High-Performing Health Systems

Presentation Archive

As part of Alberta Health Services (AHS) Strategic Health Needs Assessment and Service Design 2030 project, the Institute of Health Economics has been commissioned to conduct three Knowledge Exchange events. The second event - High Performing Health Systems was held April 15th, 2011. The event was supported by Alberta Health Services in collaboration with Alberta Health and Wellness. Below are video records and powerpoint presentations provided at the event.
Conference program - Link
Background documents - Link
Videos and powerpoints (scroll down - embedded in program below) 

Friday, April 15, 2011 Program

Morning Session

0800 - 0810       Introduction and Greetings

0810 - 1010       Evidence of High Performing Health Systems International Overview

Moderator: Susan Williams, Assistant Deputy Minister, Alberta Health and Wellness

High Performing Health Systems - Frameworks, Indicators, and Key Components

Reinhard Busse, Professor, Department of Health Care Management, European Observatory on Health Systems
Reinhard Busse discussed what it might mean for a health system to be considered "high performing." His session reviewed frameworks by international organizations such as the WHO, OECD or Commonwealth Fund, comparing the main dimensions of performance and the indicators used to measure and quantify it. He finally presented the key components of high performance both as a set of questions and a set of answers.
Powerpoint Presentation

Chronic Care in Europe: Towards High Performing Health Systems

Ellen Nolte, Director, Health and Healthcare Policy Programme, RAND Europe
An effective response to the rising burden of chronic disease requires a health system environment that allows for the implementation of coordinated approaches to chronic care and countries are introducing new models of healthcare delivery to achieve this. Ellen Nolte`s presentation reviewed experiences in Europe, describing the range of approaches that have been implemented and the continued challenges faced by countries.
Powerpoint Presentation

Health Care Systems: Efficiency and Institutions

Christophe André, Economist, Organization for Economic Cooperation and Development
Christophe André will discuss the policy challenges associated with improving health care systems while containing cost pressures in most OECD countries. Public spending on health care is one of the largest government spending items and health care costs are escalating rapidly. The OECD has assembled new comparative data on health care system performance and health policies, allowing for an identification of the strengths and weaknesses of each country's health care system and the policies that will boost efficiency.
Powerpoint Presentation

Audience Questions and Comments

1030 - 1200       High Performing Health Systems in Practice: International Examples

Moderator: Tom Noseworthy, Director, Centre for Health and Policy Studies, Department of Community Health Sciences, University of Calgary

Improving the Performance of the English National Health Service

Chris Ham, The King's Fund
Chris Ham discussed the actions taken in England to improve health service performance in the last decade. The session will cover the use of targets and performance management; initiatives to
strengthen capability for performance improvement through the Modernisation Agency and the NHS Institute; and the emphasis placed on patient choice and provider competition. The changing balance between top down and bottom up approaches will be outlined alongside the use of financial incentives and payment systems e.g. the quality and outcomes framework in primary care. The session will conclude with an update in reforms proposed by the Coalition Government in May 2010.
Powerpoint Presentation

The Dutch Health Care Performance

Guus Schrijvers, Professor of Public Health, Julius Center for Health Sciences and Primary Care
Guus Schrijvers will outline the health care system in the Netherlands, focusing specifically on life expectancy, care consumption, and care providers. The presentation will emphasize numbers and trends, health care institutions, and health care expenditures.
Powerpoint Presentation

Audience Questions and Comments

1200 - 1300       Lunch

Afternoon Session

1300 - 1420       High Performing Health Systems in Practice: International Examples

Moderator: Cy Frank, Professor of Surgery and McCaig Professor of Joint Injury and Research, University of Calgary

Building a High Performance Health System: Lessons from Kaiser Permanente

Murray Ross, Vice President and Director, Kaiser Permanente Institute for Health Policy
Kaiser Permanente is the largest private integrated delivery system in the United States, serving 9 million people. Kaiser Permanente's structure and performance is often cited as a model by those seeking to improve the quality and efficiency of care delivery. In this session, Murray Ross will explore how the Kaiser Permanente model operates and the key ingredients that make it effective.
Powerpoint Presentation

Using Electronic Resources to Provide High Quality, Low Cost Healthcare

Chris Wood, Intermountain Health Care
Chris Wood discussed the Intermountain Healthcare model for a high quality, lost cost healthcare system. Intermountain Healthcare is a non]profit system of hospitals, surgery centers, doctors and clinics that serves the state of Utah and South Eastern Idaho. The Intermountain system focuses on providing patients with the highest quality of care at the lowest possible cost. In his presentation, Dr. Wood examines evidence suggesting that an emphasis on quality is not only cost]effective, but also facilitates a higher standard of care.
Powerpoint Presentation

Audience Questions and Comments

1420 - 1520       Monitoring Health System Performance: What Measures Matter to the Public?

Moderator: John Sproule, Senior Policy Director, Institute of Health Economics

Monitoring Health Systems: Measures and Performance

Fred Horne, MLA Edmonton-Rutherford and Parliamentary Assistant to the Minister of Health and Wellness
Fred Horne will provide some perspectives on monitoring health system performance building on recent consultations he conducted across the province.

Which Health System Performance Measures Matter: The System vs. The Public

John Abbott, Chief Executive Officer, Health Council of Canada
John Abbott spoke about while the overall goal may be to have a high performing public health care system, it is important to factor in what matters to patients and citizens as we go about renewal efforts.
Powerpoint Presentation

The Public Perspective

Deborah Prowse, Patient Advocate and Board Member, Canadian Patient Safety Institute
Deborah Prowse will provide some personal comments as a member of the public and as a patient advocate on public views of a high performing health system performance and expectations they might have on necessary improvements.
Powerpoint Presentation

Audience Questions and Comments

1520 - 1540       Break

1540 - 1620       Reflections on Key Lessons that Might be Applied in Alberta

Moderator: Marianne Stewart, Vice President Edmonton Zone, Alberta Health Services
This session provided for some reflections from AHS leaders on what lessons might be applied to particular systems of care within Alberta and generally for the Alberta health system moving forward.

Bone and Joint

Cy Frank, Professor of Surgery and McCaig Professor of Joint Injury and Research, University of Calgary

Mental Health

Cathy Pryce, Vice President, Addiction and Mental Health, Alberta Health Services

Cardiology

David Johnstone, Clinical Director, Mazankowski Heart Institute

1620 - 1640       Key Lessons from the Day

Tom Noseworthy and Cy Frank presented their reflections on the day, and thoughts on priorities going forward as an organization.

1640 - 1700       Concluding Remarks

Alison Tonge, Executive Vice President, Alberta Health Services