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Healthcare Quarterly

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https://www.readbyqxmd.com/read/27808027/evaluating-innovations-in-home-care-for-performance-accountability
#1
Barbara Collister, Abram Gutscher, Jana Ambrogiano
Concerns about rising costs and the sustainability of our healthcare system have led to a drive for innovative solutions and accountability for performance. Integrated Home Care, Calgary Zone, Alberta Health Services went beyond traditional accountability measures to use evaluation methodology to measure the progress of complex innovations to its organization structure and service delivery model. This paper focuses on the first two phases of a three-phase evaluation. The results of the first two phases generated learning about innovation adoption and sustainability, and performance accountability at the program-level of a large publicly funded healthcare organization...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808026/increasing-primary-care-access-close-to-home-for-residents-of-remote-communities-in-northern-alberta
#2
A Alison Ross, Tracey L Yap, Johan van Der Nest, Keith Martin, Alison H Edie
Residents of Canada's rural and remote communities know the challenges associated with accessing consistent healthcare. Alberta Health Services uses telehealth technology to minimize travel for rural and remote residents who require follow-up with specialists, however until recently, telehealth was only used in specialty care. This article describes a pilot project introduced in two remote northern Alberta communities to determine the feasibility and sustainability of using telehealth in the delivery of primary healthcare...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808025/canadian-cancer-programs-are-struggling-to-invest-in-development-of-future-leaders-results-of-a-pan-canadian-survey
#3
Nadir Khan, Lena Ghatage, Peter S Craighead
Cancer agencies within Canada operate with a variety of leadership models, assuming that future leaders are identified, developed and supported by institutions other than their own. A literature review, comprehensive survey and structured interviews were conducted to illuminate the perceptions of leadership in Canadian cancer centres. The major finding from the study is the significant gap between the competencies that leaders acknowledge as being important and the lack of development programs for future and current leaders...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808024/using-system-maps-to-gain-a-system-perspective-to-improve-outcomes
#4
Faten Mitchell
Throughout the world, people are living longer, and chronic and degenerative diseases are on the rise (Bloom et al. 2011; National Institute on Aging and WHO 2011; Yach et al. 2004). These factors place great demands on healthcare systems and threaten sustainability. Fundamental changes are needed to improve health outcomes and reduce costs. Changes that affect desired outcomes include aligning and understanding stakeholders' motivations and behaviours as well as gaps in key processes. Through that understanding, when desired outcomes are not achieved, we can answer why...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808023/searching-for-best-direction-in-healthcare-distilling-opportunities-priorities-and-responsibilities
#5
Terrence Montague, Amédé Gogovor, Lucas Marshall, Bonnie Cochrane, Sara Ahmed, Emily Torr, John Aylen, Joanna Nemis-White
Canada's health and its care are evolving. Evidence from serial Health Care in Canada surveys of the public and health professionals over the last two decades reveal a persistent sense of care quality, despite an aging population, decreasing levels of good and excellent health, increasing prevalence of chronic illnesses; and sub-optimal access to timely and patient-centred care. Stakeholders are, however, somewhat pessimistic and many sense complete rebuilding, or major changes, may be necessary. To improve access, the primary health concern of all Canadians - increasing medical and nursing school enrolment, and requiring professionals to work in teams - have attracted increasingly high support from both the public and professionals...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808022/healthcare-and-climate-change-do-no-harm
#6
Deanna Fourt, Claudette Poirier
The increased frequency of extreme weather events due to climate change can cause casualties and put healthcare delivery at risk. Ironically, healthcare is a significant source of the very greenhouse gas emissions that lead to climate change. The Vancouver Island Health Authority case study shows the value of targets, energy management and innovation in new construction. Efforts have yielded great results to date with $2 million a year saved in utilities, and are nearing the target of reducing emissions by 33% below 2007 levels by 2020...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808021/organic-waste-reduction-at-hamilton-health-sciences
#7
Rosemary Van Oostrom
Hamilton Health Sciences (HHS) cares for the community in many ways. This includes fulfilling responsibilities as an organization to reduce the environmental impact of healthcare waste that is generated on a daily basis. A significant amount of this is food waste generated by hospital kitchens and cafeterias, and has been identified as a waste stream that could be diverted from landfill. This article explores HHS' journey toward the implementation of a cost effective, environmentally sustainable waste stream management system...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808020/recovering-plastics-in-a-hospital-can-have-environmental-social-and-economic-benefits
#8
Jérôme Ribesse, Nathalie Robitaille
Plastics are omnipresent in today's healthcare facilities. In Quebec, recyclable plastics (the ones with a 1 to 7 number on it, excluding number 6 or styrofoam) represent 7% of all the waste generated by healthcare institutions - 2,907 tonnes each year (Proulx et al. 2009). The vast majority of these plastics are sent to landfill instead of being recycled due to the lack of suitable recycling systems. In collaboration with three Montreal-based hospitals, Synergie Santé Environnement (SSE) conducted an 18-month pilot project to implement a sustainable plastic recycling system with threefold objectives: reduce landfill costs, obtain royalties for the plastics and assure traceability...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808019/canadian-coalition-for-green-health-care-leading-the-evolution-of-green
#9
Kent Waddington, Linda Varangu
Since 2000, a growing contingent of healthcare organizations, individuals and companies have embraced principles and practices of environmental stewardship with a focus on making health service delivery more environmentally sustainable. This article provides an overview of the sector's many successes, drawing upon both Coalition-sponsored initiatives and those initiated by its most engaged and forward-thinking stakeholders, many of whom are original signatories to Canada's Joint Position Statement: Toward an Environmentally Responsible Canadian Health Sector...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808018/healthcare-in-the-anthropocene-challenges-and-opportunities
#10
Trevor Hancock
We are entering the Anthropocene. So large is our impact on the planet that Earth scientists suggest our presence will show up in the geologic record far into the future. The global ecological changes we are creating pose a threat to health not only from climate change but from pollution and ecotoxicity, ocean acidification, resource depletion and the loss of biodiversity that threatens a sixth "Great Extinction." These health threats will impose an added burden on the healthcare system, while the ecological changes will force it to adapt to the new realities...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808017/in-conversation-with-michael-green
#11
(no author information available yet)
No abstract text is available yet for this article.
