reclaiming our national dream, how business leaders can save universal health care
TRANSCRIPT
HOW BUSINESS LEADERSHIPCAN SAVE UNIVERSAL HEALTH CARE
RECLAIMING OUR NATIONAL DREAM
DIANNE CARMICHAELSPEECH BY
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What happened to a
health care systemthat was to be the envy of the world?
CANADIAN HEALTH CARE
ratio in the developed world
In the 1970s, Canada had the
highest physician-to-patient
health care system in the G7
Canada has the
Second most expensive
in the world because they lack access to primary care physicians
Canadians are amongst the
highest users of ERs
Canada was defined as having health care that was
Least effectiveLeast safeLeast co-ordinatedLeast timelyLeast patient-centered
at the problem with little to show
Governments have thrown
more money
Health care spending is projected to increase to
80% of total spendingin Ontario by 2030
This leaves a mere
20% for everything elselike education, transportation, infrastructure and policing
There has been a great deal of
thought & timeput in to how we might restore our health care system
We’re at a point where
private care isfilling the gaps
Desperate people do
desperate things
We need to fix the system
put patients first
We need to promote and embrace
innovation & technology
We need to tap existing
skills sets
We can’t rely on
politicians
Don’t get me wrong
Their hearts are in the right place
Health care can even cause people to become
irrational
I’ve never had a
about health care that didn’t
cost me votes.
conversation
—Joey Smallwood
… The politics of leading change will be
virtually impossible for government…
We need a different sort of
leadership
Challenging Canada’s business community to
lead the change
Health care system with applied
business thinking
Health care shouldn’t
run like a business
Put the health care system on the road to
financial sustainability
information management
sustainability
supply chain management
asset management
change management
communications
quality control
execution
I have the skills and want to be part of
the solution
We want to share ideas to reduce waste and
close the gaps
Many front-line health care workers make
heroic effortsto improve patients’ lives
Many feel that our health care
is falling apart
train wreckIt’s like watching a
This is not going to be a simple
30 minute fixover breakfast
What I’m hoping to do is
start a conversation
Left the financial services industry as a
senior executive
Chair and CEO, overseeing four companies, three reporting presidents and
1,200 people
2004, my father was admitted to hospital with
advanced lung cancer
He received an
unnecessary bloodtransfusion
A small firm
buried in criticalillness policies
5 years later that company provides employer-paid extended health coverage
to over 5 million Canadians
Cutting edge use of
electronic medical recordsand medical-analytic processes
This is a complementary service that
helps the patientget the best out of our existing system
The system was focused on
acute care
Life expectancies were lower for
men and woman
Leaders recognized the financial cost would be
significant
The explosion of
chronic disease
Very expensive
drug therapy
Access to
is not access to
HEALTHCARE.
a waiting list
—Beverley McLachlin
It was cheaper than
palliative care
This situation is
unacceptableand must stop
Those who can afford it, fly to
private clinics abroad
In 2010
45,000 Canadianssought medical treatment abroad
That’s an increase of
12% over 2009
At the age of 52, Mr. Murray received
hip replacement surgery
His physician recommended a
private clinic in Quebec
The surgery cost him
$20,000
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Health care is a
customer-focused servicewhere the patient comes first
Successful business leaders know what it takes to
keep customers satisfied
Did you know that
up to 80% of a GP’s time is poorly allocated
Someone other than a doctor could treat
up to 80% of ER cases
Did you know that a total of
70% of our health care dollars are spent on chronic care
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Desired behaviours can be
encouragedthrough compensation and incentive models
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EXPLOITEXISTING
SKILL SETS
In Canada we still do not have
electronic health records
The success of
online banking
Some of the best technology companies in Canada are forced to
take innovation abroaddue to lack of adoption in Canada
Belize ranked 78thon the United Nation’s Human Development Index
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Business leaders know the
transformative role technology can play
The question is
How do we include business leaders?
As a first step, we need
experienced business leaders to work with health care and government
The question is
Why not a business advisory council on health care?
about the current state of of our system and why change must happeneducatePurpose is to
Health care accordset to expire in 2014
Help make a change in the lives of Canadians diagnosed with serious illness
My focus will be to
restore our national dream