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World Hospitals and Health Services the Official Journal of the International Hospital Federation 2017 Volume 53 Number 4 www.ihf-fih.org World Hospitals and Health Services The Official Journal of the International Hospital Federation Canadian success stories on health and social care ❙ Application of a coordinated-type integration model for vulnerable older people in Québec (Canada): the PRISMA project ❙ Pathways to transformation in publicly-funded health systems: Experience in Canada’s provinces ❙ Managing the Myths of Health Care ❙ Preparing the Ground for Transformation: A Case Study of the MUHC’s Experience ❙ General Overview for Long-Term Care Centers in the Province of Quebec ❙ Whither Canadian Hospitals: Aligning Authorities and Accountabilities ❙ Population health management A Canadian Perspective on the Future of Health Systems ❙ Empowering Nurses in Canada to Deliver Better Care, Better Health and Better Value ❙ The Evolution of general practice in Canada: a reflection on retirement ❙ The Montreal 2017 Executive Hospital Study Tour: Learning from Others Abstracts: Français, Español, 中文 Download the Acrobat Reader app for better viewing iOS Version Android Version HEALTHCARE MANAGEMENT & LEADERSHIP COMPETENCY ASSESSMENT PLATFORM Promoting enhancement of leadership and managing competencies in healthcare organizations WHAT IS THERE FOR ME? Assess your Benchmark your Promote your management current level of personal and and leadership competencies professional skills growth WHO CAN JOIN HOW IT WORKS LANGUAGE RULES The online platform is A globally The platform is Confidentiality, security & open to any heathcare accessible online available in different protection of information professional in a tool, free of cost languages consistent with Swiss management position regulation and laws Register to assess your management and leadership skills http://healthmanagementcompetency.org WHAT RESULTS WILL I GET? Personalized report measuring potential Access to resources to Compare to your peers. improvement between your support your within your position, your professional needs and your continuous professional country, as well as peers current status in management development around the world and leadership Contents Contents volume 53 number 4 03 Editorial Editorial Staff Executive Editor: Eric de Roodenbeke, PhD Canadian success stories on health and social care Desk Editor: Marianne Corazon E. Bacani External Advisory Board 05 Application of a coordinated-type integration model for vulnerable older people in Alexander S Preker Chair of the Advisory Board, Health Invest- Québec (Canada): the PRISMA project ment & Financing Corporation Réjean Hébert Charles Evans, International Health Services Group Juan Pablo Uribe, Fundación Santa Fe de Bogota 11 Pathways to transformation in publicly-funded health systems: Experience in Mark Pearson, Head of Health Division (OECD) Canada’sprovinces Editorial Committee Jean-Louis Denis and Susan Usher Enis Baris, World Bank Dov Chernichosky, Ben-Gurion University 15 Managing the Myths of Health Care Bernard Couttelenc, Performa Institute Henry Mintzberg Nigel Edwards, Nuffield Trust KeeTaig Jung, Kyung Hee University Harry McConnell, Griffith University School of Medicine 18 Preparing the Ground for Transformation: A Case Study of the MUHC’s Experience Louis Rubino, California State University Northridge Judith Horrell and Normand Rinfret Editorial Office Route de Loëx 151 1233 Bernex (GE), 21 General Overview for Long-Term Care Centers in the Province of Quebec SWITZERLAND Paul Arbec For advertising enquiries contact our Communications Manager at [email protected] 24 Whither Canadian Hospitals: Aligning Authorities and Accountabilities Bill Tholl and Paul-Émile Cloutier Subscription Office International Hospital Federation Route de Loëx 151 28 Population health management A Canadian Perspective on the Future of Health Systems 1233 Bernex (GE), SWITZERLAND Brian N. Jobse, Owen Adams and Isra Levy Telephone: +41 (022) 850 9420 Fax: +44 (022) 757 1016 34 Empowering Nurses in Canada to Deliver Better Care, Better Health and Better Value ISSN: 0512-3135 Carolyn E. Pullen Published by Nexo Corporation 37 The Evolution of general practice in Canada: a reflection on retirement for the International Hospital Federation John Edworthy Via Camillo Bozza 14, 06073 Corciano (Pg) - ITALY Telephone: +39 075 69 79 255 40 The Montreal 2017 Executive Hospital Study Tour: Learning from Others Fax: +39 075 96 91 073 Alexander S. Preker, Hortenzia Beciu and Eric De Roodenbeke Internet: www.nexocorp.com Subscription Reference World Hospitals and Health Services is published quarterly. The annual subscription to non-members for 2017 costs 44 Language abstracts CHF 270 or US$280 or €250. All subscribers automatically receive a hard copy of