Plenary Speakers & Session Profiles

Wednesday, October 12, 2011

Leading Towards Certainty in Uncertain Times

Jim Bottomley, The Breken Group and Futurist
Change in healthcare is certain. Across Canada, this has been the lived experience in every jurisdiction. Increasingly, change in healthcare is no longer influenced by our own industry sector trends and pressures. