Blog – How to address systemic issues with Healthcare Healthcare system was under duress way before covid19 More needs to be done to address systemic issues with the healthcare delivery model 1. Drug costs - https://www.washingtonpost.com/business/how-china-is-getting-drug-companies-to-slash-prices/2022/01/11/1979ceaa-72cf-11ec-a26d-1c21c16b1c93_story.html 2. Labor issues - https://www.beckershospitalreview.com/patient-flow/5-hospitals-temporarily-permanently-closing-services-because-of-staffing-shortages-2.html 3. Vaccination - https://www.cnn.com/2022/01/11/health/us-coronavirus-tuesday/index.html 4. Wait times - https://worldpopulationreview.com/country-rankings/health-care-wait-times-by-country 5. Back in 2017 is when Canada had some of the worse wait times within the OECD - https://www.fraserinstitute.org/article/when-compared-to-similar-countries-canadas-health-care-wait-times-are-the-worst 6. Drummond report was shelved - https://www.fasken.com/en/knowledge/2012/02/healthlawbulletin-20120217 7. Costs - https://www.definitivehc.com/resources/healthcare-insights/changes-in-supply-costs-year-to-year 8. Global healthcare - https://www2.deloitte.com/global/en/pages/life-sciences-and-healthcare/articles/global-health-care-sector-outlook.html 9. Long-term care - https://wgme.com/news/local/long-term-care-facility-staffing-shortages-impacting-maines-hospital-capacity 10. Funding gaps - https://www.who.int/data/gho/data/themes/topics/financial-protection 11. Pandemic - https://www.slideshare.net/paulyoungcga/geopolitical-eventscovid19canada-and-the-world-january-7-2022

1. Reforming
Healthcare
PAUL YOUNG CPA CGA
JANUARY 12, 2022

2. Paul Young - Bio
• CPA, CGA
• Academia (PF1, FA4, FN2, MU1. and MS2)
• SME – Risk Management
• SME – Close, Consolidate and Reporting
• SME – Public Policy
• SME – Emerging Technology
• SME – Business Process Change
• SME – Financial Solutions
• SME – Macro/Micro Indicators
• SME – Supply Chain Management
• SME – Data, AI, Security, and Platform
• SME – Internal Controls and Auditing
Contact information email: Paul_Young_CGA@hotmail.com
LinkedIn: https://www.linkedin.com/in/paul-young-055632b/
SlideShare - https://www.slideshare.net/paulyoungcga
Twitter: https://twitter.com/paulyoungcpa
Youtube - https://www.youtube.com/user/youngercga1968/videos

3. Agenda
 Global Healthcare Ranking
 Healthcare spending per capita
 Most efficient healthcare
 Blog – Digital Healthcare
 IT Solutions

4. Introduction
 Healthcare is key area for government as it is
large government expenditures
 Too many people do not grasp there are issues
with healthcare delivery

5. Global
Healthcare
Spending
SOURCE - DELOITTE

6. Efficient Healthcare Country Ranking
Source - http://worldpopulationreview.com/countries/best-healthcare-in-the-world/

7. Best Healthcare
Source -
https://ceoworld.biz/2021/04/27/reve
aled-countries-with-the-best-health-
care-systems-2021/

8. Healthcare spending per Capita
Source - https://www.healthsystemtracker.org/chart-collection/health-spending-u-s-compare-countries/#item-
spendingcomparison_health-consumption-expenditures-per-capita-2019

9. Most Efficient
Healthcare
Source -
https://www.bloomberg.com
/news/articles/2020-12-
18/asia-trounces-u-s-in-
health-efficiency-index-
amid-pandemic

10. Canada – True Cost of Public Healthcare
Source – Fraser Institute
price-of-public-health
-care-insurance-2021.pdf

11. Canada and Private Health Insurance

12. Digital Healthcare
Blog - How virtual care will impact the trillion-dollar global healthcare market. https://www.linkedin.com/pulse/blog-
how-virtual-care-impact-trillion-dollar-global-paul-young/?published=t
Frost & Sullivan’s recent analysis finds that the emergence of the anytime-anywhere care concept with the COVID-19 outbreak has
transformed the healthcare sector worldwide, resulting in a surge in demand for digital health applications—especially telehealth and remote
patient monitoring.
Vendors’ need to redefine their visions and strategies to align with the new normal will be a key factor that will define the global healthcare
market in the coming years. In an optimistic scenario, the total healthcare market—pharmaceuticals and biotechnology, in-vitro diagnostics,
advanced medical technologies, medical imaging and informatics, and digital health—is estimated to hit over US$2.6 trillion by 2025,
growing at a compound annual growth rate of 6.3%.
As patients grow accustomed to digital healthcare, service providers will focus on building efficiencies and managing scalability issues for
the following growth opportunities:
 Real-world, data-supported approaches to increase the adoption of immuno-oncology (I-O) agents into the standard of care.
 Digital point-of-care testing (POCT) platforms for infectious disease testing.
 Artificial intelligence in imaging and virtual platforms in high-acuity care to optimize workflow and improve clinical outcomes.
 Expansion of telehealth services toward virtual care across the care continuum.
https://www.canadianmanufacturing.com/technology/how-virtual-care-will-impact-the-trillion-dollar-global-healthcare-market-268331/

