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We are an independent policy think tank, intent on changing the health-care debate, health-care practice and the health-care experience in Ontario.

 

Exchanges & Events

General Events | Meeting of the Minds | Other Exchanges

In its strategic plan, The Change Foundation promised to drive informed public debate through active engagement with decision-makers. To this end, the Foundation holds a series of signature events throughout the year tailored to targeted audiences to advance an honest exchange of views – and sometimes actions -- among participants. These sessions are designed to present and provoke the latest evidence, analysis, experience, and insights on a range of timely topics requiring "our finest thought."

The Foundation hosts a series of learning exchanges tailored to different audiences -- all intended to drive public and policy discussion that will inform our collective understanding of what it takes to successfully and measurably integrate health-care services in Ontario.

 

General events

Barbara Balik talks at Hot Talks on HealthJune 20, 2011
Hot Talk
on Healthwith IHI's Barbara Balik

The Change Foundation brought in The Institute of Healthcare Improvement's Barbara Balik to present our 3rd Hot Talk on Health in partnership with the School of Public Policy, U of T.  Watch a video of her dynamic keynote, Making Sense of Patient Experience - Partnering with Patients and Families - Part 1 & Part 2 and read her presentation (pdf).

Balik's well-evaluated talk was followed by spirited and thoughtful reflections by a panel of august Ontarians:  Susan Eng, VP, Advocacy, Canadian Association of Retired Persons (CARP), Danielle Martin, Chair, Canadian Doctors for Medicare, and Adalsteinn Brown, Chair, Public Health Policy, Dalla Lana School of Public Health U of T, and former ADM of Health. Finally, hear a lively Q & A from the floor with a lead question from the Patients' Association of Canada.

We also recommend the following paper by Balik.

 

Baroness Barbara YoungOctober 28, 2010
Hot Talk
on Health featuring UK Baroness Barbara Young

Rt. Hon. Baroness of Old Scone, Barbara Young was our guest speaker who's talk was titled Health and Social Reform in a Cold Climate. See the video playback. This noted UK health leader incisively deconstructs the potential impact of radical NHS restructuring just started and still underway on quality and patient care. Also view a panel discussion from-the-day on implications and learning for Ontario, featuring: Ross Baker, Carolyn Baker, and Ben Chan, (agenda). And, get the latest on the UK's fast changing health-care landscape, by visiting the Commission on Leadership and Management in the NHS.

 

April 26, 2010
Tools for Change Symposium: Levers and Incentives for Integrating Patient Care in Ontario
(The Change Foundation & Ministry of Health and Long-Term Care)

Read the symposium agenda.

See symposium videos.

Case Studies:
1. Incentives to improve primary care: Critiquing the Quality and Outcome Framework in England, Dr. D.S. Woodhead, London, April 2010.

2. Funding Incentives for Integrating Patient Care in Ontario, A U.S. case study: Federally-Qualified Health Centers (FQHCs), Joni M. Steinman, April 2010

Background papers:
1. Protecting Access and Quality in our Health Care System: Advice to Government on Funding and Capacity Planning Policy in Ontario, Ontario Hospital Association, February 2009.

2. Service-Based Funding and Paying for Performance – A Briefing, 3rd Annual EXTRA CEO Forum, February 16, 2009.

3. You Get What You Pay For* A Global Look at Balancing Demand,Quality,and Efficiency in Healthcare Payment Reform, Pricewaterhouse Coopers’ Health Research Institute, 2008.

4. Patient-Focused Funding and Pay-for-Performance: A Discussion of the Concepts and Experience, CMA Ad Hoc Working Group on Patient-Focused Funding, July 3, 2007.

Presentations from the day:

1. NYGH & CCAC Partners Across the Continuum (ED/ALC), Bonnie Adamson, President and CEO, North York Hospital, 2010.

2. Examining Future Funding Directions for Ontario, Adalsteinn Brown, ADM, Health System Strategy Division, MOHLTC, 2010.

