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Healthcare Management Forum

Gillian Mulvale, Fiona Wilson, Shaleen Jones, Jenn Green, Karl-Johan Johansen, Ian Arnold, Nick Kates
Mental health peer support is an evidence-based approach called for by Canada's mental health strategy that presents health leaders with an opportunity to transform mental health service experiences, improve health outcomes, and lower overall system costs. Originally offered in community settings, peer support has been expanding to clinical settings, but challenges to integration exist. This qualitative case study of peer support in clinical settings in Canada and Norway examines the perceived value of peer support and change management strategies that health leaders, managers, staff, and peer support providers can use to support integration of peer support in existing healthcare teams in clinical settings...
February 11, 2019: Healthcare Management Forum
Frank Sirotich, Carol E Adair, Janet Durbin, Elizabeth Lin, Christopher Canning
To inform the development of a pan-Canadian Mental Health and Addictions (MHA) performance measurement framework, we undertook a rapid review of the recent Performance Measurement (PM) literature and solicited input from 20 MHA policy and measurement experts. Six key steps for framework development were identified: recognizing and acknowledging key issues, developing shared language and understanding of key concepts, defining overall scope, defining framework dimension/domains, selecting indicators and using systematic engagement and consultation processes with stakeholders...
February 10, 2019: Healthcare Management Forum
Frank Sirotich, Carol E Adair, Janet Durbin, Elizabeth Lin, Christopher Canning
To inform the future development of a pan-Canadian Mental Health and Addictions (MHA) performance measurement framework, we undertook a review and comparison of current provincial/territorial MHA policies and performance measurement frameworks. Most did not have performance measurement approaches that were explicitly linked to policy actions but eleven acknowledged the importance of performance measurement. Among the provinces with a framework, there were few performance domains in common. The common policy priorities and areas of convergence in current performance measurement practices may provide a useful starting point for the development of a pan-Canadian MHA performance measurement framework...
February 10, 2019: Healthcare Management Forum
Shalini Lal
The increasing need for mental health services in the population is posing significant challenges for the health system. It is therefore important to identify new approaches to delivering care that are sustainable and scalable in terms of reach and impact. E-mental health is one approach that shows promise in addressing the treatment gap in mental healthcare. E-mental health involves leveraging the Internet and related technologies such as smartphone apps, web sites, and social media to deliver mental health services...
February 10, 2019: Healthcare Management Forum
Carol Adair
No abstract text is available yet for this article.
February 5, 2019: Healthcare Management Forum
Stephen Gaetz, Ashley Ward, Lauren Kimura
In North America, the key performance indicator of success in community strategies to address homelessness is whether a homeless person is housed or not. In this article, we argue that for young people experiencing homelessness, we need to advance a broader consideration of outcomes to include a range of well-being indicators designed to understand the needs of developing adolescents and young adults and contribute to housing stability. We articulate that the positive outcomes of young people across life domains that include housing stability as well as their safety and security, health and well-being, social connections to peers, family and meaningful adults, connections to groups/neighbourhoods/communities, interests and recreation and leisure, and school and career/work aspirations and goals must be at the centre of these efforts...
February 5, 2019: Healthcare Management Forum
Mary Bartram
Australia and the United Kingdom have significantly expanded access to psychotherapy over the past decade. With this international experience to draw upon and a new $5 billion federal mental health transfer, Canada is well positioned to address long-standing gaps and inequities in access to psychotherapy. In Canada's more decentralized context, a concerted effort from health leaders at all levels of government and across multiple sectors and professions is needed to make the most of this opportunity for reform...
January 30, 2019: Healthcare Management Forum
N Shira Brown, John Chirico, Melanie Hollidge, Jill Randall
Niagara Health, a multi-site hospital organization, has developed a multimodal, comprehensive strategy to manage patients with a Difficult Airway (DA) in a non-operative setting. The Difficult Airway Pathway (DAP) is an evidence-based strategy aimed to train staff to reduce critical events. The DAP initiative aligns with the LEADS framework for change management and includes an annual review of reported critical incidents and an Enterprise Risk Management (ERM) Assessment Summary, with the goal to "create a regional systematic approach to support personnel, equipment and education...
January 30, 2019: Healthcare Management Forum
Colleen Grady, Karen Schultz, Brent Wolfrom, Nadia Knarr
If leadership skills can be developed during post-medical school training, physicians will be better prepared to influence positive change for their patients and communities. Based on both LEADS and CanMEDS Leader competencies, a mixed methods approach was used to identify the most valued leadership constructs and which of these should be prioritized for development in an enhanced family medicine curriculum. The interpersonal skills were identified most often and included: self-awareness/leads self, effective communications, leading change and building teams...
January 30, 2019: Healthcare Management Forum
Heather Stuart
Substance use stigma makes it difficult to reframe the opioid crisis as a public health issue and has been a barrier to accessing life-saving treatments. Interventions using people that convey recovery stories are promising practices. Groups that may benefit from targeted stigma reduction interventions include opioid users (to combat shame and blame), at-risk youth, first responders, dispensary personal, media, and healthcare professionals. The evidence supporting antistigma interventions is thin, with little Canadian research...
