Health System Priorities in Canada: Perspectives from different stakeholders
Anne Brasset Latulippe, OT, MSc, Policy and Research Analyst, CHSRFMay 11th, 2011
Context: Transformation and CHSRF• What do we want to achieve?
– Develop a vision for transformation• Different perspectives
– P/T– Advocate for particular diseases / illnesses– Health professionals– Citizens, etc.
Environmental Scan 1: Health priorities in Canada
Research questions:What are the health priorities for systemtransformation by provinces and territories?
– What are the convergent themes across Canada
Data sources:- Strategic plans
Environmental Scan 2: Strategic initiatives by groups focusing on particular illnesses.
Research Questions:
• What are the common themes across the different health risk strategies?
• Where do elements align in support of a transformation vision?
Strategy Documents
Mental Health Towards Recovery & Well-Being: A Framework for a Mental Health Strategy for Canada(Mental Health Commission of Canada, 2009)
Heart Canadian Heart Health Strategy and Action Plan: Building a Health Healthy Canada (Canadian Heart Health Strategy, 2009)
Cancer The Future of Cancer Control in Canada (Canadian Partnerships against Cancer, 2011)
Respiratory disease
National Lung Health Framework (National Lung Health Framework, 2008)
Stroke Canadian Stroke Strategy. Strategic Plan 2006-2010.(Canadian Stroke Network and Heart and Stroke Foundation, 2006)
Methodology• Framework Analysis (Srivastava& Thomson,2009).
– Familiarization– Identifying a thematic framework– Indexing– Charting– Mapping and interpretation
Categories for Health Systems Priorities
Values and principles
Diseases, illnesses and
social issues
Structure
Process Goals/Outcomes
Tools and resources
Scan 1: Results for jurisdictions
•Person-centred care, accountability, efficiency, equity
Values and principles
•Access, quality of care, integrated services, sustainability, safety, appropriate care, wellness, wait time, performance, timeliness
Goals/Outcomes
Scan 1: Results for jurisdictions•primar
y care, legislation, mental health and addictions, health promotion and prevention, public and population health, service delivery
Structure•HHR
management, Chronic disease management
Process
•Information technology
Tools and resources
Scan 1: Results for jurisdictions
• Access• Quality of care • Sustainability
•Evidence informed, culturally relevant approach, person-centred care
Guiding principles
•Prevention, education, promotion, high-risk population
Health promotion, awareness, disease prevention
•Application of best practice, meeting the needs, management
Disease detection and management
•Policy, partnerships, integrated services, multi-sectoral approach, performance measurement
Enabling factors
•Knowledge transfer and exchange, research recommendations and development
Research, surveillance and knowledge translation
•Improved access, quality of life, standardization
Desired outcomes
•First Nations, Inuit and Métis, environmental factors
Other
Scan 2: Results
• Prevention• Education• Knowledge transfer and exchange
Discussion: Common areasJurisdictions Strategic initiatives by group
Person-centred care Person-centred careCulturally relevant approachMeeting the needsEducation
Accountability, performance Performance measurement
Equity First Nations, Inuit and Métis
Access Access
Integrated care Integrated care
Quality of care Quality of care
Prevention Prevention
Conclusion• Strong convergence:
– Person-centred care– Integrated care– Access– Quality of care– Equity– Prevention– Accountability
• Next steps:– Platform for discussion across the country consensus conference
QUESTIONS/FEEDBACK?
Anne Brasset Latulippe, OT, MScHealthcare Financing, Innovation and [email protected]
Full bibliographyAlbertaGovernment of Alberta, Alberta Health Services (2010) Becoming the Best: Alberta’s 5-
Year Health Action Plan: 2010-2015Government of Alberta, Alberta Health Services (2010) 2010 – 2015 Health Plan
Improving HealthFor All AlbertansBritish ColumbiaBritish Columbia Ministry of Health Services (2010) 2010/2011-2012/2013 Service PlanManitobaManitoba (2010) Department Priorities for health (ppt)New BrunswickNew 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
ReferencesNewfoundland and LabradorNewfoundland and Labrador (2008) Department of Health and Community Services Strategic Plan
2008-2011 Northwest TerritoriesNorthwest Territories Health and Social Services (2009) A Foundation for Change: Building a
Healthy Future for the NWT 2009-2012Nova ScotiaNova Scotia Department of Health (?) 2010-2011 Statement of MandateNunavutGovernment of Nunavut (2009) 2010-2013 Government of Nunavut Business Plan: Section H-
Health and Social ServicesQuébecGouvernement du Québec (2010) Plan stratégique 2010-2015 du ministère de la Santé et des
Services sociaux du Québec
ReferencesOntarioMOHLTC (2010)Results-based Plan Briefing Book 2010-11 MOHLTC (2010 )Externally-Informed Annual Health Systems Trends Report – Third Edition. An
Input for Health System Strategy Development, Policy Development and PlanningPEIPEI (2009) PEI Health System Strategic Plan 2009-2012 Retrieved from the internet:
http://www.healthpei.ca/photos/original/hpei_stratpla12.pdfSaskatchewanSaskatchewan Ministry of Health (2010) Strategic and Operational Directions for the Health Sector
in Saskatchewan Saskatchewan Ministry of Health (2010) Health System Strategic Framework (ppt)YukonYukon Health and Social Services (2009) Strategic Plan 2009-2014
ReferencesCanadian 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
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/
Canadian Stroke Network & Heart and Stroke Foundation (2006) Canadian Stroke Strategy. Strategic Plan 2006-2010.
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
National Lung Health Framework (2008)National Lung Health Framework. Retrieved from the internet: http://www.lunghealthframework.ca/resources/framework-documents
Srivastava, A. & Thomson, S. B. (2009).Framework Analysis: A Qualitative Methodology for Applied Policy Research. JOAAG, Vol. 4. No. 2