Clinical Solutions

    UHN is a global leader in multi-disciplinary, evidence-based precision medicine, comprised of numerous world leading clinical programs, including:

      • Princess Margaret Cancer Centre: Top 5 cancer centre in the world.
      • Peter Munk Cardiac Centre: Leading Canadian centre for cardiovascular care.
      • Toronto Rehabilitation Institute: Top rehabilitation hospital in the world.
      • Toronto General’s Multi-Organ Transplant Program: Largest in North America.
      • Krembil Neuroscience Centre: Global leader in clinical care for brain, spinal cord, and vision disorders.
      • Leading sub-specialized diagnostic programs in medical imaging, laboratory medicine & pathology.

    UHN acts as a local, provincial, and national asset; serving as a community hospital to the downtown core and a tertiary/quaternary centre for all of Canada. The breadth and depth of our clinical expertise enables us to deliver the best in care, research, and education. We elevate global standards of care and deliver health advancements that will improve lives locally, nationally, and around the world.

    UHN Solutions - Clinical Solutions

    Clinical Leadership

    Shaf Keshavjee, MD, MSc, FRCSC, FACS


    Dr. S. Keshavjee is the Surgeon-in-Chief at University Health Network. He is the Director of the Toronto Lung Transplant Program – a University program spanning UHN and the Hospital for Sick Children. He is a Professor in the Division of Thoracic Surgery at the University of Toronto. He is also Head of the Joint Division of Thoracic Surgery of UHN and St Joseph’s Hospital, McMaster University.

    Dr. Keshavjee completed his medical training at the University of Toronto in 1985. He subsequently trained in General Surgery, Cardiac Surgery and Thoracic Surgery at the University of Toronto followed by fellowship training at Harvard University and the University of London for airway surgery and heart-lung transplantation respectively. He joined the faculty at the University of Toronto in 1994.

    Dr. Keshavjee’s clinical practice in Thoracic Surgery is based at TGH, he also leads a team of researchers in a well-established CIHR funded research program and is widely published in the field. His specific research interest is in lung injury related to transplantation. His current work involves the study of molecular diagnostics and gene therapeutic strategies to engineer better organs for lung transplantation.

    Edward Cole, MD, FRCPC


    Dr. E. Cole was re-appointed Physician-in-Chief, University Health Network (UHN), in 2015 and received the Dr. Charles H. Hollenberg Chair in Medicine at UHN in May 2010. He is also the director of the Medical and Community Care Program at UHN. He has served on the Board of Directors of Toronto General and Western Hospital Foundation since 2010.

    He received his Bachelor of Science and Master of Science from the University of Toronto in 1972 and 1973, respectively, and his MD from Memorial University of Newfoundland in 1975. He has been a member of the Faculty of Medicine at the University of Toronto since 1981. He is presently a staff nephrologist at Toronto General Hospital.

    In 2001, Dr. Cole was appointed as director, Division of Nephrology, University Health Network and Mount Sinai Hospital, and in 2007 became the Amgen Professor of Nephrology. He is founder and past chair of The Canadian Transplantation Society Kidney Working Group and Chair of the Steering Committee for National Kidney Registries. He received the Canadian Transplantation Society Lifetime Achievement Award in 2012.


    Marnie Escaf, MHA, HBBA

    Senior Vice-President

    Marnie Escaf is a Senior Vice-President at UHN where she has worked for over 16 years. As Senior VP for the Princess Margaret Cancer Centre, her portfolio includes the Princess Margaret Cancer Program, the Princess Margaret Site, and Palliative Care. She is the chair of the UHN Clinical Operations Committee, and has recently led portfolios such as the Toronto General Hospital (TGH) Facilities, Allied Health, Emergency, the Peter Munk Cardiac Centre, and has been the TGH executive site lead. During this time she has had extensive experience in strategy, quality, and operations to improve various outcomes. She is also a past Administrative Head of UHN’s International Programs.

