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Time

Health Quality Transformation 2017 Agenda

Room

7:00am – 8:30am

Registration & Exhibit Hall/Poster Viewing

Level 800, Hall E

8:30am – 9:50am

Welcome: Dr. Joshua Tepper, President and CEO, Health Quality Ontario

Change Day Ontario: Dr. Joshua Tepper & Gail Paech, CEO, Associated Medical Services

Patient Keynote Speaker: Kim Katrin Milan, Co-Founder of The People Project & Activist for Justice & Inclusion

Remarks: Dr. Chris Simpson, Ontario Quality Standards Committee Chair

Level 800, Hall D

9:50am – 10:35am

Networking & Refreshment Break / Travel Time

Level 800, Hall E

10:35am – 11:50am

Morning Breakout Sessions

Levels 700 & 800

11:50am – 12:45am

Lunch & Exhibit Hall/Poster Viewing

Level 800, Hall E

11:50am – 12:45am

Patient Advisor Luncheon (Registered attendees are welcome to stay until 12:50 pm if they would like to linger)

Level 700, Room 711

12:00pm – 12:20pm

Abstract Awards Ceremony

Level 800, Hall E

12:45pm – 2:55pm

Keynote: Dr. Bob Bell, Deputy Minister of Health and Long-Term Care

Nancy Naylor, Associate Deputy Minister from the Ministry of Health and Long-Term Care introduces Dr. Don Berwick

Keynote Speaker: Dr. Don Berwick, President Emeritus and Senior Fellow, Institute for Healthcare Improvement

Presentation of the 2017 Minister's Medal Awards by Hon. Dr. Eric Hoskins, Minister of Health and Long-Term Care

Closing Remarks: Dr. Andreas Laupacis, Board Chair, Health Quality Ontario

Level 800, Hall D

2:55pm – 3:15pm

Coffee Break & Exhibit Hall/Poster Viewing

Level 800, Hall E

3:15pm – 4:30pm

Afternoon Breakout Sessions

Levels 700 & 800


Thunder Bay: Lakehead University – ATAC Bldg 602

Sudbury: Laurentian University – HSERC 109

Moderator:

Jeffrey Turnbull, MD, FRCPC
Chief Clinical Quality
Health Quality Ontario

Speakers:

John Dixon
Director
Mental Health and Addictions for Dilico Anishinabek Family Care

Alain Gauthier, BEPS, MA, PhD
Associate Professor
School of Human Kinetics, Laurentian University

Paul Preston, MD, CCFP
Vice President Clinical, Primary Care Lead
North East Local Health Integration Network

Penny Sutcliffe, MD, MHSc, FRCPC
Medical Officer of Health and Chief Executive Officer
Sudbury & District Health Unit


In 2016, Health Quality Ontario developed a Health and Health Care Equity Plan. One of the priorities of this Plan is to work in partnership with those living in the north to develop a Northern Ontario Health Equity Strategy.

The priority areas of focus for this strategy are: Acting upon the social determinants of health, equitable access to high quality and appropriate health services, Indigenous healing, health and wellbeing; and evidence availability for equity decision making.

Panellists from Northern Ontario will explore these areas of focus and share insights, ideas and real life examples of how they have been activated to create meaningful change.


Objectives

By attending this session, participants will:

  1. Learn about the areas of focus identified in the Northern Ontario Health Equity Strategy

  2. Gain perspective from panellists with experience in each area of focus, highlighting strategies for action

  3. Discuss the role of various organizations and leverage partnerships within and outside of the health care system required for intersectoral action on health equity issues


Target Audience

Roles: Physicians, front-line providers, patients, planners, researchers, educators, quality improvement leads

Sector(s): All sectors

Moderator:

Gail Dobell, BA, MPP
Director, Performance Measurement
Health Quality Ontario


Speakers:

Susan Fitzpatrick
Chief Executive Officer
Toronto Central Local Health Integration Network

Rick Glazier, MD, MPH, CCFP, FCFP
Senior Scientist
Institute for Clinical Evaluative Sciences and St. Michael’s Hospital

Ross Upshur
Head Division of Clinical Public Health
Dalla Lana School of Public Health, University of Toronto

Director
Bridgepoint Collaboratory for Research and Innovation, Sinai Health System


Explore how a population health approach can improve quality in health care delivery.

Themes to be covered will include:

  • The connection and interdependencies between provider practice and population health.  

  • The role of the clinician in connecting to wider systems of care and health outcomes by implementing components of population health into heath care planning.

  • The role of measurement and reporting in advancing population health (e.g. sub-regional planning).

Examples of collaborative quality improvement strategies as collective partners in helping to realize population health transformation.


Objectives

By attending this session, participants will:

  1. Better understand the role of population health as a key part of a quality health system.

  2. Learn about the required roles and the various players in the health system and mechanisms required to provide successful transformation at both the patient and population level.


