Archive for the ‘Health Delivery System’ Category

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Ontario wants to expand midwives’ ability to prescribe medications

Tuesday, July 9th, 2019

Ontario wants to give midwives across the province the ability to prescribe a wider variety medications, a move those in the profession say could help improve patient care. Health Minister Christine Elliott said Monday that consultations are underway to expand midwives’ scope of practice with the body that regulates the profession. She said the province wants to enable midwives to use their education and training more effectively.

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Overview of the Second Report of the Premier’s Council on Improving Healthcare and Ending Hallway Medicine: Part I

Friday, July 5th, 2019

This advice is responsive to certain of the issues raised by the First Report, including the Council’s finding that Ontario’s health care system is not working to its potential. Among the advice offered by the Council through the Report is a list of 10 recommendations to improve health care… grouped into the following four categories: Integration / Innovation / Efficiency & Alignment / Capacity

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Ontario health minister’s ‘modernization’ plan: cut now, figure out the details later

Friday, May 24th, 2019

They’ll scold the city for being a free-spending bastion of lefties. They’ll complain about the deficit their predecessors ran up. But they will not commit to continuing to fully fund the programs they claim to want to continue and improve… At some point taxes will have to be raised, or programs will have to be cut. Despite what Elliott says, it appears those are the choices. Not good ones. But soon necessary.

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Health units worried about province’s plans to consolidate 35 agencies into 10

Monday, May 20th, 2019

The planned transformation comes as the government lowers its public health spending, requiring municipalities to contribute millions more to their health budgets than anticipated. By 2021-2022, the provincial cut is expected to be $200 million annually… The consolidation will nonetheless mean that health units will have to serve larger geographic regions, which include communities with different needs.

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Getting Connected: Digital Health and Information Sharing under Bill 74

Monday, May 6th, 2019

After the first year of implementation, Ontario Health Team Candidates are expected to meet the following criteria: have a harmonized information management plan in place; increase adoption of relevant digital health tools; and
have plans in place to streamline and integrate point of service systems and use data to support patient care and population health management…  The backbone of integration will be the ability to share information.

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Ontario’s health system needs change. But has Ford got it right?

Friday, April 26th, 2019

In the next layer, you will find 10 public-health organizations, down from 35, and 10 ambulance organizations, down from 59. One might have thought that these 10 new service areas might have been married up with 10 health regions, but alas, no… it’s still a simpler structure than what it replaced. What’s not yet known is how the Ford health-care regime will work in real life and how it will get local health professionals to work together.

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Ontario Health Teams: Integrated Governance and Funding

Thursday, April 25th, 2019

The self-assessment form requires each applicant… to demonstrate: a history of formally working with other providers or organizations to advance integrated care; a plan for physician and clinical engagement, including physician and clinical leadership as part of the team’s leadership and governance structure; a commitment to the vision and goals of the Ontario Health Team model; a commitment to a central brand; and a commitment to working together towards a single clinical and fiscal accountability framework.

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Designation Process for Ontario Health Teams

Friday, April 19th, 2019

… a new model to integrate care and funding that will enable patients, families, communities and providers to better work together… will be referred to below) as “Ontario Health Teams”… The purpose of this bulletin is to provide an overview of the application process for Ontario Health Teams… Significant dates in respect of the process for designation as an Ontario Health Team are included…

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In Ontario, a battle for the soul of psychiatry

Sunday, April 7th, 2019

The ministry’s proposed new approach, modelled on U.S.-style, managed care, is designed to limit the type and amount of treatment individual patients will receive, regardless of their presenting symptoms… If it goes through, it will be the biggest change in psychiatry in the history of the discipline in Canada, and turn psychiatrists from “treaters” into “consultants” who will diagnose patients in a single session, and make recommendations for others to follow, then wave goodbye.

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Ontario’s response to the opioid crisis? Offer less help, and fewer answers

Monday, April 1st, 2019

Using Orwellian doublespeak – plus a dash of Trumpian random capitalization – the government was not announcing that it was “continuing to build a connected mental health and addictions treatment system”, but rather that it was cutting the legs from under four badly-needed overdose prevention sites, rejecting two others, and continuing to drag its feet on funding of additional sites.

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