the journal, please provide the fol- 49 IHF events calendar lowing information to [email protected]: -First and Last name of the end user -e-mail address of the end user NO CHECK ACCEPTED FOR SUBSCRIPTIONS World Hospitals and Health Services is listed in Hospital Literature Index, the single most comprehensive index to English language articles on healthcare policy, planning and administra- tion. The index is produced by the American Hospital Association in co-operation with the National Library of Medicine. Articles published in World Hospitals and Health Services are selectively indexed in Health Care Literature Information Network. The International Hospital Federation (IHF) is an independent non- IHF Governing Council members’ profiles can be accessed through the following link: political and not for profit membership organization promoting http://www.ihf-fih.org/governing_council better Health for all through well managed and efficient health care facilities delivering safe and high quality to all those that IHF Newsletter is available in http://bit.ly/IHF-Newsletters need it. The opinions expressed in this journal are not necessarily those of the International Hospital Federation or Nexo Corporation. World Hospitals and Health Services – Canadian success stories on health and social care Vol. 53 No. 4 1 THE NEW HEALTHCARE SUPPLY CHAIN IS COLLABORATIVE AND INTEGRATED Planning Analytics Standardization Hospital of Material Purchases Description Logistics Diagnosis Strategic Supplier Sourcing Services Bionexo is the largest marketplace for healthcare in Latin America. Pioneer and market leader, it operates in Brazil, Argentina, Colombia, Mexico and Spain offering digital solutions for purchasing, sales and process management in healthcare. bionexo.com Editorial Lessons Learned from Canada ERIC DE ROODENBEKE ALEXANDER S. PREKER PRESIDENT AND CEO CEO HEALTH INVESTMENT & FINANCING CORPO- INTERNATIONAL HOSPITAL FEDERATION RATION BERNEX, GE, SWITZERLAND NEW YORK, NY, USA n this special issue of the World Hospitals and Health Services participants with a fascinating overview of the Quebec, Ontario Journal (WHHJ) of the International Hospital Federation (IHF) and Canadian health care system. Iwe will review some of the key lessons learned from a Hospital During recent debates on health care reform in the US, the Executive Study Tour to Montreal and Ottawa, Canada. Canadian system has been variously lauded and vilified as From June 27th to July 1st 2016, the International Hospital either one of the best or worst models that should either be Federation (IHF) and Health Investment & Financing hosted a emulated or avoided at all cost. The study tour, the articles in Hospital Executive Study Tour in Montreal, Province of Quebec this issue of the World Hospitals and Health Services Journal and Ottawa, Ontario Province, Canada. The objective of the and other recent reviews of the Canadian health care system Hospital Executive Study Tour was to allow participants to shed light on this dichotomy in opinions. Not surprisingly, as learn how the Canadian hospital sector addresses some of the contributing authors to this issue of the journal highlight, the key challenges and solutions in order to transform the way the truth lies somewhere between these extremes. The hospital care is delivered in the 21st Century. The Montreal Canadian health care system is an amazing health care system Study Tour was part of a series of premier events offered by that provide access to quality health services to everyone, the IHF. The Study Tour was a collaborative effort among at a reasonable cost. No one is excluded. However, like all Canadian partner organizations in both Montreal and Ottawa, other health systems in the world there are important trade- who hosted various events to enable an exchange of ideas, offs between quality, cost, access, efficiency, effectiveness and knowledge, experiences and best practices in the delivery of patient satisfaction. healthcare services, and in the leadership and management of Health care expenditure in Canada is among the highest their organizations. among OECD countries with their own universal health care The Study Tour included visits to leading Canadian policy system. However, some studies suggest that high spending makers, hospital managers and decision makers, researchers, levels do not translate into equally high health outcomes, entrepreneurs, community leaders, and health financing financial protection or positive patient experiences. experts. In Montreal, the Executive Study Tour, included visits Therefore the Montreal 2017 Hospital Executive study tour to the following groups: provided participants with a fascinating overview of health care ❙ Department of Management, Evaluation and Health in Canada and lessons learned – both positive
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