Target Audience

Roles: Health care providers, health system leaders, researchers, academics, administrators, planners, policy makers, patients

Sector(s): Sectors

Moderator:

Donna Cripps
Chief Executive Officer
Hamilton Niagara Haldimand Brant Local Health Integration Network


Speakers:

David Fry, MHSc, OT Reg. (Ont.)
Vice President, Home and Community Care
Mississauga Halton Local Health Integration Network

Rosalyn Gambell, RN, BScN, MN
Manager Health Links and Chronic Disease Management
Southlake Regional Health Centre

Tara Kiran, MD, MSc, CCFP, FCFP
Staff Physician, QI Program Director, and Board Chair
St. Michael's Hospital Academic Family Health Team

Embedded Clinician Researcher
Health Quality Ontario

Charles Musa
Member, Patient Family & Public Advisors Council
Health Quality Ontario


Transitions are one of the most vulnerable points in a patient’s care – it is easy for information to be lost, confused or delayed, which causes frustration for patients and caregivers, as well as clinicians. It may also cause harm for patients. And yet, improving transitions can actually be quite challenging – to do it well requires a high degree of communication and collaboration between various providers and organizations, as well as patients and caregivers. It also requires good processes and systems.

This breakout session will explore the idea of transitions of care: what it means to patients, to the system to deliver integrated care and how we measure success and effectiveness. It will capture the perspectives of patients, researchers in this field, providers, and system leaders. It will also consider impact on patient experience and outcomes, as well as provider experience.


Objectives

By attending this session, participants will:

  1. Hear the patient perspective on experiencing transitions in care and learn about new work underway to measure how patients experience transitions.

  2. Understand the theory and evidence behind the challenge of patients transitioning through the system and the current work to standardize how transitions occur.

  3. Learn some examples of current organizational approaches to integrated care delivery (e.g. rural health hubs, care coordination in the Community Care Access Centre/Local Health Integrated Network).


Target Audience

Roles: clinicians, patient advisors, senior leaders in health care

Sector(s): All sectors

Moderator:

Shelagh Maloney
Vice President, Consumer Health, Communications & Evaluation Services
Canada Health Infoway


Speakers:

John Dickson
Patient Advisor

Edward Brown, MD
Chief Executive Officer
Ontario Telemedicine Network

Joby Mckenzie, MSc, MBA, PhD
Senior Vice President, Business Development
LifeLabs


Technology and digital health can be powerful tools to address the challenges that confront our health care system and enable the delivery of high-quality care.

How can we leverage them to improve access and integration of care? How can we benefit from the untapped potential of digital innovation to deliver better outcomes for patients? What opportunities should we be pursuing to drive the quality agenda in the province and to establish Ontario as a leader in digital health?

Understand how innovations that include virtual care and consumer-driven solutions such as electronic medical records can provide solutions to quality issues at the core of our health care system.

A vision for the future of Ontario's digital health landscape will be proposed.


Objectives

By attending this session, participants will:

  1. Learn from key leaders in government, the consumer sector, patients and caregivers, about the strategic deployment of technology to solve clinical challenges.

  2. Discover how alignment between business, technical and clinical concerns can enhance quality of care.


Target Audience

Roles: Health system leaders, clinicians, administrators, patients

Sector(s): All sectors

Moderator:

David Kaplan, MD, MSc, CCFP
Primary Care Lead
Health Quality Ontario

Associate Professor, Family & Community Medicine
Health Quality Ontario


Speakers:

Margaret Jin, BScPhm, PharmD, MSc, CDE
Clinical pharmacist and academic detailer coordinator,
Hamilton Family Health Team, Centre for Effective Practice

Kirk Miller, BSc, PEng., MBA
Director, Performance and Accountability and Privacy Officer
Guelph Family Health Team

Husein Moloo, MD, FRCSC, MSc
Associate Professor of Surgery
University of Ottawa

Vice Chair Quality,
Department of Surgery, The Ottawa Hospital Section

Head Colorectal Surgery
The Ottawa Hospital

Program Director
Colorectal Surgery Fellowship, The Ottawa Hospital

Associate Scientist,
Ottawa Hospital Research Institute (OHRI), The Ottawa Hospital

Arun Radhakrishnan, MD, CM, MSc., CCFP
Ontario College of Family Physicians Mentorship Program


Explore how data and information can be used to help clinicians drive changes and quality improvements through a panel discussion.

Panelists will:

  • Share the National Surgical Quality Improvement Program- Ontario (NSQIP-ON) collaborative experience on building Quality Improvement (QI) capacity and successful collaborative; lessons learned;

  • Share the Guelph Family Health Team’s experience with the eHealth Digital Health Drug Repository (DHDR) through ClinicalConnect, and how this helped their quality improvement activities; 

  • Discuss the Ontario College of Family Physicians Mentoring networks, program evaluation efforts and its impact on developing and growing the program to better serve clinicians.

  • Discuss from an academic detailer's perspective experience in practice improvement and change management. (An academic detailer is a trained health care professional who educates other providers about appropriate drug therapy)


Objectives

By attending this session, participants will:

  1. Learn how data and information can drive quality improvement, and the importance of building QI capacity, culture and successful collaborative.

