SlideShare a Scribd company logo
1 of 23
Download to read offline
Health Care in Canada:
Who Does What?
Ryan Clarke
Thursday, April 16, 2015
Overview
• About Advocacy Solutions®
• Overall Structure
• Role of the Federal Government
• Role of the Provincial/Territorial Governments
• Delivery vs. Financing
• Key Players
• Current Challenges
• Advocating to Politicians vs. Bureaucrats
Advocacy Solutions®
• Business committed to providing a voice to
organizations and individuals through the
development and implementation of impactful
advocacy strategies
• Three core services:
– Training and development
– Creation of strategic plans
– Implementation of strategies
In Canada?
Overall Structure
• In general, health care in Canada is publicly funded,
but privately delivered
• This means that while the vast majority of health care
services are “free” at the point of use, they are
delivered by private providers i.e. physicians
• The provinces are constitutionally responsible for the
administration and delivery of health care services
under s. 92.7 of the Constitution Act, 1867:
– The Establishment, Maintenance, and
Management of Hospitals, Asylums, Charities, and
Eleemosynary (charitable) Institutions in and for
the Province, other than Marine Hospitals
Federal Role
• The role of the federal government is to:
– Assist in financing provincial and territorial health care services
through fiscal transfers
– Set standards and principles upon which transfers are contingent
– Deliver health care services to specific groups
– Provide and fund other health-related functions
House of Commons
Canada Health Act, 1984
• The Canada Health Act (1984) is Canada’s
federal health insurance legislation
• It establishes the criteria and conditions related
to insured health care services – the national
standards – which the provinces and territories
must meet in order to receive the full federal
cash transfer contribution
• Historically, insured services are largely
restricted to care delivered in hospitals or by
physicians
Canada Health Act, 1984
• The Act states that "the primary objective of
Canadian health care policy is to protect, promote
and restore the physical and mental well-being of
residents of Canada and to facilitate reasonable
access to health services without financial or other
barriers”
• To do so, the Act lists a set of criteria and
conditions that the provinces and territories must
follow to receive their federal transfer payments:
public administration, comprehensiveness,
universality, portability, and accessibility
• There is also a requirement that the provinces
ensure recognition of the federal payments and
provide information to the federal government
Provincial/Territorial Role
• Administration of their health insurance plans
• Planning and funding of care in hospitals and other
health facilities
• Services provided by physicians and other health
professionals
• Planning and implementation of health promotion and
public health initiatives
• Negotiation of fee schedules with health professionals
Ontario legislatureBC legislature
Delivery vs. Financing
• Health care delivery refers to the manner in which
medical services are organized, managed and
provided
• In large measure, health care is delivered through
private providers
• The health care industry is the second largest
employer in Canada (over two million people)
• They can be divided into three types of services:
– Primary care
– Secondary care
– Additional care
Delivery vs. Financing
• Health care financing refers to how medical
services are paid for
• In large measure, health care is financed through
public funds, but that is evolving
• Total health care spending in Canada was
expected to reach $214.9 billion in 2014, averaging
$6,045 per person
• Financing comes from three primary sources:
– Public
– Private
– Out-of-pocket
Timing is Everything…
Key Players in Delivery
• Hospitals – representing almost 30% of total health care
expenditures
• While independently operated, all hospitals in Canada are
regulated by the provinces and territories (even the private
ones)
• Drugs – representing almost 16% of total health care
expenditures
• Includes brand and generic, those delivered inside hospitals
(publicly funded) and outside hospitals (mixed funding)
• Physician services – representing almost 15% of total health
care expenditures
Other Key Players
• Canadian Institute of Health Information
– mandate is to lead the development and maintenance of
comprehensive and integrated health information that enables
sound policy and effective health system management that
improve health and health care in Canada
• Canadian Institutes of Health Research
– mission is to create new scientific knowledge and to enable its
translation into improved health, more effective health services
and products, and a strengthened Canadian health care system
• Canadian Agency for Drugs and Technologies in Health
– provides decision-makers with the evidence, analysis, advice, and
recommendations they require to make informed decisions in
health care
Other Key Players
• Mental Health Commission of Canada
– a catalyst for improving the mental health system and changing
the attitudes and behaviours of Canadians around mental health
issues
• Canadian Partnership Against Cancer
– an independent organization funded by the federal government to
accelerate action on cancer control for all Canadians
• Canada Health Infoway
– jointly invests with every province and territory to accelerate the
development and adoption of health information and
communications technology projects in Canada
Other Key Players
• Health Council of Canada
– The Health Council of Canada's role is to let Canadians and their
governments know how progress towards the vision laid out in the
health accords is coming along, to better enable decision-making
at all levels
• Canadian Patient Safety Institute
– provides a coordinating and leadership role across health sectors
and systems, promotes leading practices and raises awareness
with stakeholders, patients and the general public about patient
safety
• Provincial Health Quality Councils
– report directly to the public on the quality, safety and performance
of health services and the health system in given provinces
Other Key Players
• Regional/Local Health Authorities
– provide the delivery of operational public health care
services by geographic region
• Patient/Advocacy Groups
• Patients/Caregivers
• The Public
Current Challenges
• On September 16, 2004, the Canadian government
announced $41 billion over the next 10 years of new
federal funding in support of the action plan on health
• That Health Accord expired in 2014 and the federal
government did not negotiate funding leading up to last
year - just measurement, accountability and best
practices
• The funding is set – an increase of six percent in the first
three years, and a minimum of three percent in the
remaining seven years
Current Challenges
• On September 16, 2004, the Canadian government
announced $41 billion over the next 10 years of new
federal funding in support of the action plan on health
• That Health Accord expired in 2014 and the federal
government did not negotiate funding leading up to last
year - just measurement, accountability and best
practices
• The funding is set – an increase of six percent in the first
three years, and a minimum of three percent in the
remaining seven years
• In 2013, health care accounted for about 38% of
provincial/territorial government spending: BC 43%, AB
38%, SK 37%, MB 44%, ON 41%, PQ 30%, NS 46%,
NB 40%, PEI 38%, NL 37%
Federal/Provincial
Government Structure
Minister:
– Political staffers
– Serve at the pleasure
of the Crown
– Sole purpose is to
serve their Minister
and their political
interests
– Transitory positions
Deputy Minister:
– Hierarchical structure
below
– People under DM do
not serve at the
pleasure of the
Crown
– Sole purpose is to
serve the public in an
impartial manner
– Permanent positions
Advocating to Politicians
• Ensure that your key messages are clear, compelling concise
and consistent – with one ‘ask’
• Assume they know nothing about your issue
• Find out everything you can about that person and their
potential link to your issue
• Where possible, link your issue to their stated political
objectives or public policies i.e. Families First
• Bring your issue down to the riding/personal level
• Position your issue within the context of the election cycle
• Position your issue as a political ‘win’
• Selectively engage the opposition to leverage the gov’t
• Keep them informed of your engagement with the bureaucrats
• Be prepared to be assertive/aggressive if necessary
Advocating to Bureaucrats
• Ensure that your key messages are clear, compelling concise
and consistent – with one ‘ask’
• Find out everything you can about that person, including past
roles, career track, etc.
• Where possible, link your issue to gov’t programs and
initiatives i.e. disease strategy
• Have people who can speak to the technical or clinical aspects
of your issue
• Know where you are in the election cycle
• Keep them informed of your engagement with the politicians
• NEVER blindside a bureaucrat
Advocacy Solutions®
Contact Information:
Ryan Clarke, LL.B.
t. 905.891.0311
f. 905.891.0366
ryan@advocacysolutions.ca
www.advocacysolutions.ca

