A first for NHLC in 2015 was the Great Canadian Healthcare Debate. Chaired by Mr. Tony Dagnone and moderated by the Globe and Mail’s national affairs journalist Jeffrey Simpson, the debate offered a unique opportunity for health leaders to debate and pass policy resolutions aimed at assisting policy and decision-makers at all levels to address key healthcare policy challenges.
Policy Resolution Committee
Mr. Tony Dagnone led a talented and experienced group of health leaders from across the country in the review and selection of a “short list” of motions.
Members of the Policy Resolution Committee:
- Tony Dagnone (Chair), FCCHL, FACHE
- Dr. Brendan Carr, CHE, Island Health
- Dan Florizone, Saskatoon Health Region
- Greg Lawrie, CHE, Aramark
- Dr. Jack Kitts, The Ottawa Hospital
- Mary Lee, Health Association Nova Scotia
- Neil Fraser, Medtronic of Canada Ltd.
- Dr. Richard Wedge, Health PEI
- Sharon Nettleton, Patients for Patient Safety Canada
- Owen Adams (Advisory), Canadian Medical Association
- Vickie Kaminski, Alberta Health Services
- Bill Tholl, HealthCareCAN
- Jennifer Kitts, HealthCareCAN
- Ray Racette, CHE, Canadian College of Health Leaders
Call for Motions
In late 2014 and early 2015, a Call for Motions was widely distributed to Canadian health leaders. The Call was answered with 48 motions covering a wide range of issues; a successful response particularly for the first-ever debate. To see the Call for Motions, click here.
The “Top Ten” Motions
Debate Results – Following are the results of those motions debated by conference delegates.
Funding for mental health – 89%
Resolved, that over the next ten years, all provincial and territorial governments, along with regional health authorities, increase the proportion of their respective health care budgets that is devoted to mental health by two percentage points from current levels.
Sponsor: Louise Bradley, President and CEO, Mental Health Commission of Canada
Electronic health records – 89%
Resolved, that all governments, along with professional healthrelated colleges and associations, commit to building and using an electronic health record for every citizen and ensure that patients have access to all electronic health information held about them, with a view to ensuring full online access to data by patients within five years.
Sponsor: Sharon Nettleton, Patients for Patient Safety Canada
National Pharmaceutical Strategy – 81%
Resolved, that governments in Canada commit to make pharmaceuticals an integral component of Canadian health care through a renewed National Pharmaceuticals Strategy that ensures that all Canadians have access to a safe and secure supply of prescription drugs at an affordable cost regardless of care setting.
Sponsor: Steve Morgan, Professor, University of British Columbia
Optimization of professional scope of practice – 70%
Resolved, that governments in Canada collaborate to define and implement innovative approaches to optimizing scopes of practice across all health care professionals.
Sponsor: Mark Given, Director, Canadian Association of Medical Radiation Technologists
Patient’s Medical Home model of family practice – 63%
Resolved, that the Patient’s Medical Home be adopted as the preferred model of integrated primary care, and that appropriate resources be allocated by all governments to support this model.
Sponsor: Artem Safarov, Director, Health Policy & Government Relations, College of Family Physicians of Canada
Seniors’ Health Hub – 55%
Resolved, that Canadian healthcare leaders commit to transforming the traditional nursing home model into one that offers a community-based health care hub to support seniors’ living at home and provide facility-based care for those with more complex care needs who can no longer remain at home.
Sponsor: Candace Chartier, Chief Executive Officer, Ontario Long Term Care Association
Deferred Top Ten Motions
The remaining motions are the deferred “top ten” motions as identified by the Policy Resolution Committee. Although time did not allow these motions to be debated, they remain important issues to health leaders. As such, they will be referred back to HealthCareCAN and CCHL for consideration as to how best to move them forward.
Integrated palliative care
Resolved, that healthcare leaders support an integrated palliative approach to care by planning for and funding of an appropriately skilled and adequately sized health care workforce with the requisite knowledge in the palliative approach to care and access to palliative care specialists.
Sponsor: Nadine Henningsen, Co-Chair, Advocacy Committee, Quality End of Life Care Coalition of Canada
Mandatory frailty screening
Resolved, that mandatory frailty screening be implemented at all levels and settings of the health care system to target the most vulnerable of those with chronic health conditions for restorative or most appropriate care, including advance care planning and end-of-life care.
Sponsor: Dr. John Muscedere, Scientific Director, TVN (Technology Evaluation in the Elderly Network)
Patient safety reporting and outcome standards
Resolved, that healthcare leaders, funding providers and governments commit to publicly reporting results of the analysis of patient safety incidents and to establishing core facility infection prevention and control standards and practices to drive optimal clinical outcomes.
Sponsor: Mark Heller, Principal, Mark Heller Consulting
Physical plant infrastructure
Resolved, that the Canadian government acknowledge that capital investments in renewal of healthcare facilities across the country be eligible under the New Building Canada Fund and as part of any future federal infrastructure programs.
Sponsor: Robert MacIsaac, President and CEO, Hamilton Health Sciences
HealthCareCAN and CCHL were delighted with the positive response to the Great Canadian Healthcare Debate and plans are already underway about how to make it even better in 2016.
In early fall, 2015, senior leaders from HealthCareCAN and CCHL will meet with Tony Dagnone (Chair of the Great Canadian Healthcare Debate Policy Resolution Committee) to discuss how best to move forward on motions debated and passed at NHLC. HealthCareCAN and CCHL will report back to NHLC 2015 delegates and their respective memberships.