    Some of her key achievements include leading the city wide approach to the management of acute heart attacks (i.e. STEMI), leadership development at TGH and leading UHN to achieve the best Emergency Department Pay for Performance Results in the Local Health Integration Network (LHIN) in 2010/11. She introduced Appreciative Inquiry to UHN, as well as site-based Goals and Objective Retreats, creating a culture of inquiry and engagement at all levels. Marnie has an Honours Business Degree from Wilfrid Laurier University, a Masters of Health Administration from the University of Ottawa, and is a member of the Canadian College of Health Service Executives.

    UHN Solutions - Clinical Solutions - Leadership

    UHN’s clinical advisory services are grounded in our world-renowned medical expertise. They’re supported by a philosophy of capacity-building in clinical, education, and research domains, and by flexible delivery models built on shared visions & common goals.

    These services provide partners & clients access to the most appropriate standards of care & best practice, helping to improve the quality of care provided to patients. They help optimize hospital processes to improve patient outcomes & create budgetary efficiencies.

    UHN Solutions Advisory Services


    UHN Clinical Solutions - Advisory Services - Healthcare Human Factors SM

    A team of designers & engineers who apply human factors-informed design to the transformation of healthcare products and services. With 6,000 square feet of simulation labs, we put people at the core of our design process to produce products and services that are easy to use, and which create meaningful value.

    UHN Clinical Solutions - Advisory Services - Clinical Guidance

    Specialized expertise, rooted in UHN-specific clinical service areas, to accelerate hospital or public health systems development.

    UHN Clinical Solutions - Advisory Services - Strategic & Operational Planning

    Strategic & operational plan development for both hospital-wide and individual clinical departments & units.

    UHN Clinical Solutions - Advisory Services - Process Design

    Enterprise-level quality improvement methodologies designed to maximize efficiency and ensure sustainability.

    UHN Clinical Solutions - Advisory Services - Clinical Pathways & Care Guidelines

    Custom-made, comprehensive, disease-specific, treatment guidelines for clinical practice. Support in adapting guidelines is available to ensure the most appropriate standards of care.

    UHN Clinical Solutions - Advisory Services - Executive Residencies

    Tailored exposure to UHN strategy and operations for Executive level leaders.

    Strictly delivered via executive-to-executive.

    UHN is home to world leading medical expertise. Providing access to this expertise supports UHN’s vision of A Healthier World by delivering medically necessary care to patients who are not able to access the required health care services in their home country.

    A central office manages all international referrals & supports international patients, families or their representatives through the program application, acceptance process and provision of care. UHN also offers specialized medical consultations, including primary or second opinion consultations on complex cases, as well as sub-specialized diagnostic reviews.


    UHN Clinical Solutions - Medical Services - International Patient Care

    Medical treatment for patients at UHN in Toronto.

    Prioritized offerings include cardiovascular surgery, living donation organ transplantation, and orthopedic surgery.

    UHN Clinical Solutions - Medical Services - Specialized Medical Consultations

    Primary or second-opinion consultations on complex and/or rare diseases (i.e. cancer, cardiovascular), including diagnostics (i.e. radiology, pathology).

    UHN is home to a complex and dynamic network of state-of-the-art hospitals. UHN utilizes experience with its network to help establish new hospitals and hospital programs in other jurisdictions. UHN also specializes in hospital transformations, including the adoption of sub-specialized clinical programs.

    UHN Solutions Managed Services


    UHN Clinical Solutions - Managed Services - Change Management

    Hands-on support driving transformation and process adoption in complex health care environments. Typically involves an on-site UHN team.

    UHN Clinical Solutions - Managed Services - Program Development

    Program planning that supports & accelerates the implementation of new hospital programs. Typically involves an on-site UHN team.

    UHN Clinical Solutions - Managed Services - Hospital Commissioning

    We work closely with industry, government, and other stakeholders to support hospital infrastructure projects at any phase of development or construction.

    Services also include project advisory on scope of clinical services, organizational design, laboratory planning, regulatory standards for health care spaces, development of functional & space plans, etc.

    UHN Clinical Solutions - Managed Services - eHealth Innovation

    eHealth Innovation is a team of engineers, scientists, and designers dedicated to creating seamless health care experiences that empower individuals to take control of their own health and live well, despite illness. Services bring to life experiences that empower patients and are trusted by clinicians, and embraced by healthcare organizations & systems globally.