<br />
The MUHC Institute for Strategic Analysis and Innovation Spring<br />
2008<br />
<br />
<br />
<br />
<br />
Health Innovation Report<br />
Raising the baR on health system peRfoRmance<br />
Report #1: The context for change<br />
<br />
“ Public opinion polls tell us that confidence in the system<br />
has eroded over the decade and there is increased anxiety<br />
about the sustainability of public funding. There has also<br />
been an erosion in people’s confidence in policy-makers,<br />
partly due to the steady drum-beat of reform-speak that<br />
persists without producing a clear consensus on the<br />
<br />
direction of change. ”<br />
– See Antonia Maioni’s A Decade of Healthcare Commissions, page 4<br /&<a title="HIR #1 2008_English.pdf page 1" href="http://viewer.zmags.com/publication/4727c36d?page=1">The MUHC Institute for Strategic Analysis and Inn</a> The MUHC Institute for Strategic Analysis and Inn<a title="HIR #1 2008_English.pdf page 2" href="http://viewer.zmags.com/publication/4727c36d?page=2">HIREDITORIALThe McGill University Health Cen</a> HIREDITORIALThe McGill University Health Cen<a title="HIR #1 2008_English.pdf page 3" href="http://viewer.zmags.com/publication/4727c36d?page=3">HIRTABLE OF CONTENTSFeatureA decade of healt</a> HIRTABLE OF CONTENTSFeatureA decade of healt<a title="HIR #1 2008_English.pdf page 4" href="http://viewer.zmags.com/publication/4727c36d?page=4">HIRVIEWSA decade of health care commissionsAs</a> HIRVIEWSA decade of health care commissionsAs<a title="HIR #1 2008_English.pdf page 5" href="http://viewer.zmags.com/publication/4727c36d?page=5">There has also been an erosion in people’sconfid</a> There has also been an erosion in people’sconfid<a title="HIR #1 2008_English.pdf page 6" href="http://viewer.zmags.com/publication/4727c36d?page=6">1994Canadian Institutefor HealthInformationA</a> 1994Canadian Institutefor HealthInformationA<a title="HIR #1 2008_English.pdf page 7" href="http://viewer.zmags.com/publication/4727c36d?page=7">RECOMMENDATIONS penalties to encourage count</a> RECOMMENDATIONS penalties to encourage count<a title="HIR #1 2008_English.pdf page 8" href="http://viewer.zmags.com/publication/4727c36d?page=8">2003Patient SafetyInstituteFunded by Health C</a> 2003Patient SafetyInstituteFunded by Health C<a title="HIR #1 2008_English.pdf page 9" href="http://viewer.zmags.com/publication/4727c36d?page=9">recommendations in the report, stilllack politic</a> recommendations in the report, stilllack politic<a title="HIR #1 2008_English.pdf page 10" href="http://viewer.zmags.com/publication/4727c36d?page=10">HIRTHE PROVINCESQuébec’s health sectorOpen t</a> HIRTHE PROVINCESQuébec’s health sectorOpen t<a title="HIR #1 2008_English.pdf page 11" href="http://viewer.zmags.com/publication/4727c36d?page=11">cataract removal), although the govern-ment coul</a> cataract removal), although the govern-ment coul<a title="HIR #1 2008_English.pdf page 12" href="http://viewer.zmags.com/publication/4727c36d?page=12">HIRROUND TABLEAgents of changePhysician prod</a> HIRROUND TABLEAgents of changePhysician prod<a title="HIR #1 2008_English.pdf page 13" href="http://viewer.zmags.com/publication/4727c36d?page=13">Dr. Furlong: We’ve run into aninteresting proble</a> Dr. Furlong: We’ve run into aninteresting proble<a title="HIR #1 2008_English.pdf page 14" href="http://viewer.zmags.com/publication/4727c36d?page=14"> Dr. David </a> Dr. David <a title="HIR #1 2008_English.pdf page 15" href="http://viewer.zmags.com/publication/4727c36d?page=15">and rework it in order to maintain thepublic sys</a> and rework it in order to maintain thepublic sys<a title="HIR #1 2008_English.pdf page 16" href="http://viewer.zmags.com/publication/4727c36d?page=16"> Dr. Ferna</a> Dr. Ferna<a title="HIR #1 2008_English.pdf page 17" href="http://viewer.zmags.com/publication/4727c36d?page=17">Dr. HuDon: Maybe at this point I canexpress the </a> Dr. HuDon: Maybe at this point I canexpress the <a title="HIR #1 2008_English.pdf page 18" href="http://viewer.zmags.com/publication/4727c36d?page=18">HIRVIEWSProvincial flexibility under theCan</a> HIRVIEWSProvincial flexibility under theCan<a title="HIR #1 2008_English.pdf page 19" href="http://viewer.zmags.com/publication/4727c36d?page=19">example, the general language of theAct’s commit</a> example, the general language of theAct’s commit<a title="HIR #1 2008_English.pdf page 20" href="http://viewer.zmags.com/publication/4727c36d?page=20">suggests that there are routine violationsof the</a> suggests that there are routine violationsof the<a title="HIR #1 2008_English.pdf page 21" href="http://viewer.zmags.com/publication/4727c36d?page=21">Prevent the next heart attack. . . . . . . . </a> Prevent the next heart attack. . . . . . . . <a title="HIR #1 2008_English.pdf page 22" href="http://viewer.zmags.com/publication/4727c36d?page=22">HIRCASE STUDIES: things that workPrevent the</a> HIRCASE STUDIES: things that workPrevent the<a title="HIR #1 2008_English.pdf page 23" href="http://viewer.zmags.com/publication/4727c36d?page=23">ness program based </a> ness program based <a title="HIR #1 2008_English.pdf page 24" href="http://viewer.zmags.com/publication/4727c36d?page=24">One-stop shops forassessment and treatmentAlber</a> One-stop shops forassessment and treatmentAlber<a title="HIR #1 2008_English.pdf page 25" href="http://viewer.zmags.com/publication/4727c36d?page=25">patients for their need and/or fitness forsurger</a> patients for their need and/or fitness forsurger<a title="HIR #1 2008_English.pdf page 26" href="http://viewer.zmags.com/publication/4727c36d?page=26">Reduce wait time to see doctorsSaskatchewan Heal</a> Reduce wait time to see doctorsSaskatchewan Heal<a title="HIR #1 2008_English.pdf page 27" href="http://viewer.zmags.com/publication/4727c36d?page=27">chronic disease management and sawan opportunity</a> chronic disease management and sawan opportunity<a title="HIR #1 2008_English.pdf page 28" href="http://viewer.zmags.com/publication/4727c36d?page=28">Operating room efficiencyRichmond Hospital stagg</a> Operating room efficiencyRichmond Hospital stagg<a title="HIR #1 2008_English.pdf page 29" href="http://viewer.zmags.com/publication/4727c36d?page=29"> Patients who do not meet the crite-ria for t</a> Patients who do not meet the crite-ria for t<a title="HIR #1 2008_English.pdf page 30" href="http://viewer.zmags.com/publication/4727c36d?page=30">High quality ambulance service for allNew Brunsw</a> High quality ambulance service for allNew Brunsw<a title="HIR #1 2008_English.pdf page 31" href="http://viewer.zmags.com/publication/4727c36d?page=31">in Nova Scotia, and that team providedvaluable e</a> in Nova Scotia, and that team providedvaluable e<a title="HIR #1 2008_English.pdf page 32" href="http://viewer.zmags.com/publication/4727c36d?page=32">Centre universitaire de santé McGill McGill Un</a> Centre universitaire de santé McGill McGill Un