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HOST AND PRESIDING OFFICER |
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R.M. Louise Simard , B.A., L.L.B., Q.C. President & CEO, Health Employers Association of British Columbia
Louise Simard is President & CEO of the Health Employers Association of British Columbia (HEABC), which is the accredited bargaining agent for British Columbia’s publicly funded health employers and consists of approximately 315 member organizations including the province’s six health authorities.
Before this, Louise was the President & CEO of the Saskatchewan Association of Health Organizations (SAHO), and served as a member of the Saskatchewan Legislative Assembly from 1986 to 1995. Louise held numerous ministerial portfolios but most notably, she was Minister Responsible for the Status of Women, and Minister of Health from 1991 to 1995, during that province’s successful transition to community-based health care.
Louise is and has been an active participant on many provincial and national boards, such as the Medical Council of Canada (former President), a member of the Advisory Committee for the Canadian Health Services Research Foundation/ Canadian Institutes of Health Research Chair in Nursing Human Resources, the Canadian Medial Forum Task Force on Physician Supply, and a member of the Steering Committee for the Sector study of the Medical Profession.
A member of the Law Society of Saskatchewan, Louise has practiced law in both the public and private sectors, and was the former Vice-Chair of the Saskatchewan Human Rights Commission. She was a sessional lecturer at the College of Law, University of Saskatchewan, and was appointed Queen’s Counsel in 1995. |
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MONDAY JUNE 12, 2006 |
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08:30 - 9:00 |
Opening and welcome
carson hall |
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09:00 - 10:30 |
PLENARY PANEL ON HEALTHCARE DELIVERY
Our opening Plenary Panel on Healthcare Delivery invites influential and successful CEOs to discuss leadership in an environment of sometimes-smooth sailing and other times ch o p py waters. What course are healthcare leaders charting toward seamless and efficient delivery of care? What tops the priority list? How are these CEOs supporting action from the bottom-up and how are they influencing and guiding their peers, their collaborators, and their own bosses at the local, regional, and national levels? |
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President and CEO Bridgepoint Health
Marian Walsh is the President and CEO of Bridgepoint Health, an integrated network of facilities and services, in Toronto, comprised of Bridgepoint Hospital; Bridgepoint Community Rehab; Bridgepoint Centre for Applied Research and Education; Bridgepoint Centre for Living and Bridgepoint Health Foundation.
Under Marian’s leadership Bridgepoint has established a bold vision for the future “to be Canada’s leader in complex chronic care and complex rehabilitation – the new frontier of healthcare.” She believes that the future of health care lies not just in saving life but in optimizing the lives of those who are living with chronic and complex disease (the new frontier). Marian is a strong advocate for major system transformation because she believes that the current health care system, which is organized to deliver acute episodic care, no longer meets the needs of the majority of its users – with chronic and increasingly complex conditions.
Marian holds a MBA and has been a health care executive for almost 30 years. She is very active in a wide range of roles in the Ontario Hospital Association; the Rehab Network of Toronto and the Complex Care and Rehabilitation Leadership Council of Ontario. She is a member of the Advisory Committee, Faculty of Health Administration, University of Toronto, a Certified Health Executive; and was the founding President of the Canadian Home Care Association. |
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Chief Executive Officer Canadian Health Services Research Foundation
Jonathan Lomas is the inaugural Chief Executive Officer of the Canadian Health Services Research Foundation, a nationally endowed organization founded in 1997 to improve the relevance and use of health services research in health system decision-making.
From 1982-1997 he was a Professor of Health Policy Analysis at McMaster University in Hamilton, Canada, where he co-founded the Centre for Health Economics and Policy Analysis. He has been a Visiting Professor or Scientist at the University of Gadjah Mada in Indonesia (1990), the University of Sydney, Australia (where he was also a Visiting Scholar in the Department of Health of the New South Wales Government) (1996/97), and the Dutch national research and development agency ZonMw (2004).
He has been a consultant to national and provincial governments, as well as providing research and advice to various nongovernmental organizations, task forces and inquiries in Canada and abroad. In 2005 he received a Doctorat Honoris Causa from the University of Montreal in recognition of this work on research transfer and use. |
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President & Chief Executive Officer Vancouver Coastal Health Authority
Ida Goodreau is the President and Chief Executive Officer of Vancouver Coastal Health. Vancouver Coastal Health provides a full range of health care services ranging from hospital treatment to community-based residential, home health, mental health and public health services in the coastal mountain communities, Vancouver, North Vancouver, West Vancouver and Richmond.
Ms. Goodreau most recently served as the Senior Vice President, Global Optimization & Human Resources, of Norske Skog Industrier in Oslo, Norway. Prior to joining Norske Skog in 2000, Ms. Goodreau was President of Fletcher Canada's pulp operations in Vancouver. Her extensive career has included the positions of Managing Director, Tasman Pulp and Paper in Auckland New Zealand, Senior Vice President, Human Resources with Fletcher Canada in Vancouver, and Vice President Human Resources, Union Gas Limited in Ontario. Ms. Goodreau holds a Masters of Business Administration degree and a Bachelor of Commerce degree from the University of Windsor as well as a Bachelor of Arts in English and Economics. She has served on a number of boards including the United Way, YMCA and the Edgewood Chemical Dependency Treatment Centre. |
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10:30 - 11:00 |
networking break sponsor  |
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11:00 - 12:00 |
concurrent sessions 1 - 7
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Session 1 |
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THEATRE |
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Marie Larose
Senior Vice President POLLARA
Marie Larose joined POLLARA in 1995. Marie, an experienced market researcher, has a solid background in conducting qualitative and quantitative research. Marie is a member of the Marketing Research and Intelligence Association, and a frequent speaker at industry conferences. She has also presented the results of the Health Care in Canada Study at the last two National Healthcare Leadership Conferences. |
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Session 2 |
EMPcare@home:NB's Provincial Telehomecare Demonstrator Project presentation |
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SAANICH |
Andrea Seymour
Vice President, Health Information and CIO River Valley Health, New Brunswick
Diane Morrison
Senior Vice President, Community Care River Valley Health, New Brunswick |
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This session will illustrate technology innovation in healthcare in fostering new approaches to chronic disease management. Formal evaluation results will be presented as evidence that more of our technology investments should be placed into the hands of 'patients' as part of a major shift to a self-care/selfmanagement approach to care. |
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An Community Based Integrated Approach to Chronic Disease Management presentation |
Nadine Henningsen
Executive Director Canadian Home Care Association
Marg McAlister
Project Manager Canadian Home Care Association |
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This project demonstrated the benefits of family physician and home care case manager partnerships in chronic disease management thereby enhancing the integration of Home Care and Primary Health Care. Based on the results of the project, this presentation will demonstrate enhanced case management and systems integration, strengthened collaboration and improved care of clients with chronic disease.
