Expectations

 

10:35–11:30 AM PST // 1:35–2:30 PM EST 

Health Policy and Health Funding in Canada

Speaker: Dr. Jason Sutherland

Based on his experience working at the federal and provincial level, Dr. Sutherland will describe the primary elements of provincial health care systems, patterns of utilization/spending and differences in outcomes. 

He will then discuss aspects of cost-efficiency, effectiveness and equity of the provincial delivery systems. Then, he will explain key policies governing the delivery and funding of healthcare and opine upon future opportunities for healthcare reform by drawing from examples from other countries

Disparities

10:35–11:30 AM PST // 1:35–2:30 PM EST 

TBD

Speaker: Dr. Jason Sutherland

Based on his experience working at the federal and provincial level, Dr. Sutherland will describe the primary elements of provincial health care systems, patterns of utilization/spending and differences in outcomes. 

He will then discuss aspects of cost-efficiency, effectiveness and equity of the provincial delivery systems. Then, he will explain key policies governing the delivery and funding of healthcare and opine upon future opportunities for healthcare reform by drawing from examples from other countries

 

Solutions

9:35–10:30 AM PST // 12:35–1:30 PM EST 

WelTel

Speaker: Dr. Richard Lester

WelTel’s concept started in 2005 when clinicians living in Kenya noticed unprecedented loss to follow up during the wide-scale rollout for antiretroviral medications in the treatment of HIV. The need for enhanced engagement in care was evident, especially during long-term management of chronic illness. Mobile phones were ubiquitous and offered the opportunity for a low-touch, efficient way to connect with patients and support treatment adherence.

 

WelTel has worked with numerous patient and provider focus groups, including those most marginalized, to create its core concept. The platform has recently implemented a function to

manage contact tracing of patients, allowing both COVID-19+ patients and their close contacts to communicate virtually with health care practitioners during self-quarantine. 

 

This strategy has been implemented nationwide in Rwanda. No matter the background of the individual when it came to two-way text messaging in patient care, the best protocol was always “Ask Don’t Tell”, an approach that remains true today.  WelTel’s vision is to change the way healthcare is delivered globally while ensuring that those who are hardest to reach are not left behind.

9:35–10:30 AM PST // 12:35–1:30 PM EST 

Insulin and the Future of Chronic Pain Management

Speaker: Dr. Gary Lewis

This talk will begin with a brief overview of the events leading to the momentous discovery of insulin in Toronto 100 years ago, in 1921-22. Next, we will briefly summarize some of the major advances in the treatment of diabetes over the past 100 years and will then pivot to discuss the next 100 years of diabetes prevention and management and the major challenges that remain.

 

Public healthcare systems are overburdened with person power shortage, long waiting times, infrequent structured evaluation, and insufficient patient engagement. Annual growth of healthcare expenditure exceeds that of GDP growth, calling for more efficient and value-added care.

 

Even in high-income countries/areas with medical coverage, large patient volumes, complex care protocols, frequent changes in healthcare providers, lack of regular evaluation and insufficient patient engagement can lead to delayed intervention, suboptimal self-management and patient distress with poor clinical outcomes. Due to the high patient: health care provider ratio, use of information and communications technology and non-physician personnel can improve the efficacy and continuation of care delivery.

Multicomponent, data-driven integrated care assisted by non-physician personnel, information and communications technology has been demonstrated to cost-effectively improve clinical outcomes by 30 to 60%. Data stratify risk, triage care, empower patients and individualize treatment. Big data track secular trends, identify unmet needs and verify interventions in a naturalistic environment.

 

We need to

  1. Identify persons at higher risk of adverse outcomes using data

  2. Develop tools and processes for a Remote Patient Monitoring Program

  3. Reach out to those identified and offer them access to the virtual care service Integrate virtual service with primary care

  4. Develop new tools and processes for information sharing including EMRs

  5. Focus on chronic conditions screening and prevention

  6. Evaluate effectiveness, acceptability and cost effectiveness from the patient, provider and health system perspectives

10:35–11:30 AM PST // 1:35–2:30 PM EST 

Value-Based Leadership
in Complex Systems

Speaker: Dr. Allan Best + Dr. Carol Herbert

How can we work to solve the issues caused by the current systems? Why is transformative change in our current systems proving hard? How do we deal with the realities of government? Most importantly, how might these realities factor into your career decisions – academia, government, non-profit, or consulting? These quite different contexts are fundamental to your career choices and the opportunities you’ll have for system change.

 

Looking at the whole system and the need for strong and effective collaboration across organizations, what are the most critical barriers and how might they be addressed? Are there simple rules that offer pivotal leverage points for fundamental change?

This session takes a complexity lens to frame these issues and focus on the issue of value-based leadership to guide new ways of thinking and working. We will explore the diversity of important partnerships and what’s needed to commit to a common purpose and vision. The importance is stressed of a governance framework that articulates roles, accountability, and decision-making to ensure continuous improvement based on measured outcomes. Key messages from a recent review of international research and initiatives to inform BC’s response to the opioid overdose crisis will be used to illustrate complexity strategy.