The Future of Change: Insights from Pre-Forum Day at Quality Forum 2025

Solving complex challenges in health care requires more than data. It calls for collaboration, trust and the space to think differently. The Accelerated Design and Rapid Insight© method creates that space by helping teams move from discussion to action through shared understanding and clear priorities for change. This approach was used during Quality Forum 2025 to bring together more than 270 voices from across BC’s health care system in a fast-paced, inclusive and insight-driven session.

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About the Approach Used: Accelerated Design and Rapid Insight©

A Rapid Insights team used a variety of methods to collect and analyze data generated by participants during and after the event.

Rapid Insight© was used to:

  • Identify what was arising, providing breadth.
  • Promote sense making and provided space to share what was surprising or not being mentioned.
  • Give coherence to what mattered to groups and communities. 
  • Act as a powerful tool and method for building a story that was reflected to participants in real time.

The Insights team used sense-making to understand the emerging themes that demonstrated how participants wanted to move forward.

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How This Can Support Your Work

This report is for health system leaders, improvement advisors, facilitators and policymakers who are tackling complex or cross-system challenges. It offers a real-world example of how to design and lead large-scale engagement that builds alignment, uncovers shared priorities and creates momentum for action. Use it to reflect on the outcomes of the Pre-Forum Day session, consider how the approach could support your own improvement or engagement efforts or share it with partners to spark new conversations about driving change.

Why This Approach Works

The Accelerated Design Event and Rapid Insight© method helps teams do in a day what might otherwise take months.

  • Uses local knowledge, relationships and partnerships to drive progress
  • Builds momentum for change through highly engaging, inclusive methods
  • Helps surface shared priorities and actionable next steps
  • Develops leadership skills and supports values-based system leadership
  • Enables quick wins that build belief and shift teams from planning to action

The day helped to increase awareness of my own mental models that are barriers to change.

The Future of Change: Insights from Pre-Forum Day at Quality Forum 2025 Participant

Collaboration & Engagement

Self-Care & Clinician Wellness

Advocate for System-Level Change

Educational & Knowledge Translation

Individual Practice & Mindset Adjustment

Implementing New Approaches to Change

What Participants Identified

By the end of the session, participants envisioned a future with high-performing health systems, innovative environments, meaningful partnerships and sustainable change.

Key strategies that emerged from the event include:

  • Enhancing patient safety
  • Increasing interoperability
  • Improving access and flow
  • Reducing administrative burden
  • Strengthening teamwork and communication
  • Advancing care planning

These reflections, drawn from real-time insights, represent shared priorities for system change in BC.

Partners and Contributors

This work was developed through a collaboration between:
Health Quality BC, NHS Horizons and Healthcare Excellence Canada.

It was facilitated by:

  • Helen Bevan (NHS Horizons)
  • Christina Krause (Health Quality BC)
  • Jennifer Zelmer (Healthcare Excellence Canada)

Their facilitation supported a focused session aimed at surfacing practical insights and identifying strategies for system-level change.

Rapid Insight© 2022 by NHS Horizons is licensed under CC BY-NC-SA 4.0.

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The Future of Change: Insights from Pre-Forum Day at Quality Forum 2025