More Related Content

What's hot

Canada’s health care system
Canada’s health care systemCanada’s health care system
Canada’s health care systemWendi Lee
 
A Global Perspective on Private Healthcare in Canada
A Global Perspective on Private Healthcare in CanadaA Global Perspective on Private Healthcare in Canada
A Global Perspective on Private Healthcare in CanadaShannon Szabo-Pickering
 
Us health care system final presentation.
Us health care system final presentation.Us health care system final presentation.
Us health care system final presentation.Wendi Lee
 
Health care financing
Health care financingHealth care financing
Health care financingdev224224
 
US vs. Canada: Healthcare
US vs. Canada: HealthcareUS vs. Canada: Healthcare
US vs. Canada: Healthcareand02910
 
Health sector reforms
Health sector reformsHealth sector reforms
Health sector reformsVikash Keshri
 
Healthcare system of UK and comparison with Indian health system
Healthcare system of UK and comparison with Indian health systemHealthcare system of UK and comparison with Indian health system
Healthcare system of UK and comparison with Indian health systemSheetal Singh
 
Health care financing
Health care financing Health care financing
Health care financing Pharm Net
 
Health financing within the overall health system
Health financing within the overall health systemHealth financing within the overall health system
Health financing within the overall health systemHFG Project
 
Health care system germany
Health care system germanyHealth care system germany
Health care system germanydeepak belbase
 
Health care delivery system in usa
Health care delivery system in usaHealth care delivery system in usa
Health care delivery system in usaVikash Keshri
 
