HeartLife Hub

Terms of Reference

1. Background

The Canadian Heart Function Alliance (CHF Alliance) Network brings the top Canadian researchers and clinical experts in heart failure (HF) together with patients, caregivers, Indigenous Elders and Knowledge Keepers, government, policymakers, knowledge users, not-for-profit organizations, health care providers, academic institutions, and industry partners to improve the prediction, prevention, diagnosis, and management of HF. The Alliance’s priorities are patient-driven and span the lifecycle. It includes innovative research projects within an integrated program and leverages clinical expertise, industry partnerships, and access to large cohorts. The Alliance activities will support the development of platforms to foster digital health, pragmatic clinical trials, artificial intelligence (AI) and advanced data analytics, training, patient engagement and knowledge mobilization that will sustain research and develop the next generation of HF researchers across Canada. 

 

The CHF Alliance recognizes the central importance of engaging those with lived and living experience of HF, including patient partners, caregivers, and other knowledge users. By adopting Patient-Oriented Research (POR) principles, practices, and methods, the CHF Alliance Patient Engagement and Empower Platform will spearhead and support initiatives that accelerate scientific discovery on the role and impact of patients in research and in their own HF care.

2. Definitions

Family: Family members, significant others, and meaningful personal connections of patients 

Patient/Person with Lived Experience (PWLE): An individual with personal experience of a health issue contexts. Patient is considered an overarching term that includes informal caregivers, such as family and friends.

Patient Engagement: Meaningful and active collaboration in governance, priority setting, conducting research and knowledge translation. Depending on the context, patient-oriented research may also engage people who bring the collective voice of specific, affected communities. 

Patient-Oriented Research: A continuum of research that engages patients as partners, focuses on patient-identified priorities and improves patient outcomes. This research, conducted by multidisciplinary teams in partnership with relevant stakeholders, aims to apply the knowledge generated to improve healthcare systems and practices.

 

Patients as Partners: Patients who are meaningfully engaged in the research team, and like other research team members, contribute unique expertise and experiential knowledge.

Knowledge Holder: Indigenous persons who are engaged in identifying, maintaining, protecting, reclaiming, and supporting culturally grounded knowledge traditions and practices. This is a special and important role within Indigenous communities.

3. Creation of the Patient Engagement and Empowerment Platform

The CHF Alliance Executive Council holds the overall responsibility for the governance and management of the CHF Alliance and must act in accordance with the program guidelines and relevant Funding Agreements. The Executive Council is the highest decision-making body and serves to provide a framework for CHF Alliance operations. 

 

The CHF Alliance has created the Patient Engagement and Empowerment Platform, which will review and report on its mandate to the Executive Council on an annual basis. This platform brings together the researchers of the network in partnership with patients, along with theme co-leads and partners involved in the various research projects/studies of the CHF Alliance. The Patient Engagement and Empowerment Platform is co-led by a patient partner and researcher, both of whom also sit on the Executive Council. This platform is responsible for the deployment of the Patient Partnership strategy within the CHF Alliance.

 

4. Platform Mandate

The CHF Alliance Patient Engagement and Empowerment Platform has established the mandate to:

  • Align the network’s priorities and activities to ensure that the network remains broadly relevant to the needs of patients and those around them;
  • Ensure that core principles of partnership with patients and citizens in health research remain the principles that define and regulate the network’s goals, objectives, projects, and activities;
  • Contribute proactively to the design and implementation of the Patient Partnership Strategy;
  • Assist and support research teams, project leaders, and partners to provide seamless integration of patient partners within the Alliance projects;
  • Suggest and help identify, interview, and validate patient partners to participate in CHF Alliance-funded projects and main activities, where appropriate;
  • Provide at least two representatives on the Executive Council and other leadership committees;

  • Play an active and positive role as knowledge mobilization conduits both to public audiences and diverse stakeholders; 
  • Develop, implement, and evaluate appropriate metrics and indicators that are useful in measuring and reporting on partnership outcomes and impacts in the CHF Alliance;
  • Report on the performance of the CHF Alliance toward achieving the goals and impacts stated in the CHF Alliance’s strategic plan and Patient Engagement and Empowerment Platform plan;
  • Advise the Executive Council on any changes to strategy, policies and/or programs designed to improve the network’s engagement of patients and caregivers;

5. Composition of the Patient Engagement and Empowerment Platform

The membership of the Patient Engagement and Empowerment Platform must reflect the interests, philosophy, and strategic direction of the various stakeholders involved in the network. Members of the platforms will come from across Canada and comprise a diversity of patients, caregivers, and/or family members who have the experience of living with or caring for an individual HF. It shall be co-led by a patient and scientific lead. Additional members may be added to the platform as needed. A detailed description of member roles and responsibilities is outlined in Appendix A.

