Join a legacy of leadership
Applications for Cohort 20 are currently being accepted!
Innovate, improve and drive lasting change
Collaborate with leaders from across Canada to develop innovative, evidence-informed approaches that drive meaningful health and social system improvements and transformation – creating lasting change within your organization.
If you’re ready to grow as a leader and build systems that address complex challenges, EXTRA is for you. Be part of a national network of over 645 fellows who have successfully completed Healthcare Excellence Canada’s EXTRA program.
To learn more about EXTRA, download our Cohort 20: Call for Applications here (PDF 986 KB).
Book a call now to learn more about EXTRA. You’ll speak to coaches who are healthcare CEOs and other system leaders with vast experience leading complex change in health care.
E-mail us at EXTRA-FORCES@hec-esc.ca to book a coaching call.
EXTRA: EXECUTIVE TRAINING PROGRAM
Program By the Numbers
How you’ll benefit
Informed by current thought leadership and evidence-based research, the EXTRA curriculum is continually evolving to include emerging topics like artificial intelligence, climate change, environment sustainability, misinformation, virtual care, and equity, diversity and inclusion.
Evidence-based problem solving
You’ll develop self, organization and system level leadership competencies and enhance your skills in patient safety, cultural safety and patient engagement.
Thought leadership
You’ll learn directly from renowned Canadian experts and international speakers, and actively engage with patients with lived experience.
Ongoing coaching
Program coaches are healthcare CEOs and other system leaders. They’ll ask you critical questions and help you think through your project strategically.
Team-based learning
You’ll connect with peers and work with a project team of three to five leaders on real-life health system challenges. A mix of virtual and in-person learning supports you in building strong networks.
Benefits for organizations:
- Develop leaders with the expertise to transform organizational culture to enable safer care.
- Develop capacity and capability to convert evidence into actionable policies and programs.
- Implement a quality improvement project aligned with the organization’s priorities.
- Share learning within your organization and across health systems.
Celebrating two decades of impact
The 20th anniversary of EXTRA is a time to celebrate its success and importance in helping leaders improve healthcare systems across Canada.
We asked program alumni how EXTRA has helped them, and their advice for incoming cohorts. Watch the video to hear their thoughts!
A catalyst for change
Since its inception 20 years ago, 177 organizations across Canada have participated in EXTRA. Its 645+ fellows have benefited from increased program impact, including:
- 83% of improvement teams from a recent EXTRA cohort reported making improvements in the health of patients and residents, resulting from their quality improvement project.
- One participating hospital saw a 50% decrease in emergency room visits for 70% of Emergency Department users followed.
- Other EXTRA fellows used data to improve the flow of communication between hospital and community.
EXTRA has also helped to identify strategies like the Appropriate Use of Antipsychotics approach and led to the development of Healthcare Excellence Canada’s Sparking Change Program – demonstrating that the solutions identified within the EXTRA™ program can be amplified for broader impact.

“The EXTRA program allowed senior leaders from our and partner organizations to work together to improve integration of care in our community.”
-Sarah Downey, formerly CEO of Michael Garron Hospital; currently President and CEO of CAMH; EXTRA Cohort 6

“The EXTRA program allowed senior leaders from our and partner organizations to work together to improve integration of care in our community.”
-Sarah Downey, formerly CEO of Michael Garron Hospital; currently President and CEO of CAMH; EXTRA Cohort 6

“As a result of my learnings from the EXTRA program, I am better able to lead in complex environments.”
-Matthew Murphy, Nova Scotia Health, EXTRA Cohort 15

“As a result of my learnings from the EXTRA program, I am better able to lead in complex environments.”
-Matthew Murphy, Nova Scotia Health, EXTRA Cohort 15
Related Resources
{{currentEntry.friendlyTitle.length > 0 ? currentEntry.friendlyTitle : currentEntry.title}}
- {{param_allText}}
- {{decodeURI(filterType.title).replaceAll('+', ' ').replaceAll('%26', '&')}}
- {{param_allText}}
- {{decodeURI(filterType.title).replaceAll('+', ' ').replaceAll('%26', '&')}}
- {{param_allText}}
- {{decodeURI(filterType.title).replaceAll('+', ' ').replaceAll('%26', '&')}}