Engage in the discussions, and obtain information and lessons learned around opioid related strategies and initiatives to make improvements to the whole health care system.


Target Audience

Roles: Health care leaders, clinicians, administrators, patients, families, caregivers and members of public

Sector(s): All sectors

Moderator:

Leslee J. Thompson
President and CEO
Accreditation Canada


Speakers:

Jonathan Foster
Director – Mental Health and Regional Renal Programs
Windsor Regional Hospital

Philip Klassen
Vice President Medical Affairs,
Ontario Shores Centre for Mental Health Sciences

Associate Professor,
Department of Psychiatry and Medicine, University of Toronto

Betty-Lou Kristy
Peer Support Substance Use & Provincial Systems Lead
TEACH: Teach Empower Advocate Community Health- a peer initiative of Support & Housing-Halton

Chris Simpson, MD, FRCPC, FACC, FHRS, FCCS, FCAHS
Vice-Dean (Clinical)
School of Medicine

Professor
Division of Cardiology (Heart Rhythm Service), 2014-15

President
Canadian Medical Association (CMA), Queens University

Sarah Ward, MD, FRCSC
Orthopaedic Surgeon, Division of Orthopaedic Surgery
St. Michael’s Hospital


This session will highlight the value of quality standards from multiple perspectives (providers, patients, organizations and policymakers).

The session will introduce the new Ontario Quality Standards Committee, a subcommittee of the Health Quality Board of Directors with the mandate of providing oversight to quality standards in the Province.

Participants will gain an understanding of how quality standards can be used to improve patient care in different settings and sectors and how the function of the Ontario Quality Standards Committee will support this.


Objectives

By attending this session, participants will:

  1. Understand how the quality standards program can use evidence, quality improvement and measurement as a powerful triad to improve care across the Province

  2. Understand the mandate of the Ontario Quality Standards Committee

  3. Learn from real life examples of how quality standards have been used to improve care in different settings


Target Audience

Roles: leaders, providers, patients, public

Sector(s): All sectors

Moderator:

Anna Greenberg, BA, MPP
Vice President, Health System Performance
Health Quality Ontario


Speakers:

Gary Bloch, MD, CCFP, FCFP
Family Physician
St. Michael’s Hospital
Associate Professor
UofT Dept of Family and Community Medicine

Trey Coffey, MD, FAAP, FRCPC
Medical Officer for Patient Safety
SickKids Hospital

Associate Clinical Director
Solutions for Patient Safety

Kimberly Moran
Chief Executive Officer
Children’s Mental Health Ontario

Using Health Quality Ontario’s Quality Matters and the Quadruple Aim as the framework, this session will explore areas where gaps in knowledge result in ‘quality blind spots.’

Areas to be discussed will include:

  • Patient experience and transitions of care
  • Fulfilling the Quadruple Aim: better understanding the experience of clinicians and staff
  • How do we identify patient populations who are not being served by the current system (need versus utilization): a persistent gap and elusive to current data collection

Objectives

By attending this session, participants will:

  1. Increase awareness of gaps in understanding health and quality care in Ontario.

  2. Better understand what is and what isn’t measured in the health care system. Discuss opportunities for advancing our knowledge, including through better data collection.


Target Audience

Roles: Providers, policy makers, researchers, patients

Sector(s):  All sectors

Moderator:

Angela Morin
Patient and Family Advisory Council Co-Chair,
Kingston General Hospital

Accreditation Canada,
Client and Family-Centered Care Advisory Group

Core Faculty Member and Coach,
Canadian Foundation for Healthcare Improvement

Speakers:

Shoshana Helfenbaum, MSW, RSW, DGrt
Interprofessional Educator
Baycrest Centre for Learning, Research and Innovation in Long Term Care

Theresa Malloy-Miller
Volunteer
Patients for Patients Safety Canada

Ioana Cristina Popescu, MBA
Patient Safety Improvement Lead
Canadian Patient Safety Institute

Tammy Quigley, BSc, MBA
Director, Quality & Performance, London Health Sciences

John Sanio
Patient Advisor, Manulife Financial


Patient engagement is a tremendous asset to improving patient safety, yet engaging patients and their caregivers about patient safety issues can be challenging. 

How do we create a safe environment for patients, families, and caregivers to share their safety concerns, in diverse health care settings?  What insights can patients and families provide to help design effective patient safety initiatives?

In this breakout session you will hear from health care and patient and family leaders from Ontario, about their success in building innovative partnerships with patients and the public to advance patient safety. 