Health Systems Administration in Nigeria
Health Systems Administration in NigeriaHealth Systems Administration in Nigeria
Health Systems Administration in NigeriaWilliams Uzoma
 
UK US Healthcare Comparison
UK US Healthcare ComparisonUK US Healthcare Comparison
UK US Healthcare Comparisonjamesrosen
 
Universal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesUniversal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesBrian Wells, MD, MS, MPH
 
The US Healthcare System by Madhav Sitaraman
The US Healthcare System by Madhav SitaramanThe US Healthcare System by Madhav Sitaraman
The US Healthcare System by Madhav SitaramanThe Hive
 
Chapter 3: Healthcare in Britain
Chapter 3: Healthcare in Britain Chapter 3: Healthcare in Britain
Chapter 3: Healthcare in Britain earlgreytea
 

What's hot (20)

Who Does What in Canada's Healthcare System
Who Does What in Canada's Healthcare SystemWho Does What in Canada's Healthcare System
Who Does What in Canada's Healthcare System
 
Canada’s health care system
Canada’s health care systemCanada’s health care system
Canada’s health care system
 
A Global Perspective on Private Healthcare in Canada
A Global Perspective on Private Healthcare in CanadaA Global Perspective on Private Healthcare in Canada
A Global Perspective on Private Healthcare in Canada
 
Us health care system final presentation.
Us health care system final presentation.Us health care system final presentation.
Us health care system final presentation.
 
Health care financing
Health care financingHealth care financing
Health care financing
 
US vs. Canada: Healthcare
US vs. Canada: HealthcareUS vs. Canada: Healthcare
US vs. Canada: Healthcare
 
Health sector reforms
Health sector reformsHealth sector reforms
Health sector reforms
 
Healthcare system of UK and comparison with Indian health system
Healthcare system of UK and comparison with Indian health systemHealthcare system of UK and comparison with Indian health system
Healthcare system of UK and comparison with Indian health system
 
Health care financing
Health care financing Health care financing
Health care financing
 
Health financing within the overall health system
Health financing within the overall health systemHealth financing within the overall health system
Health financing within the overall health system
 
Health System of Bangladesh
Health System of BangladeshHealth System of Bangladesh
Health System of Bangladesh
 
Health care system germany
Health care system germanyHealth care system germany
Health care system germany
 
Health care delivery system in usa
Health care delivery system in usaHealth care delivery system in usa
Health care delivery system in usa
 
Health Systems Administration in Nigeria
Health Systems Administration in NigeriaHealth Systems Administration in Nigeria
Health Systems Administration in Nigeria
 
What is a health system?
What is a health system?What is a health system?
What is a health system?
 
What is Primary Care? A Canadian Perspective
What is Primary Care? A Canadian PerspectiveWhat is Primary Care? A Canadian Perspective
What is Primary Care? A Canadian Perspective
 
UK US Healthcare Comparison
UK US Healthcare ComparisonUK US Healthcare Comparison
UK US Healthcare Comparison
 
Universal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesUniversal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United States
 
The US Healthcare System by Madhav Sitaraman
The US Healthcare System by Madhav SitaramanThe US Healthcare System by Madhav Sitaraman
The US Healthcare System by Madhav Sitaraman
 
Chapter 3: Healthcare in Britain
Chapter 3: Healthcare in Britain Chapter 3: Healthcare in Britain
Chapter 3: Healthcare in Britain
 

Viewers also liked

Viewers also liked (7)

Cancer
CancerCancer
Cancer
 
Cancer Nursing
Cancer NursingCancer Nursing
Cancer Nursing
 
History of nursing
History of nursingHistory of nursing
History of nursing
 
Oncology Nursing Lecture
Oncology Nursing LectureOncology Nursing Lecture
Oncology Nursing Lecture
 
History and Evolution of Nursing
History and Evolution of Nursing History and Evolution of Nursing
History and Evolution of Nursing
 
Nursing Process
Nursing ProcessNursing Process
Nursing Process
 
State of the Word 2011
State of the Word 2011State of the Word 2011
State of the Word 2011
 

Similar to Healthcare in Canada - Who Does What?

