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MyPractice: My Primary Care

Dr. David Kaplan

According to a recent report from Health Quality Ontario, 9 Million Prescriptions, one in seven Ontarians fills a prescription for opioids every year. More than 9 million prescriptions for opioids were filled in the province in 2015/16. Canada remains the second-largest consumer of prescription opioids in the world, after the US.

Unfortunately, many patients are receiving these highly addictive drugs, from both legitimate and illicit sources, with only questionable benefit. This is a complex problem involving many health care providers and many interwoven factors compounding the situation.

While physicians are faced with the challenges of treating patients with often complex disorders and few resources, more appropriate prescribing by all physicians is part of the solution.

Getting from Situational to System-wide Quality

Dr. Joshua Tepper and Dr. Chris Simpson

Variations in care received by Ontario residents, based on where they live or certain demographic factors, can indicate a lack of quality in a health care system.

The recent report prepared for Health Quality Ontario titled Quality Matters: Realizing Excellent Care for All acknowledges the existence of unwarranted variations in care and the negative impact they can have on patients. This was also a key theme in last year’s Measuring Up report from Health Quality Ontario which noted that, while Ontario was generally doing a good job of providing care to all who needed it, “unacceptable variation” still existed by geography and population groups.

Change Day Ontario: The Difference is You

Dr. Joshua Tepper and Gail Paech

To improve any health care system change must occur.

Change can be incremental or dramatic, but without it we cannot improve the quality of the health care system in Ontario or the health of those who live here. Individuals and teams who work within the health care system must feel empowered to make changes that can make a difference. So today we are asking you: what would you change?

Learning the Science of QI

Dr. Joshua Tepper

Quality Improvement (QI) is science, not magic, and should be taught with the frequency and rigour of any scientific discipline in healthcare. Teaching Quality Improvement is not a straightforward matter but must be done, and done right, if we want to see the healthcare system improve.

Quality Still Matters

Dr. Joshua Tepper

“If you don’t know where you are going, any road will take you there,” says the Cheshire Cat in Alice in Wonderland.

That view is shared by many involved with bringing quality to health care. Everyone felt quality was important but what it meant and how to get there was much more elusive – especially at the system level.

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Claude Lurette and Kowsiya Vijayartnam, Health Quality Ontario Patient, Family and Caregiver Advisors Council Co-Chairs

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