Events

Speakers

Helen Bevan, Chief Transformation Officer, NHS

Resources

https://www.changefoundation.ca/leadership-is-key/

Speakers

Geoff Huggins, Director of Health and Social Care Integration

Speakers

Chris Ham, Chief Executive Officer, Kings Fund

Details

Abstracts

Wednesday May 24

Posters, 9:45-10:45 am & 12:00-1:00 pm

· Development of quality indicators for ambulatory care for older adults with diabetes with comorbid chronic conditions: a Delphi study

· Primary care and health inequality: natural experiment comparing England and Ontario

· Scheduled day surgery for Type II Supracondylar Fractures in a paediatric tertiary care hospital: A cost minimization analysis

Oral, 1:00-2:15 pm

· Low disability at admission predicts faster disablement in long-term care residents

Oral, 2:45-4:00pm

· Evaluating quality of care among older adults with diabetes with comorbid chronic conditions: a retrospective cohort study

· Operationalizing patient-centered integrated care: The gap between discourse and action in Ontario's Health Links

Oral, 4:15-5:30 pm

· Hospital characteristics and use of evidence-based discharge practices in Ontario, Canada

· Validation of incident long-term care admissions in Ontario using administrative data

Thursday May 25

Posters, 9:15-10:15 am

· What works in integrated care programs for older adults with complex needs? A realist review

· Partners advancing transitions in healthcare (PATH) project evaluation

· Examining income inequalities in cancer screening: A decomposition analysis using administrative data in Ontario, Canada

· Distributed versus centralized leadership in the implementation of Ontario's Health Links

Oral, 10:15-11:30 am

· Caregivers voice through a quantitative lens

Panel, 12:45-2:00 pm

· A collaborative multi-method evaluation of Health Links: Results and lessons learned for system-level program evaluation

Friday May 26

Oral, 11:30 am-12:45 pm

· Establishing the representativeness of physician and patient respondents in the Ontario QUALICOPC Study using administrative data

· Post-acute rehabilitation and medical oversight of hip fracture patients

Details

Tuesday May 10

Oral, 1:30-2:45 pm

· How do hospitals in Ontario adopt and use health literate discharge practices? A qualitative analysis. B5.1

· The family/friend caregiver experience in Ontario: pilot study results. B7.3

Posters, 4:15-5:30 pm

· Evaluating investment in quality improvement capacity building: a synthesis of the literature. Board 34

· Pathways to health system efficiency: Perspectives of health system decision makers. Board 39

Wednesday May 11

Oral, 11:15--12:30 pm

· Do-not-resuscitate/do-not-hospitalize orders in nursing homes: are they being done and do they make a difference? D1.2

Oral, 1:45-3:00 pm

· Effects of comprehensive primary care model on end-of-life care and care outcomes: a population-based retrospective cohort study in Ontario, Canada. E2.4

Posters, 4:30-5:45 pm

· Health care transitions among people with dementia at the end-of-life. Board 4

· Quality improvement in acute care: a multi-level conceptual framework of successful large-scale Board QI implementation. Board 41

· Development and administration of an organizational survey tool to measure the use of health literate discharge practices in Ontario hospitals. Board 42

· Operationalizing the disablement process model for empirical research. Board 69

· Efficiency of Ontario Primary Care Physicians: A Stochastic Frontier Analysis. Board 87

Thursday May 12

Oral, 9:30-10:45 am

· Disability in nursing home residents: the role of resident and nursing home characteristics. F2.2

· Improving end-of-life care in the community using the RESPECT on-line prognostication tool. F6.2

· Variations in post-acute care pathways for hip fracture patients. F8.4

· Factors associated with 30 day hospital readmission in adults with dual diagnosis. G6.3

Speakers

• Dr. Walter Wodchis – HSPRN and University of Toronto
• Dr. Peter Tanuseputro - HSPRN and Bruyère Research Institute
• Dr. Amy Hsu - HSPRN and University of Ottawa
• Luke Mondor - HSPRN and ICES
• Dr. José Pereira - University of Ottawa and Bruyère Continuing Care
• Dr. Russell Goldman and Dipti Purbhoo -Toronto Central CCAC and Tammy Latner Centre for Palliative Care
• Dr. Fred Burge - Dalhousie University
• Dr. Denise Marshall - McMaster University
• Dr. Yael Schenker - University of Pittsburgh Medical Center

Details

This year's symposium will focus on understanding and improving end-of-life and palliative care in Ontario. Presentations will highlight both gaps in care and promising practices/initiatives. Research from the Health System Performance Research Network (HSPRN), along with evidence and viewpoints from a panel of local, national, and international speakers will offer future direction for palliative and end-of-life care.

