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We are an independent health policy think tank that supports health system integration & quality improvement in home and community care in Ontario.
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"The desire to understand the world and the desire to reform it are the two great engines of progress."
- Bertrand Russell-
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Lessons from our Commonwealth cousin: Change Foundation report offers timely & targeted health integration advice to Ontario
Ontario needs to expand public voice and choice, engage physicians and other providers in reform and e-health, and develop funding and incentive models to better integrate primary and secondary care. Oh, and it should brace itself for more restructuring as this is just part of getting it right. These are just some of the key policy lessons Ontario can learn from England's National Health Service (NHS) according to The Change Foundation's new report: Integrated Health Care in England: Lessons for Ontario, the first in a series of international case studies drawing instructive lessons from other systems. England was chosen because its health care is also publicly funded and regionally run, and has undergone massive reforms through the 90s to present.
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British reviewer injects analysis of politics, power and culture in companion Q&A on England's health reforms
If you want to know what's really going on, you ask a local. In this case, we turned to a very in-the-know NHS guide, Jamie Burn, to give us a contextual overview of the strengths and weaknesses of that system's reforms under former prime ministers Margaret Thatcher (1979 to 1990) and Tony Blair (1997 to 2007). Burn is a former research fellow at England's respected Policy Exchange and one of the report's three reviewers. He holds an MSc in Social Policy and is completing a PhD in Health Service Management.
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Meeting of the Minds 2009 puts fine minds to tough topic: how to foster accountable, connected, and quality primary health care?
The Change Foundation's 2nd exclusive invitational dialogue for senior health leaders and thinkers is dedicated to a difficult issue that inhibits the integration and quality of health services - the relative isolation of primary health care, its less-than-robust accountability and performance requirements, and its scarcity of linkages to other parts of the system.
The June 16, 17th 2009 Meeting of the Minds, First things first: fostering accountable, connected, and quality primary health care, tackles a tough topic, but you can see from the program that we're putting some fine minds to it.
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CHQI at The Change Foundation update:
FLO wraps up but QI learning & legacy continue in Ontario
Improvements in length of stay, ALC days for patients, and greater collaboration between physicians and other health providers are some of the promising outcomes reported in CHQI's wrap-up report: The Flo Collaborative: Quality Transitions for Better Care. The project focused on improving the quality of care and health-care experience for patient "Flo" as she moved from acute care to her next setting. The report summarizes key collective and collaborative learning from its first large scale 16-month quality improvement effort involving 46 organizations in 29 partnerships with Community Care Access Centres (CCACs), acute care hospitals, and rehabilitation and complex continuing care facilities.
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May 2009
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Q and A: Integration lessons from England
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What's New
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You told us that you wanted to hear from us more often. So, look for the new Interval to keep you in-the-loop in between our regular e-news missives. See, we're listening!
Upcoming Intervals:
- Highlights report from Community Engagement & The LHINs: Truth & Consequences, March 11th, Toronto
- Podcast interviews and related commentary from CPRN and The Change Foundation Round Table on Integrated Care for Seniors (February 25, 2009)
- Final report from OACCAC-Change Foundation Hospital-to-Home project.
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Resources
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The Change Foundation, P.O. Box 42, 200 Front Street West, Suite 2501, Toronto, ON, M5V 3M1, Phone: 416.205.1353, Fax: 416.205.1440
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