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Session 3 |
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SIDNEY |
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The Canadian Forces have long relied on mid-level providers to extend care to places where physician services are not feasible. Others have recognized the applicability of this model in a variety of civilian settings. This presentation will introduce the Physician Assistant model to senior managers, policy makers and academics; and will include a brief history, description of practice settings, the steps taken to gain formal recognition of the profession, and the planned way ahead. |
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Session 4 |
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OAK BAY |
Marie- Pascale Pomey
Professeure adjointe University of Montreal
Elisabeth Martin
PhD Candidate University of Laval |
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Reorganizing health systems to improve governance and accountability is of concern to Canadian provinces. In 2003, the Quebec government addressed this issue by adopting Bill 25, which created agencies charged with developing local health and social service networks. We analyze this reform using Kingdon’s public policy work: government agenda, decision-making agenda and policy choices. Our audience includes all professionals interested in this original Quebec model. |
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Top 10 Ethical Challenges in Health Care: A Call to Action presentation |
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Jennifer Gibson
Leader, Clinical & Organisational Ethics Strategic Initiatives University of Toronto Joint Centre for Bioethics
Canadians will face ethical challenges as they navigate the health system. Do you know what the top 10 ethical challenges are? How well does your organisation respond to ethical challenges as they arise? Find out about a recent study that identified the top 10 ethical challenges facing Canadians. Learn about how to develop an effective ethics strategy to respond to these challenges. Hear how other organisations have taken action to address ethical challenges from boardroom to bedside. |
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Session 5 |
Collaborating for Healthcare Workplace Renewal and System Sustainability |
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CRYSTAL BALLROOM |
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Urgency is a precondition for transformational change, which makes Canada's health system ripe for new approaches to Health Human Resources (HHR) practices. With growing demands, a shrinking workforce and evidence of linkages between patient safety and work environments, there is consensus that we must do more now to support our HHR. This interactive panel session will show how health system leaders are collaborating to raise the standards for workplace renewal and health system sustainability. |
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Session 6 |
Transforming Health Care - The Made-In-Ontario Solution presentation |
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ESQUIMALT |
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Gail Paech
Lead, System Integration Health Results Team, responsible for LHINs Ministry of Health and Long-Term Care
In 2004, the Ontario government embarked on a transformation plan for health care, to ensure its sustainability, improve access and create a “true” system that is easier to navigate. Key to the transformation was the creation of 14 Local Health Integration Networks (LHINs) – non-profit organizations that were designed to plan, coordinate and fund the delivery of health care services in Ontario. Ms. Paech will talk about this “Made-In-Ontario” solution and her experience launching LHINs.
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Influencing HHR Planning from a National Perspective presentation |
Janet Davies
Director Public Policy Canadian Nurses Association
William Tholl
Secretary General and CEO Canadian Medical Association |
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For over 2 years, governments had been pursing a pan-Canadian HHR planning framework without professionals. This presentation will highlight the 10 principles contained in the HHR planning green paper and the strategy employed by CNA and CMA to use this paper to influence health policy. It will also highlight the impact of this paper on the development of the governmental pan-Canadian HHR framework and on the release of governmental HHR plans on December 31, 2005. |
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Session 7 |
Family Care giver: Partner with the Health Care Team presentation |
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COLWOOD |
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Faye Porter ( Collaborators Sharon Goodwin and Bonnie Schroeder)
Vice president, National Programs & VolunteerismVON Canada
Navigating the health care system and being partners with the health care team – what does this mean for family caregivers? The role of caregivers, as essential partners in care, must be part of our future planning. What barriers do they face in navigating the system? What should the relationship of the client, caregiver, provider and the system look like? VON Canada has developed a Model of Care that incorporates the client and caregiver while mobilizing the individual and community resources. Policy development and research are critical to building and disseminating a body of knowledge.
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Nancy Lefebre
Chief Clinical Executive, Senior VP Knowledge and Practice Saint Elizabeth Health Care
Chronic human resource shortages continue to exist throughout our health care system, bringing the need to create capacity to the forefront of every Executive’s agenda. Creating strategies that ensure system sustainability are critical. This presentation will address how organizations can tackle this challenge by creating a culture of innovation, collaboration and knowledge exchange. Case studies based upon a wide variety of real health care operating environments will be shared.
