Trends in Primary Care Delivery – Health System Perspectives.
credit: @gapingvoid.com Welcome to the third part of this four-part series on the evolving landscape of Primary healthcare in…
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The Shifting Landscape of Primary Care in Canada – Physician Perspective
This is the second post in a four-part series on my blog, about current trends in Primary Care in Canada. These trends are not all encompassing, but I think they serve as a great starting point for discussion around what is needed to properly transform health care delivery in the community, making Family Medicine a…
The Shifting Landscape of Primary Care in Canada: A Patient-Centric Perspective
In recent years, primary care in Canada has undergone significant transformations, largely driven by changing patient expectations and the evolving healthcare landscape. Covid-19 certainly shifted our focus, both looking very sharply at needs at sub local levels, but also at broader system change that is required to keep our population healthy. From the patient perspective,…
Making population health measurement simpler for clinicians, in Ontario Health Teams and daily practice
This article was originally posted on OntarioMD.blog With fairly radical transformation happening in health care in Ontario as we speak, a question looms large: how do we measure success? How do we know that the change we get is what we need? Which lens do we look through as success will appear differently for patients,…
Ontario Health Teams are Coming!
Change is happening now in Ontario healthcare. It has been needed for some time, but a new provincial government with a demand to deliver high value for public dollars is making the change imminent. So what, exactly, is “value”? Value is best defined as quality (in all of its domains) divided by cost. It can be measured from…
How Conversations become Culture – Physicians Leading in Complex Times
A version of this article was first published in the Canadian Journal of Physician Leadership, Volume 3, no. 2 (2016) As physicians, we are part of an influential community, one that initiates, influences and perpetuates important conversations. Our community has a collective culture and it is shaped completely by them. Our conversations get noticed. They…
Its Time for an Integrated Disruption of Transitions in Care!
Last month I wrote about Transitions in Care from the lens of quality, published in early April both here and in HQO’s QI Forum called Quorum. The article described what prevents transitions from happening smoothly, and highlighted some solutions, both technical and non, that have made hand-overs somewhat easier. Yet, as a family doctor, I struggle with…
Why are Transitions in Care so Difficult?
** This article was originally posted April 3, 2017 on HQO’s new Quality Forum called “Quorum“. This is an online community for those interested in and doing quality improvement work in Ontario healthcare every day! For patients, caregivers and providers alike, a transition in care is often a frustrating experience. When looking at why,…
The Population Health Quandary: How do we get to where we need to be?
Recently, Primary Care has been moving toward conversations about how we should approach the health of our patients in a more global way. Talk of population health is front and centre. We hear that 5% of the people we look after consume 64% of Ontario’s healthcare budget, and that if doctors and nurses would only…
Virtual Care Tools — Why aren’t we using them?
Despite the obvious advantages to both patients and providers of using virtual care tools, they have had very little uptake in the average community practice. There are many reasons for this hovering in the background, from payment models to variable high speed internet access, but the most important of these has to do with office…