CCSN Advocacy Webinar #1 presentation
CCSN Advocacy Webinar #1 presentationCCSN Advocacy Webinar #1 presentation
CCSN Advocacy Webinar #1 presentationTiffany Glover
 
Week 2 - Ontario's Health System
Week 2 - Ontario's Health SystemWeek 2 - Ontario's Health System
Week 2 - Ontario's Health SystemAlexandre Mayer
 
Chapter 2Policy and the Policymaking Process.docx
Chapter 2Policy and the Policymaking Process.docxChapter 2Policy and the Policymaking Process.docx
Chapter 2Policy and the Policymaking Process.docxwalterl4
 
Aca advocacy
Aca advocacyAca advocacy
Aca advocacyschacctf
 
Cph philippine health care system, new
Cph  philippine health care system, newCph  philippine health care system, new
Cph philippine health care system, newMaria Chermille Boiser
 
How to Have Your Voice Heard During the Oct. 21, 2019 Federal Election
How to Have Your Voice Heard During the Oct. 21, 2019 Federal ElectionHow to Have Your Voice Heard During the Oct. 21, 2019 Federal Election
How to Have Your Voice Heard During the Oct. 21, 2019 Federal ElectionCanadian Cancer Survivor Network
 
Devolution of health services in Kenya by Dr Samuel Mwenda, CHAK
Devolution of health services in Kenya by Dr Samuel Mwenda, CHAKDevolution of health services in Kenya by Dr Samuel Mwenda, CHAK
Devolution of health services in Kenya by Dr Samuel Mwenda, CHAKachapkenya
 
Federal Election 2019 in Focus
Federal Election 2019 in FocusFederal Election 2019 in Focus
Federal Election 2019 in Focuscachc
 
Health policy and planning
Health policy and planning Health policy and planning
Health policy and planning Rizwan S A
 
How to Have Your Voice Heard During the September 20th, 2021 Federal Election
How to Have Your Voice Heard During the September 20th, 2021 Federal ElectionHow to Have Your Voice Heard During the September 20th, 2021 Federal Election
How to Have Your Voice Heard During the September 20th, 2021 Federal ElectionCanadian Cancer Survivor Network
 
Health Equity Lessons from…the United States? Really?
Health Equity Lessons from…the United States? Really?Health Equity Lessons from…the United States? Really?
Health Equity Lessons from…the United States? Really?Wellesley Institute
 
Affordable care act NASW Annual Conference 2013
Affordable care act NASW Annual Conference 2013Affordable care act NASW Annual Conference 2013
Affordable care act NASW Annual Conference 2013Janlee Wong
 
Strengthening Oral Health Advocacy Infrastructure to Sustain Improvements in...
Strengthening Oral Health Advocacy Infrastructure to  Sustain Improvements in...Strengthening Oral Health Advocacy Infrastructure to  Sustain Improvements in...
Strengthening Oral Health Advocacy Infrastructure to Sustain Improvements in...Connecticut Health Foundation
 
SOCW 410 final review 2015 last class session
SOCW 410 final review 2015 last class sessionSOCW 410 final review 2015 last class session
SOCW 410 final review 2015 last class sessionAlicia Beck
 

Similar to Healthcare in Canada - Who Does What? (20)

CCSN Advocacy Webinar #1 presentation
CCSN Advocacy Webinar #1 presentationCCSN Advocacy Webinar #1 presentation
CCSN Advocacy Webinar #1 presentation
 
Week 2 - Ontario's Health System
Week 2 - Ontario's Health SystemWeek 2 - Ontario's Health System
Week 2 - Ontario's Health System
 
DHCA-Chapter13
DHCA-Chapter13DHCA-Chapter13
DHCA-Chapter13
 
Chapter 2Policy and the Policymaking Process.docx
Chapter 2Policy and the Policymaking Process.docxChapter 2Policy and the Policymaking Process.docx
Chapter 2Policy and the Policymaking Process.docx
 
Aca advocacy
Aca advocacyAca advocacy
Aca advocacy
 
Patient Centered Health Care Advocacy
Patient Centered Health Care AdvocacyPatient Centered Health Care Advocacy
Patient Centered Health Care Advocacy
 
Cph philippine health care system, new
Cph  philippine health care system, newCph  philippine health care system, new
Cph philippine health care system, new
 
How to Have Your Voice Heard During the Oct. 21, 2019 Federal Election
How to Have Your Voice Heard During the Oct. 21, 2019 Federal ElectionHow to Have Your Voice Heard During the Oct. 21, 2019 Federal Election
How to Have Your Voice Heard During the Oct. 21, 2019 Federal Election
 
2015 Ottawa County Health Improvement Plan
2015 Ottawa County Health Improvement Plan2015 Ottawa County Health Improvement Plan
2015 Ottawa County Health Improvement Plan
 
Government Affairs Update - Bob Hall
Government Affairs Update - Bob HallGovernment Affairs Update - Bob Hall
Government Affairs Update - Bob Hall
 
Devolution of health services in Kenya by Dr Samuel Mwenda, CHAK
Devolution of health services in Kenya by Dr Samuel Mwenda, CHAKDevolution of health services in Kenya by Dr Samuel Mwenda, CHAK
Devolution of health services in Kenya by Dr Samuel Mwenda, CHAK
 
