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https://www.readbyqxmd.com/read/28901920/regulatory-models-and-model-behaviours
#1
Kathy Wilkie, John Tzountzouris
We appreciate the thoughtful and thought-provoking commentaries to our lead paper (Wilkie and Tzountzouris 2017) in this issue. Clearly, the question of how to best enable the behaviours of healthcare professionals to optimize their impact on our healthcare system is a complex one. We approach the question from the position of a health regulatory authority with a recognition that we cannot act alone. In our response to the valuable contributions to this issue of Healthcare Papers, we seek to educe the common themes that are presented...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901919/acting-in-the-public-interest-the-heart-of-professional-regulation
#2
Heidi M Oetter, Cynthia Johansen
In their article, Wilke and Tzountzouris (2017) describe the traditional and emerging approaches to professional regulation as restrictive (e.g., setting entry to practice requirements for registration), reactive (responding to complaints and where necessary restricting, suspending or revoking registration) or proactive (ensuring continuing competency and supporting registrants to adapt to changes in practice environments). They note the tension that exists with proactive approaches to regulation that can be seen as professional advocacy...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901918/enhancing-the-relationship-between-regulators-and-their-profession
#3
Zubin Austin
Regulators face unique pressures to balance competing priorities related to patient safety, public accountability, and practitioners' expectations. Historically, the collegial model of self-regulation has been used as a tool for risk management, to recognize the importance of profession- and context-specific judgment in complex, ambiguous clinical situations. Increasingly, as public accountability concerns have grown dominant within regulatory bodies, this collegial model has shifted toward a more antagonistic relationship between the regulators and the regulated...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901917/ensuring-proactive-regulatory-initiatives-align-with-the-public-interest
#4
Kathleen Leslie, Sioban Nelson
Regulation of health professions in Ontario has been under scrutiny in recent years with critical media attention and multiple legislative reform measures. The College of Medical Laboratory Technologists of Ontario's proactive regulatory initiative on steering professional culture, described by Wilkie and Tzountzouris (2017) in their discussion paper, is an example of a regulator evolving its role in the face of changing healthcare demands. In this response, we emphasize how regulators considering these types of initiatives need to ensure the focus remains on transparently carrying out their legislative duty of serving and protecting the public interest...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901916/using-trends-to-inform-regulatory-practices
#5
Christine Penney, Alison Wainwright
Health professions regulators charged with the role of public protection are challenged to balance their mandate with appropriate policy interventions, particularly within a self-regulatory model. Applied strategically, emerging methods and trends in health systems and health professions regulation can inform regulatory practices in keeping with the regulator's role of reducing harm to the public. This requires a shift in thinking from a focus on how (i.e., resources and tools), to a focus on what, including clear problem identification, intended risks to be mitigated and consideration of outcomes and measurability of impact at the outset...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901915/medical-laboratory-technologists-as-quality-improvement-team-members
#6
Dennis Kendel
While Medical Laboratory Technologists (MLTs) do not generally work directly with clinical healthcare teams they have proven to be invaluable contributors to team-based systematic quality improvement in healthcare. They were early adopters of standardized systemic performance measures coupled with explicit strategies for improving suboptimal performance. Their attentiveness to systemic analysis of systemic factors influencing performance has proven to be valuable in our quest to make care optimally safe and high quality...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901914/evolving-professional-regulation-keeping-up-with-health-system-evolution
#7
Elizabeth F Wenghofer, Sophia M Kam
In this article, we reflected on the notion that an evolving healthcare system requires evolving professional regulation to keep pace with system growth and change. The importance of interprofessional and patient-centred care for Ontario's healthcare system is clear. However, the profession specificity of the system is strongly embedded through Ontario's institutional and legislative structures. The result is an evolving system of care with the system of health professional regulation being somewhat left behind...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901913/professional-healthcare-regulation-and-practice-the-case-of-medicine-in-britain
#8
Mike Saks
This contribution comments selectively on the themes of the lead paper by Wilkie and Tzountzouris (2017) on aspects of Canadian healthcare regulation that impact on the crucial agenda of public protection. In a more skeptical sociopolitical climate in the modern world, these authors particularly highlight the need to ensure professional attitudes and behaviours enhance and sustain safe patient care - using the recent stance on professionalism of the College of Medical Laboratory Technologists of Ontario as an illustration of good practice...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901912/enabling-evolving-practice-for-healthcare-professionals-a-regulator-s-journey
#9
Kathy Wilkie, John Tzountzouris
The inherent risk involved in the provision of healthcare services leads to the inevitable requirement of health human resource oversight to protect the public from harm (Bayne 2012). As healthcare systems evolve, so do theoretical models for, and practical applications of, health human resource oversight policy and processes. The College of Medical Laboratory Technologists of Ontario (CMLTO), as one of 26 health regulatory bodies in Ontario, implements programs or processes to enact and support changes in the knowledge, skill and judgment of their members...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901911/defining-health-profession-regulators-roles-in-the-canadian-healthcare-system
#10
Joshua Tepper, Humayun Ahmed, Adalsteinn D Brown
Health professions regulation today faces a myriad of challenges, due to both the perceived performance of regulatory colleges, how health systems have evolved, and even larger political and economic shifts such as the renegotiation of NAFTA. In this issue of Healthcare Papers, Wilkie and Tzountzouris (2017) describe the work of the College of Medical Laboratory Technologists of Ontario (CMLTO) to redefine professionalism in the context of these challenges. Their paper, and the comments of the responding authors in this issue highlight that there, is an overarching perception that health regulatory structures - across a range of professions - are not working as effectively as they should...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671547/health-system-transformation-through-a-scalable-actionable-innovation-strategy