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808016/increasing-rates-of-kidney-failure-care-in-canada-strains-demand-for-kidney-donors
#12
Michael Terner, Noura Redding, Juliana Wu
The number of patients with kidney failure is on the rise in Canada, leading to a higher need for dialysis treatment and greater demand for kidney transplants, which have superior patient outcomes and lower healthcare system costs than dialysis treatments. This study examines the incidence and prevalence of kidney failure and renal replacement therapies between 2005 and 2014. The number of patients on dialysis has increased by 31% over this decade. The number of annual kidney transplants performed has also increased along with the waiting list for a kidney transplant, resulting in a persistent 2...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808015/developing-indicators-for-the-child-and-youth-mental-health-system-in-ontario
#13
Julie Yang, Paul Kurdyak, Astrid Guttmann
When the Government of Ontario launched a comprehensive mental health and addictions strategy, the Institute for Clinical Evaluative Sciences (ICES) was tasked with developing a scorecard for ongoing monitoring of the child and youth mental health system. Using existing administrative and survey-based healthcare and education data, researchers at ICES developed a scorecard consisting of 25 indicators that described at-risk populations, child and youth mental healthcare and relevant outcomes. This scorecard is the first in Canada to report on performance indicators for the child and youth mental health system and provides a model for monitoring child and youth mental health using routinely collected administrative data...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27808014/editorial
#14
(no author information available yet)
No abstract text is available yet for this article.
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700980/ceo-perspective-a-health-system-for-patients-with-complex-conditions-reflections-from-bridgepoint-s-transformation
#15
Marian Walsh
No abstract text is available yet for this article.
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700979/in-conversation-with-nick-goodwin
#16
(no author information available yet)
No abstract text is available yet for this article.
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700978/improving-outcomes-through-transformational-health-and-social-care-integration-the-scottish-experience
#17
Anne Hendry, Alison Taylor, Stewart Mercer, Peter Knight
The Scottish Parliament recently passed legislation on integrating healthcare and social care to improve the quality and outcomes of care and support for people with multiple and complex needs across Scotland. This ambitious legislation provides a national framework to accelerate progress in person-centred and integrated care and support for the growing number of people who have multiple physical and mental health conditions and complex needs. Additional investment and improvement capacity is helping to commission support and services that are designed and delivered with people in local communities and in partnership with housing, community, voluntary and independent sectors...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700977/a-simple-evidence-based-intervention-to-improve-care-transitions-for-frail-patients-with-complex-health-conditions-why%C3%A2-didn-t-it-work-as-expected
#18
David McNeil, Roger Strasser, Nancy Lightfoot, Raymond Pong
The transition from hospital to home is a vulnerable period for patients with complex conditions, who are often frail, at risk for adverse events and unable to navigate a system of poorly coordinated care in the post-discharge period. Care transition interventions are seen as effective care coordinating mechanisms for reducing avoidable adverse events associated with the transition of the patient from the hospital to the home. A study was undertaken to evaluate the effectiveness of a care transition intervention involving a hand-off between a hospital-based care transitions nurse and a community-based rapid response nurse...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700976/building-bridges-to-integrate-care-bridges-incubating-health-service-innovation-across-the-continuum-of-care-for-patients-with-multiple-chronic-conditions
#19
Onil Bhattacharyya, Michael Schull, Kaveh Shojania, Vicky Stergiopoulos, Gary Naglie, Fiona Webster, Ricardo Brandao, Tamara Mohammed, Jennifer Christian, Gillian Hawker, Lynn Wilson, Wendy Levinson
Integrating care for people with complex needs is challenging. Indeed, evidence of solutions is mixed, and therefore, well-designed, shared evaluation approaches are needed to create cumulative learning. The Toronto-based Building Bridges to Integrate Care (BRIDGES) collaborative provided resources to refine and test nine new models linking primary, hospital and community care. It used mixed methods, a cross-project meta-evaluation and shared outcome measures. Given the range of skills required to develop effective interventions, a novel incubator was used to test and spread opportunities for system integration that included operational expertise and support for evaluation and process improvement...
2016: Healthcare Quarterly
https://www.readbyqxmd.com/read/27700975/it-takes-two-to-tango-researchers-and-decision-makers-collaborating-to-implement-practice-changes-for-patients-with-multimorbidity
#20
Martin Fortin, Martine Couture, Tarek Bouhali, Esther Leclerc, Moira Stewart
An integrated knowledge translation strategy is a key factor in fostering the implementation of practice changes. Building on a 15-year history of projects that include close collaboration between researchers and decision-makers in the Saguenay region of Quebec (Canada), the authors identify several key elements that resulted in practice changes in primary care and improved outcomes for patients with multimorbidity.
2016: Healthcare Quarterly
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