MAINTENANCE OF CERTIFICATIONAttendance at this program entitles certified Canadian College of Health Leaders members (CHE / Fellow) to 2.5 Category II credits toward their maintenance of certification requirement.

S Y M P O S I U M L E A R N I N G O B J E C T I V E S :

• Identify key challenges to successful transitions and implications on measuring quality between care settings

• Learn foundational components of useful and meaningful performance indicators for quality in the transitions of care

• Prioritize key elements, challenges and barriers to quality improvement across care settings

• Identify roles for providers, patients, families and governance bodies in quality improvement

Central LHINPatients First: Creating Quality in the Transitions of CareThursday March 3, 2011 • 8:30 a.m. – 4:00 p.m.Westin Prince Hotel • 900 York Mills Road • Toronto, Ontario

Special Participation by:

HUGH MACLEOD President and CEOCanadian PatientSafety Institute

MICHAEL B.DECTERHONOURABLE DEB MATTHEWS

Minister of Health and Long Term Care

ROSS BAKER Professor of Health Policy

Management and Evaluation

University of Toronto

Former Ontario Deputy Minister of Health

W H O S H O U L D A T T E N D ?

Central LHIN health service and primary care providers – Board members, senior

management (including CEOs and VPs) from hospitals, long-term care homes, community support services, community mental health agencies, Family Health Teams, Community

Health Centres, Community Care Access Centres

Senior management and/or quality experts from national and provincial health

professional associations, provincial agencies, think tanks/policy and research organizations,

other LHINs and ministries

KEN MORRISON Chair, Central LHIN Board of Directors Ken Morrison is president of R.V. Anderson Associates Limited, a consulting firm engaged in the provision of professional engineering, operations and management services for infrastructure and environmental projects. Prior to joining the Central LHIN Board, Mr. Morrison had a long association with the North York General Hospital. He joined the hospital’s foundation board of governors in 1991, serving as chair of the planned giving committee, and then as treasurer and finance committee chair. In 1994, Morrison joined the hospital’s board of governors and served as Vice-Chair from 1996 to 2000, before being elected to serve as Chair from 2000 to 2005. He was appointed as the Chairman of the Central LHIN Board of Directors in 2005.

KIM BAKER Chief Executive Off icer, Central LHINKim Baker joined the Central LHIN in July 2007 to lead the Planning, Integration and Community Engagement portfolio. She brings over fifteen years of healthcare planning and leadership experience to the role from key sectors including hospital, ministry and long-term care. In addition to clinical training as a respiratory therapist and an undergraduate degree in administrative studies, Kim holds a Master of Health Science in Health Administration (MHSc) from the University of Toronto. Kim was officially appointed CEO of the Central LHIN in July 2009. Prior to joining the Central LHIN, Kim led a national portfolio for Extendicare’s home care and community health service division, ParaMed. Kim brings health system and health service planning experience from key roles at the Ministry of Health including the Strategic Directions Project and through ten years of hospital experience including leading the redevelopment planning directorate at the University Health Network. Kim previously served on the Board of the Central Community Care Access Centre. She is an active member of the Canadian College of Health Service Executives as a Certified Health Executive (CHE).

S P E C I A L R E M A R K S B Y:

HONOURABLE DEB MATTHEWS Deb Matthews was elected to the Ontario Legislature by the people of London North Centre in 2003, and re-elected in 2007. Following her re-election, she was appointed Minister of Children and Youth Services and Minister Responsible for Women’s Issues. In October 2009 she was appointed to her current position as Minister of Health and Long-Term Care and is committed to building a more sustainable health care system with shorter wait times and better access to high quality family health care.Throughout her life, Deb has been actively involved in community organizations. She served as President of Big Sisters of London, and has volunteered with organizations including the Thames Valley Children’s Centre, the Salvation Army, Orchestra London, and the Canadian National Institute for the Blind. Her professional experience includes time spent in the construction industry, fundraising for the Boys and Girls Club of London, and teaching at the University of Western Ontario where she was twice honoured with a place on the University Students’ Council Teaching Honour Roll while completing her Ph.D. in Social Demography. Deb was born in London, Ontario where she has lived her entire life. Her most important role remains as mother to her three children, and as grandmother to her three grandchildren.

