Academic. Dan Horvat.

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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

Transcript of Academic. Dan Horvat.

Page 1: 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

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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

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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

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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

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Conclusion

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• Health care – pressures for change

• Health system transformation

• Three potential contributions of academia