Federal Election 2019 in Focus
Federal Election 2019 in FocusFederal Election 2019 in Focus
Federal Election 2019 in Focus
 
Health policy and planning
Health policy and planning Health policy and planning
Health policy and planning
 
Health services in nigeria
Health services in nigeriaHealth services in nigeria
Health services in nigeria
 
How to Have Your Voice Heard During the September 20th, 2021 Federal Election
How to Have Your Voice Heard During the September 20th, 2021 Federal ElectionHow to Have Your Voice Heard During the September 20th, 2021 Federal Election
How to Have Your Voice Heard During the September 20th, 2021 Federal Election
 
Health Equity Lessons from…the United States? Really?
Health Equity Lessons from…the United States? Really?Health Equity Lessons from…the United States? Really?
Health Equity Lessons from…the United States? Really?
 
Diverse Advocacy RFP Webinar slides 6 23 2016
Diverse Advocacy RFP Webinar slides 6 23 2016Diverse Advocacy RFP Webinar slides 6 23 2016
Diverse Advocacy RFP Webinar slides 6 23 2016
 
Affordable care act NASW Annual Conference 2013
Affordable care act NASW Annual Conference 2013Affordable care act NASW Annual Conference 2013
Affordable care act NASW Annual Conference 2013
 
Strengthening Oral Health Advocacy Infrastructure to Sustain Improvements in...
Strengthening Oral Health Advocacy Infrastructure to  Sustain Improvements in...Strengthening Oral Health Advocacy Infrastructure to  Sustain Improvements in...
Strengthening Oral Health Advocacy Infrastructure to Sustain Improvements in...
 
SOCW 410 final review 2015 last class session
SOCW 410 final review 2015 last class sessionSOCW 410 final review 2015 last class session
SOCW 410 final review 2015 last class session
 

More from Canadian Cancer Survivor Network

Challenges and Potential Solutions for Improving Health Technology Assessment...
Challenges and Potential Solutions for Improving Health Technology Assessment...Challenges and Potential Solutions for Improving Health Technology Assessment...
Challenges and Potential Solutions for Improving Health Technology Assessment...Canadian Cancer Survivor Network
 
CCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptx
CCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptxCCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptx
CCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptxCanadian Cancer Survivor Network
 
CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...
CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...
CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...Canadian Cancer Survivor Network
 

More from Canadian Cancer Survivor Network (20)

Challenges and Potential Solutions for Improving Health Technology Assessment...
Challenges and Potential Solutions for Improving Health Technology Assessment...Challenges and Potential Solutions for Improving Health Technology Assessment...
Challenges and Potential Solutions for Improving Health Technology Assessment...
 
CBoC_IMC_Time to Patient Presentation_CCSN.pdf
CBoC_IMC_Time to Patient Presentation_CCSN.pdfCBoC_IMC_Time to Patient Presentation_CCSN.pdf
CBoC_IMC_Time to Patient Presentation_CCSN.pdf
 
Pancreatic Cancer an Overview - CCSN 2024-02-29
Pancreatic Cancer an Overview - CCSN 2024-02-29Pancreatic Cancer an Overview - CCSN 2024-02-29
Pancreatic Cancer an Overview - CCSN 2024-02-29
 
Bulk Importation MSSC Presentation 2024-02-final .pdf
Bulk Importation MSSC Presentation 2024-02-final .pdfBulk Importation MSSC Presentation 2024-02-final .pdf
Bulk Importation MSSC Presentation 2024-02-final .pdf
 
CCSN Presentation John Adams February 1 2024 2.pptx
CCSN Presentation John Adams February 1 2024 2.pptxCCSN Presentation John Adams February 1 2024 2.pptx
CCSN Presentation John Adams February 1 2024 2.pptx
 
CCSN Webinar 2023 2023 11 Diet for PEP.pdf
CCSN Webinar 2023 2023 11 Diet for PEP.pdfCCSN Webinar 2023 2023 11 Diet for PEP.pdf
CCSN Webinar 2023 2023 11 Diet for PEP.pdf
 
CCSN Webinar - EAOCRC FINAL [Autosaved].pptx
CCSN Webinar - EAOCRC FINAL [Autosaved].pptxCCSN Webinar - EAOCRC FINAL [Autosaved].pptx
CCSN Webinar - EAOCRC FINAL [Autosaved].pptx
 
CCSN David Ma Nov 9 2023 final.pptx
CCSN David Ma Nov 9 2023 final.pptxCCSN David Ma Nov 9 2023 final.pptx
CCSN David Ma Nov 9 2023 final.pptx
 