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12:00 - 13:30 |
Luncheon
carson hall Presentation of the 2006 Robert Wood Johnson Awards
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13:00 - 15:00 |
CONCURRENT SESSIONS 8 – 13 |
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Session 8 |
Learning from Medication Incident Data: The Role of the Canadian Medication Incident Reporting and Prevention System (CMIRPS) |
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THEATRE |
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Louise Ogilvie
Director, Health Resources Information Canadian Institute for Health Information
Medication incidents make up a significant proportion of adverse events. Participants will learn about a new national voluntary, anonymous incident reporting system, the Canadian Medication Incident Reporting and Prevention System. The session will highlight how incident data collected and shared can help identify and correct medication system failures and inform ongoing quality improvement and prevention activities at all levels. Key program delive rables and timelines will also be covered. |
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No blame, no shame in a fault-based system of justice – A medico-legal Conundrum presentation |
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John Morris
National Leader – Health Law BORDEN LADNER GERVAIS LLP Barristers and Solicitors
Recent health care initiatives propose to identify and address adverse events. How e ver, this “outing” of errors is linked to a tort law system that relies upon “shaming and blaming”. A vexing question is: wh a t accommodation should tort law make for these initiatives? The target audience will be those responsible for quality assurance and risk management. The presentation will describe the conflicting interplay between law and “medical errors' and provide strategies for managing the conflict. |
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Safety in Action - Living the Safety Mission at Providence Health Care presentation |
Camille Ciarniello
Leader, Risk Management and Patient Safety Providence Health Care
Julia Duda
Quality Consultant Providence Health Care |
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Despite agreement from Senior Leadership that patient safety is 'the right thing to do' it is difficult to focus on attainable goals in the face of competing priorities, endless new evidence-based best practices and the host of bodies demanding accountability for patient safety. A review of our safety plan will be helpful to Board members and senior health team managers as an example of the possibility of effecting positive change in an environment of absent resources and overburdened staff. |
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Session 9 |
Department of National Defence, Veterans Affairs Canada and Royal Canadian Mounted Police: A partnership to address the care of operational stress injuries, including PTSD presentation |
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SIDNEY |
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Raymond Lalonde
General Director, Mental Health Clinical Service Delivery Network Veterans Affairs Canada
The Department of National Defence, Veterans Affairs Canada and Royal Canadian Mounted Police have partnered to address mental health care needs of their clients/members regarding operational stress injuries such as PTSD.
The presentation will address the challenges and benefits to work in collaboration across boundaries to address similar concerns. |
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Mary Lou O'Neill
Vice President Population Health & Research Cape Breton District Health Authority
This presentation will review the importance of population health, and cost burden data in framing direction for a Primary Health Care plan. Seven pillars will be identified and plans for evaluation using a research fra m e work will be discussed. The pillars of the plan include education & awareness; collaborative practice; metabolic hypertension; cancer primary prevention; healthy drug use; community health center planning, and mental health. |
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Can a hospital prevent illness, injury and disability? The 10-year experiment with WELLNESS at Seven Oaks Hospital presentation |
Carrie Solmundson
Chief Operating Officer Wellness Institute at Seven Oaks General Hospital
Toby Maloney
Communications Coordinator Wellness Institute at Seven Oaks General Hospital |
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In 1996 Seven Oaks Hospital built an 80,000 sq. ft. medical fitness facility to promote health and prevent illness. It’s a bold experiment: Extend the continuum of care with a self-supporting enterprise. A high-risk clientele has improved health status. The vision is to integrate prevention with acute care. Benefits to patients and employees might convince other hospitals to do likewise. Future plans include a Risk Reduction Clinic, and more outreach to teach self-management of chronic disease. |
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Session 10 |
Tackling scarcity: how ethics can assist program teams presentation |
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CRYSTAL BALLROOM |
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Barbara Russell
Assistant Clinical Professor University of Alberta
Resource limitations have always existed in the Canadian health system and will continue to exist. Attendees responsible for allocating scarce healthcare resources will learn how an ethics specialist worked with two different clinical teams to establish a clinically-, legally-, and ethically-defensible allocation process, criteria, and priorities in light of resource scarcity. |
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Coordinated Entry: A Low Cost Solution to Long Waiting Lists presentation |
Jo-Ann McKenzie
Program Director and Chief Nursing Officer Winnipeg Regional Health Authority and Deer Lodge Centre
Joyce Kristjansson
Administrative Leader, Specialized Geriatrics Services Providence Continuing Care Centre |
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The Winnipeg Regional Health Authority’s Rehabilitation and Geriatrics Program developed a low cost, low-tech solution to the problem of concurrent waiting lists and empty beds for rehab services in Winnipeg. The Coordinated Entry system has been in place for 4 years, and has assisted in a reduction in empty beds and in both median and average waiting times for service. The system is undergoing improvements and refinements, but has been a valuable asset in managing beds within Winnipeg. |
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Arlene Wortsman
Consultant Canadian Federation of Nurses Unions
The current RN workforce is aging. Given that nurses retire on average in their late 50's, health employers will face a shortage of experienced and knowledgeable nurses. Little research has been undertaken targeted to the retention of nurses 45 and older. This study reflects the perspective of the key workplace stakeholders; employer, unions and governments and nurses themselves. The findings can help frame future discussion between employers and nurses unions. |
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Session 11 |
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OAK BAY |
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Gabriela Prada
Director of Research, Enhancing Interdisciplinary Collaboration in Primary Health Care Conference Board of Canada
Primary health care renewal has the potential not only to improve the health status of Canadians, but also to make our health care system sustainable. Data on the economics of primary health care in Canada as well as health care benchmarking at the provincial level will be presented. Selected best practices and innovations in the Canadian primary health care system will be discussed. |
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Raymond J. Gerke
Chief Executive Officer VEMAX Management Inc.
Sandra Blevins
Vice President, Clinical & Operations Support Saskatoon Health Region
Brian Berzolla
Policy, Standards & Asset Management Manager Facilities Services Saskatoon Health Region |
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The paper covers the key concepts being applied to sustainable management of health infrastructure in Saskatoon. Issues in implementing an Asset Management Business Fra m e work (AMBF) are described. Using objective data the AMBF is a rational way to identify needs and funding required to achieve objective levels of service. The health region expects significant improvements in effectiveness, efficiency and value- for-money of infrastructure services from better planning and delivery techniques. |
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Maureen Detwiller
Director, Clinical Systems Quality & Safety Interior Health Authority
Interior Health has implemented advanced clinical information systems to improve quality and patient safety. These include: positive patient identification; electronic nursing documentation; bedside medication verification; electronic physician order management and electronic medical summaries. This session will discuss how technology can assist in improving the systems in health care delivery. Strategies, lessons learned, and evaluation findings will be shared. |
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Session 12 |
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SAANICH |
Dianne Doyle
Vice President, Community/Urban Programs Providence Health Care
Dan Levitt
Executive Director Little Mountain Residential Care and Housing Society |
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The presenters will provide an overview of the concepts that take mentorship from an armchair chat to a sustainable strategy for the development of emerging leaders and the support of senior leaders. The discussion will review the mentorship program implemented by the Lower Mainland Chapter CCHSE. In addition, the presenters will share their experience as senior health care leaders and share tools and guidelines they have applied in their roles as both mentors and mentees. |
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Evidence-informed Population Health Planning and Decision Making: Examples from Manitoba’s Integrated Model presentation |
Heather Sparling
Consultant, Accountability Support Branch Manitoba Health
Doreen Fey
Vice President of Planning Interlake Regional Health Authority Inc. |
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Manitoba’s collaborative and integrated models for Community Health Assessment (CHA) and Health Planning are described to health managers.
