| Chapter/Recommendation |
Estimated Cost |
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| Chapter 2: Benchmarks, Indicators and Ongoing Research |
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| Concept: Support for a national research agenda |
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1. That the Canadian Institutes of Health Research (CIHR) undertake research to:
- evaluate the effect of the benchmarks established through the FPTprocess;
- broaden the scope of benchmark research to include the costing and cost appropriateness criteria; and
- identify areas in which additional benchmarking is required or desirable to improve patient outcomes.
2. That multidisciplinary, collaborative panels (including researchers, clinicians and government representatives) be established to review evidence and recommend additional benchmarks to FPT governments.
3. That CIHR develop additional capacity through existing health policy institutions across Canada to enable them to study best business and industrial practices to support wait time reductions. |
$100 M over 5 years |
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 |
| Chapter/Recommendation |
Estimated Cost |
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| Chapter 3: Management and Innovation |
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| Concept: Support for implementing innovations |
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4. A national network of wait time champions (one per province) be established to lead the development and promulgation of best practices aimed at helping patients in their wait for care throughout provincial health systems
5. As an extension of the foregoing recommendation, that provincial capacity for wait time coordination/navigation in health regions and major institutions be established.
|
$150 M over 3 years
(Recommendations 4 & 5) |
Concept: Support medical colleges in developing training associated principles for medical schools
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| 6. That the Canadian Health Services Research Foundation implement a continuing, multidisciplinary educational program for health care professionals, for the purpose of developing wait list management leadership and skills for a period of time that equips existing health care professionals to adopt best practices. |
$20 M over 10 years |
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7. That provinces and territories adopt best practices for wait times including:
- the use of single common waiting lists;
- an approach that permits patients to be referred to a specialty service that prioritizes the patient by acuity and offers the first available slot for intervention;
- the use of queuing theories to alter current processes;
- innovative case management;
- team based care;
- appropriateness; and
- pre-habilitation programs to ensure fitness for surgery.
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N/A |
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| Chapter/Recommendation |
Estimated Cost |
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| Chapter 4: Information Technology |
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Concept: Support for Canada Health Infoway Inc.:
a. wait list management IT supports
b. establishment of EHR in all physician offices.
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| 8. That the federal, provincial and territorial governments accelerate the pace of pan-Canadian health information technology through Canada Health Infoway. |
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9. That Canada Health Infoway:
- Develop wait time tools as proposed;
- Continue the development of the Electronic Health Record with a plan and timeline supported by FPT governments.
- wait list management IT supports
- establishment of EHR in all physician offices.
10. That the development of IT health information systems in Canada be accompanied by public education to assure Canadians that privacy of information is secured. |
$2.415 B over 5 years
(Recommendations 9, 10) |
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| Chapter/Recommendation |
Estimated Cost |
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| Chapter 5: Professional Roles and Responsibilities |
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| 11. That FPT governments develop a broad base for receiving advice from medical communities with respect to change in the health system and long term planning. The Canadian Medical Forum can be asked to assume this role nationally, with provinces
developing similar capacities locally to achieve balanced influence when medical input are deemed important;
|
N/A |
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Concept: Support Professional & Regulatory Bodies to develop
guidelines outlining best practices and responsibilities in management of wait times
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| 12. That provincial Colleges of Physicians and Surgeons establish professional and ethical standards and the means to monitor professional practice with respect to physician management of wait times in provincial health care systems. The Federation of Regulatory Authorities of Canada should coordinate this effort. |
$10 M over 5 years |
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| Concept: Support medical colleges in developing training
modules for management, wait management and associated principles for medical schools. |
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| 13. That Faculties of Medicine of Canadian universities develop curricula that supports changing health care systems and changing expectations regarding the competencies that physicians will require to participate in these systems led by the Association of Medical Faculties of Canada. |
$15 M over 5 years |
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| 14. That FPT work on Health Human Resources initiatives focus on re-defining professional clinical roles to enable health care professionals to work at their full potential and to offer innovations in health care, which are economical and sustainable. |
N/A |
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| Chapter/Recommendation |
Estimated Cost |
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| Chapter 6: Additional Issues |
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| 15. That provincial and territorial governments give consideration to the access targets developed by the National Youth and Child Health Coalition and consult as required with clinical leaders in children's Health care, in order to consider their implementation. Further, that the conditions affecting children be included alongside adult-related conditions at the outset of future benchmarking processes to ensure that children receive equitable attention to their time-sensitive
needs. |
N/A |
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| 16. That FPT governments mandate an expert group to investigate the need and potential for surge capacity through the development of regional centres of excellence. |
N/A |
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| 17. That ongoing research related to wait times adopt a broad approach to gender-based analysis in order to ensure that the issues of gender are considered thoroughly. |
N/A |
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| Chapter/Recommendation |
Estimated Cost |
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| Chapter 7: Public Education |
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| Concept: Involving Canadians in change |
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| 18. That the public continually be informed and updated of changes taking place in the Canadian health care system; |
N/A |
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| 19. That a three-year public education campaign on wait times be initiated as a collobarative effort between federal, provincial and territorial governments. |
N/A |
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| 20. That a comprehensive, multi-dimensional public education effort with the capacity to leverage support from other partnering organizations be undertaken. |
N/A |