FA C U LT Y:

ROSS BAKER is a professor in the Department of Health Policy, Management and Evaluation at the University of Toronto. Together with Dr. Peter Norton of the University of Calgary, Ross led the Canadian Adverse Events study which was published in the Canadian Medical Association Journal in 2004. Baker and Norton were awarded the Health Services Research Advancement Award for their work on patient safety and quality improvement by the Canadian Health Services Research Foundation in May 2009. Ross co-chairs a working group on methods and measures for patient safety for the World Health Organization and chairs the Advisory Committee on Research and Evaluation for the Canadian Patient Safety Institute. In 2009 Ross led a study of effective governance practices in improving quality and patient safety. The results were published in Healthcare Quarterly and served as the basis for the Governance Toolkit (Effective Governance in Quality and Patient Safety) and as a course for trustees developed by the Canadian Patient Safety Institute and Canadian Health Services Research Foundation. Ross Baker is the author of High Performing Healthcare Systems: Quality by Design, is also Associate Editor of Healthcare Quarterly and has edited 5 issues of Patient Safety Papers, a special edition of Healthcare Quarterly. Ross is currently chairing an Advisory Panel on Avoidable Hospitalizations for the Ontario Ministry of Health and Long Term Care and serves as a member of the King’s Fund (London, UK) Commission on Leadership and Management in the NHS.

O P E N I N G R E M A R K S B Y:

MICHAEL B. DECTER is a Harvard trained economist, Senior Portfolio Manager and President & Chief Executive Officer of LDIC Inc. He is also the author of six financial and healthcare books. His health care books include: Four Strong Winds – Understanding the Growing Challenges to Health Care (2000) and Navigating Canada’s Health Care, co-authored by Francesca Grosso (2006). As the former Deputy Minister of Health for Ontario and Cabinet Secretary in the Government of Manitoba, Mr. Decter is a well-recognized speaker on broader political and economic issues. Michael was the Founding Chair of the Health Council of Canada and former Chair of the Saint Elizabeth Health Care. He also served as the Chair of the Canadian Institute for Health Information, the Ontario Cancer Quality Council and Wait Times Data Certification Council of Ontario. In 2004, Michael was awarded the Order of Canada.

MICHAEL GARDAM Dr. Gardam has been medical director of the tuberculosis clinic at the Toronto Western Hospital since 2000, and of the Infection Prevention and Control Unit at the University Health Network since 2001. He recently returned from a 2-year secondment as the Director, Infectious Disease Prevention and Control, at the Ontario Agency for Health Protection and Promotion. He is an assistant professor of at the University of Toronto. He is Physician Director of the Community and Hospital Infection Control Association Canada (CHICA) and is the national lead of the New Approach to Controlling Superbugs initiative for Safer Healthcare Now! Dr. Gardam has acted as a consultant on infection control issues such as SARS, tuberculosis, pandemic influenza and C. difficile, at the provincial, national and international level. Within Canada, he has helped a number of hospitals control outbreaks and develop their infection control programs. Dr. Gardam has published over 60 scientific papers and book chapters. His research interests focus on mitigating the spread of infectious diseases in both the hospital and community setting. ROBERT J. HOWARD is the President and CEO of St. Michael’s. Dr. Howard brings expert medical knowledge and highly regarded leadership qualities to his new role of President and CEO. He has played a number of key roles at St. Michael’s - as a clinician, a researcher and a member of the executive leadership team. Dr. Howard joined the Hospital as staff cardiologist in 1982 and was appointed Director of the University of Toronto training program in Cardiology in 1989. In 1998, Dr. Howard was named the Hospital’s Chief Medical Officer. In 2002, Dr. Howard was appointed Executive Vice-President, Programs and Education to acknowledge the growing importance of the education and academic partnerships portfolio at the Hospital. Through his thoughtful guidance, St. Michael’s Fitzgerald Academy has become the first choice for University of Toronto medical students. Dr. Howard has an undergraduate degree in industrial engineering from the University of Toronto, a medical degree from McMaster University and an executive MBA from the Richard Ivey School of Business. A professor in the Faculty of Medicine at the University of Toronto, Dr. Howard serves on the Boards of HealthForceOntario and the Canadian Cardiovascular Society Academy. Dr. Howard continues to teach echocardiography to residents and fellows of the University of Toronto and until recently practiced clinical cardiology one day a week.

NICK KATES is a the Ontario Lead for the Quality Improvement and Innovation Partnership (QIIP), which assists Primary Care Practices in Ontario to implement a quality improvement agenda. He is a Professor in the Department of Psychiatry & Behavioural Neurosciences at McMaster University with a cross appointment in the Department of Family Medicine and is the director of Quality Improvement for the Hamilton Family Health Team. For 12 years he was the director of the Hamilton HSO Mental Health & Nutrition Program. He has participated in many planning initiatives in Ontario for both mental health and primary care reform. He has consulted extensively nationally and internationally on redesigning systems of care and has published over 60 articles and authored two books.