CCSN_Husereau_2_Nov.pdf
CCSN_Husereau_2_Nov.pdfCCSN_Husereau_2_Nov.pdf
CCSN_Husereau_2_Nov.pdf
 
CCSN Breast Screening for Women in the 40s(1).pptx
CCSN Breast Screening for Women in the 40s(1).pptxCCSN Breast Screening for Women in the 40s(1).pptx
CCSN Breast Screening for Women in the 40s(1).pptx
 
CCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptx
CCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptxCCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptx
CCSN Webinar Patient Input into HTA Decision Making Oct 5 2023.pptx
 
AsbestosPresentation-PCNforCCSN-Final-Sept28.pdf
AsbestosPresentation-PCNforCCSN-Final-Sept28.pdfAsbestosPresentation-PCNforCCSN-Final-Sept28.pdf
AsbestosPresentation-PCNforCCSN-Final-Sept28.pdf
 
CCSN EUPROMS.pptx
CCSN EUPROMS.pptxCCSN EUPROMS.pptx
CCSN EUPROMS.pptx
 
survivornettalkCancerandWorkP.pdf
survivornettalkCancerandWorkP.pdfsurvivornettalkCancerandWorkP.pdf
survivornettalkCancerandWorkP.pdf
 
Returning-to-Work-after-Cancer-Treatment_BB.pptx
Returning-to-Work-after-Cancer-Treatment_BB.pptxReturning-to-Work-after-Cancer-Treatment_BB.pptx
Returning-to-Work-after-Cancer-Treatment_BB.pptx
 
CCSN Long Covid FINAL.pptx
CCSN Long Covid FINAL.pptxCCSN Long Covid FINAL.pptx
CCSN Long Covid FINAL.pptx
 
CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...
CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...
CCSN Presentation Getting Your Gut What It Needs A Post Cancer Treatment Guid...
 
CCSN Powerpoint Template_planningfornewreality.pptx
CCSN Powerpoint Template_planningfornewreality.pptxCCSN Powerpoint Template_planningfornewreality.pptx
CCSN Powerpoint Template_planningfornewreality.pptx
 
SayaniAmbreen_SocialInequalitiesANDCancer_April2023.pdf
SayaniAmbreen_SocialInequalitiesANDCancer_April2023.pdfSayaniAmbreen_SocialInequalitiesANDCancer_April2023.pdf
SayaniAmbreen_SocialInequalitiesANDCancer_April2023.pdf
 
CS2FS What to expect from Advisors.pptx
CS2FS What to expect from Advisors.pptxCS2FS What to expect from Advisors.pptx
CS2FS What to expect from Advisors.pptx
 

Recently uploaded

Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPrerana Jadhav
 
SHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptxSHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptxAbhishek943418
 
Exploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKExploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKPrivate GP London
 
Ophthalmology Ultrasound Training Course
Ophthalmology Ultrasound Training CourseOphthalmology Ultrasound Training Course
Ophthalmology Ultrasound Training CourseKafrELShiekh University
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfHongBiThi1
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
Rheumatoid arthritis - Musculoskeletal disorders.ppt
Rheumatoid arthritis - Musculoskeletal disorders.pptRheumatoid arthritis - Musculoskeletal disorders.ppt
Rheumatoid arthritis - Musculoskeletal disorders.pptraviapr7
 
Heme synthesis for medical And Nursing studentspptx
Heme synthesis for medical And Nursing studentspptxHeme synthesis for medical And Nursing studentspptx
Heme synthesis for medical And Nursing studentspptxRajendra Dev Bhatt
 
Presentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory AgentsPresentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory AgentsPrerana Jadhav
 
SGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdf
SGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdfSGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdf
SGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdfHongBiThi1
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxEx WHO/USAID
 
Rapid Release Granulation Technology ppt
Rapid Release Granulation Technology pptRapid Release Granulation Technology ppt
Rapid Release Granulation Technology pptHasnat Tariq
 
Prince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptxPrince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptxprincebieber28
 
Aditi Jagtap (Daughter of Ranjit Jagtap).pdf
Aditi Jagtap (Daughter of Ranjit Jagtap).pdfAditi Jagtap (Daughter of Ranjit Jagtap).pdf
Aditi Jagtap (Daughter of Ranjit Jagtap).pdfAditi Jagtap Pune
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamAkebom Gebremichael
 
Hip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and KinematicsHip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and KinematicsRishiRajgude
 
Musculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptxMusculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptxraviapr7
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxKezaiah S
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityHarshChauhan475104
 
