|
Host and Presiding Officer: Sheila
Weatherill
President and CEO
Capital Health Region
Edmonton, AB
|
| Monday,
June 9 |
| 0830 |
Conference
Opening and Welcome |
| 0845 |
The Honourable A.
Anne McLellan
Minister of Health, Government of Canada |
| |
Anne
McLellan was elected to her third term as Member of Parliament
for Edmonton West in 2000 and appointed Minister of Health by
Prime Minister Jean Chrétien in 2002. Ms. McLellan has also
served as Minister of Justice and Attorney General of Canada,
Minister of Natural Resources and Federal Interlocutor for
Métis and Non-Status Indians. |
| |
Ms.
McLellan holds a law degree from Dalhousie University and a
Master of Law degree from King’s College, University of
London. Ms. McLellan taught law at the University of New
Brunswick before moving to Edmonton in 1980 to take a position
as Associate Professor of Law at the University of Alberta.
She served as Associate Dean of the University’s Faculty of
Law 1985-1987 and as Acting Dean 1991-1992. |
| 0920 |
The Health Care in
Canada Survey (Presentation and Panel Discussion) |
|
Don Guy
Vice President, POLLARA
Toronto, ON |
| |
The Health Care in
Canada (HCIC) survey conducted by POLLARA is the most
comprehensive annual survey of the public and providers on key
health care issues. The intent and spirit of the survey is to
gauge the need for change, and to provide direction to
government on where change is needed, and the options
supported by stakeholders of the system. |
| |
A panel of the
partners in the Health Care in Canada Survey will discuss and
debate the findings of the 2003 survey. What re the
expectations of the public and providers? Are the public and
providers ready for change? Is the public more ready for
change than providers, policy-makers and politicians think? |
| |
POLLARA provides
research-based counsel on corporate image, strategic position,
public affairs, marketing and communication to a wide range of
companies, institutions and industry associations in North
American. POLLARA is the official pollster for the Liberal
Party of Canada. |
| 1015 |
Break |
| 1045 |
A Cure
for Hardening of the Categories: the Future of Health Care in
Canada |
|
Charles
E. Pascal,
PhD
Executive Director
The
Atkinson Charitable Foundation
Toronto, ON |
| |
Dr. Pascal will make the
case for implementing the Romanow Commission recommendations
and at the same time ensuring that we move from illness to
well-being, from a sole preoccupation with the healthcare
system to a concern for all the determinants of healthy
outcomes for Canadians. |
| |
Dr. Pascal
taught psychology at McGill University in Montreal before
moving to Toronto to accept a position with the University of
Toronto and the Ontario Institute for Studies in Education. He
was appointed Deputy Minister of the Premier’s Council on
Health, Well-being and Social Justice in January 1991. Chaired
by Premier Bob Rae, the council was a policy body designed to
provide advice and research to the government and the public
on building a just, healthy, and fairer society. He later
served as Deputy Minister, Community and Social Services and
Deputy Minister, Education and Training. |
| 1200 |
Lunch |
| 1330 |
An
Introduction to the Canadian Forces
Health Services |
| |
Brigadier-General
Lise Mathieu, CHE
Director General Health Services / Commander
Canadian Forces Medical Group |
| |
The Canadian Forces
Health Services (CFHS) is the designated health care provider
for Canada's military personnel, delivering medical and dental
services at military installations across Canada and overseas.
