Insight Hub

Welcome to the Lung Health Foundation’s Insight Hub — Canada’s trusted source for evidence-based blueprints for improving lung health. Here, we publish reports that shine a light on what’s working, where gaps remain, and what needs to change.

Whether you’re a policymaker, healthcare professional, researcher, or someone living with a lung condition, this hub is here to help you stay informed — and maybe even inspired to advocate.

2026

Reports

Canadian COPD Performance Index

A Provincial and Territorial Variation Report on COPD Care

Canadian COPD Performance Index

THE CHALLENGE:

Canada ranks a disappointing 17th out of the 45 countries evaluated in the Global COPD Index. Despite access to universal health care, Canadians with COPD still suffer from high COPD-related hospitalizations and low access to respiratory specialists and care referral pathways. Gaps persist from region to region.

THE INSIGHTS:

Although the Global COPD Index provides information on how Canada fares relative to other countries, it doesn’t provide a clear overview of differences across Canadian regions. This report highlights key challenges, opportunities, and recommendations relevant to strengthening COPD care and improving outcomes across Canada’s thirteen unique provinces and territories.

WHY YOU SHOULD READ IT:

Inside this report, we provide clear, evidence-informed summaries to guide decision-making at the policy and system levels.

RELEASE DATE:

October 2026
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https://lunghealth.ca/insight-hub/#canadian-copd-performance-index

Acknowledgments

The Canadian COPD Performance Index was developed in partnership with Speak Up for COPD. An interprofessional team of 10 clinicians, data scientists and researchers were included in our working group, alongside a Canadian   living with COPD.

Working Group Co-Chairs

Shirley Quach
PhD, RRT, CRE, Director, The Hospital for Sick Children & University of Ontario Institute of Technology
Andrea Gershon
MSc, MD, FRCPC, Respirologist & Scientist Sunnybrook Research Institute & University of Toronto

Working Group Members

Raymond Aceron
NP, RN, Nurse Practitioner Internal Medicine, Alberta Health Services
Pat Camp
PhD, PT, Associate Professor Department of Physical Therapy, University of British Columbia
Tracey Carr
PhD, Assistant Professor Community Health and Epidemiology College of Medicine, University of Saskatchewan
Shannon Sibbald
PhD, Associate Professor School of Health Studies, Western Health Sciences, Western University
Cynthia Kendell
PhD, Research Implementation Scientist & Assistant Professor Department of Medicine, Dalhousie University
Tanweer Azher
MBBS, MRCPI, FCCP, Associate Professor Faculty of Medicine, Memorial University
Tania Janaudis Ferreira
PhD, PT, Associate Professor School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University
Sanja Stanojevic
PhD, Associate Professor Community Health and Epidemiology Faculty of Medicine, Dalhousie University
Glenn Kitchener
Person living with COPD, Toronto, Canada

Report Prepared By

Somkene Igboanugo
PhD, MD, Director, Programs & Person-Centered Care, Lung Health Foundation
Shirley Quach
PhD, RRT, CRE; The Hospital for Sick Children & University of Ontario Institute of Technology
Sagana Vijayarajah
PhD, Senior Manager, Research & Programs, Lung Health Foundation

Report Reviewed By

Jessica Moffatt
PhD; Vice President, Public Affairs, Programs and Research, Lung Health Foundation

Our Process

Working Groups

Most Insight Hub reports are made possible by interprofessional working groups made up of clinicians, researchers, health system leaders, and individuals with lived experience. This collaboration helps ensure that our reports reflect both clinical and system-level realities.

Landscape Reports

Landscape reports are created to help translate existing, external recommendations into actionable guidance. For example, our 2026 Immunization Policy and Guidance Paper will help readers understand recommendations from the National Advisory Committee on Immunization (NACI), which are fundamentally rooted in a structured consensus process.

A Structured Consensus Process

When Insight Hub reports are created through Working Groups, we choose what we measure (and how!) through a structured consensus process. This helps balance different perspectives (policy, clinical, lived experience) so that no single viewpoint dominates the findings.  The process also allows the group to identify and clearly signal what matters most by rating the importance of each item. This is important because it helps people understand not just what the findings are, but which ones matter most and why — making the results easier to trust, use, and act on.

Quintuple Aim

When evaluating the healthcare system, Insight Hub reports use the Quintuple Aim, a widely adopted healthcare improvement framework that looks at five important domains:

WE MEASURE…

Population health

BY ASKING QUESTIONS LIKE…

“Are outcomes improving, worsening, or staying the same over time?”

Population health

“Are outcomes improving, worsening, or staying the same over time?”

Patient experience

“Do patients feel supported during treatment?”

Cost and efficiency

“Are there costs the system could avoid, like preventable hospitalizations?”

Equity and access

“Are Indigenous, racialized, or newcomer populations receiving appropriate care?”

Provider experience

“Do healthcare professionals have the resources they need to provide quality care?”

Support our work

Strong evidence drives better decisions, stronger advocacy, and healthier communities. Your support helps the Lung Health Foundation continue developing and sharing trusted insights, research, and recommendations that inform policy, improve care, and advance lung health across Canada. Make a donation today and help turn knowledge into meaningful change.

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