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Healthcare Management Forum

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https://www.readbyqxmd.com/read/30354687/indigenous-approaches-to-health-and-wellness-leadership-a-bc-first-nations-perspective
#1
Joe Gallagher
In 2011, British Columbia (BC) First Nations came together to speak with one voice and by consensus made the largest self-determining decision made in this country: to take control over their own health and wellness. Guided by First Nations perspectives, values, and principles, the First Nations Health Authority works alongside the First Nations Health Directors Association and the First Nations Health Council to advance a shared vision of "healthy, self-determining, and vibrant BC First Nations children, families, and communities...
October 24, 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30304957/enabling-cultural-safety-in-indigenous-primary-healthcare
#2
Gertie Mai Muise
The Aboriginal Health Access Centre (AHAC) and Aboriginal Community Health Centre Model of Wholistic Health and Wellbeing is critical to addressing inequities and barriers that limit access to comprehensive primary healthcare for Indigenous people. Even with this model in place, there are multiple points of intersection with mainstream healthcare service providers across health sectors. Further, there is considerable cultural diversity among Indigenous healthcare staff and professional groups. These factors place Indigenous people at risk of culturally unsafe experiences causing harm...
October 10, 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30260682/a-retrospective-on-reconciliation-by-design
#3
Alika T Lafontaine, Christopher J Lafontaine
It is well-established that Indigenous peoples continue to experience a lower level of health than non-Indigenous peoples in Canada. For many health leaders, finding practical strategies to close the gap in health disparities remains elusive. In this retrospective study, we will illustrate our own experience of transformational change using design and systems thinking tools toward a primary outcome of multi-stakeholder alignment. Using this approach enabled three Indigenous Provincial/Territorial Organizations (IPTOs) representing more than 150 First Nations communities from Saskatchewan, Manitoba, and Ontario to establish the largest community-led, collaborative approach to health transformation in Canada at the time...
September 27, 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30295099/administrative-ethics-good-intentions-bad-decisions
#4
Joseph M Byrne
The Canadian healthcare system is costly. Each day, health leaders must make decisions about what healthcare services will be offered, how they will be funded, to whom they will be made available, and within what administrative and clinical structure they will be managed and delivered. These decisions, their justification, and the ethics framework employed can vary greatly across the Canadian landscape. These high-stakes decisions must not only draw upon healthcare science but the science of business finance, risk management, and organizational design...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30249145/the-comparative-performance-of-the-canadian-and-australian-health-systems
#5
Donald J Philippon, Gregory P Marchildon, Kristiana Ludlow, Claire Boyling, Jeffrey Braithwaite
Using three data sets, each providing an overview of health service delivery in high-income countries, this article provides a high-level comparative analysis of health system performance against specified key performance indicators in two jurisdictions: Canada and Australia. Several variations, nuances, and points of comparison between delivery and organization of care are discussed. The article examines three policy and structural differences that may help explain the comparatively superior performance of the Australian system on most indicators, and two key areas of improvement for the Canadian system were illuminated: a stronger central government role and a national pharmaceutical plan...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30249140/questions-healthcare-boards-should-ask-senior-leaders-about-risk
#6
Polly Stevens, Annette Down, Jordan M Willcox
Drawing on strong ethical and evidence-based principles, Healthcare Insurance Reciprocal of Canada, in collaboration with healthcare leaders, has developed guiding questions to help boards of healthcare organizations carry out a critical governance function-the oversight of key organizational risks. The resulting list of 21 questions is the first of its kind for healthcare and focuses on the core mandate of healthcare organizations which is providing high-quality care. Recommended practices accompany each question...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30235951/improving-access-to-health-services-in-canada
#7
David R Urbach
The Commonwealth Fund 2017 report ranked Canada's healthcare system low in access to care and last among all 11 counties studied in terms of timeliness of care. While long wait times for certain elective surgical procedures appear to be emblematic of Canadian Medicare, they are not inevitable. Wait times could be improved by focusing on public awareness and measurement of wait times and improving the appropriateness, efficiency (eg, with implementation of single-entry models for surgical referrals and greater use of ambulatory surgery), and productivity of surgical care (eg, by activity-based funding for surgical procedures and by reducing the cost of perioperative care)...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30223676/connecting-patient-experience-leadership-and-the-importance-of-involvement-information-and-empathy-in-the-care-process