Objectives

By attending this session, participants will:

  1. Gain insight into successful partnerships between patients and organizations to improve patient safety

  2. Learn about innovative Canadian Patient Safety Institute guide for engaging patients in patient safety


Target Audience

Roles: Clinicians, health care providers, patients, caregivers, public

Sector(s): Acute care, long term care

Moderator:

Jennifer Schipper
Chief
Communications and Patient Engagement, Health Quality Ontario


Speakers:

Diane Smylie
Provincial Director
Ontario Indigenous Cultural Safety Program, Southwest Ontario Aboriginal Health Access Centre

Michèle Parent-Bergeron
Provincial Practice Lead
Ontario Indigenous Cultural Safety Program, Southwest Ontario Aboriginal Health Access Centre

Leila Monib
Provincial Practice Lead
Ontario Indigenous Cultural Safety Program. Southwest Ontario Aboriginal Health Access Centre


An opportunity for participants to critically reflect on their practices and consider how they can begin the process of strengthening Indigenous Cultural Safety (ICS) in their work/practice and/or service settings. Approaches to addressing Indigenous cultural safety take into account the social and historical contexts and power imbalances that currently shape health care delivery for Indigenous people. The session will explore opportunities to begin an anti-racist and decolonizing journey towards improving patient/family experiences and contributing to equitable health care for Indigenous people.


Objectives

  1. Learn about the biases and stereotypes that result in harm for Indigenous Peoples who access the healthcare system

  2. Recommend ways to begin interrupting biases/stereotypes to improve the quality of care currently available to Indigenous Peoples

  3. Commit to honoring the National Truth and Reconciliation Commission Calls to Action related to health care and anti-racism education and to advancing Indigenous Cultural Safety across the healthcare system.

  4. Understand some of the promising practices and supporting research evidence underpinning ICS education/training addressing bias, stereotyping and discrimination.


Target Audience

Roles: All health care providers and administrators, patients, caregivers and the public

Sector(s): All sectors

Moderator:

Maureen O'Neil, OC
President
Canadian Foundation for Healthcare Improvement


Speakers:

Michael Dunn, MSc, TITC-CT
Director, Quality Improvement
Canadian Mental Health Association, Ontario

Sid Feldman, MD, CCFP (COE), FCFP, CMD
Executive Medical Director of Long Term Care and Residential Program and Chief Department of Family and Community Medicine
Baycrest Health Sciences

Associate Professor
Department of Family and Community Medicine, University of Toronto

Timothy Jackson, BSc, MD, MPH, FRCSC, FACS
Surgical Lead
NSQIP-ON Program Division of General Surgery

University Health Network Assistant Professor of Surgery
University of Toronto

Donna I. McRitchie, BSc, MD, MSc, FRCSC
Vice President Medical & Academic Affairs, General Surgeon and Intensivist
North York General Hospital

Assistant Professor, Department of Surgery
University of Toronto


While Ontario’s health care system has numerous examples of well-executed pilot projects that result in islands of improvement across the province, there is a need to spread successful solutions more broadly. 

But what does it take to spread and scale change in Ontario? Hear about four initiatives that have taken evidence-based local improvement to the next level. One of the common elements that help drive success in the move from pilot to widespread adoption is the development of a strong community of practice.

Leaders who moved their project beyond the pilot phase will provide insights and highlight the successes they have achieved in Ontario to improve health care quality at scale.


Objectives

By attending this session, participants will:

  1. Discover how project teams have spread and scaled successful solutions in Ontario

  2. Learn what it takes to move a project beyond the pilot phase


Target Audience

Roles: Clinicians, administrators, senior leaders, policy analysts

Sector(s): Hospital, long term care, community mental health, primary care, home and community care, government (local, regional)

Moderator:

Susan Brien, PhD
Director, Public Reports
Health Quality Ontario


Speakers:

Genevieve Obarski, MSA, BS, FACHE
Executive Lead Program Implementation
The Change Foundation

Sara Shearkhani, MA
Student
Institute of Health Policy, Management, and Evaluation of University of Toronto

Hazel Wilson
Patient Advisor

Ivy Wong
Network Director, BeACCoN
Women’s College Hospital

Senior Health Advisor
National Institute on Ageing, Ryerson University

Policy Lead, WIHV,
Women’s College Hospital


Caregivers play a very important and unparalleled role in providing patient care. However, very little is known about caregivers, their experiences and the supports they need to remain well and continue providing care. This breakout session will shine a light on the lived experiences of caregivers and explore the challenges that health care provider organizations face in understanding and improving caregiver experiences. Panel members will share their work in the emerging area of caregiver reported outcome and experience measures and reflect on how this work enables the health system to provide better supports to caregivers in order to improve their experiences. This panel presentation will be delivered by health care provider organizations in collaboration with caregivers


Objectives

By attending this session, participants will:

  1. Learn about the experiences of caregivers

  2. Learn about how caregivers are being engaged in various programs and initiatives across the system to enable better support for those in the caregiver role


Target Audience

Roles: Government organizations, Local Health Integration Networks, hospital administrators, health system leaders and decision makers, health care providers, private provider organizations, researchers, patients, families and caregivers

Moderator:

Shawn Whatley

President
Ontario Medical Association

Speakers:

Stacey Daub
President and CEO
Headwaters Health Care Centre

William Falk
Senior Fellow
C.D. Howe Institute

Sophia Ikura
Executive Director, Population Health Solutions Lab
Sinai Health System but sponsored by the LHIN, University of Toronto and Toronto Public Health

Darren Larsen, MD, CCFP, MPLc
Chief Medical Information Officer
OntarioMD

Eleanor Rivoire, BScN, MSc
Independent Healthcare Advisor

Michael Schull, MSc, MD, FRCPC
President and CEO
Institute for Clinical Evaluative Sciences (ICES)


Fostering a culture of quality is seen as one of the key steps necessary for improving health quality in Ontario.

