DR. LUCAS CHARTIER

EMERGENCY MEDICINE BIOGRAPHY

Dr. Lucas Chartier is an emergency medicine physician at the University Health Network (UHN) emergency department (ED), its founding Director of Quality & Innovation, and now ED Deputy Medical Director. He is also UHN’s inaugural Medical Director of Quality & Safety, where he leads initiatives to improve patient outcomes and reduce adverse events, promote a positive culture of quality, and drive the research/innovation and training/education for quality and safety across the entire enterprise.

Dr. Chartier completed medical school at McGill University and specialty training in emergency medicine at the University of Toronto. He holds a Master of Public Health from the Harvard T.H. Chan School of Public Health (with a focus in quality improvement, healthcare administration & leadership). He also Chairs the Canadian Association of Emergency Physicians’ QIPS Committee, and he serves as the Lead for Emergency Medicine for the Toronto Central Local Health Integration Network (TC LHIN).

Dr. Chartier’s academic interests reside in building capacity in the fields of quality and safety, as well as the evaluation of the safe and efficient provision of care, including resource appropriateness and ED return visits. He has amassed an extensive publication record on quality and safety initiatives, and he has presented his work internationally. Moreover, he has worked closely and chaired taskforces with Choosing Wisely Canada, Health Quality Ontario, as well as the Ontario Ministry of Health.

RESEARCH INTERESTS

Quality Improvement
Innovation
Patient Flow
Patient Safety
ED Administration
Leadership
Health Policy
Health Services

SELECTED CITATIONS

Chartier LB, Masood S, Choi J, McGovern B, Casey S, Friedman SM, Porplycia D, Tosoni S, Sabbah S. (2022). A blueprint for building an emergency department quality improvement and patient safety committee. Can J Emerg Med. doi: 10.1007/s43678-021-00252-2
Taher A, Magcalas F, Woolner V, Casey S, Davies D, Chartier LB. A Quality Improvement Initiative for Improved Patient Communication in an Emergency Department Rapid Assessment Zone. Emergency Medicine Journal. 2020 Jun. In Press.
Hansen K, Boyle A, Holroyd B, Phillips G, Berger J, Chartier LB, Lecky F, Vaillancourt S, Cameron P, Waligora G, Kurland L, Truesdale M, on behalf of the IFEM Quality and Safety Special Interest Group. Updated framework on quality and safety in emergency medicine. Emergency Medicine Journal. 2020 May 13;37:437-442. PMID: 32404345.
Thull-Freedman J, Mondoux S, Stang A, Chartier LB. Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Canadian Journal of Emergency Medicine. 2020 Apr 24:1-7. PMID: 32327007. [Epub ahead of print].
Trivedi SV, Hartmann RJ, Hall JN, Nasser L, Porplycia D, Kwok ESH, Chartier LB. Residents’ Perspective of Quality Improvement and Patient Safety Education in Canadian Emergency Medicine Residency Programs. Canadian Journal of Emergency Medicine. 2020 Mar 25;22(2):224-231. PMID: 31948511.