Examples are provided of how evidence through the CHAs informed health plans and strategic priorities of Health Regions and CancerCare Manitoba and how CHA findings informed regional decision-making. This integrated model for CHA and Health Planning showcases innovative population and public health research and its translation to programs and policies |
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Evidence-Based Analysis of Clinical Program Implementation Models in Long-Term Care presentation |
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Maryse Savoie
Assistant Director of Nursing and Research Coordinator Sainte Anne's Hospital
This presentation will summarize the evidence-based analysis of three implementation models in regard to new knowledge acquisition, durability of the change and clients outcomes. The pros and cons of each model will be identified and recommendations in terms of lessons learned will be made. |
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Session 13 |
Deciding the Span of Control of Health Care Managers: Balancing Costs & Outcomes |
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ESQUIMALT |
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Raquel Meyer (Collaborator Linda O’Brain- Pallas)
CIHR Doctoral Fellow University of Toronto
In the wake of health care restructuring, the fiscal & human consequences of a declining managerial pool have been relatively unexamined. This session will critically review evidence & theory on managerial span to engage organizational & policy decision makers in dialogue on data, dollars & decisions related to span. How can various definitions of span & database challenges be reconciled to benchmark span? How does span influence costs & outcomes? Does current evidence suggest best practices? |
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Health Human Resources Planning (HHRP) Simulation Model for Nurse Practitioners (NPs) in Primary Health Care presentation |
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Janet Davies (Collaborator Lisa Little)
Director Public Policy Canadian Nurse Practitioner Initiative
The health human resources planning simulation model developed through the Canadian Nurse Practitioner Initiative will be presented. Though a needs-based approach, this model will help governments and planners determine the appropriate number of nurse practitioners in primary health care. It will enable them to test various policy scenarios before implementation. Presentation objectives are to increase the level of understanding of the planning process for NPs and build awareness of the model. |
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Judith Burgess
Education Coordinator University of Victoria
Lorrie Cramb
Practice Coordinator Vancouver Island Health Authority |
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An Interprofessional Education project partnering health agencies and post-secondary institutions is presented. Students with their practitioner teams use interactive curriculum to advance knowledge, and attitudes in interprofessional collaboration. With a provincial network and Health Canada funding, the project contributes to quality client care, knowledge transfer, and health system sustainability. |
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Session 14 |
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COLWOOD |
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Della Faulkner
Senior Policy Analyst Canadian Healthcare Association
Over the past decade, health systems throughout Canada have undergone considerable change in their governance, management, accountability, and shared partnership practices. Health system effectiveness is about ensuring good working relationships among governments, board trustees, and senior executives. The work presented was undertaken to evaluate a principles fra m e work, wh i ch proposes that effective health systems require 1) strategic direction and leadership, 2) public accountability and involvement, and 3) clear roles and responsibilities. |
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The Newfoundland and Labrador Experience of Implementing Health System Effectiveness Principles presentation |
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Joan Dawe
President Newfoundland and Labrador Health Boards Association
Various jurisdictions are implementing a principles approach to working in partnership among governments, board trustees, and senior executives. In Newfoundland and Labrador, government and regional authorities focused on accountability, public engagement, and collaboration to ensure sustainability based on a population health approach. Strong ministerial engagement and regular meetings among government, boards, and CEOs strongly contributed to successful health and system outcomes making collaboration a critical success factor. |
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Cindy Milito
Director of Learning and Development Canadian Council on Health Services Accreditation
Due to system-wide changes in healthcare, increased public awareness regarding accountability, specific client feedback on the accreditation leadership and partnership standards coupled with other factors, the Canadian Council on Health Services Accreditation (CCHSA) is revising its fra m e work and accreditation standards related to governance. The new governance standards and performance measures will be pilot tested beginning in September 2006 and implemented in 2008. |
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15:00 - 15:30 |
NETWORKING BREAK |
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15:30 - 17:00 |
PLENARY PANEL ON PANDEMIC PLANNING
carson hall
This Plenary Panel addresses Pandemic Planning and contemplates whether Canada’s health system is paying attention to the severe weather warnings that we are receiving. Panels will address whether we are considering the data, whether we have allocated the necessary dollars, and whether our decision-making is sound, as we ready ourselves for the “next big one.” |
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MD, MHSc, FRCPC
Dr. King was appointed as the Director General for Pandemic Preparedness at the Public Health Agency of Canada on March 20, 2006. She is an adjunct professor in the Faculty of Medicine, Department of Health Care and Epidemiology, University of British Columbia, Vancouver, Canada. She received her medical degree from McMaster University in Hamilton, Ontario in 1981, certification in Family Medicine from the University of Calgary, Alberta in 1984 and practiced Family Medicine in northern Alberta from 1985 to 1989. In 1990, she received a Masters Degree in Health Sciences from the University of British Columbia and in 1992, became a Fellow of the Royal College of Physicians and Surgeons of Canada in Community Medicine. She served as a medical officer of health in British Columbia, held various positions in communicable disease control at the British Columbia Centre for Disease Control in Vancouver and joined Health Canada/the Public Health Agency of Canada in 1999. Until her current appointment, she was the Director of the Immunization and Respiratory Infections Division, Public Health Agency of Canada.
