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We are an independent policy think tank, intent on changing the health-care debate, health-care practice and the health-care experience in Ontario.

 

Multimedia Gallery



Video

Barbara Balik talks at Meeting of the MindsMeeting of the Minds 2011 - How Do We ACE the Patient Experience? (June 21, 2011)
Building on last year's session, Redesigning Health Services with Patients Top of Mind, our 2011 invitational Meeting of the Minds zeroed in on how to make "patient experience" a priority in a meaningful and measureable way. What role do access, communications, and engagement (ACE) play in teasing out a better experience for people interacting with the health-care system? 
Barbara Balik, delivered the substantive keynote Getting in Gear: What Drives an Exceptional patient and family experience (pdf) following her Hot Talk the night before.  Hear Balik’s talk, focused on key drivers of change, Part 1 & Part 2 and the Q&A session including Toronto CCAC CEO Stacey Daub's inquiry on what patient-centred care means in a community vs. hospital setting (audio).

Read the meeting agenda, speaker bios and participant list.

Video interviews with key speakers & participants:

Patients
Views by seniors/caregivers on what defines a good patient experience and a bad one:

Healthcare Leaders
International and cross-country examples of initiatives and ideas to advance meaningful and measurable patient-centred change:

UK

  • Lynne Maher, Director for Innovation and Design, NHS Institute for Innovation and Improvement on Experience Based Design and how's its changing organizational culture and helping the NHS's mandated financial sustainability goals. (video and pdf).

Canada:

  • Lea Bryden, VP, Citizen Engagement & Accountability, Capital Health Halifax, Nova Scotia presented a provocative presentation on her organization's transformative public engagement strategy (video and pdf)
  • Stacey Daub, CEO, Toronto Central CCAC, on lessons from the innovative Virtual Ward program and the need to design community services around needs of families and patients (video)
  • Michael Evans, Director, Health Design Lab, Staff  Physician, St. Michael's Hospital on how social media is helping to better engage and care for patients (video).
  • Durhane Wong-Rieger, President & CEO, Institute for Optimizing Health Outcomes, emphasizes the importance of shifting our system to support patients to self-manage chronic disease (video).
  • Ken Tremblay, President & CEO, Peterborough Regional Health Centre (video)

Barbara Balik talks at Hot Talks on HealthHot Talks on Health with Barbara Balik (June 20, 2011) 
Making Sense of Patient Experience - Partnering with Patients and Families
The Institute of Healthcare Improvement’s Barbara Balik presented our 3rd Hot Talk on Health in partnership with the School of Public Policy, U of T. 
Watch Part 1 & Part 2 of her dynamic keynote, Making Sense of Patient Experience - Partnering with Patients and Families (June 20, 2011), read her presentation (pdf format).  

See the panel discussion following the talk, featuring:

  • Susan Eng, VP, Advocacy, Canadian Association of Retired Persons (CARP),
  • Danielle Martin, Chair, Canadian Doctors for Medicare
  • Adalsteinn Brown, Chair, Public Health Policy, Dalla Lana School of Public Health U of T, and former ADM of Health.
  • Q & A from the floor

social media toolkitUsing social media to improve the quality of patient experience

Read the report "Using Social Media to Improve Healthcare Quality: A Guide to Current Practice and Future Promise."
Part 1: Introduction and Key Issues in the Current Landscape.
Part 2: Exploring Two Case Examples and Imagining the Future.

Video views from partners & participants reflecting on key project learning and the promise and potential of social media to help improve patients’ health-care experience.

  • Melanie Barwick, Scientific Director KT, Child Health Evaluative Sciences Research Institute, Hospital for Sick Children and Ginger Council Member
  • Pat Campbell, CEO, ECHO: Improving Women's Health in Ontario
  • Cathy Fooks, CEO, The Change Foundation
  • Rob Fraser, Graduate Nursing Student, University of Toronto & Founder, Nursing Ideas
  • Manuel Gitterman, Director of Operations, Policy, Education & Health Promotion, Centre for Addiction & Mental Health (CAMH)
  • Neil Seeman, CEO, Health Strategy Innovation Cell
  • Tom Sommerville, Business Technology Specialist at Ontario Ministry of Health and Long-Term Care

Baroness Barbara YoungHot Talks on Health (October 28, 2010)
Pondering radical U.K. health-care changes: Hot Talk on Health with Baroness Barbara Young  

Presented by The Change Foundation in partnership with the University of Toronto's School of Public Policy and Governance. Read Baroness Young’s biography. See event agenda.