Masood S, Yoon J, Woolner V, Chartier LB. The Checklist for Head Injury Management Evaluation Study (CHIMES): A quality improvement initiative to reduce imaging utilization for head injuries in the emergency department. BMJ Open Quality. 2020 Feb 3;9(1):e000811. PMID: 32019751.
Mondoux S, Calder-Sprackman S, Thull-Freedman J, Chartier LB. CJEM to create a dedicated section for Quality Improvement and Patient Safety publication. Canadian Journal of Emergency Medicine. 2020 Jan 22;22(1):11-13. PMID: 31965964.
Woolner V, Ahluwalia R, Lum H, Beane K, De Leon J, Chartier LB. Improving timely analgesia administration for musculoskeletal pain in the emergency department. BMJ Open Quality. 2020 Jan 8:e000797.
Mikhaeil JS, Jalali H, Orchanian-Cheff A, Chartier LB. Quality assurance processes ensuring appropriate follow-up of tests pending at discharge in emergency departments: a systematic review. Annals of Emergency Medicine. 2020 Jan 3. In Press.
Cheng AHY, Campbell S, Chartier LB, Dowling S, Goddard T, Gosselin S, Holroyd BR, Kapur AK, Magee K, McEwen J, Thiruganasambandamoorthy V, Upadhye S, Rowe BH. Choosing Wisely Canada's emergency medicine recommendations: Time for a revision. CJEM. 2019 Nov;21(6):717-720. doi: 10.1017/cem.2019.405.
Ostrow O, Shim A, Azmat S, Zelinka A, Masood S, Chartier LB. Pediatric Emergency Department Return Visits: An Innovative and Systematic Approach to Promote Quality Improvement and Patient Safety. Pediatric Emergency Care. 2019 Sep 24. In Press.
Chartier LB, Mondoux SE, Stang AS, Dukelow AM, Dowling SK, Kwok ESH, Trivedi SV, Tepper J, Lang E. How do emergency departments and emergency leaders catalyze positive change through quality improvement collaborations? CJEM. 2019 Jul;21(4):542-549. doi: 10.1017/cem.2019.25.
Kwok ESH, Perry JJ, Mondoux S, Chartier LB. An environmental scan of quality improvement and patient safety activities in emergency medicine in Canada. CJEM. 2019 Jul;21(4):535-541. doi: 10.1017/cem.2019.16.
Chartier LB, Vaillancourt S, Cheng AHY, Stang A. Quality improvement primer part 3: evaluating and sustaining a quality improvement project in the emergency department. CJEM. 2019 Mar;21(2):261-268. doi:10.1017/cem.2018.380.
Chartier LB, Stang A, Vaillancourt S, Cheng AHY. Quality improvement primer part 2: executing a quality improvement project in the emergency department. CJEM. 2018 Jul 23;20(4):532-8.
Chartier LB, Cheng AHY, Stang A, Vaillancourt S. Quality improvement primer part 1: preparing for a quality improvement project in the emergency department. CJEM. 2018 Jan 15;20(1):104-111.
Cheng AHY, Campbell S, Chartier LB, Goddard T, Magee K, Kapur AK, Holroyd BR, Upadhye S, Couperthwaite S, Rowe BH. Choosing Wisely Canada®: Five tests, procedures and treatments to question in Emergency Medicine. CJEM. 2017;19(S2):S9-17.
Chartier LB, Simoes L, Kuipers M, McGovern B. Improving Bed Utilization in the Emergency Department. BMJ Quality Improvement Reports. 2016;5.
Chartier L, Josephson T, Bates K, Kuipers M. Improving emergency department flow through Rapid Medical Evaluation unit. BMJ Quality Improvement Reports. 2015;4(1).