6. Reporting Structure

The Patient Engagement and Empowerment Platform is accountable to the CHF Alliance Executive Council and will operate under these terms of reference.

7. Term of the Patient Engagement and Empowerment Platform co-leads

The Patient Engagement and Empowerment Platform will be co-led by one patient partner and one researcher that will serve for a term of five years. Any changes to terms of membership must be approved by the platform co-leads and the CHF Alliance Executive Council.

8. Remuneration

CHFA Patient Engagement and Empowerment Platform Remuneration and Travel  Reimbursement Policy 

  1. Patient Engagement and Empowerment Platform Remuneration Policy

This remuneration policy covers various activities in connection with the CHF Alliance only (i.e., meetings, teleconferences, committee participation, or any other event). The remuneration  details below do not include remuneration in research projects, in which patient partners may  be involved. Unless otherwise agreed upon by the CHF Alliance, it is the responsibility of the  project’s principal investigator to allocate remuneration for the Partner’s involvement based on  a mutual understanding of the Partner’s obligations to the project and the principal investigator’s  needs.  

Theme Co-Leads 

The CHF Alliance will remunerate agreed activities of the Patient Co-Lead through a stipend  negotiated between the Platform Lead and CHF Alliance Principal Investigator Co-Leads. Special  remuneration rates may be negotiated. Remunerated activities must be approved or based on a  CHF Alliance invitation. Alternative remuneration may be negotiated but must be in accordance  with allowable expenses. 

Patient Partners 

The CHF Alliance will remunerate the activities of each patient partner at a rate of $50 per hour.  Special remuneration rates may be negotiated. Remunerated activities must be approved or  based on a CHF Alliance invitation (from a Theme Manager or the Patient Engagement and  Empowerment Platform). Alternative remuneration may be negotiated but must be in  accordance with allowable expenses.

Activities to be remunerated by the CHF Alliance/ Patient Engagement and Empowerment  Platform: 

  • Theme Calls as a co-lead or speaker in a designated Theme 
  • Reviewer for a grant application  
  • Collaboration/Partnership Calls/Invited Consultation 
  • Annual Meeting 
  • Other Activities/Conferences/Committees as a representative of the CHFA Patient Engagement and Empowerment Platform Co-Lead Strategic Initiatives 
 

Activities that are not remunerated by the CHF Alliance: 

  • Theme Calls as an observer in a non-designated Theme 
  • Other activities/Conferences while not representing the CHF Alliance 
  • Training sessions or calls 
  • Webinars or platform update meetings 

For any activity approved by the CHF Alliance involving an entire day of participation, the  maximum billing per patient partner or Theme Co-Lead is $400 per day.  

Any remuneration related to an activity involving the CHF Alliance must be approved by the  Patient Engagement and Empowerment Platform prior to the involvement of the patient partner or Theme Co-Lead. Remuneration will apply if the patient partner or Theme Co-Lead was  specifically invited to participate by the CHF Alliance. 

New Patient Partner Remuneration Set-Up 

  • Complete and sign the form ‘Patient Partner Information and Signature’ that will be used  to create your file at the Montreal Heart Institute. (See page 8 of this document). Have this form signed by the CHF Alliance Theme or Platform Lead or their designate (e.g., Theme Manager). 

Register for Direct Deposit Payment by sending the complete form, along with a voided cheque,  to the Patient Engagement and Empowerment Platform Engagement Coordinator. 

Activity Remuneration Procedure 

The Patient Engagement and Empowerment Platform Engagement Coordinator will send a  prepared invoice on a quarterly basis (every three months) for the patient partner’s review for  participation in a CHF Alliance activity for the patient’s review and approval. A template for this  invoice can be found on page 9 of this document. 

As for Travel Expenses Claim for the expenses incurred in connection with the event, you don’t  have to wait until the next quarterly (3 months), you can submit your expenses claim right after  the event. You can SCAN all the receipt to the Engagement Coordinator (and keep the originals  in a safe place). If you don’t have access to a scanner, please set up a time to call the Engagement  Coordinator who will give you the information you need to submit your claim by regular mail. A  template for the Travel Expenses Claim can be found on page 10 of this document.  

Once approved within the stipulated deadline, the invoice and/or the Travel Expenses Claim will  be submitted to the Montreal Heart Institute and remuneration will be sent according to the  Patients preferred method of payment (direct deposit or cheque).



 

9. Revision

These Terms of Reference for the Patient Engagement and Empowerment Platform are to be reviewed and can be amended on an annual basis.