In 2003, as the technical lead during the SARS response, she received Health Canada’s Deputy Minister’s Award of Merit for her contribution to Canada’s National SARS Response. She has been a consultant to the World Health Organization on polio, SARS and influenza, and to the World Bank and CIDA on Emerging Infectious Diseases. She is a member of the World Health Organization Africa Region Polio Eradication Certification Commission. In 2004, she was appointed to the Board of the Global Alliance on Immunization (GAVI). |
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Consultant Mount Sinai Hospital
Dr. McGeer is a hospital epidemiologist and infectious disease consultant at the Mount Sinai Hospital and a Professor in the Department of Laboratory Medicine and Pathobiology at the University of Toronto. She provides consulting services in infection prevention to a number of hospitals and long term care facilities, and has been a member of international, national, provincial and regional groups developing infectious disease clinical care and outbreak management guidelines in acute care, long term care and home care settings. She has a research interest in the prevention and management of influenza, and is involved in pandemic planning for influenza as a member of the Society of Healthcare Epidemiology of America’s Hospital Preparedness Task Force, the clinical care subgroup of the Canadian National Pandemic Planning Committee, the vaccine and antiviral subcommittee of the City of Toronto pandemic planning committee, the Toronto Academic Health Science Network’s Pandemic Committee, and the Mount Sinai Hospital’s pandemic planning committee. |
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Medical Officer of Health Hasting & Prince Edward Counties Board of Health
Dr. Richard Schabas is a public health physician and a specialist in Internal Medicine. As Ontario's Chief Medical Officer of Health from 1987-97 he was responsible for developing the Ontario Tobacco Strategy, computerized infectious disease surveillance and major improvements in Ontario's immunization programs.
Dr. Schabas is an outspoken critic of the handling of the SARS outbreak and the currently fashionable Pandemia. |
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Partren
Michael Watts is a partner at Cassels Brock & Blackwell LLP. He is the chair of the firm’s health care department. Cassels Brock & Blackwell LLP acts for over 50 hospitals, pharmaceutical companies, medical device manufacturers, private health care diagnostic clinics and other health care stakeholders.
Michael has broad health care expertise, particularly in the areas of private-public partnerships, health care governance, restructuring, corporate and professional staff by- laws, regulatory opinions, physician relations and privileges, outsourcing, risk management and commercial agreements.
Michael has advised a number of public and private clients about the opportunities and challenges presented by Chaoulli including medical device manufacturers, hospitals, insurance companies, investment bankers and private clinics.
Michael has chaired conferences and spoken on a number of health law issues on behalf of organizations such as the Ontario Hospital Association, the Canadian College of Health Services Executives, The Canadian Institute, Insight, the Ontario Association of Non-Profit Homes and Services for Seniors, the Ontario Association of Community Care Access Centres, District Health Councils, and clients.
Michael is also a co-author of the Hospital News monthly column “Legal Update” and of numerous communiqués written to the firm’s clients. |
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17:00 |
CHAIR'S RECEPTION sponsored by  |
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18:30 |
WEST COAST PARTY ticket sale available in on line registration form
sponsored by  |
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TUESDAY JUNE 13, 2006 |
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09:00 - 10:30 |
PLENARY PANEL ON HEALTH HUMAN RESOURCES sponsored by 
carson hall
This Plenary Panel uses “Data, Dollars, and Decisions” – the tag line of the conference – to inform a discussion of health human resources. Panelists will consider questions such as do we know who and how many patients are navigating the system? Do we have appropriate funding of health human resources? Are decision-makers linking population health to HHR planning and delivery models? How are decision-makers using data and dollars to develop, recruit, and retain health providers? Among the health system crew, who stands out as the captains? |
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Gail Tomblin- Murphy
Associate Professor Dalhousie University
Dr. Gail Tomblin Murphy is an Associate Professor, School of Nursing, Faculty of Health Professions and Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, N ova Scotia. Dr. Tomblin Murphy brings expertise in health human resource planning with expertise in needs based approaches to planning, demand forecasting models, and testing health services delivery models. She has extensive experience working with policy-makers nationally and internationally. Gail’s research is well funded by CIHR, CHSRF, SSHRC and the NSHRF. Gail is the Science Lead in HHR for CIHR and is a member of the Advisory Committee on Health Delivery and Human Resources (ACHDHR). As a co investigator at the University of Toronto, she is currently working with Dr. O’Brien-Pallas and Dr. Stephen Birch to develop needsbased approaches to health human resources planning. |
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Louise Ogilvie
Vice-President, Corporate Services Canadian Institute for Health Information
Louise Ogilvie became Vice-President, Corporate Services effective May 1st. Louise has been with CIHI since its inception, and has held a variety of leadership positions in the organization, including being the Director for Standards, Classification and Case Mix; Director, Health Services Information; and Director Health Resources Information. She holds a Bachelor of Science degree (Physical Therapy) and a Master's in Health Administration. |
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Steve Barnett
Director NHS Employer (U.K)
Steve joined the NHS Confederation from the Home Office where he was senior director – HR. Previous posts include deputy director, HR for the NHS at the Department of Health and senior positions in healthcare, local government and private sectors.
Steve has close links with the Chartered Institute of Personnel and Development. He is a former vicepresident of the Institute, a Fellow of the Royal Society of Arts and Chartered Institute of Management and a Visiting Professor at De Montfort University.