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)MohamadAlhes
 

Recently uploaded (20)

Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 
SHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptxSHOCK (Medical SURGICAL BASED EDITION)).pptx
SHOCK (Medical SURGICAL BASED EDITION)).pptx
 
Exploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKExploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UK
 
Ophthalmology Ultrasound Training Course
Ophthalmology Ultrasound Training CourseOphthalmology Ultrasound Training Course
Ophthalmology Ultrasound Training Course
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
Rheumatoid arthritis - Musculoskeletal disorders.ppt
Rheumatoid arthritis - Musculoskeletal disorders.pptRheumatoid arthritis - Musculoskeletal disorders.ppt
Rheumatoid arthritis - Musculoskeletal disorders.ppt
 
Heme synthesis for medical And Nursing studentspptx
Heme synthesis for medical And Nursing studentspptxHeme synthesis for medical And Nursing studentspptx
Heme synthesis for medical And Nursing studentspptx
 
Presentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory AgentsPresentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory Agents
 
SGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdf
SGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdfSGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdf
SGK HÓA SINH ENZYM 2006 CHỊ THU RẤT HAY.pdf
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptx
 
Rapid Release Granulation Technology ppt
Rapid Release Granulation Technology pptRapid Release Granulation Technology ppt
Rapid Release Granulation Technology ppt
 
Prince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptxPrince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptx
 
Aditi Jagtap (Daughter of Ranjit Jagtap).pdf
Aditi Jagtap (Daughter of Ranjit Jagtap).pdfAditi Jagtap (Daughter of Ranjit Jagtap).pdf
Aditi Jagtap (Daughter of Ranjit Jagtap).pdf
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
 
Hip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and KinematicsHip Joint Biomechanics & its Kinetics and Kinematics
Hip Joint Biomechanics & its Kinetics and Kinematics
 
Musculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptxMusculoskeletal disorders: Osteoarthritis,.pptx
Musculoskeletal disorders: Osteoarthritis,.pptx
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptx
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
 
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
Myelin Oligodendrocyte Glycoprotein antibody associated disease (MOGAD)
 

Healthcare in Canada - Who Does What?

