Health System Performance

We spend a lot of money on health care and yet our system is not always able to provide the care that people expect. Waits are long, access uneven and inefficiencies abound. Health system performance draws on the professionals, administrators, technologies, organizational structures and incentive systems that shape the activities of both providers and users. The articles in this section include case studies,  papers and reports from discussion groups on measures that have been taken, in Québec, Canada and elsewhere to improve health system performance.

AF cover Better care for people with atrial fibrillation

This case study, prepared by Health Innovation Forum with contributions from Dr.Thao Huynh, Cardiologist, Ms. Caroline Boudreault, Clinical Research Nurse, MUHC, and Mr. Sébastien Désormeau, Health Care Affairs Manager, Boehringer-Ingelheim, looks at how Québec cardiologists have partnered with Boehringer Ingelheim to implement guideline-based protocols, patient education and care coordination. — Produced as part of the series: “Partnerships to Enhance Health System Performance.”

October 2013

Visibility cover Improving access to inpatient beds

This case study, prepared by Health Innovation Forum with contributions from Ms. Esther Leclerc, Assistant Director General at the CHUM, and Mr. Thierry Guyader, Director, Healthcare Improvement Division, McKesson, examines the Centre hospitalier de l’Université de Montréal (CHUM) partnership with McKesson to implement real-time information displays for greater efficiency in patient flow. — Produced as part of the series: “Partnerships to Enhance Health System Performance.”

October 2013

Labs cover A state-of-the-art hospital laboratory

This case study, prepared by Health Innovation Forum with contributions from Dr. Elizabeth MacNamara, Director of Diagnostic Medicine at the JGH, and Mr. Ian Parfrement, President and General Manager at Roche Diagnostics, traces how the laboratory at Montreal’s Jewish General Hospital (JGH) integrates advances in Roche technology to improve access to tests and expand diagnostic capabilities. — Produced as part of the series: “Partnerships to Enhance Health System Performance.”

October 2013

2009 RT cover Nursing in an evolving health system

As part of the 2009 program of the MUHC-ISAI, Health Innovation Forum assembled nursing leaders from within and outside the MUHC to look at how nursing roles are evolving to meet new needs and find out what stands in the way of progress. The discussion was chaired by Ms. Ann Lynch, Associate Director General of Clinical Operations and Nursing Affairs, MUHC. Participants were: Dr. Jeanne Besner, Director of the Health Systems and Workforce Research Unit with Alberta Health Services and Chair, Health Council of Canada; Ms. Madeleine Boulay-Bolduc, Associate Director of Nursing, Clinical and Professional Staff Development Service, MUHC; Dr. Francine Girard, Dean, School of Nursing, Université de Montréal; Ms. Patricia O’Connor, Associate Director of Nursing, Neuroscience Mission, MUHC; Ms. Andréanne Saucier, Associate Director of Nursing, Cancer Mission and Respiratory Services, MUHC; Dr. Jeremy Sturgeon, Director of Medical Oncology, MUHC; Ms. Linda Ward, President, Ordre de infirmières de Montréal/Laval, Associate Director of Nursing for Medical Services, MUHC

May 2009

CHIP cover Prevent the next heart attack

This case study was prepared by Health Innovation Forum with collaboration from Ms. Marla Gold and Dr. Mark Smilovitch from the McGill Cardiovascular Health Improvement Program. — Produced as part of the 2008 program of the MUHC-ISAI.

May 2008

2008 Alberta Case Cover One-stop shops for assessment and treatment: Alberta Hip and Knee Replacement Project gets results

This case study was produced by Health Innovation Forum with collaboration from Dr. Cy Frank, Executive Director, Alberta Bone and Joint Health Institute, Tracy Wasylak, Vice-President, South Health Campus, Calgary Health Region, Shawna Syverson, Director, Bone and Joint Health, Calgary Health Region, Joanna Pawlyshyn, Executive Lead, Bone and Joint Health, Capital Health, and Louisa Pothier, Regional Planner, Bone and Joint Health, Capital Health. — Produced as part of the 2008 program of the MUHC-ISAI

May 2008

2008 Wait times case Reduce wait time to see doctors

As part of the 2008 program of the MUHC-ISAI, Health Innovation Forum prepared this case study of a clinical practice redesign, in collaboration with Drs Carla Eisenhauer and Vicky Holmes, along with staff at the Health Quality Council.

May 2008

2008 OR Case Cover Operating room efficiency

This case study, produced by Health Innovation Forum in collaboration with orthopaedic surgeon Dr. Ken Hughes and project manager Cindy Roberts, examines how the Richmond Hospital staggers surgeries in a dedicated hip and knee unit to improve efficiency. — Produced as part of the 2008 program of the MUHC-ISAI .

May 2008

ambulance cover High quality ambulance service for all

This case study, produced by Health Innovation Forum with collaboration from Mr. Rock Marois from Emergency Medical Services, and Mr. Wayne Buffet from the Department of Health, looks at New Brunswick’s effort to consolidate and upgrade ambulance service by teaming up with Médavie Blue Cross. — Produced as part of the MUHC-ISAI’s 2008 program.

May 2008

2008 RT Cover Agents of change: Physician productivity in the Canadian healthcare system

This first ISAI round table, held in November 2007, takes a frank look at what’s happening on the front lines of medicine and how the situation might be improved. The session was chaired by Mr. Bernard Lord, Special Advisor to the MUHC-ISAI. Participants were: Dr. James Brophy, Director of the joint MUHC/CHUM Technology Assessment Unit; Dr. Jacques Chaoulli, Family Physician, President and CEO, The Chaoulli Group; Dr. David Eidelman, Chief, Department of Medicine, MUHC; Dr. Dennis Furlong, former Minister of Health for New Brunswick; Dr. Gilles Hudon, Director of Health Policy and Professional Development, FRSQ; Dr. Hugh Scully, Senior Cardiac Surgeon, Toronto General Hospital; Dr. Fernand Taras, President and CEO, Rockland MD; Dr. John Wade, Chair of the Board, Winnipeg Regional Health Authority. All had strong opinions about what needs to be done. Presented here are some of the highlights of their discussion.

November 2007