Baroness Young’s Hot Talk:

Radical "austerity" context and key elements of Coalition Government's proposed NHS reforms (13:19 min)

The shift to the "Big Society" and reaction to pace and scope of proposed NHS reforms. (11:59 min)

The flip side of reforms: new opportunities to build on past progress on improving health-care quality and integration. (8:07 min)

Conclusion: possible future impacts of reforms, the good, bad and ugly. (3:47 min)

Question and Answer with the Rt. Hon. Baroness Young (14:48 min)

Panel: Response & Reflections on Ontario’s Quality Agenda

Ross Baker, Professor, Health Policy, Management and Evaluation, U of T (13:21 min)

Carolyn Baker, President & CEO, St. Joseph’s Health Centre, Toronto (9:00 min)

Ben Chan, CEO, Ontario Health Quality Council (11:06 min)

Question and Answer with the Rt. Hon. Baroness Young and Ontario Panel (13:49 min)


Integration Incubator Series
November 18, 2010
Spotlight on St. Joseph's Health System

Interview with Kevin Smith, President & CEO, St. Joseph's Health System
(Tools for Change: Funding Levers & Incentives for Integrating Patient Care in Ontario, hosted April 26 by The Change Foundation & MOHLTC)

View the video clips:
St. Joseph's Health System: new parts & players join to offer a continuum of care across two LHINs (1:43 min)

Easing patient transitions by linking institutional & community care back to primary care (1:42 min)

Future funding experiments planned: follow the patient, bundle services, & tie funding to results (3:03 min)

Incenting providers to reduce costs & add "highest value" to improve care (3:42 min)

Empowering CCACs to drive innovation - experimentation is a good thing (2:07 min)

Integration successes to date @ St. Joseph's Health System: a focus on moving patients back to home or to the right level of care (4:58 min)

Key role of IT in driving integration, self-management & quality improvement (3:09 min)

Success stories to date: a focus on patient dignity & respect (4:48 min)

The importance of sharing success to drive a culture of excellence (1:53 min)


Hot Talks on Health: May 28, 2010
Susan Dentzer, Editor-In-Chief of Health Affairs
Presented by The Change Foundation in partnership with The Canadian Club of Toronto

The Affordable Care Act: A big step forward. (3:03 min)

How the new Act fulfils Obama’s eight key principles Part 1 (10:15 min)
(Objectives 1-4: containing spending, universality, portability of coverage & expanding Medicaid)

How the new Act fulfils Obama’s eight key principles Part 2 (6:40 min)
(Objectives 4-8: prevention, ehealth, safety & quality, fiscal sustainability

First comes " Implemageddon": Changes in value, quality, performance, accountable care to follow (8:21 min)

Political aftermath and challenges ahead (4:20 min)

Audience Question & Answer session (part one)

Audience Question & Answer session (part two)


Meeting of the Minds
June 22 & 23, 2010
Rethinking Health Services with Patients Top of Mind

Read the agenda and participant list.

See video interviews with key speakers & participants:

Laura BuntLaura Bunt
Policy Advisor, Public & Social Innovation
The National Endowment for Science, Technology and the Arts (NESTA)
United Kingdom

View the complete interview (25:58 min)
or view each question in sequence.

Susan FramptonSusan Frampton
President, Planetree, USA

View the complete interview (19:31 min)
or view each question in sequence.

Karyim JoachimKariym Joachim
Co-Chair, SickKid's Family-Centred-Care Advisory Council and former member of SickKid's Children's Council
Toronto, Canada

View the complete interview (12:16 min)
or view each question in sequence.

 

Playback Video
As part of the program, participants were asked to clarify what a patient-centred health-care system means, and to identify the first thing we need to do to improve the patient experience in Ontario. See what they came up with in full Playback video from the day or in individual clips listed in order of appearance (click on name).

Kariym Joachim (Co-chair, Sick Kids' Family-Centred Care Advisory Council)
Barbara Muskat (Clinical Specialist, Manager /Co-Chair, Dept. of Social Work, SickKids /SickKids' Family-Centred-Care Advisory Council)
Danielle Martin (Family physician /Board Chair /Councillor Women’s College Hospital & CHC /Canadian Doctors for Medicare /Health Council of Canada)
Neil Seeman (Director Health Strategy Innovation Cell, Massey College, U of T)
Susan Frampton (President, Planetree)
Nick Kates (Director of Improvement, Hamilton Family Health Team & Ontario Lead, Quality Improvement and Innovation Partnership)
Susan Vanderbent (Executive Director, Ontario Home Care Association)
Shalom Glouberman (President, The Patients' Association of Canada)
Dorothy Pringle (Professor Emeritus,Faculty of Nursing, U of T)
Anton Hart (Publisher & CEO Longwoods Publishing)
Bill MacLeod (CEO Mississauga Halton Local Health Integration Network)
Paula Blackstein Hirsch (Executive Director Centre for Healthcare Quality Improvement (CHQI) at The Change Foundation)
Paula Carere (President Nurse Practitioners' Association of Ontario)
Mimi Lowi-Young (CEO Central West Local Health Integration Network)
Tony Woolgar (Health Policy Consultant & former health executive, UK & ON)
Laura Bunt (Policy Advisor, Public & Social Innovation National Endowment for Science Technology and the Arts (NESTA), UK)
(click on a name to view that individual's clip)