HUGH B. MACLEOD is CEO of the Canadian Patient Safety Institute (CPSI). Prior to joining CPSI in February 2010, Hugh held senior positions with the Government of Ontario as Associate Deputy Minister Climate Change Secretariat and Assistant Deputy Minister System Accountability and Performance for the Ontario Ministry of Health and Long Term Care. During his four years with the Ministry he also was the Executive Lead of the Premiers Health Results Team responsible for a provincial surgical wait time strategy, a provincial primary care strategy and the creation of Local Health Integration networks. Prior to coming to Ontario in 2003, Hugh held a number of senior executive positions in the province of British Columbia, including Senior Vice President of Vancouver Coastal Health and Senior Vice President of the Health Employers Association of British Columbia. Hugh has a work record that demonstrates commitment to systems productivity improvement. He has a passion for leadership development and his interest lie in the areas of system/integrative thinking, sustainability and organizational cultures that create high performance.

TERRY MCCULLUM is the CEO of LOFT Community Services whose mission is to support people’s health and recovery from mental health and addiction challenges, especially for those who are marginalized, homeless, fall into gaps in service or have no services at all. LOFT operates 14 different support programs in both Toronto and York Region serving over 3500 people each year. Its services include a variety of supportive housing options, community support/case management services and street outreach services. Terry has over 25 years’ experience working with supportive housing and community support programs for youth, adults and seniors. His professional training is in Social Work (BSW, MSW). Presently Terry is the Co-Chair of the Mental Health and Addictions Steering Committee of the Toronto Central LHIN.

MARGARET MOTTERSHEAD Since 2007 Margaret has been the CEO of the Ontario Association of Community Care Access Centres, which represents 14 Community Care Access Centres across the Province. Prior to this, Margaret was the President of Mottershead & Associates Inc., a management consulting firm specializing in health care. In this role Margaret has provided executive, management and negotiations expertise to several large health care initiatives. She has been Chief Negotiator for the Ontario Government on contract negotiations with the medical profession on alternate payment plans for all specialists in 2 Academic Health Sciences Centres, and hundreds of specialists in regional programs across the province (including the Regional Geriatric Program, medical and radiation oncologists). She was also the Project Manager for the CCAC Alignment Project that saw Ontario’s 42 CCACs transformed to 14 new CCACs in 2007. Margaret is a former Deputy Minister of Health, and Senior Assistant Deputy Minister of Health, with many years of experience in public service.

LIZ RYKERT is President of Meta Strategies and Senior Advisor of the IDPC Team at the Ontario Agency for Health Protection and Promotion. Liz Rykert began her career as a social worker. Currently she is a positive deviance coach supporting the University Health Network and four other health systems including Bridgepoint. The purpose of the work is to reduce the spread of hospital acquired infections and address other areas of patient safety. Liz a member of the team for the Canadian research project on PD and is the lead coach for the Safer Health Now! Collaborative: New Approaches to Controlling Superbugs. Ms. Rykert founded her own business, Meta Strategies, in 1997. She also works part-time at the Ontario Agency for Health Protection and Promotion as a Senior Advisor on the Infectious Diseases Protection and Control Team. Her work combines social process with technology for real change.

MARIAN WALSH CEO of Bridgepoint Health, has been identified as “a futurist” by Health Care Manager Magazine. She is a strong advocate for transforming the health care system to meet evolving needs of patient populations. At Bridgepoint, Marian is leading of one of Canada’s largest and most progressive healthcare networks focused on “changing the world for people living with complex disease and disability”. Under Marian’s leadership, Bridgepoint has become “Canada’s leader in complex care and complex rehabilitation.” She believes that “the future of healthcare lies not just in saving life but in optimizing the lives of those who are living with chronic and complex diseases and disabilities”. Her response is Bridgepoint Health; an organization that delivers an integrated network of programs and services; is advancing knowledge, expertise and care through research, teaching and learning; and engaging our community and health care partners to create a networked system of support, including integrated EHRs for safe continuity of care. At this time, Marian is overseeing redevelopment of the new Bridgepoint Hospital, a state of the art purpose built facility scheduled to open in 2013. Prior to Bridgepoint, Marian held a number of leadership and advisory roles that have greatly influenced understanding and the direction of complex chronic care in the Province and across Canada.

P R O G R A M M E : PA T I E N T S F I R S T – C R E A T I N G Q U A L I T Y I N T H E T R A N S I T I O N S O F C A R E

Thursday, March 3rd, 2011

7 : 3 0 R E G I S T R A T I O N & C O N T I N E N T A L B R E A K FA S T 8 : 3 0 W E L C O M E A N D O P E N I N G R E M A R K S Kim Baker Chief Executive Officer, Central LHIN

9 : 0 0 W E L C O M E A N D O P E N I N G R E M A R K S F R O M T H E S Y M P O S I U M M O D E R A T O R Michael B. Decter Former Ontario Deputy Minister of Health Founding Chair Health Council of Canada Former Chair of CIHI and of the Ontario Cancer Quality Council