In this session, healthcare leaders in the Province will engage in a dialogue on how to enable this culture.

In short, panel presentations, leaders from diverse backgrounds (clinicians, administrators, policy makers) will share their perspectives on navigating complexities in the health care system.

Presenters will reflect on their own career learnings as system leaders, the focus of quality within their work, and perspectives on future challenges that need to be addressed to enable cultures that support quality care.

Following the panel presentation there will be a dialogue among panellists and participants to optimize learning on specific quality issues.


Objectives

By attending this session, participants will:

  1. Participate in a dialogue on current and future issues that are key to establishing cultures that enable quality care.

  2. Hear strategies from experienced leaders on navigating complex change and relationships in the pursuit of quality care.


Target Audience

Roles: Quality Improvement professionals, clinicians, students, emerging and existing leaders with an interest in leadership development focused on advancing quality

Sector(s): All sectors

Moderator:

Don Husereau
Senior Associate
Institute of Health Economics


Speakers:

Christopher Booth
Member Division of Cancer Care and Epidemiology
Cancer Research Institute, Queen's University

Medical Oncologist, Clinician-Scientist
Cancer Centre of Southeastern Ontario

Associate Professor
Departments of Oncology and Medicine, Queen's University, Canada Research Chair in Population Cancer Care

Tammy Clifford, PhD
Chief Scientist and Vice-President, Evidence Standards
Canadian Agency for Drugs and Technologies in Health (CADTH)

Aldo Del Col
Co-Founder & Chairman
Myeloma Canada

Brian Lewis
President and CEO
Medical Devises Canada (MEDEC)

Nancy Sikich
Director
Health Technology Assessment, Evidence Development & Standards, Health Quality Ontario


Randomized controlled trials (RCTs) are viewed as the gold standard of high quality evidence. However RCTs can restrict the ability to generalize findings from research to the real world.

When there is uncertainty about the real world value of a test or treatment given variability in practice and across different population groups, alternative approaches to evidence generation are needed.

With the proliferation of real world data, such as electronic health records and claims data, these approaches are gaining legitimacy as a tool to inform health policy.

Explore the concept of real world evidence from a variety of perspectives (including the patient perspective), hear recent case examples, and discuss the need for a pan-Canadian approach to generating real world evidence to address uncertainty in decision making.


Objectives

By attending this session, participants will:

  1. Learn what real-world evidence is in the context of health care decision making.

  2. Understand how real-world data can be used to improve decision making and how to avoid common pitfalls and assumptions when generating and using real world data.

  3. Gain new perspectives on how decision-makers can prepare for and integrate real world evidence as part of their decision-making process.


Target Audience

Roles: Health Technology Assessment producers, health researchers, decision-makers, policy analysts, health care providers, patients

Sector(s): Government, provider associations, private sector/manufacturers, academia

Moderator:

Lee Fairclough
Vice President, Quality Improvement
Health Quality Ontario


Speakers:

Lucas Chartier
Emergency Physician
University Health Network

Linda Davis
President and CEO
Northumberland Hills Hospital

Melissa Kwiatkowski, MHSc, MPH, CHE
Primary Health Director
Guelph Community Health Centre

Alies Maybee
Patient Advisors Network

Annette McKinnon
Patient Advisors Network

Lee Verweel, MSc
Research Coordinator
Ontario Pharmacists Association

Karen Truter
Nurse Practitioner, Post Acute Specialty Services
Northumberland Hills Hospital

Zahava Rosenberg-Yunger, Hon. BSc, MA, PhD
Director, Health Policy and Research
Ontario Pharmacists Association

Tricia Wilkerson, BSc, MA(Leadership), IA
Director, Quailty Improvement & Evaluation
Guelph Family Health Team

Jennifer Zadravec, MRT (R) (MR)
Patient Safety and Risk Specialist
North York General Hospital


Sharing experiences is an effective method for discovering innovative ideas, spreading change, and facilitating the delivery of high quality care. This session, will present the top ranked abstracts submitted to Health Quality Transformation: 2017. It will feature presentations that demonstrate innovative approaches to quality improvement planning, measurement and the achievement of results over time, as well as lessons learned. These compelling presentations will illustrate implementation of leading practices and movement of key quality indicators aligned with attributes of a high performing health care system.


Objectives

By attending this session, participants will:

  1. Discover examples of how health system providers and leaders across Ontario have translated knowledge into practice and learn of innovations and initiatives that have successfully transformed health care delivery and promote a culture of quality.