Tools for Change: Levers and Incentives for Integrating Patient Care in Ontario Symposium
April 26, 2010
(The Change Foundation & Ministry of Health and Long-Term Care)

Read the agenda and participant list.

symposiumHoward Dean, Physician and former U.S. Governor on U.S. Health-Care Changes and Challenges
(10:49 mins).
Watch a video podcast with former US Governor, physician  Howard Dean and Foundation CEO Cathy Fooks. The Q & A covers the politics behind the US reforms, Dean’s hopes for the future, and his country’s best examples of  integrated "one-stop shopping" health systems.  Dean was the keynote speaker at this event.

Joy Galloway, Timmins Family Health TeamJoy Galloway, ED of Timmins Family Health Team
(5:50 min)

See an interview with Joy Galloway, ED of Timmins Family Health Team describing how incentives paid to FHT doctors to encourage particular types of preventive care are helping patients tackle chronic disease. 


Fooks Cushman interview 1Top of Mind Webcasts
Meeting of the Minds 2009 (June 16, 17th)
First Things First: Fostering Accountable, Connected,Quality Primary Health Care

Q & A with Cathy Fooks and Robert Cushman

Listen to a video conversation between Change Foundation CEO Cathy Fooks and Champlain LHIN CEO Dr. Robert Cushman.


2009

Tina SaryeddineTop of Mind Webcasts
Q and A with Tina Saryeddine
What difference does a good patient referral process between health-care organizations make? U of T PhD student Tina Saryeddine tells us.

Tina Saryeddine is a doctoral candidate at the Faculty of Medicine, Department of Health Policy, Management and Evaluation, at the University of Toronto.  She is studying the question: What makes the patient referral process between different organizations effective and efficient in Ontario health care? She is the first in a series of up-and-coming young researchers to be featured in Top of Mind.

Referral is a common and every-day step required at various transition points as patients move across the health-care continuum. In fact, each year in Ontario, at least 10,000 patients are referred between different organizations and health-care settings using different kinds of processes. Tina's research work, which focuses on how to improve the referral process ties well into The Change Foundation's core strategic goals to support quality improvement and health integration. A more clear and timely referral process is key to moving patients smoothly and quickly to the next and best care setting, improving the quality of care and the experience of the patient - both imperatives of The Foundation. 

During Tina's research, she is talking to providers who refer patients to acute care as well as to providers who receive post acute-care referrals, exploring, for example, how patients get referred from acute care to rehabilitation, or to complex continuing care or to long-term care settings. Tina will complete her thesis work later in 2009/10 and will be back to share her final findings.

Tina Saryeddine on:
Tina's background (25 seconds)
Focus and methodology (35 seconds)
What has she learned so far? (1:15 mins)
How it relates to the Change Foundation's Having Their Say, Choosing Their Way project? (50 seconds)
Why does a good referral process matter? (1:18 mins)


Top of Mind Webcasts
Leaders' Roundtable on Integrating Care for Seniors

Interviews from the Canadian Policy Research Network's (CPRN) & The Change Foundation Leaders' Roundtable on Integrating Care for Seniors (February 25, 2009) with:

  • Margaret MacAdam, Senior Research Fellow Canadian Policy Research Network (CPRN)
  • Réjean Hébert, Dean of Medicine, University of Sherbrooke, Quebec
  • Katie Hill, Director, Home & Community Care Programs, BC Ministry of Health Services

View the video interviews:

Also read senior Margaret MacAdam's commentary, Slow but Steady Progress in Home Care Sector and related CPRN reportMoving Toward Health Service Integration: Provincial Progress in System Change for Seniors. View photos from the event.


Top of Mind Webcasts
Q and A with Tony Woolgar

Tony Woolgar Tony Woolgar spent the past 35 years in senior health care management and national and provincial policy development in England and Canada. He served for a decade as a hospital CEO in England's National Health Service (NHS) and was the founding CEO of the South West Local Health Integration Network (LHIN) in Ontario. Given his unique experience and breadth of knowledge, Tony is well suited to comment on Integrated Health Care in England: Lessons for Ontario (May 2009). Read related companion pieces to this report.

Tony Woolgar on:


Dr. John HirdesTop of Mind Webcasts
Q & A with Dr. John Hirdes

The Change Foundation talks to Dr. John Hirdes about two-year collaborative study with The Change Foundation, using rich interRAI data to probe Ontario's ALC population and chronic disease management in the frail elderly.

