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The Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE) is a nationally endorsed guideline process that targets primary health care practitioners. The C-CHANGE guideline is a composite of eleven of Canada’s cardiovascular-focused clinical practice guidelines, listed below, that are chosen to meet primary care needs, including managing patients with multiple co-morbidities. These guidelines have been part of Canada’s robust and successful cardiovascular guideline efforts since 2011​.

C-CHANGE Initiative:

  1. CANADAPT: Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-Informed Tobacco Treatment

  2. Canadian Association of Cardiovascular Prevention and Rehabilitation (CACPR)

  3. Canadian Consensus Conferences on the Diagnosis and Treatment of Dementia

  4. Canadian Cardiovascular Society (CCS): Guideline for the Management of Atrial Fibrillation

  5. Canadian Cardiovascular Society (CCS): Guideline for the Management of Dyslipidemia

  6. Canadian Cardiovascular Society (CCS): Guideline for the Management of Heart Failure

  7. Diabetes Canada

  8. Hypertension Canada

  9. Obesity Canada

  10. Stroke - Heart and Stroke Foundation

  11. Canada's Dietary Guidelines (Health Canada)

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CHEP+ (C-CHANGE Education Program)

CHEP+ is a non-profit organization founded in 2018 representing the continuing education and professional development arm of the Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE).


Our mission is to improve health care quality and patient safety by supporting clinicians with enhanced professional development and health education.


CHEP+ brings together a multi-disciplinary group of healthcare professionals with the commitment to provide high quality, up-to-date continuing professional development programs with the aim of improving clinical practice and patient outcomes. CHEP+ programs are designed to be engaging and relevant to health care professionals managing today’s complex patient.



President & Chair: Dr. Sheldon Tobe, MD, FRCPC, MScCH (HPTE), FACP, FAHA

Director: Ms. Diane Hua-Stewart, MPH

Scientific Planning Committee:

Dr. Sol Stern, MD, CCFP, FCFP

Dr. Rahul Jain, MD, CCFP, MScCH (HPTE)

Dr. John Hickey, MD, CCFP

Ms. Thuy Pham, RN(EC), MN, MScCH, CDE

Dr. Rick Ward, MD, CCFP, FCFP

Dr. Jeffery Habert, MD, CCFP

Dr. Richard Choi, MD, FRCPC

Dr. Gemma Cheng, MD, FRCPC

The Scientific Planning Committee Members help to define the scope of CPD programs that CHEP+ provides.  They work alongside members of C-CHANGE and guideline panel members to ensure the integrity of the programs to the C-CHANGE recommendations and practice relevancy to primary care health professionals.  


CHEP+ and the Scientific Planning Committee operates under the following principles: 

  1. Accountability to its target members and audience;

  2. Competency-based;

  3. Informed decision making as a committee through the input and consultation from relevant stakeholders such as professional bodies, accreditors, CPD providers, and make final judgements based on the committee members decisions;

  4. Consensus building to develop processes.



CHEP+ operates as an independent body with funding sourced from both the public and private sectors. CPD funding should align with the committee’s purposes for CPD – improving quality of care for patients.  All content is developed independently to ensure the integrity of the programs to the best practices outlined in the C-CHANGE Guidelines.



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