Managing a Canadian Healthcare Strategy CONFERENCE WHITE PAPER WORKING DRAFTS

Managing a Canadian Healthcare Strategy CONFERENCE WHITE PAPER WORKING DRAFTS MEASURING AND MONITORING A HEALTHCARE STRATEGY Using Performance Measurement and Monitoring for Performance Improvement Jeremy Veillard, Keith Denny, Brenda Tipper (Canadian Institute for Health Information), and Niek Klazinga (University of Amsterdam) Harnessing Patients’ Voices for Improving the Healthcare System Sabrina Wong (University of British Columbia) HOW STAKEHOLDERS CAN CHANGE CANADIAN HEALTHCARE Harnessing Patient Engagement for Healthcare System Change Monica C. LaBarge, Jay M. Handelman, and Alex Mitchell (Queen’s School of Business) The Role of the Private Sector in Canadian Healthcare: Strategic Alliances, Accountability, and Governance A. Scott Carson (Queen’s School of Business) Health Policy Advocacy: The Role of Professional Associations Christopher S. Simpson (Canadian Medical Association) and Karima A. Velji (Canadian Nurses Association) MOVING HEALTHCARE REFORM FORWARD An Action Plan for Reforming Healthcare in Canada Don Drummond and Talitha Calder (Queen’s School of Policy Studies) MoniesonHealth.com Funded with generous support from the Joseph S. Stauffer Foundation. TABLE OF CONTENTS Managing A Canadian Healthcare Strategy: An Introduction A. Scott Carson 5 MEASURING AND MONITORING A HEALTHCARE STRATEGY Using Performance Measurement and Monitoring for Improvement: From Performance Measurement to Performance Management Jeremy Veillard, Keith Denny, Brenda Tipper, and Niek Klazinga 9 Harnessing Patients’ Voices for Improving the Healthcare System Sabrina T. Wong 27 HOW STAKEHOLDERS CAN CHANGE CANADIAN HEALTHCARE Harnessing Patient Engagement for Healthcare System Change Monica C. LaBarge, Jay M. Handelman, and Alex Mitchell 39 The Role of the Private Sector in Canadian Healthcare: Accountability, Strategic Alliances, and Governance A. Scott Carson 49 Health Policy Advocacy: The Role of Professional Associations Christopher S. Simpson and Karima A. Velji 67 MOVING HEALTHCARE REFORM FORWARD An Action Plan for Reforming Healthcare in Canada Don Drummond and Talitha Calder 79 MoniesonHealth.com : : Conference Twitter Hash Tag: #QHPCC 3 Managing A Canadian Healthcare Strategy: An Introduction A. Scott Carson The Monieson Centre for Business Research in Healthcare, Queen’s School of Business The three-part Queen's Health Policy Change Conference Series is now in its government, such as Canada Health Infoway and Canadian Blood Services; pan- third year. The broad question we have been exploring is: “If Canada had a Canadian strategies, such as the pan-Canadian Pharmaceutical Alliance formed system-wide healthcare strategy, what form could it take?” This is challenging by the provinces and territories to negotiate prices for publicly covered drugs; to answer because Canadians have not fleshed out a picture or model of what and provincial and territorial healthcare delivery strategies that each work a Canadian healthcare strategy could look like. We have nothing concrete to independently, but are all in collaboration. which we can point and approve or reject. Granted, there are indications of what a strategy should contain from national reports such as the Romanow These issues are addressed in a new book, Toward a Healthcare Strategy for and Kirby reports of 2002. But we lack a framework that sets out ideals and Canadians (A. S. Carson, J. Dixon, and K. R. Nossal (eds.), McGill-Queen’s Press, objectives that can then be translated into measurable goals with specific 2015). It contains twelve chapters written specifically to address the themes of targets. Unfortunately, we have only the status quo and a long list of barriers structure, content, and political context for a Canadian system-wide strategy. and impediments – reasons why change can only occur at the provincial and Eight of the chapters appeared in earlier versions as white papers for the two territorial levels, and not for Canada as a whole system. As a result, we go on previous Queen’s Health Policy Change Conferences. Four chapters were living with inequities in access, availability, and costs to patients between specially commissioned for this book. provinces; discrepant performance metrics across jurisdictions; and few of the efficiencies that could be achieved by working together. We now come to our third conference: “Managing a Canadian Healthcare Strategy,” May 6–7, 2015. The challenge before us is in answering the question: What we have learned in our first two conferences, “Toward a Canadian “How should Canadians move forward?” This conference will explore three Healthcare Strategy” (2013) and “Creating Strategic Change in Canadian interconnected themes. First is “Measuring and Monitoring a Healthcare Healthcare” (2014), is