John Hirdes (video bits & bytes) on:

See the whole video podcast.
Download the IPod friendly audio podcast.


2008

Minister of Health and Long-Term Care David CaplanTop of Mind Webcasts
Q & A with Minister of Health and Long-Term Care David Caplan
The Minister covers the health-care waterfront, and cites promising examples of innovation in such spots as Champlain LHIN and Sturgeon Falls.

...On chronic disease management
...On e-health
...On mental health
...On improving health services in the community
...On local innovations
...On the alternative-level-of-care (ALC) issue
...On competitive bidding
...On the economy and health reform


Paula Blackstien-Hirsch August 2008
Top of Mind Webcasts
Q and A with CHQI Executive Director Paula Blackstien-Hirsch

An interview about teaming up with The Change Foundation. View the webcast. (time: 11:17 mins)


Cathy FooksJune 12, 2008
Video Highlights - The Change Foundation AGM, MaRs Centre, Toronto. 
The foundation launched its first health integration report – Who is the Puzzle maker?

The Year in Review by CEO Cathy Fooks.  How did The Change Foundation do in meeting its strategic goals focused on supporting health-care integration and quality improvement in home and community care?
(time: 5:39 mins)

Overview of Who is the Puzzle maker? report by CEO Cathy Fooks
(time: 4:17 mins)

Who is the Puzzle maker? Panel Discussion moderated by the foundation's chair Gail Donner, featuring SE LHIN CEO Paul Huras, Central CCAC Executive Director Cathy Szabo and the foundation's CEO, Cathy Fooks. 
(time: 
20:28 mins)

AGM 2008 - Q & A 
(time: 9:42 mins)


Who is the Puzzle makerJune 12, 2008
Who is the Puzzle maker: Patient and Caregiver Voices

This video is the companion to The Change Foundation's first health integration report, news release and related research - Public Expectation and Patient Experience of Integration of Health Care: A Literature Review (June 2008).

 View the video news release (time: 4:30 mins) and/or a longer video montage (time: 5:25 mins) presented at our recent AGM.


Kenneth FykeMay 21, 2008
Top of Mind Webcasts
Q and A with Kenneth Fyke on Regionalized Health-Care: A Good Idea Badly Done.

Kenneth Fyke is one of Canada's most respected health-care leaders. He is a former DM of Health, Commissioner and hospital CEO. He was a speaker at The Change Foundation's May 20th and May 21, 2008 Meeting of the Minds exchange (held in Toronto) - Lessons & Confessions from the regionalized health-care front: Where can they lead Ontario? View the webcast. (time: 14:17 mins)


Tom ClossonMarch 18, 2008
Top of Mind Webcasts
Q and A with OHA President and CEO, Tom Closson

Tom Closson on health-care regionalization in Manitoba and more... (time: 22:26 mins)


Penny BallemFebruary 6, 2008
Top of Mind Webcasts
Q and A with Interview with Former BC ADM Penny Ballem with Advice to Ontario LHINS
Part 1 (20 minutes)
Part 2 (22 minutes)


Cathy FooksJanuary 25, 2008
Presentation by Cathy Fooks
An Integration Journey: Roadtrips from Afar
At the LHIN Agenda and the New Government conference (OHA and the Courtyard Group)

Watch the webcast
Read the power point presentation
Read the January 30th, 2008 and February 6th , 2008 articles in Axiom News.


2007

Thinking Change planThinking Change

This video about The Change Foundation's ambitious new plan to help integrate and improve health services in Ontario features the voices and views of the public, health-care stakeholders from the LHINs, CCACs, hospitals, and other well-respected experts and leaders -- all weighing in on the wisdom of -- and need for -- the Foundation's new focus.

View the video. (time: 7:50 mins)


June 4, 2007
Keynote Address by Roy Romanow
Canada's Shared Destiny and the Future of Medicare

Roy RomanowThe Change Foundation
Canada's Shared Destiny
The Debate over Medicare
Canada's Medicare System and Sustainability
Lessons Learned from the Romanow Royal Commission
Since the Commission - How Are We Doing?
Competing Visions & Medicare's Contribution


May 25th, 2007
Speech by Steven Lewis
LHINtegration: Can Ontario Leapfrog the Regionalized Provinces?

Steven LewisPresented at May 25th Change Foundation Symposium

LHINtegration: Can Ontario Leapfrog the Regionalized Provinces?
Why Integration?
Local Health Integration Networks: A Solution?
LHINs and Regions: Key Features
Differences Between LHINs and RHAs
What should the LHINs leapfrog over?
The Ideal Government - LHIN Relationship
Big Issues for LHINs to Address
What LHINs Can and Cannot Do
How Will We Know If LHINs are Failing or Succeeding?
How LHINs Can Move to the Head of the Pack

 

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