My research has focused on evaluating the impact of Ontario's primary care reforms on quality of care. Some of my research has shown that the introduction of financial incentives for family doctors has had minimal to no impact on cancer screening and diabetes care. I strive to conduct all my research with a health equity lens to understand differences in health and health care for vulnerable population groups. My more recent work has highlighted that patients who are poor, new to Canada, or living in urban areas are more likely to be left behind from Ontario's medical home reforms. Over the next few years, I will be building a program of research aimed at measuring and improving the quality of care for patients discharged home from hospital.
Tara Kiran is the Fidani Chair in Improvement and Innovation and Vice-Chair Quality and Innovation at the Department of Family and Community Medicine, University of Toronto. She practices family medicine at the St. Michael's Hospital Academic Family Health Team (SMHAFHT).
Dr. Kiran completed her family medicine residency at McMaster University in 2004 and spent her first couple of years in practice as a locum in Aboriginal communities in northern Ontario and in Community Health Centres in urban Toronto. She practiced at the Regent Park Community Health Centre from 2006 to 2010 before joining St. Michael's in 2011.
Over the last decade, Dr. Kiran has led a program of research evaluating the impact of primary care reforms on quality in primary care in Ontario. She and her team have studied the impact of financial incentives on diabetes care and cancer screening, compared chronic disease prevention and management between various practice models, evaluated the impact of mandated after-hours provision on emergency department use, explored the association between the access bonus and healthcare use, and highlighted the quality gaps for patients left out of enrolment models. More recently, she is focusing her efforts on quality improvement research including initiatives to improve cancer screening rates, measure and reduce care disparities, and support physicians to learn from data. She is currently also an Embedded Clinician Researcher with Health Quality Ontario where she leads a program of research to improve the experience of care for patients transitioning from hospital to home.
Dr. Kiran has held a number of local and provincial leadership roles. She led the quality improvement (QI) program at SMHAFHT between 2011 and 2018 and was chair of the SMHAFHT board of directors from 2014 to 2018. She was the Provincial Clinical Lead for the Ontario Diabetes Strategy from 2011-2012 and a Primary Care Advisor for the Toronto Central Local Health Integration Network from 2012-2016. Dr. Kiran is an Associate Professor in the Faculty of Medicine and the Institute for Health Policy Management and Evaluation at the University of Toronto, an Associate Scientist in the MAP Centre for Urban Health Solutions at St. Michael’s Hospital, and an Adjunct Scientist at ICES.