Advancing Integrated Health Care in Canada:
Practices that Work

On October 10, 2012, the Health Council of Canada hosted a national symposium with the aim of bringing together policy makers, health system planners and administrators, health care providers, educators, researchers and people who use health services, to identify, share and promote the spread of innovative practices in integrated care.

> Program
> Presentations
> Videos
> Press Release

 

 Program

• Keynote Address: The Honourable Fred Horne, Minister of Health, Province of Alberta (video)
• Plenary Speaker: Dr. Dennis Kodner, International Visiting Fellow & Co-Director, Aetna Foundation Care Co-ordination Study, The King’s Fund (video)
• Panel Discussion: Solutions for Achieving Integrated Care in Canada (video)
  
  • Moderator: Dr. Charles Wright, Councillor, Health Council of Canada
  • Dr. François Béland, Full Professor, Health Administration Department, Université de Montréal; Co-Director, SOLIDAGE – McGill University - Université de Montréal Research Group on Frailty and Aging
  • Joan Park, President, National Case Management Network of Canada; Case Manager, St. Michael’s Hospital
  • Dr. Paul Sawchuk, Chief Medical Officer, Concordia Hospital; Medical Director, Kildonan Personal Care Centre; Medical Director, Concordia Personal Care Home
  • Shirlee Sharkey, President & CEO, Saint Elizabeth Health Care
• Download the full symposium program book

 

Presentations

 

Plenary Session 

Integrated Health Care – The What, Why, How and How Not

• Introduction: Dr. Ingrid Sketris, Councillor, Health Council of Canada
• Presenter: Dr. Dennis Kodner, International Visiting Fellow & Co-Director, Aetna Foundation Care Co-ordination Study, The King’s Fund

 

Concurrent Sessions #1

1) ORGANIZATIONAL INTEGRATION ACROSS SECTORS

Towards Outcome-Based Care: Transforming the Client Experience Through Integration,  Innovation, and Partnership

• David Fry, Ontario Association of Community Care Access Centres
• Margaret Paan, Central  West Community Care Access Centre
• Nan Clark, Saint Elizabeth

Integrating  Services for Older People: The PRISMA Coordination  Model, Implementation and Impact in Quebec

• Michel Raîche, Research Centre on Aging, Health and Social Services Centre — University Institute of Geriatrics of Sherbrooke

2)  CARE  COORDINATION — WORKSHOP

Shared Care: Specialist Support for Community-Based Patients — Doing More for Less

• Margot Wilson, Providence Health Care
• Dr. Garey Mazowita, Providence Health Care
• Dr. Robert Levy, Providence Health Care
• Clay Barber, British Columbia Ministry of Health; British Columbia Medical Association
• Delia Cooper, Patient  Voices Network

3)  CARE  COORDINATION

Integrated Comprehensive Care — Bundled Care

• Carolyn Gosse, St. Joseph’s Healthcare Hamilton

The Champlain BASE Project: Building Access to Specialists Through e-Consultation

• Dr. Clare Liddy, University of Ottawa; The Ottawa Hospital
• Dr. Erin Keely, University of Ottawa; The Ottawa Hospital

Medication Safety Through Care Transitions — Hospital to Home — For At-Risk Patients

• Kara May, Edmonton Oliver Primary Care Network
• Jamil Ramji, Edmonton Oliver Primary Care Network
• Dr. David Moores, Royal Alexandra Family Medicine  Centre; University of Alberta; Edmonton Oliver Primary Care Network

4)  INTEGRATION OF CARE FOR CHILDREN

Integration of Care for Children with Medical Complexity

• Dr. Eyal Cohen, The Hospital for Sick Children Cindy Bruce-Barrett, The Hospital for Sick Children
• Kimberley Floyd, Toronto Central Community Care Access Centre

Improving Youth Transitions to Adult Care in British Columbia

• Mary George, British Columbia Medical Association
• Dr. Jonathan Agnew, British Columbia Medical Association
• Dr. Sandra Whitehouse, BC Children’s Hospital

Re-Forming Systems to Foster Access and Responsiveness of Health Care: The Case of the RICHER Initiative

• Dr. Judith Lynam, University of British Columbia School of Nursing
• Dr. Christine Loock, BC Children’s Hospital; Sunny Hill Health Centre
• Lorine Scott, BC Children’s Hospital
• Kate Hodgson, Network of Inner City Community Services Society

5) PATIENT/FAMILY AND COMMUNITY ENGAGEMENT TO SUPPORT INTEGRATION

Clients, Caregivers, and Clinicians: Designing Improved Processes Together

• Lori Hale, The Change Foundation
• Genevieve Obarski, The Change Foundation

The Cudworth  Story: The Integration  of Community Members into Health Planning for the Larger Community

• Pat Stuart, Saskatoon Health Region

Driving Integrated Cancer Care Through a Patient-Family Advisory Council at the Provincial Level

• Mireille Brosseau, Canadian Health Services Research Foundation
• Esther Green, Cancer Care Ontario
• Anya Humphrey, Patient Advisor
  
  

Concurrent Sessions #2

1)  SYSTEM-LEVEL INTEGRATION

The Model of Care Initiative in Nova Scotia: A System-Wide, Patient-Centred Approach  to Appropriate Health System Workforce  Utilization

• Cindy Cruickshank, Nova Scotia Department of Health and Wellness
• Beth Snyder, Annapolis Valley Health Authority

Divisions of Family Practice: Bridging Partnerships Across the BC Health Care System