9 : 1 5 K E Y N O T E A D D D R E S S : Improving the Patient Journey through the Continuum of Care: What is the Patient Experience? Hugh MacLeod President and CEO Canadian Patient Safety Institute

1 0 : 0 0 H E A LT H A N D N E T W O R K I N G B R E A K

1 0 : 1 5 PA N E L D I S C U S S I O N : The Challenges and Opportunities to Create Seamless Care This panel discussion will address challenges and opportunities faced by care settings when patients are transitioned from another part of the health system, what these challenges mean to patient care and the solutions or opportunities to bridge these gaps. Panelists: Bob Howard President and CEO, St. Michael’s Hospital Nick Kates Provincial Lead Quality Improvement and Innovation Partnership and Program Director Hamilton Family Health Team Terry McCullum CEO, LOFT Community Services Margaret Mottershead President and CEO, OACCAC Marian Walsh President and CEO, Bridgepoint Health 1 1 : 1 5 E X P E R T S E S S I O N S Improving Care Transitions: Evidence, Interventions and Challenges to Implementation This session identifies the impact of transitions on patients and health systems, reviews the types of interventions that have been identified to improve transitions and outlines some of the system barriers to implementing these interventions. Ross Baker Professor, Health Policy Management and Evaluation University of Toronto

1 2 : 0 0 Overcoming Cultural Barriers to Quality Improvement across Transitions of Care Among the greatest challenges to tracking and improving quality in the transitions of care is overcoming the cultural barriers that exist between care settings and organizations. This session will: • Discuss how culture can dramatically impact upon quality improvement initiatives • Provide an approach to overcoming cultural barriers in complex systems Michael Gardam National Lead Superbug Intervention Safer Healthcare Now Director, Infection Prevention and Control Assistant Professor, Faculty of Medicine, University Health Network 1 2 : 3 0 L U N C H E O N

1 : 1 5 W O R K S H O P Identifying and Prioritizing Key Barriers to Quality in Complex Systems of Care Delegates will be introduced to an innovative, interactive and entertaining approach to identifying barriers and challenges in establishing quality across complex systems. Lead facilitators will also introduce participants to problem solving methods including: the ‘Theory of Inventive Problem Solving’ (TRIZ), the ‘Wise Crowds’ and the ‘5 Whys.’ Using these methods delegates will then work in groups to identify and prioritize challenges and opportunities to improve care between care settings. Each group will work through key questions and provide short answers that will be integrated into a post Symposium report by the Central LHIN, which can help inform the development of meaningful quality performance indicators across the transitions of care.

Professor Baker will provide support and help participants understand how these techniques can be used to inform quality improvement and quality indicators.

Lead Facilitators: Michael Gardam National Lead Superbug Intervention Safer Healthcare Now Director, Infection Prevention and Control Assistant Professor, Faculty of Medicine, University Health Network Liz Rykert President, Meta Strategies Inc, Toronto Faculty and Coach, a New Approach to Controlling Superbugs Safer Healthcare Now! Facilitator: Ross Baker Professor, Health Policy, Management and Evaluation University of Toronto

2 : 4 5 H E A LT H A N D N E T W O R K I N G B R E A K

3 : 0 0 S E L E C T E D R E P O R T B A C K P R E S E N T A T I O N S : Selected groups will present the highlights of their group’s work.

3 : 3 0 C L O S I N G K E Y N O T E A D D R E S S Honourable Deb Matthews Ontario Minister of Health and Long Term Care

3 : 4 5 R E M A R K S F R O M T H E M O D E R A T O R

4 : 0 0 C L O S I N G R E M A R K S Ken Morrison Chair, Central LHIN Board of Directors

Go to www.surveymonkey.com/s/3JMK5VN to register on-line!

Thomas O’Shaughnessy, Chair Director, Strategic Communications, Stakeholder Engagement & Integration Central LHIN

Barbara KendrickDirector, Quality and PlanningSouthlake Regional Health Centre

Carolyn ActonChief Operating OfficerCircle of Care

Leigh ScottSr. Director, Organizational Health & Performance ImprovementCentral Community Care Access Centre

Debra Cooper BurgerPresident and CEOUnion Villa Home for the Aged

Dr. David Kaplan Associate Family Physician In Chief, North York General HosptialCentral LHIN Regional Diabetes Lead Co-Chair, Central LHIN Primary Care Action Group

Dr. Peter NordVice President and Chief Medical Officer Providence Health Care

Paula Blackstein-Hirsch Executive DirectorCentre for Health Care Quality Improvement

Terry McCullumCEOLOFT Community Services

Isabel Araya Executive DirectorVaughan Community Health Centre

Trish MaxwellSenior PlannerCentral LHIN

C E N T R A L L H I N Q U A L I T Y S Y M P O S I U M A D V I S O R Y G R O U P

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