3. Funding Levers and Incentives Integrating Patient Care in Ontario, Bill Casey, Executive Director, Primary Health care Services of Peterborough, 2010.

4. Alberta Update and Activity Based Funding Approach, Mike Conroy, VP Corporate Services, Alberta Health Services, 2010.

5. IT Disaster & Road to Recovery, Joy Galloway, Executive Director, Timmins Family Health Team, 2010.

6. Realigning Care and Incentives, Brian Golden, Chair in Health Sector Strategy, Rotman School of Management, U of T, 2010.

7. Showcasing the innovations: Guelph Family Health Team INR Clinic, Ross KirkConnell, Executive Director, Guelph Family Health Team, 2010.

8. Levers and Incentives for Integrating Patient Care in Ontario, Kevin Smith, CEO, St. Joseph's Health System, 2010.

9. Home First, Cathy Szabo, CEO Central CCAC, 2010.

Meeting of the Minds

June 21st 2011
Meeting of the Minds 2011
How Can We ACE the Patient Experience?

Old Mill Inn and Spa • 21 Old Mill Road • Toronto, Ontario
Guildhall A&B

IHI's Barbara Balik, delivered another substantive keynote, Getting in Gear: What Drives an Exceptional patient and family experience, this time focused on key drivers of change.  See event agenda.  Hear audio of Balik's June 21st talk: Part 1 & Part 2. Finally, hear a lively Q & A including Toronto CCAC CEO Stacey Daub's inquiry on what patient-centred care means in a community vs. hospital setting.

The assembly gathered more than fifty keen minds including patients, providers, healthcare leaders and change-makers of all kinds from across Canada, the US, and the UK.  To lead and ground the discussion, Foundation CEO Cathy Fooks framed the day's discussion by differentiating patient-centred care, patient engagement and patient experience, underscored by a new video, What's your patient experience story and how do we change it? 

For other videos and presentations from Meeting of the Minds 2011, see below:

Patients
Views by seniors/caregivers on what defines a good patient experience and a bad one:

  • Madeleine Dennis, Sudbury caregiver and former nurse (video).
  • Colin Lay, Ottawa patient advocate and caregiver (video).

Healthcare Leaders
International and cross-country examples of initiatives and ideas to advance meaningful and measurable patient-centred change:

UK

  • Lynne Maher, Director for Innovation and Design, NHS Institute for Innovation and Improvement on Experience Based Design and how's its changing organizational culture and helping the NHS's mandated financial sustainability goals (video and pdf).

Canada:

  • Lea Bryden, VP, Citizen Engagement & Accountability, Capital Health Halifax, Nova Scotia presented a provocative presentation on her organization's transformative public engagement strategy (video and pdf)
  • Stacey Daub, CEO, Toronto Central CCAC, on lessons from the innovative Virtual Ward program and the need to design community services around needs of families and patients (video).
  • Michael Evans, Director, Health Design Lab, Staff  Physician, St. Michael's Hospital on how social media is helping to better engage and care for patients (video).
  • Durhane Wong-Rieger, President & CEO, Institute for Optimizing Health Outcomes, emphasizes the importance of shifting our system to support patients to self-manage chronic disease  (video).
  • Ken Tremblay, President & CEO Peterborough Regional Health Centre talks about the shift started at PHRC towards patient-centred care (video).

 

Meeting of the MindsJune 22 & 23 2010
Meeting of the Minds 2010
Rethinking Health Services with Patients Top of Mind
Read the meeting agenda and participant list.
To create a patient-centred system and improve people’s health-care experiences, we need new accountabilities, alignments, and attitudes to build a true partnership with the people who use health care to redesign services around their ongoing needs and preferences by listening and learning from their lived stories - both positive and painful.  Those themes – among others – emerged during The Change Foundation’s 3rd annual Meeting of the Minds: Rethinking Health Services with Patients Top of Mind, June 22 & 23. 

