Better with Age: Health systems planning for the aging population


Published on

This review of CHSRF's roundtables on the aging population was given by Jennifer Major on May 11, 2011, at the 2011 CAHSPR conference in Halifax.

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • Conduct and commission research – Provide education and training – e.g., educational seminars on Activity Based Funding for hospitals. Related to this we also assist organization implement new initiatives. Foster workshops, consultation and dialogue events with relevant regional, provincial/territorial, and federal stakeholders and researchers – like the Better with Age roundtables, that I’ll discuss today.
  • Rising healthcare costs and population aging have fueled debate about the financial sustainability of healthcare in Canada, causing concern among Canadians that they may not be able to access services when they need them. It’s true that healthcare costs will rise as baby – boomers age (older Canadians use more healthcare services and are more likely to have chronic conditions that require longer hospital stays and more physician visits); but it’s also true that the impact will be modest in comparison to other cost drivers, such as inflation and technological innovation. This is not to say that Canadian healthcare is not in need of transformation to better care for older adults (and everyone) – our reliance on alternate level of care beds, increasing incidence of dementia are just a few of the reasons for the need to greater community care supports. we can’t let this fear of a demographic aging distract us from making progress on reforms- In fact it should compel us to make the proactive changes necessary to improve and sustain our healthcare systems in Canada
  • -To focus attention on strategies for improving healthcare for older adults and really all Cdns, CHSRF convened:-more than 200 stakeholders-six roundtables in six weeks in six cities across Canada-We are exploring the opportunity to host additional roundtables in the North, which faces unique challenges
  • -In the sessions, we asked people: What’s the biggest problems we’re facing? They said:-1.Change is well past due-2.seniors are often waiting in limbo in acute care when they really need community, home and LTC supports-3.there are financial and administrative DIS-incentives to improving transitions in care-4.getting from one point of care to another is complex and disjointed, which means its costly and dangerous for patients
  • -Participants told us there are many “pieces” or “pockets of services” involved in caring for older adults-These pieces are not all funded or administered the same-They also cross from healthcare to the social services domain-And it’s often complicated to move from one pocket of care to another-Participants felt these services should be organized around the patient, as a start, but this will require a major transformative shift
  • -In terms of achieving this shift, participants identified a number of key policy issues
  • Better access to affordable housing & transportation – also affordable nutrition – how can
  • -In terms of making these reforms and policy changes, participants acknowledged:-1.they know change is needed, but don’t necessarily know how to achieve it – possibly need help implementing and evaluating-2.They also said we need to meaningfully involve citizens in the discussion – it’s their care and they are our change champions.
  • What disconnects have they (or someone they know) experienced in the healthcare system?What values and attitudes have they seen reflected in their experience of the healthcare system
  • Similar themes to Better with Age roundtables: e.g., ageism, integrated care and need for better access to community supports, need for more accountability at federal and provincial/territorial levelsAGEISM Age discrimination, e.g., 73 year old with back pain, refused surgery (too old), given antiinflammatories and told to live with the pain; Later was advised to go to the ER and had surgery within a month. Why was the medical care refused? Participant said: “the medical profession needs to deal with the question of living because we are living much longer”FOOD & NUTRITION – not just access to healthy food, but ensuring seniors are fed! DEMENTIA example – a mother who has dementia is paying for a meals on wheels service; the prepared food is provided to her home and put in the freezer, but the woman puts frozen food wrapped in tinfoil in the microwave OR empty pots on the stoveSPECIAL POPULATIONS – (DEMENTIA) & MARGINALIZED POPULATIONS (IMMIGRANT SENIORS) Overall:- “Don’t plan for seniors; plan with seniors”
  • Working with an ADM in the Yukon and are tailoring the roundtable to meet their unique needs (transient workforce, rural, will present Yukon data). Part of the day will be educational, as with the Better with Age roundtables, then participants (who will be mostly policy makers and direct service providers) will discusskey policy problems and service gaps and potential solutions/options for system design and integration. One goal will be to assist them in getting community care on the political agenda there - $$ for hospitals but need more resources in community care – what policy options can be advanced for that? ALC – many programs to reduce ALC are locally or regionally based and never become broadly known. What initiatives exist to reduce ALC in Canada and internationally? Could these initiatives be advanced in other jurisdictions?
  • Better with Age: Health systems planning for the aging population

    1. 1. Better with Age: Health systems planning for the aging population<br />Jennifer Major, PhD, Policy and Research Analyst <br />May 11, 2011<br />
    2. 2. CHSRF<br />Mandate:<br />Promote the use of evidence to strengthen the delivery of health services that improve the health of Canadians<br />
    3. 3. Improving healthcare for older adults<br />
    4. 4. CHSRF’s Better with Age Roundtables<br />Convened more than 200 policy-makers, healthcare executives and professionals, researchers and citizens<br />Six roundtables in six weeks between October and November 2010<br />Calgary, Winnipeg, Ottawa (national), Halifax, Toronto and Montreal<br />
    5. 5. CHSRF’s Better with Age Roundtables: Objectives <br />Clarify the impact of population aging on financial sustainability of medicare<br />Better understand pressing policy and research issues<br />
    6. 6. What we heard…<br />Policy change to ensure Canada’s healthcare system meets the needs of older adults is overdue. <br /><ul><li>Older adults continue to wait in limbo in hospital beds for more appropriate care
    7. 7. Financial and administrative barriers impede system improvement
    8. 8. Navigating between health and social services is complicated and costly for patients and caregivers</li></li></ul><li>Caring for Older Adults<br />
    9. 9. Key Policy Issues<br />An integrated system of care that enables:<br /><ul><li>Coordinated transitions between a broad range of health and social services
    10. 10. Better access to timely, appropriate care
    11. 11. Homecare and long-term care
    12. 12. Increased flexibility of funding at the organizational level
    13. 13. Create a shared vision of care for older adults with national leadership and collaboration among the federal, provincial and territorial governments</li></li></ul><li>Key Policy Issues<br />Address social determinants of health and advance prevention and health promotion<br />Address needs for special populations (e.g. First Nations, immigrants)<br />Develop a labour strategy to ensure appropriate health human resources<br />
    14. 14. Getting to there from here?<br />Participants know reforms are needed, but were less certain about how to achieve them<br />Need to support efforts to implement and evaluate promising strategies for health quality improvement<br />Need to engage the public in the discussion<br />
    15. 15. Public consultation <br />Convened 15 Vancouver citizens<br />Patient advocates<br />Unpaid caregivers<br />Long-term care resident<br />Retired healthcare professionals <br />Asked: How do you think healthcare can be improved for older adults?<br />
    16. 16. What we heard…<br />Overall themes mirrored those heard at the Better with Age roundtables<br />Some issues were more prevalent in the citizen dialogue:<br />Affordability of non-publicly provided healthcare<br />Inadequate food and nutrition in healthcare settings<br />
    17. 17. Going forward <br />Policy briefs and Mythbusters articles<br />Hosting a roundtable in the North<br />Research and syntheses <br />Alternate Level of Care (ALC)<br />Increasing access to homecare and long-term care<br />Integrated approaches to chronic disease care <br />Public consultation <br />
    18. 18. <br />
    1. A particular slide catching your eye?

      Clipping is a handy way to collect important slides you want to go back to later.