Health Care Transformation in Canada: Change that Works. Care That Lasts. Quebec Medical Association Conference Dr. Jeffrey Turnbull, President April 16, 2011

2 Transformation needed to sustain Canada’s health care system  System not adequate to meet 21 st century needs  Principles of Medicare not being met  Fiscal challenges faced by governments  Canada compares poorly to other countries  Need to improve  Efficiency/productivity of system  Quality of care  Canadians’ confidence in system

3 CMA’s 5 pillars for health care transformation 1.Building a culture of patient-centered care “Seamless access to the continuum of care in a timely manner, based on need and not the ability to pay” “Considers needs and preferences of patient and family; treats the patient with respect and dignity”  Create a Charter for Patient-Centred Care 2. Incentives for enhancing access and improving quality of care  To enhance timely care  To support quality care

4 CMA’s 5 pillars for health care transformation 3. Enhance patient access along the continuum of care  Universal access to prescription drugs  Continuing care outside acute care facilities 4. Helping providers help patients  Ensure an adequate supply of HHR  Improve adoption of HIT 5. Building accountability/responsibility at all levels  Build system accountability  Build system stewardship

5 Pockets of excellence  Some positive developments already taking place:  Alberta legislation to support creation of Patient Charter  Limited activity-based funding in some provinces (Ont., Alta, BC)  Québec’s approach to universal drug coverage  Federal funding for training family medicine/specialty residents in rural and remote areas  Federal funding for EMRs  Need for greater push on the 5 pillars:  Role to share and promote best practices nation-wide  Role to support change management as seen in UK

6 HCT next steps: Reframe “sustainability”  Sustainability debate has focused only on financing  Need to sustain: Universal access to quality patient-centred care that is adequately resourced and delivered along the full continuum in a timely and cost-effective manner.  Several dimensions to sustainability:  infrastructure, quality/outcomes, health promotion/disease prevention, governance/management, public finance

7 Principles to guide Health Care Transformation going forward  Enhance the patient experience  Patient-centred  Quality health care  Improve population health  Prevention  Equitable  Value for money  Sustainable  Accountable

8 HCT next steps: Create grassroots movement on health care transformation  National Dialogue  On-line dialogue (  Public town hall sessions  Physician member town hall sessions facilitated by CMA President

9 National Dialogue with Canadians 1.The law underpinning our system – the Canada Health Act – dates back to the 1980s. It covers only doctor and hospital care. Do you think it should be broadened to include things like pharmacare and long-term care? 2.It is important for citizens to feel they are receiving good value for their health care. What would you (your organization) consider good value? 3.Patients and their families play an important part in their health care. What do you think Canadians’ responsibilities are, now and in the future, with regard to their health?