CREATIVE PROFESSIONAL ACTIVITY

Taher A, Chartier L. (2020). Special Post: Quality Improvement in the time of COVID-19. In: Mondoux S, Mason E (Eds). Education & Quality Improvement. Canada: CanadiEM.
Taher A, Ovens H, Ostrow O. (2020). Ontario Return Visit Quality Program, Part 2 - A Health Informatics Perspective. In: Chartier L, Mason E (Eds). Education & Quality Improvement. Canada: CanadiEM.
Taher A, Ovens H. (2020). Special Post - Ontario ED Return Visit Quality Program, Part 1. In: Chartier L, Mason E (Eds). Education & Quality Improvement. Canada: CanadiEM.
Tawadrous D, Taher A. (2019). Special HiQuiPs Post – Choosing Wisely Canada and Quality Improvement Part 2. In: Chartier L, Hewitt M (Eds). Education & Quality Improvement. Canada: CanadiEM.
Atlin C, Taher A. (2019). Reporting QI Results Part 2 - Run Charts. In: Chartier L, Hewitt M (Eds). Education & Quality Improvement. Canada: CanadiEM.
Taher A, Choi J. (2019). Reporting QI Results Part 1 - Run Charts. In: Chartier L, Hewitt M (Eds). Education & Quality Improvement. Canada: CanadiEM.
Taher A. (2019). Variation and Quality Improvement Processes. In: Chartier L, Mason E (Eds). Education & Quality Improvement. Canada: CanadiEM.
Tam R, Ackery A, Robert A. (2019). Computerized Physician Order Entry (CPOE ) – Using Health Informatics to Decrease Adverse Drug Events. In: Chartier L, Taher A (Eds). Education & Quality Improvement. Canada: CanadiEM.
Taher A, Mondoux S, Chartier L. (2019). HiQuiPs: Year in Review. In: Sneath P (Ed). Education & Quality Improvement. Canada: CanadiEM.
Tam R, Taher A, Masood S. (2019). Introduction to Biomedical and Health Informatics and its Role in the Emergency Department. In: Chartier L (Ed). Education & Quality Improvement. Canada: CanadiEM.
Tam R, Taher A, Cheng A. (2019). Patient Safety in the ED Part 3 – The Role of Safety Culture in a Patient Safety Program. In: Chartier L (Ed). Education & Quality Improvement. Canada: CanadiEM.
Tam R, Taher A, Cheng A. (2019). Patient Safety in the ED Part 2 – Key Concepts in the Systems-Based Patient Safety Paradigm. In: Chartier L (Ed). Education & Quality Improvement. Canada: CanadiEM.
Tam R, Cheng A, Taher A. (2019). Patient Safety in the ED Part 1 – Introduction to the Systems Approach. In: Chartier L (Ed). Education & Quality Improvement. Canada: CanadiEM.
Atlin C, Mondoux S, Chartier LB. (2019). QI in the ED - Implementation Part 2: Which strategy to choose - PDSA, Lean, Six Sigma. Education & Quality Improvement. In: Thoma B (Ed), Education & Quality Improvement. Canada: CanadiEM.
Trivedi S, Taher AK, Mondoux S, Chartier LB. (2018). Implementation Part 1: QI Implementation methodologies. In: Thoma B (Ed), Education & Quality Improvement. Canada: CanadiEM.
Taher AK and Kwok E. (2018). QI in the ED-Preparation Part 3: Root Cause Analysis. In: Chartier L (Ed), Education & Quality Improvement. Canada: CanadiEM.
Taher AK, Atlin C, Vaillancourt S. (2018). QI in the ED-Preparation Part1: General Considerations for a QI project in the ED. In: Chartier L (Ed), Education & Quality Improvement. Canada: CanadiEM.
Taher AK, Trivedi S, Mondoux S. (2018). Quality of Care and the Emergency Department. In: Chartier L (Ed), Education & Quality Improvement. Canada: CanadiEM.
Mondoux, S and Chartier, L. (2018). QI Series Part 3 Differentiating Quality Improvement and Clinical Epidemiology. In: Thoma B (Ed), Education & Quality Improvement. Canada: CanadiEM.
Taher AK and Chartier LB. (2018). New CanadiEM Series–HiQuiPs (Health Information Technology, Quality Improvement and Patient Safety). In: Thoma B (Ed), Education & Quality Improvement. Canada: CanadiEM.
What is “Quality” in health care and how do we achieve it? QI Series Part 2 -Mondoux, S and Chartier, LB. (2017). In: Leontowicz J (Ed), Education & Quality Improvement. Canada: CanadiEM.
What is Quality Improvement?. QI Series Part 1 – Mondoux, S and Chartier, LB. (2017). In: Chan, T and Nguyen-Dinh, D (Eds), Education & Quality Improvement. Canada: CanadiEM.
BED-UP: Bed in the Emergency Department Utilization Project. Chartier, LB. & McGovern B. (2016). Flow Hacks 5 -Featured Leadership and Organizational Workplace Hacks. In: Bravo, M (Ed), Education & Quality Improvement. Canada: CanadiEM.
Emergency Medicine Quality Assurance Part Two: Understanding your individual responsibilities. Chartier LB Waiting To Be Seen. Emergency Medicine Cases. In: Ovens H, Helman A.
Measuring Quality – The Value of Health Care Metrics, Emergency Medicine Cases, Feb 2016
EM Quality Assurance Part One: Improving Follow up from the ED. In: Ovens H, Helman A, eds. Waiting to Be Seen – Emergency Medicine Cases, Sep 2016.
Rapid Medical Evaluation Unit. Co-authored by T Josephson. In: Savage D, Bravo M, eds. FLOW Hacks – CanadiEM, Sep 2016.

PRESENTATIONS

Dr. Chartier has given over 100 invited talks across the country and the globe on the topics of QI, PS and leadership. The topics he has covered have ranged from specific QI projects completed at UHN, to developing the capacity of QI and quality culture in emergency departments, as well as return visits to the emergency department (including the Ontario Return Visit Quality Program), resource appropriateness (including the Choosing Wisely Canada campaign), and leadership (e.g. change in management, engaging stakeholders, obtaining results). If you would like to hear more about these, contact him at lucas.chartier@uhn.ca.

Read more about Dr. Chartier’s research here:

Pubmed profile: https://www.ncbi.nlm.nih.gov/pubmed/?term=chartier+lucas

ResearchGate profile: https://www.researchgate.net/profile/Lucas_Chartier

Connect with Lucas Chartier:

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