  2. Engage in stimulating discussions and obtain ideas, lessons learned and information that may be implemented to make improvements to the health care system.


Moderator:

Jill Tettmann, MA, MHSc, CHE
Chief Executive Officer
North Simcoe Muskoka Local Health Integration Network


Speakers:

David Fry, MHSc, OT Reg. (ONT)
Vice President, Home and Community Care
Mississauga Halton Local Health Integration Network

Admed Jakda, MD, MBA Candidate (2018), CFPC (PC)
Provincial Clinical Co-Lead
Ontario Palliative Care Network

Medical Director
Palliative Care, Grand River Regional Cancer Centre

Associate Professor
McMaster University, University of Western Ontario, Cancer Care Ontario

David Schieck, MD
Family Physician
Guelph Family Health Team

Rebecca Van Iersel
Clinical Quality Lead
Health Quality Ontario


Explore how clinicians are leading change across the province within both existing and new leadership structures.

Clinician leaders will discuss the strategies being leveraged to lead meaningful change and outline some of the critical success factors. Through their own experiences using local examples, hear from clinician leaders who are making a difference to patients and their families.

Leadership venues to be discussed will include; Regional Quality Tables, Provincial Quality Implementation Advisory Table; Sub-Region Clinical Leadership; Local Health Integration Network (LHIN) Clinical Leadership; Ontario Surgical Quality Improvement Network; Ontario Palliative Care Network, and Cancer Care Ontario).


Objectives

By attending this session, participants will:

  1. Learn from clinical leaders how partnerships across the province are accelerating change.

  2. Understand the critical success factors that need to be in place to enable clinicians to lead change and how successful leaders overcome challenges.


Target Audience

Roles: Physicians, administrative leaders, clinicians

Sector(s): Acute, long term care, primary care, home and community care, government

Moderator:

Ross Baker, PhD
Professor and Program Lead, Quality Improvement and Patient Safety, Institute of Health Policy, Management and Evaluation
University of Toronto


Speakers:

Paul Benassi, MD, FRCPC, MSc
Forensic Psychiatrist
Law and mental health division, CAMH

Improvement Clinician, Forensic Psychiatry CPD Lead
Department of Psychiatry, University of Toronto

Barb Pizzingrilli
Director
Patient Care Mental Health and Addictions, Niagara Health

Danika Walden, MSc, PMP
Project Manager
The eHealth Centre of Excellence


With the implementation of the Patients First Act, there is a renewed mandate for cross-sectoral approach to quality improvement. This workshop will discuss how Quality Standards can be used to identify gaps in care and support quality improvement and regional planning to address those gaps. The session will cover the following themes:

  • Using Quality Standards to support regional planning, quality improvement and to address common quality issues at provider, organizational and regional levels
  • The role of technology in assessing the gaps or barriers to quality
  • Enablers that can play a role in supporting the adoption and spread of Quality Standards

Objectives

By attending this session, participants will:

  1. Learn how organizations and clinicians are using Quality Standards as a resource to address gaps in care

  2. Identify opportunities to involve patients in supporting Quality Standard adoption

  3. Discuss how to use various collaborative tools, programs, and QI resources to help support adoption and spread

  4. Identify tools that can be embedded in technology to support quality improvement

Target Audience

Roles: Patients, clinicians, administrators and senior leadership ,patients, public, policy makers

Sector(s): Primary Care, Acute Care, Home and Community Care, Long Term Care, Government

Moderator:

Susan Brien, PhD
Director
Public Reports, Health Quality Ontario


Speakers:

Samantha Calder-Sprackman, BPHE, BSc, MD, MSc
QIPS (Candidate), PGY5 Emergency Medicine Resident PGY5 Emergency Medicine
University of Ottawa

Marisa Granieri, P.Egn
Patient Advisor
Health Quality Ontario, Patient, Family and Public Advisors Council

Wayne Ho, MEng
Managing Director, Healthcare Human Factors, University Health Network

Alisa Mamak
Senior Interactive Developer
CBC/Radio-Canada


Discover how organizations gather information needs from patients and the public to inform the development of health care products.

Hear specific examples of organizations that have successfully engaged patients and families in a user-centred design approach to develop products that have easily accessible information. Hear insights from a patient partner on how they have been engaged in developing health care products, and why it is important to develop these products with the public’s needs in mind.