Providing this service holds many challenges unique to the
military environment-and others, like time, people, and money
are shared by the civilian health care sector. To address
these challenges, the CFHS is currently implementing an
ambitious and innovative health care reform process. Its goal
is to develop a patient-oriented health service that better
meets the needs of CF members at home and abroad. |
| |
Throughout her
career, Brigadier-General Mathieu has held various command,
staff officer and health care management positions in Canada
and abroad. She was the Liaison Officer between military and
civilian health authorities during the Oka crisis to ensure
that medical support and emergency arrangements were
available, Operations Officer of 1 Canadian Field Hospital
during the Persian Gulf war, and Executive Assistant to the
Chief of the Defence Staff. |
| |
Promoted to her
current rank in 2000, Brigadier-General Mathieu is an Officer
of the Order of Military Merit and holds a Master of Health
Administration from Universite de Montreal. |
| 1350 |
Enhancing Primary
Health Care Delivery to Canadian Forces Members |
| |
Colonel Brian
O’Rourke, Pharm D
Deputy Chief of Staff—Health Care Delivery |
| |
One of the main
thrusts of Rx 2000, the ongoing reform of the CF Health
Services, is Primary Care Renewal. This presentation will
provide insight into this important initiative and highlight
several key areas of success. |
| |
Colonel O’Rourke
oversees all aspects of the care delivered to CF personnel in
Canada. A pharmacist for most of his career, Colonel O’Rourke
has been a driving force in the ongoing reform of the CF
Health Services. |
| 1430 |
Break |
| 1500 |
Afghanistan—Operational Health Services in a Challenging
Environment |
| |
Major Dan Vouriot,
MD
Senior Medical Officer - Op APOLLO |
| |
During the period
February to August 2002, the Canadian Forces deployed some
1,400 soldiers to war-torn Afghanistan in support of the
US-led coalition against terrorism. This presentation will
highlight a few of the many challenges faced by CF Health
Services personnel in meeting the health care needs of our
land force in a unique and extremely austere operational
environment. |
| |
Major Vouriot is
an Emergency Medicine Specialist who served with the Canadian
Forces for the period July 97 to present. As Senior Medical
Officer for the deployment of the 3 PPCLI Battle Group to
Afghanistan, Major Vouriot and his team of military health
care professionals faced the challenge of providing quality
health care in a hostile combat environment. |
| 15:30 |
Veterans
Independence Program |
| |
Verna E. Bruce
Associate Deputy Minister
Veterans Affairs Canada |
| |
The Veterans
Independence Program (VIP) is the largest national home and
community care program in Canada and is part of the
comprehensive response to the needs of this special group of
Canadians. Ms. Bruce will illustrate how home care has, for
veterans, greatly reduced the need for long-term institutional
care. |
| |
A native of
Prince Edward Island, Ms. Bruce designed and created PEI’s
first integrated provincial program for home care in the
1980s. At the Deputy Minister level in Prince Edward Island,
she served in Provincial Treasury, Management Board,
Intergovernmental Affairs and Higher Education and Health and
Social Services. |
| |
Ms. Bruce is
Chair of the Executive Committee of the Vanier Institute of
the Family and a member of the board of Child Alliance. She
has been an active member of a variety of professional and
community organizations. |
| 1600 |
Adjournment for
the day |
| 18:30 |
Presidents’ Dinner
and Awards Night |
| Tuesday,
June 10 |
| 0830 |
Health Care as Good Economic
Policy AND Good Social Policy |
| |
Aubrey J Tingle,
MD, PhD, FRCP(C)
President & CEO, Michael Smith Foundation for Health Research,
and
Interim Chair, Canada West Health Innovation Council, Canada
Health Innovation Council
Vancouver, BC |
|
Michael Mendelson
Senior Scholar
Caledon Institute of Social Policy
Ottawa, ON |
| |
The report of the Alberta Premier’s Advisory
Council on Health, A Framework for Reform, (the
Mazankowski Report) noted that the majority of funding for
health care comes from provincial budgets and so health care
is almost always viewed as a cost—sometime even a tremendous
burden on the provincial budget. |
| |
But at the same
time, the report authors continued, health care is a huge
industry. Thousands of doctors, nurses and other health
providers earn good incomes and contribute significantly to
our economy. Our leading medical research centres attract some
of the best and brightest researchers and physicians to the
country, and help build Canada’s potential in a
knowledge-based economy. From purchasing equipment and
supplies, to building new facilities, hiring contract workers,
and employing thousands of support workers, healthcare is a
major player in Canada’s economy. |
| |
Dr Aubrey James
Tingle was the founding Chair of the Coalition for Health
Research in British Columbia, a voluntary alliance of
stakeholders that developed the vision and plan for the
Michael Smith Foundation for Health Research. In 2001, he was
appointed as the Founding President & CEO of the Michael Smith
Foundation for Health Research with $110 million funding and a
provincial mandate from the Government of British Columbia to
