health system priorities in canada: perspectives from different stakeholders

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 TransformationAnne.brassetlatulippe@chsrf.ca

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