Objectives

By attending this session, participants will:

  1. Learn about successful approaches to engage patients, families and the public in product design.

  2. Learn the value of including patients and the public to help design better products.


Target Audience

Roles: Health system leaders, patients, the public

Sector(s): All sectors

Moderator:

Kevin Smith, DPhil, KSG, ICD.D
President and CEO
St. Joseph's Health System


Speakers:

Patti Cochrane, RN, BScN, MHSc, CHE
Senior Vice President, Clinical Strategy & Chief Innovation Officer
Trillium Health Partners

Melissa Farrell
Assistant Deputy Minister
Ministry of Health and Long-Term Care

Christine Maroulis, MBA
Director, U.S. Health Policy & Reimbursement
Johnson & Johnson Medical Devices Companies

Lou Reidel
Chief System Planning and Performance Office
Ontario Hospital Association

Kevin Smith, DPhil, KSG, ICD.D
President and CEO
St. Joseph’s Health System

Walter Wodchis
Associate Professor, Institute of Health Policy Management and Evaluation
University of Toronto


Over the last decade, the way health care providers (both individuals and organizations) are remunerated has changed substantially in Ontario, with increasing recognition of the relationship between payment and the six dimensions of quality. In particular, new ways of paying physicians and hospitals have helped improve access, equity, and efficiency.

More recently, the province has begun to test approaches to “bundling” payments across providers. Research has shown that bundled payments can align cost and quality goals across providers (e.g., hospitals and post-acute care) allowing them to work closely together across all specialties and settings.

Explore the design, implementation, and evaluation of bundled payment models in Ontario and abroad. Particular focus will be given to bundled payments for hip and knee replacement surgery.


Objectives

By attending this session, participants will:

  1. Understand bundled payment models and how they can be used to improve quality across its six dimensions, especially equity, access, and efficiency.

  2. Appreciate the importance of piloting and evaluating the implementation of complex interventions such as payment innovation.


Target Audience

Roles: Hospital administrators, administrators of community and long-term care organizations, policy analysts, health Care Providers, Patients

Sector(s): Government, provider associations, irrigate sector

Moderator:

Andreas Laupacis
Executive Director
Li Ka Shing Knowledge Institute, St. Michael's Hospital

Board Chair
Health Quality Ontario 


Speakers:

Amir Ginzburg
Chief of Quality and Medical Director
Medical Administration, Trillium Health Partners

Clinical Quality Lead
Mississauga Halton LHIN

Health Quality Ontario Lecturer

Department of Medicine and the Institute of Health Policy, Management & Evaluation
University of Toronto

Jack Kitts, M.D., MBA, FRCPC
President and CEO
The Ottawa Hospital

Maryann Murray
Patient Champion
Patients for Patient Safety Canada


Many factors influence the culture of safety in an organization. Do staff and patients feel confident that they can report concerns without fear of blame or punishment? Are there systems in place to act on those concerns or to learn from errors? Are failures viewed through a lens that considers both system design factors and individual accountability?

Safety cultures acknowledge risk, foster reporting, strive for consistency, encourage collaboration across siloes and commit time and resources to learning and improving.

In this session, panellists will discuss some of the key concepts that underlie successful safety cultures and share practical examples where leadership, engagement and commitment have contributed to enhancing safety.


Objectives

By attending this session, participants will:

  1. Learn from leaders in the field about opportunities and challenges to enhancing safety culture

  2. Hear practical examples where teamwork, collaboration, engagement and leadership have led to improvement in safety.


Target Audience

Roles: Hospital administrators, policy makers, health care providers, patients

Sector(s): All sectors

Moderator:

Tamara Wallington
Clinical Quality Lead
Central West Local Health Integration Network


Speakers:

Jocelyn Bourgoin
Chief Executive Officer
Santé Manitouwadge Health

Wanda Parrott, RN
Director, Home and Community Care, Patient Services
Central East Local Health Integration Network

Wanda Power
Senior Manager, Home and Community Care, Palliative Team
Central East Local Health Integration Network


The Ontario health system is complex and patients often need to transition between the various sectors or settings. Too often this is where care falls short.

Collaboration - across organizations, across sectors, with patients and providers – is key to integrating care, improving transitions and improving the patient experience. 

This session will showcase examples of collaborations focused on quality. Leaders from different organizations will highlight the impact of working together, their apprehensions on embarking on the collaboration, the challenges they faced, and the factors that contribute to success.  


Objectives

By attending this session, participants will:

  1. Discover how organizations are coming together to collaborate on common quality improvement goals

  2. Learn about the challenges, opportunities and factors contributing to successful collaboration.


Target Audience

Roles: Individuals from all sectors who are interested in how others are collaborating across organizations and across sectors to improve quality. This includes patients, families, caregivers and members of the public.

Sector(s): All sectors

Moderator:

Jennie Pickard
Director, Strategic Partnerships, Governance
Health Quality Ontario


Speakers:

Cathy Bachner, BASc, Bed
Health Quality Ontario’s Patient, Family and Public Advisors Council member
HPHA Patient Partner

Shelly Dev, MD, FRCPC
Attending Physician, Director, Resident Education; Co-Director, Fellowship Program
Department of Critical Care Medicine, Sunnybrook Health Sciences Centre

Assistant Professor
Interdepartmental Division of Critical Care Medicine, University of Toronto

Christopher Hayes, MD, MSc, MEd
Chief Medical Information Officer
St. Joseph’s Healthcare Hamilton

Nancy Searl
Collaborative Practice Leader and Early Learning and Development Leader
Holland Bloorview Kids Rehabilitation Hospital

Bruce Squires
Vice President of People, Strategy and Performance
Children’s Hospital of Eastern Ontario (CHEO)

Nadine Sunarich, MSW, RSW
Clinical Social Worker
Holland Bloorview Kids Rehabilitation Hospital


The importance of finding Joy in Work for clinicians and its linkage to quality care has increasingly been recognized in the literature. More recently, it has been proposed that the Triple Aim, a hallmark framework for quality care be replaced by the Quadruple Aim, recognizing the relevance of provider experience to patient experience and outcomes.

