Quality Forum: Choosing Wisely by Jessica Otte on Prezi

10 minutes: That's how much time I had to tell the audience at the BC Quality Forum about the Choosing Wisely Canada campaign.

10 minutes may be the schedule duration of a routine patient visit with their GP. That's a short amount of time! In this short time it is hard to have a fulsome discussion with a patient about their condition, review their history, check in with their goals, and plan a strategy of treatment. It's even harder when the patient has 3 things they want to discuss!

10 minutes is not enough time to change the world - unless you do it a little bit at a time! That's why the take-away from my talk was simple:

If you feel you may need more, check out the slides on Prezi.

If you want to see other talks or articles I've done, go to the Media/Talks section.

Source: https://prezi.com/z0wgdfkmh64p/quality-for...

RightCare Action Week: Get involved (LOWN INSTITUTE)

The Lown Institute is an amazing American organization devoted to transforming health care; particularly, they believe that performing unnecessary medical tests and treatments is unethical and unacceptable, and have undertaken work to empower patients and health care providers to achieve "the right care."

I had the privilege of attending their Road to Right Care conference in March of this year, and I am pleased to be able to promote the following initiative: 

RightCare Action Week

RightCare Action Week is a grassroots initiative for clinicians and others who want to take action that demonstrates how much better our healthcare system can be. 

Our healthcare system has strayed from its mission: Healthcare that is effective, affordable, needed and wanted by well-informed patients, and especially, free of clinical decisions that are made with financial or business considerations.

From Oct. 18 to 24, 2015, people like you across the country will take action to show patients that we have not forgotten what good medical care is. Actions can be as simple as taking a deeper social history or doing a house call.

What can you do right now? Sign up for RCAW, vote on actions you’ll support from our growing list of possibilities, or suggest one of your own.

Here are some themes you should consider before suggesting an activity for either a single day of RCAW or the entire week.

Actions that:

·      Highlight the conflict between the healing culture and business culture

·      "Suspend business as usual" 

·      Connect patients to clinicians and clinicians to their colleagues to provide better care

·      Encourage clinicians to take as much time as needed with patients

RightCareActionWeek.org is designed so that anyone can suggest or discuss activities on the forum.

The only way to transform healthcare is if we present what better healthcare looks like. RCAW is our chance to do that. Sign up to join us now.

RCAW is an initiative of the RightCare Alliance. 

 

For more information email us at organize@lowninstitute.org or visit us at www.rightcareactionweek.org

Source: http://rightcareactionweek.org/

Transforming Primary Care: Rx | The Quiet Revolution (DOCUMENTARY)

Thanks to Dr Dave Elpern (Cell2Soul) who shared this video, a 90-min PBS documentary, Rx: The Quiet Revolution.

In this inspiring 90-minute documentary, filmmaker David Grubin – the son of a general practitioner – takes his camera across America to focus on the challenges and triumphs in our country’s health care delivery system. The four segments that comprise Rx: The Quiet Revolution introduce us to a diverse group of doctors, nurses, and health care professionals who are transforming the way we receive our medical care: lowering costs by placing the patient at the center of their practice

Certainly the vignettes of Dr. Loxterkamp remind me of Vancouver's Home ViVE program and the kind of doctoring I aspire to. Likewise, the Nuka approach is something that could work beautifully for Nunavut, if and when the people are ready.

The film highlights four programs that are revolutionizing the way health care is delivered. What they all have in common is a patient-centred approach, remembering that people and relationships are at the heart of health:

 

- On Lok Lifeways Program for All-inclusive Care of the Elderly (PACE) program: "On Lok’s goal is to allow frail and elderly seniors with chronic illnesses or disabilities — who would normally require nursing home care — to live with dignity in their own home"

- The Seaport Community Health Center, where Dr Loxterkamp is re-inventing the patient's medical home: "Some of our patients miss the 'old-fashioned country doctor,' the one they could call whenever they needed to be seen– before the computer, before a team of assistants separated them from their doctor, and when they mattered more than their disease."

- Alaska's Southcentral Foundation which developed the Nuka System of Care: "This is a name given to the whole health care system created, managed, and owned by Alaska Native people to achieve physical, mental, emotional and spiritual wellness. Nuka is an Alaska Native word used for strong, giant structures and living things. The relationship-based Nuka System of Care is comprised of organizational strategies and processes; medical, behavioral, dental and traditional practices; and supporting infrastructure that work together - in relationship - to support wellness."

-  The Center for Telehealth at the University of Mississippi Medical Center: Their Diabetes Telehealth Network aims to "provide people with diabetes more consistent and timely access to clinicians through the use of telehealth technology in their homes"

 

The documentary can be seen online in its entirety here.

Source: http://rxfilm.org/

Dr. Danielle Martin on Transforming Health Care: Three Big Ideas

In 2006, Dr Danielle Martin founded Canadian Doctors for Medicare, an organization which seeks to "provide a voice for Canadian doctors who want to strengthen and improve Canada's universal publicly-funded health care system" and advocates for "innovations in treatment and prevention services that are evidence-based and improve access, quality, equity and sustainability."

Dr. Martin's gave a keynote address at the Family Medicine Forum last week in Quebec and as I was at a CMA Healthcare Transformation Working Group meeting, I was unable to attend.

However, even those who weren't there we aware of the profound importance of her talk. She presented Three Big Ideas for transforming the Canadian Healthcare System. They are sensible, explicitly involve "Less is More Medicine," and are achievable.

She's also speaking on this topic in Vancouver on November 27th.

If you cannot attend one of her talks in person but want to know what her Three Big Ideas are, you still can. Fortunately, she was also the inaugural speaker for the Now or Never: Innovation in Health Care Forum series in Halifax and this was recorded, so you can view a similar talk in its entirety below:

I must admit, Dr Martin already had me won over long ago but her no-nonsense approach to defending, nay, promoting medicare solidified it. Her pointed responses to American politicians this spring had me howling with laughter (and cheering in agreement).

Watch the whole thing or just 2:55-4:00 of the video below if you want to see the bit where her education and passion allow her to shut down the opponents completely. *high five*

I think the Canadian Health Care system is in good hands with her vision.