Steve is a member of the Cabinet Office Public Sector Employers Forum, a member of Council of the Institute for Employment Studies, the National Leadership Network for the NHS and the Government’s Public Services Forum. He is also a member of the Open University’s governing council/chair of its staff strategy committee. |
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Dr. Stephen Birch
Partner
Stephen Birch is a Professor in the Department of Clinical Epidemiology and Biostatistics and adjunct professor at the University of Technology, Sydney, Au s t ralia. He is Senior Editor of the scientific journal, Social Science and Medicine and serves on the Board of Directors of the Haldimand, Niagara, Hamilton and Brantford Local Health Integration Network. He has previously served on the boards of Ontario’s Health Professions Regulatory Advisory Council and the Hamilton District Health Council. |
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10:30 - 11:00 |
NETWORKING BREAK |
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11:00 - 12:00 |
CONCURRENT SESSIONS 15 – 20 |
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Session 15 |
Partnership Solutions in Healthcare:Update on Canadian healthcare partnerships; overview of new procurement models in primary, acute and longterm care presentation presentation2 |
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SIDNEY |
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Partnerships BC has been at the forefront of developing partnerships for healthcare that deliver value for money, quality and innovation. This presentation will review recent developments in such partnerships in BC and across Canada and provide an update on current projects underway. Further, the presentation will provide an overview of new procurement models – currently under development – in primary, acute and long term care. |
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Session 16 |
What Medical Conditions Drive Hospital Costs in Canada Between 1998—1999 and 2003—2004 presentation |
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THEATRE |
Ruolz Ariste
Program Consultant Canadian Institute for Health Information
Anyk Glussich
Senior Analyst Canadian Institute for Health Information |
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The objective of this study is to estimate the level of hospital spending and its growth by category of diagnosis and to determine which component of spending - average cost per case or number of cases – is the main cost driver. Using a bottom-up approach, cost and volume data obtained from Canadian databases are used to estimate spending. |
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From Evidence to Decisions: How CCOHTA Supports Informed Decisions about Drugs and Other Health Technologies presentation |
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Mike Gaucher (Collaborator Barb Shea)
Vice-President, HTA Canadian Coordinating Office for Health Technology Assessment
Information overload and the rapid pace of change can prevent decision makers from integrating evidence, analysis and contextual information into decisions about drugs and health technologies. This session outlines the range of concise, impartial, reliable information directly relevant to decision makers that is available from the Canadian Coordinating Office for Health Technology Assessment (CCOHTA). Learn how CCOHTA helps health executives and policy makers make informed decisions. |
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Session 17 |
Leadership skills in the use and application of research evidence |
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CRYSTAL BALLROOM |
| PANEL |
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Drawing on their own projects of intervention in their work environments, EXTRA fellows will present an overview of competencies they have acquired in the course of their fellowship training. These presentations will be followed by a discussion on the dimensions of leadership skills in applying research evidence, moderated by Terry Sullivan, EXTRA faculty member. |
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Session 18 |
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OAK BAY |
sponsored by  |
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David Mador
Associate Vice President, Medical Affairs Capital Health
It is accepted that electronic sharing of health information can improve the quality of care. But questions remain about what EHR content has value and the nature of its value to different care providers and settings. Capital Health is an excellent 'laboratory' for answers, with an EHR since 2004 and 7,000+ acute and community care users. A unique evaluation process involving clinicians is revealing the answers.
This session will be of interest to leaders planning or implementing an EHR. |
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Extreme Makeover – Introducing a Patient Care Information System presentation |
Tom Rosenal
Leader, Clinical Informatics Calgary Health Region
Noreen Linton
Associate Chief Nursing Officer Calgary Health Region |
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Introducing a Clinical Information System into a large, complex Health Region is a challenging change initiative. Technology is the least important aspect. Engaging physicians, nurses and allied health professionals is imperative to enable professional practice for safe, quality care and to promote knowledge transfer and sustainable evidence based decision making. |
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Session 19 |
A Holistic Approach to Health Services Accreditation in Aboriginal communities: Respectful, Responsive, Rewarding |
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SAANICH |
Lucette Bertrand
National Accounts Specialist Canadian Council on Health Services Accreditation
Lori Keith
Senior Policy Advisor, Primary Health Care FNIHB - Health Canada |
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The CCHSA and Health Canada have worked with Aboriginal organizations since 1999 to establish a national holistic framework for community accreditation. Elements of this innovative system are: community validation of the standards/processes; training Aboriginal surveyors; and specifically designed tools and education sessions. We'll outline our collaborative process and a First Nations accreditation coordinator will share the positive outcomes of this inclusive approach to quality improvement. |
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Building a Representative Workforce in Saskatchewan’s Health Sector presentation |
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Victoria Gubbels
Manager, Aboriginal Employment Development Saskatchewan Association of Health Organizations
SAHO’s Aboriginal Employment Development Program provides leadership and support to health employers to facilitate the retention of Aboriginal people in the health sector through multilateral partnerships with employers and unions, collaboration with training and education institutions, professional associations, and government. These agreements have led to a Representative Workforce Strategy where Aboriginal people are employed at all levels and in all classifications. |
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Session 20 |
e-Therapeutics - Evidence-based, Clinical Decision Support Tools for Practitioners to Improve Safety and Outcomes from Drug Therapy presentation |
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ESQUIMALT |
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Janet Cooper
Senior Director, Professional Affairs Canadian Pharmacists Association
e-Therapeutics is an online source of credible, Canadian drug and therapeutic information. It equips health care professionals with point-of-care access to CPhAs authoritative e-CPS drug monographs and evidence-based information from Therapeutic Choices. Content is augmented with a drug interaction analyzer, links to Health Canadas new drug safety information, public drug plans and other references. The presentation will demonstrate the tools and discuss adoption into practice. |
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Evidence Based Practice Teams in the Community = Improved Client Outcomes and Cost Effectiveness presentation |
Michelle Todoruk-Orchard
Clinical Nurse Specialist Winnipeg Regional Health Authority
Linda Dando
Director Winnipeg Regional Health Authority |
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The WRHA Home Care Program has developed an innovative approach to improve client outcomes and supply costs by developing evidence based practice teams in wound care,community diabetes care and respiratory care. The processes and challenges involved in successfully developing and implementing evidence based practice teams in a community care setting will be discussed. |
