Transformation takes a long time and the change isoftenincremental and sometimesthereiswindow of opportunitieslike the end of the health accord 2014.The HealthcareFinancing and Transformation branchwhich I am part of at CHSRF has a program of workthataimsatdeveloping a vision for transformation.Manydifferentviewpointsneed to betakenintoaccount in order to inform the process:Today the focus is on Strategy to improvehealth by targetingparticularillnessThe perspective of provinces and territories
The overall goal of this project wasto identify what are the current priorities for healthcare system reform and transformation across the different provincial and territorial health system jurisdictions in Canada.DATA SOURCES
Can we see commonality amongst specific disease strategies and strategic initiatives at the P/T level?
Criteria: morbidity and mortalityTo identify the current priorities and approaches to transformation as defined by leading health risk -diseased based stakeholder communities, the selection of the key health risk-diseases will be based on the CHSRF Quality of Care in Canada: A Chartbook by Leatherman and Sutherland (2010) , this is an overview of disease important in Canada (Table 1.1, p.25) which is show below. Sources: Statistic Canada, online a; CIHI, 2001; Health Canada, 1998
Framework Analysis qualitative approachwasusedwhichisoften use in policyresearch.Framework Analysis(Srivastava& Thomson,2009).Familiarization: immersion in the raw dataIdentifying a thematicframework: data identifythemes and issuesIndexing: NVivoCharting: Mapping and interpretation: using the part to define concepts, map the range of nature and phenomenaSrivastava, A. & Thomson, S. B. (2009).Framework Analysis: A Qualitative Methodology for Applied Policy Research. JOAAG, Vol. 4. No. 2
The first thingsthatemergesfrom the data are the themes (pale blue) and thentheyweregroupedintoemergingcategoriesthat I justdescribed. This is the broadpicture for Canada. This chartincludes the themesthatwerementioned more than 15 times in the jurisdictions.The final report alsoincludes the results for the themesmentioned in everyjurisdictions and in more than 50% of the jurisdictions as well .
Access, quality of care and sustainabilitywere the themesmentioned the mostoftenacross the strategic documents of the provinces and territories.Quality of care has also been linked to efficiency, effectiveness, access and patient satisfaction (Gröne as cited in Wiersma)Improvingaccess relates to the value of equity. Policymakersalsoaim for system thatis of quality and thatissustainable.
Introduce the categorySummary of the most common themes across strategies present in 80% of the disease strategiesA number of themes were present in all strategies, they are: Preventioneducationpolicypartnershipsperformance measurementresearch, recommendations and developmentperson-centred care
Top threeacrossstrategies: Prevention, education and knowledgetransfer and exchangePrevention of course related to the elementsthatcanbedoneupstream to avoiddisease, educationisalso part of it but alsoapplies to the notion of healthliteracy and how to empowerindividualwho are sickespeciallythosesufferingfromchronicdiseaseKnowledgetransfer and exchange are tools to improve practices but isalso part of education.
Health System Priorities in Canada: Perspectives from different stakeholders
Health System Priorities in Canada: Perspectives from different stakeholders<br />Anne Brasset Latulippe, OT, MSc, Policy and Research Analyst, CHSRF<br />May 11th, 2011<br />
Context: Transformation and CHSRF<br />What do we want to achieve? <br />Developa vision for transformation<br />Different perspectives<br />P/T<br />Advocate for particular diseases / illnesses<br />Health professionals<br />Citizens, etc.<br />
EnvironmentalScan 1: Healthprioritiesin Canada<br />Research questions:<br />What are the health priorities for system<br />transformation by provinces and territories?<br />What are the convergent themes across Canada<br />Data sources:<br /> - Strategic plans<br />
EnvironmentalScan 2: Strategic initiatives by groups focusing on particularillnesses.<br />Research Questions:<br />What are the common themes across the different health risk strategies? <br />Where do elements align in support of a transformation vision?<br />
Full bibliography<br />Alberta<br />Government of Alberta, Alberta Health Services (2010) Becoming the Best: Alberta’s 5-Year Health Action Plan: 2010-2015<br />Government of Alberta, Alberta Health Services (2010) 2010 – 2015 Health Plan Improving HealthFor All Albertans<br />British Columbia<br />British Columbia Ministry of Health Services (2010) 2010/2011-2012/2013 Service Plan<br />Manitoba<br />Manitoba (2010) Department Priorities for health (ppt)<br />New Brunswick<br />New Brunswick (2008) Transforming New Brunswick Health-care System: The Provincial Health Plan 2008-2012 Retrieved from the internet: http://www.gnb.ca/cnb/promos/php/index-e.asp<br />
References<br />Newfoundland and Labrador<br />Newfoundland and Labrador (2008) Department of Health and Community Services Strategic Plan 2008-2011 <br />Northwest Territories<br />Northwest Territories Health and Social Services (2009) A Foundation for Change: Building a Healthy Future for the NWT 2009-2012<br />Nova Scotia<br />Nova Scotia Department of Health (?) 2010-2011 Statement of Mandate<br />Nunavut<br />Government of Nunavut (2009) 2010-2013 Government of Nunavut Business Plan: Section H- Health and Social Services<br />Québec<br />Gouvernement du Québec (2010) Plan stratégique 2010-2015 du ministère de la Santé et des Services sociaux du Québec<br />
References<br />Ontario<br />MOHLTC (2010)Results-based Plan Briefing Book 2010-11<br /> MOHLTC (2010 )Externally-Informed Annual Health Systems Trends Report – Third Edition. An Input for Health System Strategy Development, Policy Development and Planning<br />PEI<br />PEI (2009) PEI Health System Strategic Plan 2009-2012 Retrieved from the internet: http://www.healthpei.ca/photos/original/hpei_stratpla12.pdf<br />Saskatchewan<br />Saskatchewan Ministry of Health (2010) Strategic and Operational Directions for the Health Sector in Saskatchewan <br />Saskatchewan Ministry of Health (2010) Health System Strategic Framework (ppt)<br />Yukon<br />Yukon Health and Social Services (2009) Strategic Plan 2009-2014<br />
References<br />Canadian Hearth Health Strategy (2009) Canadian Heart Health Strategy and Action Plan: Building a Health Healthy Canada Retrieved from the internet: http://www.nwtsrc.com/content/news/research_reports/09_chhs_report.pdf<br />Canadian Partnerships against Cancer (February, 2011) The Future of Cancer Control in Canada. A discussion paper on pan-Canadian cancer control priorities for 2012-2017. Retrieved from the internet: http://www.partnershipagainstcancer.ca/2011/03/23/the-future-of-cancer-control-in-canada-feedback-deadline-extended/<br />Canadian Stroke Network & Heart and Stroke Foundation (2006) Canadian Stroke Strategy. Strategic Plan 2006-2010. <br />Mental Health Commission of Canada (2009) Toward Recovery and Well-Being: A Framework for a Mental Health Strategy in Canada. National Library of Canada. ISBN : 978-0-9913795-0-0 <br />National Lung Health Framework (2008)National Lung Health Framework. Retrieved from the internet: http://www.lunghealthframework.ca/resources/framework-documents<br />Srivastava, A. & Thomson, S. B. (2009).Framework Analysis: A Qualitative Methodology for Applied Policy Research. JOAAG, Vol. 4. No. 2<br />