build BC’s capacity to compete nationally and internationally
in health research. More recently, Dr. Tingle has served as
interim chair of the Canada West Health Innovation Council and
of the Canada Health Innovation Council, spearheading an
inter-provincial and national initiative to engage Canadians
in exploring the potential for our health system to also
become an engine of economic growth. |
| |
Michael
Mendelson was Deputy Secretary (Deputy Minister) of Cabinet
Office in Ontario prior to his appointment to the Caledon
Institute. He has served as an Assistant Deputy Minister in
Ontario’s Ministries of Finance, Community Services and
Health. In Manitoba he was Secretary to Treasury Board and
Deputy Minister of Social Services. He was also Visiting
Fellow, Social Policy with Human Resources Development Canada,
the ministry responsible for most social programs in the
government of Canada. |
| 1030 |
Break |
| 1100 |
Concurrent
Sessions |
| |
Session I:
Community Governance for Community Healthcare |
| |
Louise Simard, QC
President and CEO
Saskatchewan Association of Health Organizations
Regina, SK |
| |
Fostering citizen
participation in health services demands times, resources and
commitment. Is it worth it? Louise Simard will explain why
citizen and community involvement is vital to the long-term
success of our publicly-funded health care system. |
| |
Saskatchewan was
the first province to regionalize its health services and also
the first to make a province-wide commitment to primary health
care. Louise Simard will describe Saskatchewan’s successes and
challenges with community involvement in regional planning and
program development and with regional health board elections
and the potential for citizen input in Saskatchewan’s newly
reconfigured health regions. |
| |
After service in
the government of Saskatchewan as a public servant, a member
of the legislative assembly and a senior member of Cabinet,
Louise Simard returned to the practice of law and was senior
counsel with Saskatchewan’s largest law firm prior to her
appointment to SAHO. |
| |
While in
government Ms. Simard held the positions of Minister of Health
and Minister Responsible for the Status of Women and other
portfolios, and spearheaded the development and implementation
of health reform in Saskatchewan. Ms. Simard is President of
the Medical Council of Canada. |
| |
Session II:
Unfinished Business: A Framework for Organizing Care Delivery
Systems for People with Ongoing Care Needs Across Canada |
| |
Marcus J.
Hollander, PhD
President
Hollander Analytical Services Ltd
Victoria, BC |
| |
The Romanow and
Kirby reports only focus on short-term home care. This leaves
out of the policy debates hundreds of thousands of people
across Canada with ongoing care needs such as seniors, persons
with disabilities, persons with chronic mental health needs,
and children with special needs and their families. This
presentation provides an empirically-based, best practices
framework for organizing care delivery systems at the
provincial and regional levels that has the potential to
simultaneously increase the quality of care and reduce costs. |
| |
Marcus Hollander
has over twenty-five years of experiences as a health services
researcher and administrator. He was Co-Director of the
National Evaluation of the Cost-Effectiveness of Home Care, a
$1.5 million research project funded by the Health Transition
Fund, Health Canada, and honourary academic appointments at
Simon Fraser University (Gerontology) and the University of
British Columbia (Health Administration). |
| |
Session III: Health Services
Leadership |
| |
Pierre Sauvé
Director, Knowledge Transfer
Canadian Health Services Research Foundation
Ottawa, ON |
| |
Irving Gold
Assistant Director, Knowledge Transfer
Canadian Health Services Research Foundation
Ottawa, ON |
| |
"At the Canadian Health Services Research
Foundation we know that the healthcare system will improve if
decision makers make better use of research. There is evidence
to prove this, and we have a few programs in the works that
will improve evidence-based decision-making. Our knowledge
brokering initiative is all about linking researchers and
decision makers at all stages of the research process, from
developing questions to disseminating results. EXTRA, our
Executive Training for Research Application program, will
focus on training nurse, physician and health system
executives in understanding and using research. Our
presentation will tell you more about these projects." |
| 1200 |
Lunch |
| 1330 |
Efficiency, Accountability and Choice
in Health Care |
|
Janice Gross Stein
Belzberg Professor of Conflict Management and Negotiation
Department of Political Science, and
Director, Munk Centre for International Studies
University of Toronto
Toronto, ON |
| |
“My eight-five-year-old mother was hospitalized
last year after she shattered her hip . . . After the surgery,
my sister and I began a frantic search for a suitable place
where she could live in safety and with dignity. On the seventh
day after the procedure, the discharge coordinator caught me in
the corridor . . . and wanted to know what arrangements we had
been able to make . . . ‘Your mother is now a negative
statistic for this unit,’ she said in frustration. ‘Every
additional day that she remains in hospital, she drives our
efficiency rating down.’”