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12:00 - 13:30 |
LUNCHEON Presentation of the 2006 3M Quality Team Awards  |
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13:30 - 15:00 |
CONCURRENT SESSIONS 21 – 26 |
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Session 21 |
Stay Informed to Stay Ahead: An Internal Communication Strategy that Works presentation |
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ESQUIMALT |
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Rachel Corneille Gravel
Executive Director Sainte Anne's Hospital
Staff who work in a dynamic environment needs to be kept informed in order to accept challenges and participate in changes. Leaders must ensure an open flow of communication. Ste. Anne’s Hospital uses a wide range of communication tools, including an integrated internal communication strategy to better meet this challenge. |
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Facilitating Knowledge Transfer in a Dispersed Specialized Community of Interest – Launching Ontario’s Alzheimer Knowledge Exchange presentation |
Eric Hong
Project Manager Ontario's Alzheimer Strategy Transition Project
Katherine MacDonald
Alzheimer Knowledge Exchange Coordinator Ontario's Alzheimer Strategy Transition Project |
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The AKE leve rages information technology to foster knowledge transfer and evidence based decision making. People and ideas are linked via a virtual resource centre, on-line exchanges, interactive websites, and a knowledge broker. Objectives: Present an application of technology and peer support to knowledge transfer; analyze enablers/challenges for a knowledge exchange culture. |
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The ‘Last Mile’ Problem in Mental Health & Addictions Service Planning: Linking Administrative Data with Clinician Knowledge of Needs and Outcomes presentation |
Kenneth Moselle
Manager, Performance Standards & Monitoring, Mental Health & Addictions Vancouver Island Health Authority
Donna Conway
Regional Manager, Performance Monitoring and Improvement Vancouver Island Health Authority |
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For planners: Data available to Mental Health & Addictions planners are derived largely from acute care activity. However, outcomes are achieved in community settings by clinicians whose knowledge does not cross over into corporate data repositories. This presentation outlines VIHA’s ‘meet in the middle’ strategy, which is designed to link corporate utilization data with knowledge that ‘lives’ at the point of care, enabling true outcome-based evaluation and planning of systems of services. |
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Session 22 |
Evaluation of Outcomes in an Integrated Service Delivery Model presentation |
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OAK BAY |
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Esther Suter (Collaborator Nelly Oelke)
Research and Evaluation Consultant Calgary Health Region
Health Centres have been promoted as service delivery models with high potential for integration. This project measures outcomes of a new health centre in Calgary, AB, on a systems, provider and client level using surveys and utilization data. This study contributes to the area of healthcare governance and accountability. Health care managers and planners learn how ongoing evaluation can provide essential information to support rational decision-making for health services management and policy. |
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Karen G. MacDonald
Regional Director of Learning Services River Valley Health
Challenging healthcare issues respond to strong and competent leadership. To navigate the healthcare system with success, leadership skills are essential. This is the story of how River Valley Health identified their leadership challenge, how they developed an Integrated Leadership Program and how they are seeing promising results early on. This is also a story about transformational leadership, organizational commitment to a leadership culture and the lessons learned along the way. |
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Creating an Inter- professional Practice: A Step towards Improved Patient Care and Efficient Health Resource Management presentation |
Christie Newton
Director, UBC Family Practice Teaching Unit / UBC Health Clinic University of British Columbia
Lesley Bainbridge
Director Inter-professional Education University of British Columbia |
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Health human resources planning or changing the way we educate health providers is key to achieving system change and to ensuring that health providers have the necessary knowledge and training to wo r k effectively in interprofessional teams within the evolving health care system. The goal of our program is to create and evaluate a sustainable inter-professional service-learning primary care clinic, including the team, the space and the model of care (blueprint & model of care presented). |
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Session 23 |
The Case for Alignment and Implementation of Electronic Health Standards presentation |
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SIDNEY |
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Diane Hartley
Committee Co-Chair National electronic Claims Standard - Implementation Committee
Standards fit perfectly with the conference theme. Collection and management of clinical and financial data can be effectively managed through alignment of standards to contain costs of education and system development. This presentation will focus on the business case for creation and implementation of common standards and the impact on the national health system costs, or “greater good” if we don’t align. |
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Ann MacKinnon
Director, Surgical Services William Osler Health Centre
Liveleen Singh
Patient Care Manager, Surgical Services William Osler Health Centre |
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In 2003, WOHC responded to the MOH & LTC mandate to reduce our operating deficit. The initiatives in the surgical program encompassed four categories: capacity management, standardization, scoping and sizing, and staff adjustments. A productivity model was used comprising human resources, processes and technology to evaluate the performance of integrated service delivery. The objective is to assist key decision-makers in operational effectiveness, efficiency and system sustainability. |
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Improving Staff Scheduling and Utilization at Carewest presentation |
Blair Phillips
Director People & Learning Carewest
Robert Gerst
Principal Coverge Consulting Group Inc. |
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Carewest’s approach to staff scheduling was unsustainable from a financial and practical perspective. The improvement process emphasized the use of data using control charts and other six sigma tools to understand key indicators. The project identified several improvement strategies and a new budgeting methodology to optimize the staffing. This project is an excellent example of using data-based decision making to significantly improve the performance of scheduling and recruitment at Carewest |
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Session 24 |
Chronic Disease Management: Providing Optimal Care and Coordination of Services presentation |
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SAANICH |
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Leslie Worth
Manager, Patient Education and Chronic Disease Management Saskatoon Health Region
The Saskatoon Health Region has established a strategy for chronic disease management and plays a major role in advancing provincial systems and processes. Integration and coordination of services promotes a one-stop-shop guide to patient choice and responsibility for health. The pillars for program design are exercise, disease-specific management and self-management. Opportunities to build capacity, continuous evaluation and monitoring, and strengthening partnerships are keys to success. |
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Gloria Whitson-Shea
Vice President & CNO Grand River Hospital
Kim Voelker
Director of Client Services Community Care Access Centre of Waterloo Region |