#11
Anne Snowdon
The authors who contributed to this issue of Healthcare Papers have provided rich insights into a promising innovation agenda to support transformational change aimed at achieving high-performing, person-centric health systems that are sustainable and deliver value. First and foremost, the commentaries make clear that a focused innovation agenda with defined goals, objectives and milestones is needed, if innovation is to be a viable and successful strategy to achieve health system transformation. To date, innovation has been a catch-all term for solving the many challenges health systems are experiencing...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671546/key-conditions-for-successful-serial-entrepreneurship-in-healthcare
#12
Cameron Piron
As a serial entrepreneur in the medical device industry, the author embraces Snowdon's (2017) effort to create and stimulate dialogue among experts in health system innovation in an effort to define and support Canada's innovation agenda. In this paper, he outlines some of the attributes and skills that companies need to launch their products and scale their companies. He also identifies the main conditions of an innovation ecosystem that create the necessary infrastructure to enable and support highly successful companies while allowing them to accelerate their growth...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671545/creating-value-in-healthcare-the-need-for-innovative-solutions
#13
Dave Williams, Helena Hutton, Gary Ryan
The combined impact of an aging population's healthcare needs and the growing prevalence of chronic disease has, and will continue to have, a significant impact on healthcare capacity and economics. In the context of resource constraints there is a tendency to focus on doing more with less. However, the real opportunity may lie in building capacity by doing things differently. The authors propose a new paradigm for innovative hospital care and illustrate its potential by examining recent endeavours at a large, full-service hospital in Southern Ontario...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671544/the-drive-towards-sustainable-health-systems-needs-an-alignment-where-are-the-innovations-in-health-systems-planning
#14
Gail Tomblin Murphy, Stephen Birch, Adrian MacKenzie, Janet Rigby, Mary Ellen Purkis
Clarifying the healthcare innovation agenda is critical in order to advance the impact of system innovations. As part of this agenda-setting it is important to address the four conditions within which innovations can enhance system sustainability: 1) the innovation agenda reflects and is aligned with healthcare objectives and policy; 2) planning methodologies for services, workforce and funding are aligned with healthcare objectives and policy; 3) innovations in services are accommodated in systems through innovations in policy, planning and funding; and 4) innovations are systematically monitored and evaluated...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671543/quality-and-innovation-redesigning-a-coordinated-and-connected-health-system
#15
Peter W Vaughan
Nova Scotia's consolidated health system was launched on April 1, 2015. This new approach to organizing health administration and services in the province arose out of necessity. When planning began, Nova Scotia was spending 41% of its annual budget on health services. In comparison to other provinces and territories, our per capita health-related spending was among the highest in the country, we had one of Canada's oldest populations and we had some of the worst health outcomes. Clearly, we could not continue to do the same things and expect different results...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671542/transforming-healthcare-through-technology
#16
Richard Barker, Tara Donnelly
In this commentary, we outline the necessity of change in the way we run healthcare systems due to a range of factors, common across the globe, and assert that transformational technology is an important tool for change. We propose that there are seven imperatives to pursue and that emerging evidence from digital health solutions could become an important part of achieving each of them. We provide examples of some of the technologies that respond to each issue we identify, and reference some programs designed to support the acceleration of use of these technologies across the UK's National Health Service...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671541/shifting-paradigms-in-canadian-healthcare-to-support-the-scale-and-spread-of-innovation
#17
Sarah Padfield
Health systems and healthcare organizations across Canada have identified the need for innovation to transform healthcare by creating the conditions for successful, scalable and impactful system transformation. Meeting these goals requires adopting new leadership paradigms to shape and design policy frameworks, business models, technical structures and funding approaches. In order to scale innovation and achieve system-wide impact, system leaders will need to create a culture that supports innovation and transformational change...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671540/health-system-innovation-lessons-from-tobacco-control
#18
John Garcia
Comprehensive tobacco control is considered by many to be a model for effective population health promotion and chronic disease prevention. Its history holds lessons for the "scalable, actionable, innovation agenda" called for by Anne Snowdon (2017). This commentary discusses lessons from tobacco control related to: changing practices in response to evolving paradigms and scientific evidence; international best practices; the importance of a broadly-accepted, shared vision about elements of an effective strategy; scientific and public service leadership; social actors leading change through advocacy, policy and the media; organizational learning mechanisms and capacity building systems; and, the importance of a continuously renewing, forward-looking agenda...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671539/a-blueprint-for-innovation-to-achieve-health-system-transformation
#19
Anne W Snowdon
Global health systems are challenged by escalating costs and growing demands for care created by the demands of aging populations and rising rates of chronic illness which place unsustainable pressure on health systems to meet population health needs. To overcome these challenges, transformational change is needed to strengthen health system performance and sustainability. Innovation is widely viewed as the strategy to drive transformational change in health systems; yet to date, innovation has lacked a clearly defined focus or agenda to achieve transformation...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28671538/getting-to-now-the-challenge-of-stimulating-innovation-in-complex-systems
#20
Adalsteinn D Brown, William Charnetski
In this issue of Healthcare Papers, Anne Snowdon clearly articulates the elements necessary for a health system innovation agenda. Although these steps are not easy - witness the slow progress of the adoption and diffusion of innovation across Canadian healthcare - they are relatively simple and provide a nice counterpoint to our usual concerns about how to effect change within the complex environment of healthcare. The commentators in this issue re-enforce the importance of particular elements or the feasibility of taking some of the first hard steps...
2017: HealthcarePapers
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