  • 1. Health Care in Canada: Who Does What? Ryan Clarke Thursday, April 16, 2015
  • 2. Overview • About Advocacy Solutions® • Overall Structure • Role of the Federal Government • Role of the Provincial/Territorial Governments • Delivery vs. Financing • Key Players • Current Challenges • Advocating to Politicians vs. Bureaucrats
  • 3. Advocacy Solutions® • Business committed to providing a voice to organizations and individuals through the development and implementation of impactful advocacy strategies • Three core services: – Training and development – Creation of strategic plans – Implementation of strategies
  • 5. Overall Structure • In general, health care in Canada is publicly funded, but privately delivered • This means that while the vast majority of health care services are “free” at the point of use, they are delivered by private providers i.e. physicians • The provinces are constitutionally responsible for the administration and delivery of health care services under s. 92.7 of the Constitution Act, 1867: – The Establishment, Maintenance, and Management of Hospitals, Asylums, Charities, and Eleemosynary (charitable) Institutions in and for the Province, other than Marine Hospitals
  • 6. Federal Role • The role of the federal government is to: – Assist in financing provincial and territorial health care services through fiscal transfers – Set standards and principles upon which transfers are contingent – Deliver health care services to specific groups – Provide and fund other health-related functions House of Commons
  • 7. Canada Health Act, 1984 • The Canada Health Act (1984) is Canada’s federal health insurance legislation • It establishes the criteria and conditions related to insured health care services – the national standards – which the provinces and territories must meet in order to receive the full federal cash transfer contribution • Historically, insured services are largely restricted to care delivered in hospitals or by physicians
  • 8. Canada Health Act, 1984 • The Act states that "the primary objective of Canadian health care policy is to protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers” • To do so, the Act lists a set of criteria and conditions that the provinces and territories must follow to receive their federal transfer payments: public administration, comprehensiveness, universality, portability, and accessibility • There is also a requirement that the provinces ensure recognition of the federal payments and provide information to the federal government
  • 9. Provincial/Territorial Role • Administration of their health insurance plans • Planning and funding of care in hospitals and other health facilities • Services provided by physicians and other health professionals • Planning and implementation of health promotion and public health initiatives • Negotiation of fee schedules with health professionals Ontario legislatureBC legislature
  • 10. Delivery vs. Financing • Health care delivery refers to the manner in which medical services are organized, managed and provided • In large measure, health care is delivered through private providers • The health care industry is the second largest employer in Canada (over two million people) • They can be divided into three types of services: – Primary care – Secondary care – Additional care
  • 11. Delivery vs. Financing • Health care financing refers to how medical services are paid for • In large measure, health care is financed through public funds, but that is evolving • Total health care spending in Canada was expected to reach $214.9 billion in 2014, averaging $6,045 per person • Financing comes from three primary sources: – Public – Private – Out-of-pocket
  • 13. Key Players in Delivery • Hospitals – representing almost 30% of total health care expenditures • While independently operated, all hospitals in Canada are regulated by the provinces and territories (even the private ones) • Drugs – representing almost 16% of total health care expenditures • Includes brand and generic, those delivered inside hospitals (publicly funded) and outside hospitals (mixed funding) • Physician services – representing almost 15% of total health care expenditures
  • 14. Other Key Players • Canadian Institute of Health Information – mandate is to lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care in Canada • Canadian Institutes of Health Research – mission is to create new scientific knowledge and to enable its translation into improved health, more effective health services and products, and a strengthened Canadian health care system • Canadian Agency for Drugs and Technologies in Health – provides decision-makers with the evidence, analysis, advice, and recommendations they require to make informed decisions in health care
  • 15. Other Key Players • Mental Health Commission of Canada – a catalyst for improving the mental health system and changing the attitudes and behaviours of Canadians around mental health issues • Canadian Partnership Against Cancer – an independent organization funded by the federal government to accelerate action on cancer control for all Canadians • Canada Health Infoway – jointly invests with every province and territory to accelerate the development and adoption of health information and communications technology projects in Canada
  • 16. Other Key Players • Health Council of Canada – The Health Council of Canada's role is to let Canadians and their governments know how progress towards the vision laid out in the health accords is coming along, to better enable decision-making at all levels • Canadian Patient Safety Institute – provides a coordinating and leadership role across health sectors and systems, promotes leading practices and raises awareness with stakeholders, patients and the general public about patient safety • Provincial Health Quality Councils – report directly to the public on the quality, safety and performance of health services and the health system in given provinces
  • 17. Other Key Players • Regional/Local Health Authorities – provide the delivery of operational public health care services by geographic region • Patient/Advocacy Groups • Patients/Caregivers • The Public
  • 18. Current Challenges • On September 16, 2004, the Canadian government announced $41 billion over the next 10 years of new federal funding in support of the action plan on health • That Health Accord expired in 2014 and the federal government did not negotiate funding leading up to last year - just measurement, accountability and best practices • The funding is set – an increase of six percent in the first three years, and a minimum of three percent in the remaining seven years
  • 19. Current Challenges • On September 16, 2004, the Canadian government announced $41 billion over the next 10 years of new federal funding in support of the action plan on health • That Health Accord expired in 2014 and the federal government did not negotiate funding leading up to last year - just measurement, accountability and best practices • The funding is set – an increase of six percent in the first three years, and a minimum of three percent in the remaining seven years • In 2013, health care accounted for about 38% of provincial/territorial government spending: BC 43%, AB 38%, SK 37%, MB 44%, ON 41%, PQ 30%, NS 46%, NB 40%, PEI 38%, NL 37%
  • 20. Federal/Provincial Government Structure Minister: – Political staffers – Serve at the pleasure of the Crown – Sole purpose is to serve their Minister and their political interests – Transitory positions Deputy Minister: – Hierarchical structure below – People under DM do not serve at the pleasure of the Crown – Sole purpose is to serve the public in an impartial manner – Permanent positions
  • 21. Advocating to Politicians • Ensure that your key messages are clear, compelling concise and consistent – with one ‘ask’ • Assume they know nothing about your issue • Find out everything you can about that person and their potential link to your issue • Where possible, link your issue to their stated political objectives or public policies i.e. Families First • Bring your issue down to the riding/personal level • Position your issue within the context of the election cycle • Position your issue as a political ‘win’ • Selectively engage the opposition to leverage the gov’t • Keep them informed of your engagement with the bureaucrats • Be prepared to be assertive/aggressive if necessary
  • 22. Advocating to Bureaucrats • Ensure that your key messages are clear, compelling concise and consistent – with one ‘ask’ • Find out everything you can about that person, including past roles, career track, etc. • Where possible, link your issue to gov’t programs and initiatives i.e. disease strategy • Have people who can speak to the technical or clinical aspects of your issue • Know where you are in the election cycle • Keep them informed of your engagement with the politicians • NEVER blindside a bureaucrat
  • 23. Advocacy Solutions® Contact Information: Ryan Clarke, LL.B. t. 905.891.0311 f. 905.891.0366 ryan@advocacysolutions.ca www.advocacysolutions.ca