30. The Future of healthcare is now: New models of care to address the changing needs of Canadians (Panel)

Access to appropriate health care when and where they need it is a challenge facing all Canadians. Inter-professional primary health care teams across the country are working to address this by helping patients receive the care they need in their homes and communities. Through an engaging panel with health care stakeholders from Medavie, the Canadian Foundation for Healthcare Improvement and Alberta Health Services, we’ll explore these collaborative health care models and the positive impact they are having on patients.

Learning objectives and how it fits the theme and selected stream
Hallway medicine is one of the biggest challenges facing our health system in Canada. In keeping with this year’s NHLC theme, ‘Adaptive leadership in complex times’, the panel will demonstrate how adaptive leadership has become necessary in addressing this challenge, particularly in the face of changing demographics and patient expectations/needs.

Activities, methods, innovations
As governments look to improve health care service and delivery across jurisdictions, there are great examples of regional systems at-work helping to establish more access points for care, create increased capacity from existing resources and find efficiencies in today’s practices. Examples include: the Government of New Brunswick’s integration of Ambulance New Brunswick and its Extra-Mural Program to support more patients in their homes and communities; in Chatham-Kent, Ontario, the Community Paramedic Program sees paramedics using their skills to provide primary care to patients during home visits (addressing complex medical issues and/or supporting those with compromised mobility); the Canadian Foundation for Healthcare Improvement’s Paramedics Providing Palliative Care at Home Program has paramedics providing support for pain and symptom management of palliative care patients; and in Alberta, Mobile Integrated Health has emerged, enabling mobile medical care in a community setting for healthcare that traditionally requires an EMS, emergency department or hospital admission.

Outcomes, results
In each of the communities served by new health care models/initiatives, the result has been a reduction in unnecessary hospital or emergency department visits and improvements in patients’ quality of life as they’re able to remain in their homes, where they are happiest and healthiest.

By working together with hospitals, governments, health care providers, businesses and individuals, these integrated, inter-professional health care models have a real opportunity to change the face of health care across the country; driving value through collaborative care.

Leadership lessons learned
Experienced organizations have a role to play – helping government and stakeholders from across the field develop and test innovative models, scale them where and when possible, and keep the goal of improving patient care front and centre.

System Change
New models of health care allow both public and private organizations to reorganize and increase collaborations between providers, maximize current resources and allow more patients to be treated in the community. We are seeing these collaborative health care models make a positive impact on both patients and health care professionals. We also believe these models could have implications at a national and/or international level.


Matt Crossman, Vice President, Operations, Medavie Health Services

Maria Judd, Vice President, Programs, Canadian Foundation for Healthcare Improvement

Steven Amrhein, Manager, EMS Mobile Integrated Healthcare, Alberta Health Services


Erik Sande, President, Medavie Health Services

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