P.I.E.C.E.S.™ began in 1997, initially in long-term care, in recognition of the need for a system-wide approach to the understanding of and care for the complex and at risk older person. It is a holistic, person and care partner-directed approach, anchored in performance improvement, and designed to enhance capacity. Over the last 18 years the P.I.E.C.E.S.™ approach has evolved based on best-practice literature and the lessons learned through its implementation and spread across health care sectors within both regional and provincial jurisdictions.

The ongoing development of the P.I.E.C.E.S.™ Model has led to it being recognized as a major contribution in helping to address the present and future challenges in health and health care by focusing specifically on:

  • Persons and family first health and health care
  • Support for individuals with complex needs
  • Changes in health care delivery at the individual, organizational and system levels
  • Better health, better care, and better value for individuals who are living with persistent and progressive health conditions, cognitive and mental health disorders, and associated behavioural changes

There are four P.I.E.C.E.S.™ Cornerstones providing a foundation for a common set of values, a common language for communicating across the system, and a common yet comprehensive approach to collaboration that supports a shared accountability for person and care partner-directed care focused on health promotion, prevention and chronic disease management. This foundation supports P.I.E.C.E.S.™ Enablers (i.e. P.I.E.C.E.S.™ learners, teams, leaders, organizations and the system) to work together to enhance person and care partner engagement, capacity of the person’s team and organizational and system capacity.