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Ontario is transforming health care through an integration strategy. The presentation describes a new model of integrated discharge planning that merges the traditional roles of the CCACWR and hospital staff, supported by new referral and accountability structures. The presentation describes the methodology used in the strategic analysis, the key findings, the features of the new model, the application of a change management framework and lessons learned from the implementation |
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Session 25 |
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THEATRE |
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What does leadership mean in the context of evidence-informed decision-making? This international panel will consider the type(s) of leadership needed for healthcare professionals and academics to promote EIDM, desirable characteristics for training programs, professional challenges, and outstanding questions for research. Comparisons amongst leadership training strategies adopted in Canada, the UK and US will be discussed. Target audience: decision makers and researchers. |
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Learning Organization: How does the CCHSA A c c reditation Process help Health Care Organizations to Develop Their Learning Processes? |
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Sophia Weber
Corporate Planning Consultant University Health Network
This presentation demonstrates how a healthcare organization's participation in the CCHSA's accreditation process can help it to build its organizational learning capacity, such as its ability to facilitate knowledge transfer within or between organizations. It is based on a single case study conducted at an anonymous Ontario hospital in 2004-2005, as part of a broader national research study. This study was built upon a conceptual fra m e work for the dimensions of change. |
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Session 26 |
The Canadian Nurse Practitioner Initiative Influencing Policy & Action to Improve Access & Health Outcomes |
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CRYSTAL BALLROOM |
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Marian Knock
Executive Director Canadian Nurse Practitioner Initaitive
The Canadian Nurse Practitioner Initiative has conducted extensive consultations across Canada with over 550 stakeholders that have resulted in the development of a pan-Canadian framework to integrate the nurse practitioner role. An overview of the policy recommendations and actions will be presented with the objective of increasing understanding of how this can improve access to primary health care. Senior executives and senior health managers in PHC would find this of interest. |
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A Rational Approach to Siting Seniors Health Services |
Joanne Jasper
Lead, Strategic Program Development West Toronto Support Services
Fern Teplitsky
Consultant West Toronto Support Services |
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Health care system macro-economics must be restructured for sustainability. Although over 90% of seniors live in the community, many seniors health programs are located in high cost delivery sites. This presentation provides a framework to rationalize the siting of seniors services in an integrated health system, including the identification of high leverage opportunities, organizational contribution value, and system impact. |
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15:00 - 15:15 |
networking break |
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15:15 - 16:45 |
PLENARY DEBATE ON PUBLIC-PRIVATE FUNDING & DELIVERY
carson hall
This Plenary Debate considers the effect of the Chaoulli/Zelliotis decision and asks has the “Storm of the Century” hit Canada's health system? Presenters from a spectrum of positions will discuss the current and future mix of public and private funding and delivery in Canada’s health system. What effect will the June 2005 Supreme Court ruling have on funding and delivery of health services? Will it open the door to a two-tiered system for services covered under the Canada Health Act? What is an appropriate mix of public and private healthcare and how much does it cost to administer a mixed system? What might be the impact of implementing a healthcare guarantee? |
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Rafe Mair (Moderator)
Political Commentator
Rafe Mair, a lifetime British Columbian - and it shows - graduated in law in 1956. He practiced law in Vancouver then in Kamloops where he was first an alderman (1973) then its MLA (1975-81). Mair held three portfolios, Consumer & Corporate Affairs, Environment and Health. Since 1980 he has been in broadcasting in Vancouver. He is the author of seven books, has been BC Broiadcaster's Association "Broadcast Performer of the Year (1993) winner of the coveted Michener Award (1994), the Bruce Hutchison Lifetime Award (2003) and was inducted into the Canadian Association of Broadcasters Hall of Fame in 2005. He has threee children and 8 grancchildren. He lives in Lions Bay with his wife Wendy and their Chocolate Labrador, Chauncey. |
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Brian Day
President and CEO Cambie Surgery Centre
Dr. Brian Day is President and CEO of Cambie Surgeries Corporation and is Associate Professor in orthopaedics at UBC. He is Past President of the Arthroscopy Association of North America, thewo r l d ’s leading academic society in his specialty. He is past Chair of the Royal College of Surgeons of Canada Orthopaedic Test Committee. Dr. Day has published over 80 scientific articles and has been a visiting professor at many North American and international universities. He is nominated to become President of the Canadian Medical Association in 2007. MacLean's Magazine, in an article on 50 Canadians to wa t ch, described him as “an iconoclast, whose time is now”. |
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Ted Marmor
Professor Yale Healthology Faculty
Theodore (Ted) Marmor's scholarship primarily concerns the politics of welfare state policy disputes in North America and Western Europe. The author or co-author of eleven books, Marmor has published over a hundred articles in a wide range of scholarly journals, as well as being a frequent op-ed contributor to US and Canadian newspapers. Professor Marmor began his public career as a special assistant to Wilbur Cohen (Secretary of HEW) in the mid-1960s. He was associate dean of Minnesota's School of Public Affairs, a faculty member at the University of Chicago, the head of Yale's Center for Health Services, a member of President Carter's Commission on the National Agenda for the 1980s, and a senior social policy advisor to Walter Mondale in the Presidential campaign of 1984. He has testified before Congress about medical care reform, social security, and welfare issues, as well as being a consultant to government and non-profit agencies. Marmor lectures frequently on health policy, management issues, and law to both management and law students. He has been an expert witness in cases ranging from the constitutionality of the Canada Health Act to mass tort asbestos. He has also been a commentator on a variety of television and radio programs. |
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Stanley Hartt
Chairman of Citigroup Global Markets Canada Inc. CityGroup
Prior to joining Citigroup, he was Chairman, President and Chief Executive Officer of Campeau Corporation (later O&Y Properties Corporation) from 1990 to 1996. From 1989 to 1990 he was Chief of Staff, Office of the Prime Minister. During the period 1985-1988 he was Deputy Minister, Department of Finance. From 1965-85 he was a partner with the law firm of Stikeman Elliott. Born in Montreal, he earned an Honors B.A. degree in 1958, an M.A. degree in 1961 and a B.C.L. degree in 1963 all from McGill University. He currently sits on the Board of Directors for Citibank Canada and Citigroup Global Markets Canada Inc. |
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Associate Staff, Women's College Hospital, Toronto Lecturer, Department of Family and Community Medicine, University of Toronto
Danielle is a comprehensive care family physician who works in downtown Toronto and rural northern Ontario. Her policy expertise and passion for equity make her an emerging leader in the debate over the future of our healthcare system. A recipient of the CMA Award for Young Leaders, Danielle sits on the Health Council of Canada and was a founding co-chair of the New Health Professionals Network. |
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16:45- 17:00 |
CLOSING REMARKS AND CONFERENCE WRAP- UP
R.M. Louise Simard |