13. Blog – Healthcare
Source - https://www.mckinsey.com/featured-insights/collections/how-prioritizing-health-can-help-people-
economies-and-businesses?cid=other-eml-alt-mip-mck&hdpid=e8964271-0093-422e-8c46-
cd977ea12981&hctky=11493232&hlkid=a774e1a8976d4a078406df70a8406fd5#
Healthcare needs to move towards a digital footprint to focus on the following areas:
1. Disease management
2. Efficient delivery of healthcare dollars
3. COVID19 showed how the world can get together as part of the drug discovery process. More work needs to
be done to with reducing the cost of drugs along with cutting down the time it takes for new drugs and
treatments to get to market.
4. The WHO needs to have performance audits including audits.
5. Both the private and public sector need to embrace risk and crisis management reporting -
https://www.slideshare.net/paulyoungcga/why-there-needs-to-be-audited-reports-of-crisis-emergency-
management-policies-and-procedures.

14. Pharmacare
Pharmacare would cost $20B+ year to
fund -
https://www.huffingtonpost.ca/entry/can
ada-pharmacare-ndp-liberals-
vote_ca_6036b086c5b60e3ed48b601f
Source -
https://www.slideshare.net/paulyoungcga/bi
otech-and-pharmaceutical-august-2021
https://data.oecd.org/healthres/pharmaceutical-
spending.htm

15. Drug Discovery and Disease Management
Summary:
All levels of government along with countries around the world need to work together to mitigate the impact of
future viruses. https://www.slideshare.net/paulyoungcga/how-to-reform-global-healthcare
All levels of government need to have audited crisis management that are tested out each year as part of their
annual fiscal management cycle. https://www.slideshare.net/paulyoungcga/crisis-and-emergency-management-
risk-management-how-best-to-manage-risk
Localizing strategic parts of the supply chain should be part of every country’s strategy as part of safeguarding
assets and protecting the economy. https://www.slideshare.net/paulyoungcga/how-to-reshore-supply-chain-and-
build-a-resilient-supply-chain-250492774
Better vaccinations and treatments through gene and immune therapy -
https://www.slideshare.net/paulyoungcga/what-is-next-for-biotech-and-pharma

16. Public and Private Healthcare
Blog – Private Health Insurance Plans
a) Private Health Insurance Plans - https://www.sunlife.ca/en/explore-
products/insurance/health-insurance/personal-health-insurance/
b) Extension beyond basic coverage - https://www.surehealth.ca/pages/private-health-
plans.html
c) Delisting of services - https://www.getwellclinic.ca/announcements/140-delisted-from-
ohip
d) Healthcare systems - https://www.commonwealthfund.org/publications/fund-
reports/2021/aug/mirror-mirror-2021-reflecting-poorly
e) Single payer system -https://www.verywellhealth.com/difference-between-universal-
coverage-and-single-payer-system-1738546

17. IT Solutions
Here is my work on healthcare:
 Data, AI, and CloudPaks can help with management of applications, data sources, AI-modeling, etc. :
 Supply Chain and Analytics - https://ibm.box.com/s/63aqf8jo004v2bo5f8cf6eppgglhbvs5
 Sustainable Reporting - https://ibm.box.com/s/vmyitcackqevvm1hcxv7wke6gudrpnce
 Continuous Intelligent Planning - https://newsroom.ibm.com/CIP-supply-chain
 Decision Optimization and Planning Analytics - https://www.youtube.com/watch?v=7ZYguYvluFI
 Cloudpaks - https://cloud.ibm.com/docs/openshift?topic=openshift-cs_uc_health
 Lifesciences - https://www.ibm.com/industries/lifesciences
 GRC, Security, and Data Governance - https://ibm.box.com/s/noi1j6ixzl6ralxkm4g0zzs911wf6s76
 Cloudpak for Data - https://cloud.ibm.com/docs/openshift?topic=openshift-cs_uc_health

18. Watson Assistant / Healthcare

19. Forecasting
Solution

20. Healthcare – Smarter Healthcare

21. Preventive Healthcare

22. Analytics and Healthcare

23. Healthcare
 The healthcare system is in crisis due to many factors
 Healthcare systems need to implement better crisis management policies and programs -
https://www.slideshare.net/paulyoungcga/establishing-best-practices-when-it-comes-to-managing-crisis-private-sector-and-public-
sector
 Cost of healthcare need to control through different options including procurement, co-pay, etc.
 Reforming all aspects of Government - https://www.slideshare.net/paulyoungcga/how-to-reform-the-public-sector-in-canada-and-around-
the-world
 United States - https://www.slideshare.net/paulyoungcga/fiscal-and-economic-management-state-and-local-government-united-states
 Transfers from the federal government - https://ca.news.yahoo.com/premiers-demands-long-term-health-090000854.html
 Waste within healthcare needs to be curb
 Healthcare needs to emphasis value for money including different ways to improve outcomes of the patient. -
https://www.slideshare.net/paulyoungcga/internal-audit-and-performance-base-auditing