Articles
Mental Health is Health
I’m gratified to see a repeated articulation of better physical and mental health as aspirational goals for Ontario. Yet, I believe it’s time to abandon the false dichotomy of this ...
Collateral Damage: The Unintended Consequences of Misguided Hospital Funding Reform
When a small number of physicians are responsible for expensive low-value care, provide them with targeted supports to make the changes required. Broad based funding cuts hurt patient access to ...
Get it Right Ontario, The Rest of Canada is Watching
In the corporate world, amalgamations and mergers are primarily driven by economies of scale and economies of scope: the drive to do things more efficiently and the ability to do ...
A Cure for Chaos? Ontario’s Health System Transformation from Street Level
Integration has always been touted as the strategic ideal to ‘fix’ healthcare. The challenge of going beyond simple ‘joined-up’ care to real integration, however, is difficult to overstate, especially in ...
Nothing Truly Valuable can be Achieved Except by the Unselfish Cooperation of Many Individuals
The digital tools to transform #ONHealth exist today if practices share a common EMR. To spread and scale in OHTs, family MDs need meso-level supports to examine workflows and deploy ...
Everything I Really Need to Know, I Learned in Caregiving
As a caregiver, I’m here to tell you that healthcare is no picnic. Governments have come and gone, and we’ve struggled mightily for decades about how to transform healthcare so ...
This is the Healthcare System, We Don’t Manage Housing
Our healthcare system needs to focus on Health Improvement, not only on Illness Management. To do this, we need to blur the lines between social services, primary, acute and post-acute ...
Lessons from the LHINs as Health System Enters New Era
As the government asks for local solutions and removes administrative barriers, the onus is on providers to venture out of their silos and jointly design patient-centred care journeys for the ...
The Key to Success is in the Detail and the Implementation
For the better part of the last three decades we have seen reports, reviews, committees, expert panels, legislative reform and stakeholders call for change to Ontario’s healthcare system, often in ...
A Personal Best for Ontario's Healthcare System
Our healthcare system needs a personal best but our plans haven’t been well-paced and have never gone the distance. At times our province has run faster than our healthcare system ...