In 2016, the Institute for Healthcare Improvement (IHI) introduced a framework for Joy in Work to provide leaders and organizations with a guide for creating the necessary factors to enable Joy in Work.

Through an interactive discussion and the sharing of stories/examples from the field, this session will provide an overview of the IHI framework for Joy in Work, explore the relationship between experiencing joy in work and providing high quality care, and contemplate/suggest strategies for how to achieve this aim.


Objectives

By attending this session, participants will:

  1. Gain an increased awareness of the important link between provider experience, patient experience and quality care.

  2. Learn about IHI’s Joy in Work Framework as a guide for leaders in creating environments where professionals and caregivers can thrive


Target Audience

Roles: Clinicians, providers, leaders, administrators, quality improvement community

Sector(s): All sectors

Moderator:

Amy Lang
Director, Patient, Caregiver and Public Engagement
Health Quality Ontario


Speakers:

Julia Abelson, HBA, HBSc, MSc, PhD
Professor, Health Research Methods, Evidence and Impact
McMaster University


Patient engagement is a key factor in the development of a quality health system and tools are needed to adequately measure such engagement.

One gap in existing evaluation tools is the lack of good impact measures –few measures exist that capture the impact of patient engagement.

This session will begin with a short overview of existing tools for measuring patient engagement, including Julia Abelson’s tools and a new toolkit developed by Andre Boivin at University of Montreal.

A workshop will focus on sharing examples of meaningful impacts of patient engagement. Examples will be themed/grouped together in real-time, and by the end of the workshop, the result will be a draft list of concepts related to impact that may be used to advance the development of impact measures.


Target Audience

Roles: Patient, caregiver advisors and anyone looking to understand or make the case for the value and impact of patient engagement (e.g. patient experience leads, health administrators, quality improvement leads, researchers).

Moderator:

Catherine Brown
President and CEO
Health Shared Services Ontario


Speakers:

Mark Bisson
Chief Executive Officer
Centre de santé communautaire de l’Estrie

Nicki Cunningham
Group Manager of Primary Care in Cancer Screening
Cancer Care Ontario

Jennifer Kehoe, MPH
Digital Health Planner
South West Local Health Integration Network

Hannah Loshak, HBA, MI
Information Manager
Centre for Effective Practice

Paula Morrison
Team Coordinator
CHEO, BORN Ontario

Cyrelle Muskat, BA, MHA
Manager, Seniors Quality Leap Imitative
Baycrest Health Sciences

Michelle Policarpio, MSc, BSc
Senior Research Associate
Cancer Care Ontario

Susana Neves-Silva, RN, BScN
Manager, Telehomecare and Rapid Response Nursing Programs
Toronto Central Local Health Integration Network


Sharing experiences is an effective method for discovering innovative ideas, spreading change, and facilitating the delivery of high quality care.

This session, will present the top ranked abstracts submitted to Health Quality Transformation: 2017. It will feature presentations that demonstrate innovative approaches to quality improvement planning, measurement and the achievement of results over time, as well as lessons learned.

These compelling presentations will illustrate implementation of leading practices and movement of key quality indicators aligned with attributes of a high performing health care system.


Objectives

By attending this session, participants will:

  1. Discover examples of how health system providers and leaders across Ontario have translated knowledge into practice and learn of innovations and initiatives that have successfully transformed health care delivery and promote a culture of quality.

Engage in stimulating discussions and obtain ideas, lessons learned and information that may be implemented to make improvements to the health care system.


Moderators:

Jon Johnsen, MD
Clinical Quality Lead 
North West LHIN

Reena Dhatt, MD, CCFP, FCFP
Clinical Quality Lead 
North East LHIN

*Only available in Sudbury or Thunder Bay

Participants will engage in a dynamic discussion regarding current and future state of healthy communities, including the identification of current successes, gaps and challenges for health equity. Innovative ideas and practical tools to improve health care delivery and outcomes will also be shared.


Target Audience

Roles: Physicians, providers, patients, planners, researchers, quality improvement leads, educators, researchers

Sector(s): All


Canadian College of Health Leaders logoThe College of Family Physicians of Canada logo


Maintenance of Certification

Attendance at this program entitles certified Canadian College of Health Leaders members (CHE / Fellow) up to 2.5 Category II credits towards their maintenance of certification requirement.

Let’s make our health system healthier

Join Our Patient, Family and Public Advisors Program

Patients, families and the public are central to improving health quality.


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

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