#8
Jana Archer, Lynn Stevenson, Angela Coulter, Adrienne Mercer Breen
To improve health outcomes, restore trust, and create a safe and healing environment for patients, the health system needs to shift from being disease, system, and provider focused to being patient centred. Drawing from a patient story, this article focuses on three aspects of the care process that have a significant impact on patient experience: involvement in care, information about treatment and care, and empathy and respect. It will also provide recommendations for leaders in how to become more patient centred and aligned to the LEADS competency framework...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30223674/income-inequality-structural-racism-and-canada-s-low-performance-in-health-equity
#9
Nathan C Nickel, Janelle Boram Lee, Joanne Chateau, Michael Paillé
In 2017, the Commonwealth Fund released a report evaluating 11 countries' healthcare systems on a variety of domains; one of these domains was health equity. Canada's score on health equity placed it among the bottom three countries. This article applies a conceptual framework for health equity developed by the World Health Organization's Commission on the Social Determinants of Health to reflect upon and discuss mechanisms that may help to explain Canada's low score. We discuss the role that two societal-level constructs-income inequality and structural racism-play in shaping population health and health equity...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30223672/the-canadian-health-system-s-administrative-efficiency-is-a-problem
#10
Stephen Duckett
The Commonwealth Fund's "administrative efficiency" criterion ranks Canada poorly-sixth of the 11 countries compared. On two of the four patient-sourced measure used in this criterion, Canada was below the international average performance. For two of the three physician-sourced measures, Canada performs well but is significantly behind the best performing country. This suggests that Canada has room to improve, despite being better than average. Two opportunities for health leaders to make improvements are in relation to reducing the time physicians spend negotiating patient access to needed medications and reducing other administrative burdens related to claiming...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30223671/does-health-system-performance-reporting-stimulate-change
#11
Kira Leeb
For numerous countries, including Canada, regular health system performance reporting has become increasingly routine if not mandated by legislation. In Canada, the health system performance reporting agenda includes multiple players at all levels from national organizations to provincial health (quality) councils and others. Canada, like many other countries, also participates in international health system performance reporting initiatives. Making sense of what all of these reporting initiatives are telling us about health system performance both within Canada and compared to other countries is becoming increasingly more challenging...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30213213/a-message-from-the-editor-in-chief
#12
Don Juzwishin
No abstract text is available yet for this article.
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30205713/from-stigma-to-the-spotlight-a-need-for-patient-centred-incontinence-care
#13
D Wayne Taylor, Jacqueline J Cahill
Incontinence is not a single disorder but a family of related conditions with different etiologies and treatments; it is a chronic disability that carries an enormous stigma. In few disorder/treatment pairings, there is the need to reinvent care more urgent and clear than in the area of incontinence. Patient-centred care has been realized to improve outcomes, quality of care, and patient satisfaction while concurrently reducing healthcare costs. To improve continence care and move it away from "cleaning up accidents" to a patient-centred care model, in which the disorder is managed to best practice guidelines, does not require investigative or developmental prowess but a simple, concentrated effort to diffuse existing knowledge to close the knowledge gaps, both at the clinical language level for clinical nurses and family physicians, as the gatekeepers to specialist care, and in simplified layperson's language for the healthcare worker, family carer, and person living with incontinence...
November 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30133351/predicting-and-testing-a-silo-free-delivery-system
#14
Eileen Florence Pepler, Joy Pridie, Steve Brown
Given the scale and complexity of the challenge of addressing the aging population, increasing demand for complex and integrated care, this article sets out potential opportunities to predict a future without silos, based on international learnings. Examining another country's health and delivery systems, it is interesting to see the similarities and differences, so we offer some reflections applicable to Canada. These models are breaking down the silos. Imagine a setting where you could collaboratively co-design scenarios, debate, refine policy, and predict future population needs...
