives: Patient Experience and Engagement in Research.

Emily Baker, MSc, is a PhD student in the Health Research Methodology Program at McMaster University, supervised by Dr. Jennifer Tsang. Prior to her doctoral studies, Emily worked in clinical research within academic and community hospital settings. Her research focuses on enhancing research capacity in community hospitals, with an emphasis on identifying systems-level strategies to support these institutions across Canada.

Jessica Thompson is the Research Administrative Assistant at Niagara Health. She started her career as an administrative assistant in the private sector and transitioned into a marketing role with a focus on graphic design. In her role, Jessica is responsible for daily administrative tasks, including monitoring databases and managing calendars. Jessica also develops graphics for the NHKI, including tables and charts, reports and visuals used both internally and externally


The creation of new
knowledge through health research.

The dissemination of new findings to maximize research impact and application.

The strengthening of organizational ability to integrate research in clinical care.
A year after Niagara Health launched a new program to improve care for older adults with hip fractures, the approach is now attracting attention from clinicians around the world.
For Queen’s University medical students Bianca Marcella and Prey Patel, this summer was more than a chance to advance their research skills - it was an opportunity to come home.