(Janice Gross Stein, The Cult of Efficiency) |
| |
In The
Cult of Efficiency, Professor Stein describes how the
discussion of efficiency in the delivery of public goods such as
health care and education has risen to prominence in
post-industrial society. She argues that efficiency becomes a
cult when it becomes an end rather than a means, a value more
important than other values, and when we no longer ask the
questions, “efficiency at what?” or “for whom?” |
| |
Janice Gross Stein
provides regular news commentary for CBC and TV Ontario. A
University Professor,
the highest academic rank, recognizing exceptional
scholarly achievement and preeminence in a particular field of
knowledge, she is
also a Fellow of the Royal Society of Canada and the author of
more than eighty books and articles. She was awarded the Edgar
Furniss Prize for outstanding contribution to the study of
international security and civil-military education. |
| 1430 |
Break |
| 1500 |
Concurrent
Sessions |
| |
Session IV: Repeat of Session I |
| |
Session V:
Leading Change in Seniors’ Mental Health Services Across Canada |
| |
David K. Conn, MD
Psychiatrist-in-Chief
Baycrest Centre for Geriatric Care
Toronto, ON, and
Co-Chair, Canadian Coalition for Seniors Mental Health |
| |
Shelly P. Haber
Project Director
Canadian Coalition for Seniors Mental Health
Toronto, ON |
| |
The purpose of this new national coalition of
leading organizations is to improve the mental health of seniors
living in long term care settings. Dr. Conn and Ms. Haber will
describe the conditions that created a need to establish a
National Coalition, how the coalition evolved, and its
activities to influence change. |
| |
David Conn’s interests include the psychiatric
consequences of brain disease in the elderly, nursing home
psychiatry and pharmacoepidemiology. He is the co-author of
Practical Psychiatry in the Long-Term Care Facility: A Handbook
for Staff, and is the Medical Director of Telehealth Services at
Baycrest. |
| |
Shelly Haber is a graduate of the University of
Toronto and a health care consultant. She has spent the past
seven years in various environments creating health system
networks for the purpose of influencing change. |
| |
Session VI:
Evolution and Revolution in
Health Care Administration Education |
| |
David Fine
Chief Executive Officer
UAB Health System
Birmingham, AL |
| |
The manner in which
healthcare executives are educated at the early, mid, and
advanced career stages will be defined and contrasted with other
professions. A process to develop core competencies for
healthcare executives and an approach to leadership development
in the health sector will be introduced. The education outcomes
of classroom and practice experiences at various career stages
will be discussed. |
| |
David Fine has 28
years of experience as a health care executive, including 18
years as chief executive officer of university hospitals,
multi-hospital systems, medical groups, and managed care
organizations. Since 1999 he has served as Chief Executive
Officer of the UAB Health System, a joint venture of the
University of Alabama Health Services Foundation and The
University of Alabama Board of Trustees. The Health System
manages publicly and privately owned healthcare delivery assets,
comprising some $1.3 billion in net patient revenues, 11,000
employees and 800 physicians. |
| 1600 |
Renewing the Heart
of Health Care |
|
John B. Izzo, PhD
Consultant and author on leadership development and managing
change
Vancouver, BC |
| |
Health care is a unique “business” where a deep
sense of mission is both the driver of passion and the best
predictor of success. Yet many healthcare organizations are
experiencing a loss of soul and purpose through years of reform,
restraint and restructuring. |
| |
John Izzo is one of
North America’s most sought after professional speakers,
advisors and retreat leaders. He has shared his expertise and
wisdom on life transition and leadership renewal to hundreds of
healthcare organizations, Fortune 500 companies, not-for-profit
and for-profit organizations and national and international
associations. |
| |
John Izzo holds a doctorate in Organizational
Communication and Behavior from the University of Chicago, and
is the author of
Values
Shift: The New Work Ethic and What It Means for Business
(Prentice Hall). |
| 1700 |
Conference
adjourns |
| The Canadian Forces Health
Services (CRHS) will host a display of operational medical
and dental capability in Exhibition Hall B throughout the
conference. The display will demonstrate how the CFHS
provides care in an operational setting from the point of
wounding to first surgical intervention. |
|