January 30, 2019: Healthcare Management Forum
Pamela N Prince, Dwight W Mihalicz
Employee engagement is seen as an important aspect of organizational outcomes in health settings. In this article, the authors explore the importance of manager effectiveness in the creation and reinforcement of employee engagement. Using a naturalistic retrospective study approach, the relationships between manager training, managerial leadership activities, employee satisfaction, and organization outcomes are explored. Although directionality cannot be assumed, the three measures of managerial effectiveness, employee engagement, and client-based organizational outcomes all show positive results over a 4-year period after an investment in key initiatives to improve manager effectiveness...
January 22, 2019: Healthcare Management Forum
Roger A Boyer
The Canadian Government released a document to aid in the relationships between the Government of Canada and First Nations around the ratification and redesign of the Indian Act of 1876. The name of this document was the "White Paper." The Federal Government's "White Paper, statement of Government of Canada on Indian Policy of 1969," rejected the concept of special status for First Nations within confederation-they should have the same rights and responsibilities as other Canadians. The Federal Government argued treaty rights were irrelevant in today's society; the important issues demanding attention included economic, educational, and social problems...
December 4, 2018: Healthcare Management Forum
Elizabeth McGibbon
Health leaders in organizational governance have a key role in enacting the Truth and Reconciliation Commission's Calls to Action. This discussion highlights historical and contemporary truths that can underpin action for addressing colonial impacts on Indigenous (First Nations, Metis, and Inuit) health outcomes and healthcare. Emphasis is on white settler roles and responsibilities, where health-related Calls provide a blueprint for health reconciliation leadership. There is broad agreement of the necessity to acknowledge and address key cornerstones of decolonization at individual, intermediary, and organizational stages: racism, white settler power and privilege, and cultural safety...
December 4, 2018: Healthcare Management Forum
Eileen Pepler, Rebecca C Martell
Indigenous people have always had the end in mind-a long range vision for the health and wellbeing of their families and communities. Creating Indigenous solutions-oriented approaches to strategic health and social care workforce planning is an essential component to the realization of self-determination and empowerment, accessible health services, community participation, and flexible approaches to care. This article suggests using an Indigenous "models of care" population health approach to health and social care workforce planning that takes a critical thinking, systems thinking, and design thinking approach using digital tools (eg, scenario planning and population health simulation)...
December 4, 2018: Healthcare Management Forum
Margo Greenwood
The relationship that Indigenous Peoples have to the Canadian healthcare system makes the system's weaknesses and complexities obvious. The long-standing lack of consideration to the historical and contemporary realities of Indigenous Peoples has resulted in miscommunication, misunderstanding, mistrust and racism. Health leaders, including health authorities, across the province are thus challenged to ensure that culturally safe environments are available and culturally safe practices are being used. This article begins with an overview of contemporary social political contexts in which Indigenous individual and collective realities are situated...
December 4, 2018: Healthcare Management Forum
Gary Goldsand
Questions about smoking policies in hospitals, and how exactly to implement them, have been difficult to answer for many years. Policy-makers must consider a tangled web of personal versus public goods. Administrators often have to creatively decide how policies can best be adopted at their particular site. Clinicians and hospital staff must then implement those policies, often compelling them to consider whether a slight violation might be in a particular patient's interest, and then whether to assist in the violation or not, and whether to share their decisions with colleagues...
December 3, 2018: Healthcare Management Forum
Paul Gallant
No abstract text is available yet for this article.
November 14, 2018: Healthcare Management Forum
Joseph M Byrne
The Canadian healthcare system is costly. Each day, health leaders must make decisions about what healthcare services will be offered, how they will be funded, to whom they will be made available, and within what administrative and clinical structure they will be managed and delivered. These decisions, their justification, and the ethics framework employed can vary greatly across the Canadian landscape. These high-stakes decisions must not only draw upon healthcare science but the science of business finance, risk management, and organizational design...
November 2018: Healthcare Management Forum
Donald J Philippon, Gregory P Marchildon, Kristiana Ludlow, Claire Boyling, Jeffrey Braithwaite
Using three data sets, each providing an overview of health service delivery in high-income countries, this article provides a high-level comparative analysis of health system performance against specified key performance indicators in two jurisdictions: Canada and Australia. Several variations, nuances, and points of comparison between delivery and organization of care are discussed. The article examines three policy and structural differences that may help explain the comparatively superior performance of the Australian system on most indicators, and two key areas of improvement for the Canadian system were illuminated: a stronger central government role and a national pharmaceutical plan...
November 2018: Healthcare Management Forum
Polly Stevens, Annette Down, Jordan M Willcox
Drawing on strong ethical and evidence-based principles, Healthcare Insurance Reciprocal of Canada, in collaboration with healthcare leaders, has developed guiding questions to help boards of healthcare organizations carry out a critical governance function-the oversight of key organizational risks. The resulting list of 21 questions is the first of its kind for healthcare and focuses on the core mandate of healthcare organizations which is providing high-quality care. Recommended practices accompany each question...
November 2018: Healthcare Management Forum
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