Research Initiatives and Future Plans
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- Bertha Malone
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1 Cancer Strategic Clinical Network Town Hall Meeting Dr. Joseph Dort (Senior Medical Director) Barbara Sonnenberg (Senior Provincial Director) Dr. Greg Cairncross (Scientific Director) Tom Baker Cancer Centre Auditorium Cross Cancer Institute Auditorium June 3 rd 12:00 PM-13:00 PM Outline Team Introductions What are the SCNs? Priority Projects and Recent Successes Research Initiatives and Future Plans Questions and Comments 2 1
2 Non-sustainable cost increases in Canada not due to population increases 23.4M people 34.2 M people 1975 to 2010 Expenditure increases = 3.5 fold Population increases = 1.5 fold 3 Alberta spends (nearly) the most per person 4 2
3 ...and gets mediocre results Middle of the pack in Canada - at best 5 Value for Money Value = Outcome / $ 6 3
4 IN FACT - HUGE VARIANCES ACROSS OUR PROVINCE VARIABLE USE OF RESOURCES + QUALITY OUTCOMES Alberta Specialist Office Visit Rates per 1000 (Age/Gender Standardized) Fort McMurray Grande Prairie Greater Calgary Greater Lethbridge Medicine Red Deer Edmonton Hat Remote North Remote West Rural Central Rural North Rural South Alberta 2002/ / / / / / / /10 8 4
5 Alberta Specialist Office Visit Rates per 1000 (Age/Gender Standardized) Fort McMurray Grande Prairie Greater Calgary Greater Lethbridge Medicine Red Deer Edmonton Hat Remote North Remote West Rural Central Rural North Rural South Alberta 2002/ / / / / / / / Day In Hospital Mortality Following Major Surgery 2010/11 WHY and HOW EXPLAIN to IMPROVE?? 8.73 Risk Adjusted Rate (per 1,000) South Zone Calgary Zone Central Zone Edmonton Zone North Zone Best Large RHA/Zone (Central West LHIN, ONT) Source = CIHI CHRP 10 5
6 Acute Myocardial Infarction Readmission 2008/ / WHY NOT SHARING BEST PRACTICES?? 3 Risk Adjusted Rate (%) South Zone Calgary Zone Central Zone Edmonton Zone North Zone Best Large RHA/Zone (Edmonton Zone, AB) Source = CIHI Health Indicators 11 Cy Frank 12 6
7 WHAT ARE THE STRATEGIC CLINICAL NETWORKS? 13 The Goal Alberta to have a sustainable health system that creates the healthiest population and best health outcomes in Canada 14 7
8 ALL of Albertans to be impacted positively by SCN priorities and plans with evidence 15 NOTE: SCNs are NOT just AHS alone!!..intended to include many other groups: Patients, public, industry, etc 8
9 Strategic Clinical Networks Diabetes, Obesity and Nutrition Seniors Health Bone & Joint Health Cardiovascular and Stroke Cancer Addiction & Mental Health Emergency Critical Care Surgery Respiratory Maternal, Child, Newborn & Youth Health Primary Care & Chronic Disease Kidney 17 SCNs Use a Common Quality Definition and measure one or more of six dimensions to improve 9
10 SCNs designed to lead with cores = orchestra leaders to engage every Albertan as a network member Core team Clinicians+ Admin + Zones + Patients & Families Support teams Working Groups AHS + AHN + Zones + Patients Front Line Teams Wider public + patients, HAC s, community groups and other external stakeholders 10
11 SCNs must build Zone Collaborations Provincial Priorities Local Priorities Establish Common goals Best Health for Patients Best Health care for Patients High Performing System Establish Common Priorities Improve Quality + Value for Money Together Reinvest the Waste Together Achieve Common Goals Best Decisions for all parties SCN Primer scn primer.pdf 11
12 So, what do we do? Our Core Business Make it Better Goal How? Design, Implementation and Evaluation/Monitoring Support Clinical Effectiveness Research Support Teams Designing & Implementing Innovative Care 12
13 RESEARCH: CONTEXT, PROGRESS, CURRENT ACTIVITIES & FUTURE PLANS 25 Context How can the Cancer SCN add value to the rich cancer research landscape in Alberta? University of Alberta - CRINA University of Calgary - SACRI CancerControl Alberta Strategic Clinical Network health services research 26 13
14 Context What do we mean by health services research? quality of cancer care delivery patient-centered research implementation research value for money delivery of best practice transitions of care research dissemination of knowledge appropriateness of care Choosing Wisely 27 Progress Since May 2014 Collaborated on Grant Submissions (4) Supported Published Research (3) Clinician/Researcher Engagement (81) Seed Grant Competition (8 awards; $70K) 28 14
15 Progress: SCN Seed Grant Competition 29 Current: Supporting Health Services Research Enhanced Recovery After Surgery (ERAS) Guidelines: Breast reconstruction - 80% complete (Temple-Oberle C, et. al.) Head and neck surgery - 20% complete (Dort J, Harris J, et. al.) Preparatory (QI) work for a potential future bladder cancer pathway proposal (Ruether D, et. al.) Pilot study to describe models of active treatment delivery in early breast cancer (Pituskin E, Rawson K, et. al.) Health economic evaluation of the rectal cancer pathway 30 15
16 Future: Supports for You! Champions: Cancer SCN Leadership Infrastructure: Assistant Scientific Director Senior Researcher (new) Access to AHS Research Resources (e.g., biostatistics, costing) 2 nd Cancer SCN Seed Funding Opportunity ($70K) Access to SPOR Platforms evolving 31 PRIHS III (Partnership, Research/Innovation, Health System) Announcement expected: 3rd week of June 2015 Focus: appropriateness and efficiencies transitions in care complex high needs unnecessary diagnostic tests (lab or imaging) unnecessary or futile treatments innovative models of care Must involve at least two SCNs LOIs due mid-september 2015; Funding starts
17 Future Plans and Aspirations Find and create new funding opportunities (for projects and people) Develop cancer health services research (with the Universities) Strive for impactful and pragmatic research (ideas from patients and clinicians) 33 QUESTIONS AND COMMENTS? 34 17
18 CONTACT US If you have a great idea to share, or wish to discuss opportunities for collaboration, please contact us: Angela Estey Executive Director angela.estey@albertahealthservices.ca Melissa Shea-Budgell Assistant Scientific Director melissa.shea-budgell@albertahealthservices.ca Visit our website at:
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