St. Andrews Club & Conference Centre
The Conservatory Suite, 16th Floor
150 King St W, Toronto ON M5H 1J9

Resources

· Symposium Agenda

· Slides: The State of End of life and Palliative Care in Ontario. Tanuseputro et al.

· Slides: Developing a Palliative Care System Highlights from the Champlain Region. JPereira.

· Slides: Advancing-Integrated-Palliative. Purbhoo & Goldman.

· Slides: Bridging care for advanced chronic disease into end of life care. FBurge.

· Slides: The real promise palliative care as public health. DMarshall.

· Slides: The Next Era of Palliative Care. YSchenker.

Speakers

Ted E. Palen, PhD, MD, MSPH is a practicing primary care internist with the Colorado Permanente Medical Group and a Physician Investigator in the Institute for Health Research (IHR) of Kaiser Permanente Colorado (KPCO). He also serves as the Physician Manager for Clinical Reporting and a utilization management physician reviewer for the KPCO Resource Stewardship department.

Dr. Palen received his PhD in chemistry at the University of Colorado, Boulder under the direction of Nobel Laureate Dr. Thomas R. Cech. He completed medical school and a combined internal/preventive medicine residency program at the University of Colorado at Denver Medical School. He has been with the Colorado Permanente Medical Group since 1997. He currently chairs the Integrating New Technology with Benefits and Operations committee and is a member of the Emerging Technology Advisory Group. As a member of the Resources Stewardship department he participates in utilization reviews and serves as the Physician Manager for Clinical Reporting, using data analytics for evaluating the care delivery processes. His research is focused on the use of clinical informatics for analyzing care delivery models and the use of virtual care and remote care to improving care delivery processes, clinical outcomes, and quality of care.

Details

Health systems are examining how to improve patient care during transitions in care and for patients who are high utilizers of the health system. Care for patients transitioning between venues of care and for those with complex disease can be fragmented between physicians, nurses, pharmacists and other members of the healthcare team.

Patients with complex disease or conditions require collaborative care planning and optimal patient engagement to meet their care plan needs. Kaiser Permanente Colorado is using health information technologies and tools to improve coordination of care to help close care gaps and improve patient outcomes. These tools help identify and prioritize patients in need of increased healthcare management to decrease unwarranted readmissions and to improve care coordination for complex patients. We not only engage with our own patients but we also partner with the community and public health resources to spread best healthcare practices throughout Colorado.

Speakers

Dr. Tim Tenbensel (PhD Australian National University) teaches and researches health policy, and has been head of the Health Systems section in the School of Population Health at the University of Auckland, New Zealand since 2011. His research program focuses on investigating the implementation of New Zealand health policy initiatives, forms of governance in health (hierarchies, markets, networks) and comparative health policy. He has an interest in further developing theoretical frameworks for the analysis of health policy and public management, with a particular focus on relationships of accountability and collaboration between health sector organisations.

Details

Since the 1990s at least, NZ has often been held up as place in which it is possible to make major changes to health policy and health systems (across a range of very different substantive health rpolicy goals). Institutionalist approaches to understanding policy also regard NZ as having the political architecture that facilitates major policy change in comparison to other jurisdictions. But is it really true that New Zealand has a greater capacity to transform its health system and health care services?

To answer this question, I review the ‘success’ of health policy reform in New Zealand in the 1990-2014 period, where success is understood primarily in terms of stated policy intentions. Substantive policy goals over this period have included achieving efficiency and cost control, primary care reform; achieving better population health outcomes; and integrating primary and hospital health services. I review these policy intentions, the governance approaches that have been adopted, and the success or otherwise of implementation. If New Zealand is actually capable of successfully embarking on health policy reform, what are the lessons and implications for other jurisdictions? If it isn’t, then how much does the design of political institutions really matter when it comes to health policy?

Resources

Webcast: http://webcast.otn.ca/mywebcast?id=48412242