An eclectic line-up of compelling and substantive speakers from across Canada , the UK and the US challenged -- and were challenged by -- a group of national and provincial health-care and association leaders, patient and caregiver advocates, community leaders, health-care practitioners, LHIN CEOs, and representatives from the education and retail sectors. As part of the program, they were asked to clarify what a patient-centred health-care system means, and to identify the first thing we need to do to improve the patient experience in Ontario.

See key video interviews from the day:

Laura Bunt, Policy Advisor, Public & Social Innovation
The National Endowment for Science, Technology and the Arts (NESTA)

Susan Frampton, President, Planetree USA

Kariym Joachim
Co-chair, SickKid’s Family-Centred-Care Advisory Council
 & former member of SickKid’s Children’s Council

Playback Video Clips - Participant Views & Voices from the Day
What does a patient-centred health-care system mean to you? What's the first thing we need to do to improve patient experience in Ontario? Give us your best idea in two minutes.

Presentations/Remarks
Laura Bunt
Patrick Conlon
Scott Dudgeon
Dan Florizone
Cathy Fooks
Susan Frampton
Art Frohwerk
Mary Jo Haddad
Barbara Herringer
Craig Hutchison
Nick Kates
Kevin Leonard

Background reading materials
The Human Factor: How transforming healthcare to involve the public can save money and save lives
by Laura Bunt and Michael Harris, National Endowment for Science, Technology and the Arts.
Patient-Centered Care: An Introduction to What It Is and How to Achieve It
by Steven Lewis, Access Consulting Ltd.
Making Patient Centered Care Real: The Road to Implementation
by Steven Lewis, Access Consulting Ltd.
Designing Positive, Memorable Experiences ... in Healthcare
by Art Frohwerk, Clearpath.
Missed Connections: The Healthcare Experience for Patients, Families, and Staff
by Art Frohwerk, Clearpath.

Learn more.

Other Exchanges

Other exchanges include panel discussions to workshops to town hall forums and lunch-time sessions, tapping top research and policy minds provincially, nationally and internationally, drawing on lessons learned from experiences in the field, and weaving in the perspectives and lived realities of patients and their caregivers. The insights and information gleaned from these events will be embedded in the Foundation's work, and shared widely with government, the health-care community, and beyond. In addition to these sessions, The Change Foundation will reach out to stakeholders across the health-care spectrum and beyond in a variety of ways to give and receive information and analysis and to open doors to possible partnerships and collaborations on issues of common cause.

us canadaFebruary 9, 2010
The Change Foundation & The Commonwealth Fund put their minds to improving primary care on both sides of the border during 1st Canada-US policy exchange

As readers might recall, last year the Foundation and The Commonwealth Fund (CWF) decided to put their minds and money together to co-sponsor a US-Canada health policy exchange, focusing first on primary care reform. The inaugural international meeting on health-care quality, "Innovations in Primary Care" took place in New York and convened about 20 American and Canadian policy leaders. They dove deep into what makes or breaks good primary care on both sides of the border and surfaced with common and discrete solutions to improve primary care - and the performance of our respective health systems.

"The picture is clear and it isn’t pretty: the U.S. and Canada remain far behind other countries in providing quality primary care on many counts," says Change Foundation CEO Cathy Fooks. "That’s why we need exchanges like this - to identify what changes are possible and preferable, and where improvements could become permanent." 

The forum focused on goals, best practices, quality measurement, culture change, and workforce and aging population issues. The group also probed the CWF’s rich and respected cross-national comparisons on primary care and results from international surveys of chronically ill patients and primary care doctors.

In addition to an impressive lineup of American speakers, including CWF president Karen Davis, US Health and Human Services Assistant Secretary Sherry Glied, and leaders in the field, there was a strong contingent of Canadian primary care experts, including Brian Hutchinson, William Hogg, Heather Manson, Bonnie Brossart, and Ruth Wilson. Read the agenda and check our website soon for case studies on exemplary health systems and other papers commissioned for the exchange.

 

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