How Can We Get Healthcare Provider Community Participation in Ontario's Healthcare Networks?

Participants: Martin Cleaver (convenor), Stacey Jeffries, Valerie Bradford, Marcia Redmond, Andrew Sinclair, Jason Hammond, Donald Wallace (recorder)

Health Promotion: Group Practice, Length of Visit

Prevention vs. Treatment

Community Anxiety, Cambridge area, healthcare workers concerned, serious underfunding in Waterloo region, need for hospital expansion; distrust of LHINs as they are; are they only for efficiency?; are they puppets for the government

Uncertainty has lead to inaction

Top-down planning may not be the way to go: mass collaboration would be bottom up; get things moving; embrace communities and their concerns

more widely-available information: trying to take it in their own hands; has pros and cons: devaluing the work of the doctor; googling information and mass amateurization

people who can see where the money can be saved are working in the system and see the problem but not empowered to introduce change; not being listened to; LHINs only focused on cost control

quality of control with reduced costs by designating who provides the care

many physicians working part-time

electronic healthcare records: security of information records; many different types of information can be collected; confidential patient information vs. provider participants; harmonization even if not co-located; schedule appointments

Romonow recommendation shift electronic records from province to province

who can see the information?

risk of insulating data; aggregated data would be very valuable: who wants that data?

role for single health advocate; the professional helping navigate the system; primary health care provide; is it a waste of time for the GP? triage in ER: efficiently routing; telephone advice: telehealth

attitudianal issues with naturopathic doctors

mapping the healthcare industry: pressure because of aging population, scaling of systems

analysis paralysis?; lack of visibility

wiki-like approach; bottom up; need for an agreement about patterns; grass roots systems-level change; visibility of value propositions

transparency in the system; allow parties to declare themselves; allow them to self-organize

legalistic or regulatory equality; basis of need

health care liaison; new to an area; links to the right people

workshops; support to newcomers to the community; does it exist?; not much visibility in the industry

will take a few years before we see real action out of the LHINs; may not have the tool kits in place

wiki-based approach; liability problem: quality of information as good as the person entering it

need to get people alligned to transform it: agreed-upon aims; LHINs may not be able to capture ongoing changes

differences between a regular wiki and structured wiki: looks more like a database; predefined field names