Academic. Dan Horvat.
Transcript of Academic. Dan Horvat.
Northern Medical Program
Academia’s Piece in the Health Care Transformation Puzzle
Presentation by: Dan Horvat, MD, MCFP, BSc Assistant Professor, Northern Medical Program Faculty of Medicine, UBC February 27, 2013
Quality Forum Deep Dive Academic Health Education Building Quality Care from the Ground Up
Northern Medical Program
Overview of the Hour
• Presentation – 20 min - some ideas regarding potential contributions of academia to health system transformation
• Breakouts – 20 min - an opportunity to share your ideas
• Feedback – 20 min – to the larger group
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Presentation Overview
• Health care – pressures for change
• Health system transformation
• Potential contributions of academia
State of Health Care - Drivers of Change: Fiscal, Quality & Safety, Society
100
80
60
40
20
0
Forecast Growth in Program Spending = 4%
Growth in Program
Spending = 5%
1976 1986 1996 2006 2016 2026
%
Source: Ontario Ministry of Finance; Forecast by TD Economics, May 27, 2010
ONTARIO PROVINCIAL HEALTH SPENDING AS A % OF TOTAL PROGRAM SPENDING
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Health System Transformation – Traditional Approach
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Building advanced improvement capability for BC
Improvement Trajectories
Time
Project Approach to improvement -
Common
Strategic Approach to Improvement –
Desired
© Charles Kilo, MD,GreenField Health
Impr
ovem
ent
Ideal
Approach to improvement - None
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Key Activities of Highly Effective Health Care Systems
1. Connect system to purpose
2. Understand and define system requirements
3. Build, select, deliver & maintain transformational leadership
4. Create and maintain safe culture of improvement
5. Energize & equip work force
6. Drive change through data system
All, working together effectively
Community
SRA
HC System
MoH H.A.s
Prof Org’s, etc
Academic Institutions
Medicine
Faculties Governance
Curriculum
Student
Health Related Training & the Health Care System
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At least three potential roles for academia:
Health Related Training & the Health Care System
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At least three potential roles for academia:
1. Training for quality, safety and health system improvement
Health Related Training & the Health Care System
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At least three potential roles for academia:
1. Training for quality, safety and health system improvement 2. Using transformational approaches internally
Health Related Training & the Health Care System
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At least three potential roles for academia:
1. Training for quality, safety and health system improvement 2. Using transformational approaches internally 3. Influencing the development of a more effective health
care system
Health Related Training & the Health Care System
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• It helps to know what we are aiming for
• All benefit from more clear vision for health care system of the future
• Consider the path of trailblazers
Health Related Training & the Health Care System
Conclusion
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• Health care – pressures for change
• Health system transformation
• Three potential contributions of academia