• Dr. Brian Evoy, British Columbia Ministry of Health; British Columbia Medical  Association

2)  INTERPROFESSIONAL TEAMS

A Virtual Ward to Improve Post-Hospital Care

• Stacey Daub, Toronto Central Community Care Access Centre
• Dr. Gillian Hawker, Women’s College Hospital

Integrated Services for Frail Elders (SIPA)

• Dr. François Béland, Université de Montréal

It Takes a Team: Using an Interprofessional  Clinic (IMPACT PLUS) to Treat Complex Patients

• Dr. Pauline Pariser, Taddle Creek Family Health Team
• Dr. Howard Abrams, University Health Network
• Brandi Grozell, Taddle Creek Family Health Team

3)  CARE COORDINATION

Integrated Discharge Planning: How Health Care Sector Integration  and Partnership Lead to Improved Patient Flow and Transitions from Acute Care Back into the Home

• Mary Wheelwright, Headwaters Health Care Centre
• Teresa Judd, Central West Community Care Access Centre

Transformation by Design — Transforming Patient Flow, Improving Patient Care

• Heidi Hunter, Providence Healthcare Thelma Horwitz, Providence Healthcare Dr. Peter Nord, Providence Healthcare

System Collaboration in Transferring Clients from Hospital to Community

• Alan Mathany, Frontenac Community Mental Health and Addiction Services; Providence Care — Mental Health Services
• Karin Carmichael, Providence Care —Mental Health Services

4) INTEGRATION OF CARE FOR ABORIGINAL PEOPLES

Health Services Delivery Models in Remote and Isolated First Nations Communities

• Debra Gillis, First Nations and Inuit Health Branch, Health Canada
• Dr. Diego Garcia, Assembly of First Nations

Aboriginal Patient Navigator Program: An Integrated Approach to Health Care

• Terri Jean Murray, Eastern Health
• Katie Dicker, Eastern Health

Innovative Practices in Home Care Services For Urban First Nations and Métis

• Stephanie Cavers, Eagle Moon Health Office; Regina Qu’Appelle Health Region
• Dawn McNeil, Regina Qu’Appelle Health Region

5) INFORMATION TECHNOLOGY TO SUPPORT INTEGRATION

Patient-Centred Informatics: Networked Health

• Dr. Ewan Affleck, Yellowknife Health and Social  Services Authority

Information Integration to Support Integrated Care Practices

• Maide Yazar, Maide Yazar & Associates

NetCare, Pharmaceutical Information Network (PIN), and Physician Office System Program (POSP): Alberta’s Integrated Approach to Medical and Health Information Access

• Dr. Timothy Kolotyluk,  University of Alberta
• Mirella Chiodo, University of Alberta
• Dr. David Moores, University of Alberta
  
  

Concurrent Sessions #3

1)  SYSTEM-LEVEL INTEGRATION

Facilitating Collaboration and Integrated Care: A Home Care Policy Lens

• Nadine Henningsen, Canadian Home Care Association

Implementing Integrated Service Networks for Seniors Experiencing Loss of Independence in Quebec: Why is such a Promising Idea so Difficult to Apply in Practice?

• Dr. Yves Couturier, Université de Sherbrooke

Advancing an Integrated System of Care in the Toronto Central LHIN — Setting the Standard for System-Wide Integration Across Complex Populations

• Jodeme Goldhar, Toronto Central  Community Care Access Centre

2) ORGANIZATIONAL INTEGRATION ACROSS SECTORS

Supporting the Patient with Complex Needs — Improving the Patient Experience Across Sectors Through a Collaborative Between South East Toronto Family Health Team, Toronto East General Hospital, TC-CCAC and Toronto EMS

• Dr. Tia Pham, South East Toronto Family Health Team Jodeme Goldhar, Toronto Central Community Care Access Centre
• John Klich, Toronto Emergency Medical Services

Implementing Innovative Service Redesign for Care Efficiency, Efficacy, and Quality

• Val Guiltner, Glenrose Rehabilitation Hospital

Community Agency Notification:  “One Call Can Make a Difference”

• John Klich, Toronto Emergency Medical Services

3)  INTERPROFESSIONAL TEAMS

Providing Integrated Primary Outreach Services to the Vulnerable Complex Population

• Anne McNabb, Vancouver Coastal Health Authority

Improving Access to Care: An Interprofessional Primary Care Mobility Clinic

• Dr. James Milligan, Centre for Family Medicine Family Health Team
• Dr. Joseph Lee, Centre for Family Medicine Family Health Team

Integrating Mental Health Services into Primary Care: Improving Access, Communication, Coordination, and the Consumer Experience

• Dr. Nick Kates, McMaster University; Health Quality Ontario; Hamilton Family Health Team

4) INTEGRATION OF CARE FOR PATIENTS WITH CHRONIC  DISEASE

Optimizing Chronic Disease Management in Primary Care Through Program Integration and Teamwork

• Lorna Milkovich, Red Deer Primary Care Network

Alberta Healthy Living Program: An Integrated Community-Based Chronic Disease Management Model for Alberta

• Lene Jorgensen, Alberta Health Services

Integrating Physiotherapy and Occupational Therapy for Persons with Chronic Disease: Lessons Learned from Research in Primary Care

• Dr. Lori Letts, McMaster University
• Dr. Julie Richardson, McMaster University

 

Videos

• View full videos of the Symposium plenary, keynote, and panel discussion as well as opening remarks and reflections on the symposium video page

Press Release

• Download the symposium press release
  
  

Archive: National Symposium on Patient Engagement, October 2011