September 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30133340/one-province-one-healthcare-system-a-decade-of-healthcare-transformation-in-alberta
#15
David Veitch
Nearly a decade has passed since Alberta folded nine regional health authorities and three government agencies into one province-wide health system: Alberta Health Services (AHS). Deemed a reckless experiment by some at the time, there is now mounting evidence province-wide integration of services across the healthcare continuum is an enabler of improved quality, safety, and financial sustainability. The article highlights specific examples of how AHS is strengthening partnerships, standardizing best practices, and driving innovation, making Alberta a national and international leader in areas such as stroke care and potentially inappropriate use of antipsychotics in long-term care...
September 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30133330/contributing-causes-to-adverse-events-in-home-care-and-potential-interventions-to-reduce-their-incidence
#16
G Ross Baker, Virginia Flintoft, Anne Wojtak, Regis Blais
The increasing complexity of home care services, pressures to discharge patients quicker, and the growing vulnerabilities of home care clients all contribute to adverse events in home care. In this article, home care staff in six programs analyzed 27 fall- and medication-related events. Classification of contributing causes indicates that patient and environmental factors were common in fall events, while organization and management factors along with patient, task, team, and individual factors were common in medication-related events...
September 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30133329/tackling-overutilization-of-hospital-tests-and-treatments-lessons-learned-from-a-grassroots-approach
#17
Lisa K Hicks, Patrick O'Brien, Michelle Sholzberg, Nicole Veloce, Anne Trafford, Doug Sinclair
Recent data suggest unnecessary medical testing and treatment is relatively common in Canada. A number of harms to patients can arise as a result of unnecessary tests and treatments. In addition to patient harm, unnecessary tests and treatments add to the cost of medical care. Inspired by the Choosing Wisely campaign, St. Michael's Hospital in Toronto, Ontario, developed a hospital-wide program to address many different forms of overutilization at our hospital. The program prioritizes harm reduction over cost-containment and aims to create sustainable change through grassroots clinician engagement...
September 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30133314/accountability-a-magic-bullet-for-emergency-care-delays-and-healthcare-access-blocks
#18
Grant Innes
Emergency care delays are one link in a chain of access blocks that permeate our healthcare system. Community patients blocked in hospitals, in-patients blocked in emergency departments, emergent patients blocked in ambulances. The root cause is failure to define, expect, or manage accountability. The easy response to a heavy patient surge is to block access. This protects programs from care demands that would otherwise mandate innovation, and displaces problems to leaders who cannot solve them-a recipe for perpetual dysfunction...
September 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30133306/the-mental-demands-of-leadership-in-complex-adaptive-systems
#19
David A Petrie, Robert Chad Swanson
After a decade of calls for healthcare transformation, there is a convergence of themes in our general orienting models. The core metaphor of health system as machine (with closed boundaries, linear functions, and controlled predictable outputs) has given way to health as ecosystem (with open boundaries, non-linear functions, multiple interdependencies, and no single locus of control over outcomes). Current developmental psychology theory suggests that people construct their reality, and interact with their world, based on the epistemology (or "action-logic" or "mindset") of their stage of development...
September 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/30114938/effective-diversity-equity-and-inclusion-practices
#20
Gurwinder Kaur Gill, Mary Jane McNally, Vin Berman
Demographics in Canada, and the workplace, are changing. These include population changes due to race, ethnicity, religion/faith, immigration status, gender, sexual identity and orientation, disability, income, educational background, socioeconomic status, and literacy. While this rich diversity can present challenges for patient experiences/outcomes and working environments, it can also present opportunities for positive transformation. For successful transformation to take place, strategies should focus on "Diversity, Equity, and Inclusion" (DEI) versus "diversity" alone and on creating inclusive team environments for positive staff experiences/engagement...
September 2018: Healthcare Management Forum
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