that participants believe we should have a Canadian Strategy.” In this we consider how we could establish a performance scorecard healthcare strategy. It would need to respect the single payer health insurance for a Canadian system that is acting as a whole. We will draw on the experiences framework and the equity-preserving values of universality and accessibility of and country case studies by speakers from the U.S., UK, Australia, Sweden, enshrined in the Canada Health Act; be fiscally responsible and sustainable; and Denmark. It is not a template from abroad that we seek. Rather, we and address electronic health records, health human resources, primary care, require our own model. But learning from the experiences of other countries seniors’ care, and pharmacare. In terms of structure, a Canadian healthcare can benefit us greatly. An issue of equal importance for us is not just the strategy would need to be seen as a system-wide “strategy-of-strategies.” It establishment of “measurement” analytics, but also determining how we can would need to be collaborative rather than employ a top-down command and use these tools to “manage” the Canadian system. Our May 6th lunchtime panel control approach. And within the family of constituent strategies we would have of Canadian experts from New Brunswick, Ontario, Manitoba, and Canada an amalgam of “federal” strategies that are authorized and operated by the nationally will address this with Theme 2: “From Measurement to Management.” government of Canada, such as the Canadian Forces Health Services; “national” strategies for organizations that operate across Canada at arm’s length from MoniesonHealth.com : : Conference Twitter Hash Tag: #QHPCC 5 Managing A Canadian Healthcare Strategy: An Introduction Theme 3, “How Stakeholders can Change Canadian Healthcare,” is the third MEASURING AND MONITORING A major theme. We are taking a different approach to addressing this issue. What HEALTHCARE STRATEGY is commonly heard in debates about healthcare reform is what governments can, should, don’t, or won’t do! Governments are seen to be both enablers of • Using Performance Measurement and Monitoring for and barriers to positive change. In four concurrent sessions, we will be asking: Performance Improvement Who are the other agents of change? What are the roles and potential impacts Jeremy Veillard (Canadian Institute for Health Information (CIHI), of focused and consolidated efforts by the business community? Can patients University of Toronto), Keith Denny (CIHI), Brenda Tipper (CIHI), and Niek be agents of change? Does systems leadership offer an approach to bottom-up Klazinga (University of Amsterdam) change in healthcare? And, what can we learn about change from pan-Canadian entities that already function within the Canadian system, such as the Canadian This paper presents the state of performance reporting and Partnership against Cancer, Canadian Forces Health Services Group, Canadian monitoring in Canada and discusses strengths and weaknesses Blood Services, and Canada Health Infoway. in health system performance from an international perspective. Further, it discusses how performance reporting and monitoring The next step in our “change” agenda takes place on May 7th over three are instrumental to efforts to better manage the performance of sessions. First, Nigel Edwards, CEO, the Nuffield Trust (UK), will set the the Canadian healthcare system, and what additional performance stage for the Canadian task by explaining key principles that have been information and policy changes are required to strengthen the the foundation for change in many countries around the world which have ability of Canadian jurisdictions to better manage health system struggled with national approaches to healthcare. Following this will be performance and achieve better outcomes that benefit Canadians a key panel representing a very important agent of change, namely the and patients in the health sector. healthcare professions. A panel comprising the heads of the Canadian Medical Association, Canadian Nurses Association, Canadian Physiotherapy Association, • Harnessing Patients’ Voices for Improving the Healthcare System and Canadian Pharmacists Association will take the stage to answer the Sabrina Wong (University of British Columbia) questions: What do you see as the key areas in need of a national focus? What is your profession prepared to do to bring about change? What can your four Patients are the definers of care that meets their needs. Their associations do to bring about change together? What needs to happen next? experiences tell the system about the quality of healthcare delivery. This discussion explores the influence of patients’ voices on The final panel brings the discussion to the realm of government. Five

Load more