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Longwoods eLetter October 04, 2005
Definitions: (1) Kaizen: Continuous, incremental improvement of an activity to create
more value with less muda. (2) Muda: Waste. Topics of a coming lecture by Dr. Robert Bell, the new CEO of the University Health Network . . . will be posted on a computer screen near you. (See October 19 under conferences and events.)
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Wait Times & Rationing: essential topics for clinicians, administrators
and policy makers. Here are resources from the extensive Longwoods Library of papers
and commentary available by searching on Longwoods.com
Physicians:
It's in Your Court Now
The Supreme Court decision of June 9, 2005 clarifies the political choice
facing organized medicine in Canada.1 Many of Canada's doctors are
strong and eloquent supporters of single-tier health care. Many are not, and
never have been. A mere decade ago, at the CMA's annual General Coun …
Waiting
Lists? What Waiting Lists? Not Nursing's Problem.
Canada is experiencing problems with wait times for specific healthcare
services. This is not uncommon in countries that have a socialized healthcare
system. In Canada, the most egregious problems involve wait times for
diagnostic tests, particularly MRIs and surgeries for cataracts, hip or knee
...
Health
Services Research after Chaoulli v. Quebec (Attorney General): New Inspiration,
New Challenges.
As a result of Chaoulli, wait-times research of this kind and health
policy research generally in Canada will now take on heightened legal
significance. The Court has signaled that future litigants may rely on
established benchmarks, targets and care guarantees to establish the
appropriate...
Advocacy and Putting Bedside Rationing Back into Perspective.
What does it mean for a healthcare intervention to be in a patient's best interests?
What role should a patient's out-of-pocket costs play in healthcare rationing?
What is the moral difference between rationing in open versus closed healthcare
systems? These are among the many questions posed by ...
Advocacy and Rationing Are Compatible.
In his paper, Peter Ubel attempts to make the case for "bedside
rationing" by clinicians in order to help control healthcare costs. This
commentary addresses a number of conceptual, logical and linguistic problems
with Dr. Ubel's paper, challenges his apparently "heretical" view of
advocacy, but ...
The
Need Is to Prioritize, Not Ration.
The Canadian model of medicare is based on shared values among governments,
providers of care and the consumers of care. Rationing implies that a consensus
exists as to what constitutes the most beneficial medical services and that an
active decision be made by providers to choose inferior servic...
Cutting
Healthcare Costs without Rationing at the Bedside: Preserving the
Doctor-Patient Fiduciary Relationship
In his essay on bedside rationing, Peter Ubel argues that in an era of rising
healthcare costs, it is time to relax the patient-centered ethic of physicians
as unconditional patient advocates so they can individualize rationing
decisions. This paper raises several concerns with the arguments and ...
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TRANSITIONS in health leadership
Peggy Leatt to Associate Dean for Academic Affairs, School of Public Health, University of North Carolina at Chapel Hill and Professor and Chair, Department of Health Policy and Administration.
[Send your transitions to eletter@longwoods.com]
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DID YOU KNOW?
From Canada Health Infoway: “New
Pharmaceutical Information Program Enhances Patient Safety”
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The new journalDr. Alan Bernstein writes: “Healthcare
Policy truly reflects the broad vision and mandate of CIHR” -------------------------------------------------------------------------------------
The new issue of the journal Nursing
Leadership is online.
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NOMINATION: healthy population and a healthy community award
The Canadian Medical Association (CMA) is calling for nominations for the
2006 Award for Excellence in Health Promotion. The award was introduced in 2003
to recognize those outside the health sector who have made a significant
contribution towards a healthy population and a healthy community. For more
information visit www.cma.ca/healthaward.htm
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CONFERENCES
AND EVENTS
October 6. ANEGTA.
Speaker Julia Scott; initial findings and options | the future of nursing
workload measurement in Ontario. For more information write Sue Munro at smunro@firststageinc.com
October 19. Dr. Robert Bell, CEO, the
University Health Network. Breakfast with the Chiefs. Register with: llopez@longwoods.com. He will talk about: “Economics,
Ethics and Muda:". One hour. One
speaker. One topic. Many lessons.
October 28. The
BC Health Information Management Professionals Society (BCHIMPS). "The
Road to Quality in health IM/IT". Dr. Michael Bainbridge - chief clinical
architect for electronic health records in the United Kingdom and Dr. Penny Ballem, Deputy Minister, BC Ministry of Health. Details here: http://www.bchimps.bc.ca
October
31, November 1, 2. Ontario’s Health Achieve. Canada’s largest healthcare show. Details here: www.ohahealthachieve.com
November 3, 4. Members
of the Association of Canadian Academic Healthcare Organizations will meet. More
information here.
November 3, 4. Members of the Academy of Canadian Executive Nurses will
meet. More
information here.
November 4. HealthcareRounds.
Julie Morath, M.S., R.N., COO at Children's Hospitals and Clinics
in Minneapolis/ St. Paul, has scheduled her presentation ‘Managing
Safety – A Dialogue’ from 2 to 4 pm. at the Rotman School of Management.
Sponsored by Rotman Centre for Health Sector Strategy. Contact: llopez@longwoods.com.
November 6 - 11. Health Leaders Institute | from the team that designed the Dorothy Wylie
Institute. Check it out. Click here http://healthleaders.ca/index.html
2005 - 2006 Schedule. Community Information Forums on Addiction and Mental
Health from CAMH, Toronto. See: http://www.camh.net/education/comm_info_forums.html
November 11, 12. Healthcare Summit: Legal, Economic and Medical Issues.
Vancouver. National conference designed to help Canadian governments
(federal and provincial), administrators, clinicians and academics develop a
practical blueprint for beneficial reform and recommend changes that conform to
the guidelines of the recent Supreme Court of Canada decision. See: http://www.cimca.ca.
“Yet another pivotal moment in Canadian history is shaping up to take place at
the venerable Hotel Vancouver this fall.” Matt Borsellino, the Medical Post.
February
9, 10. Vancouver, Canada. Toward a National Pharmaceuticals Strategy: Lessons from Abroad (Australia, New Zealand, the United Kingdom and Canada) as they explore international perspectives on
pharmaceutical policy. More details (including “Call for Abstracts”) here: www.chspr.ubc.ca/hpc
MORE
CONFERENCES HERE.
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Want to move to British Columbia: Read
this.
Thinking of a health career in Canada? Read this.
Are US executives an option for Canadian Healthcare? Read
this.
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Health Leadership | CAREER OPPORTUNITIES
Deputy
Project Director (Vice President Operations) - Maximus B.C.
Nurse Practitioner (NP), Regional Stroke Program - Capital Health Edmonton
Senior Directors - Local Health Integration Networks (LHINs)
Directeur Principal - Les réseaux locaux d¹intégration des services de santé
(RLISS)
Challenging Opportunities - The Canadian Institute for Health Information
(CIHI)
Scientific Director - CIHR Institute of Health Services and Policy Research
(IHSPR)
Directeur scientifique - L¹Institut des services et des politiques de la santé
(ISPS)
Chief Scientist - Institute for Work & Health
Postdoctoral Fellowships, Cardiac Nursing Research - Faculty of Nursing,
University of Alberta
Customer Relationship Managers & Implementation Support team members -
Consulting Cadre
Senior Program Officer, Research Use – CHSRF
Agent principal ou Agente principale de programme, Utilisation de la recherche
- FCRSS
[To list career opportunities contact Susan Hale at shale@longwoods.com]
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so without charge.
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This eLetter sponsored by the Canadian Patient Safety Institute. CPSI is
supporting the Safer Healthcare Now!
campaign. To learn more, click here to visit the campaign website.
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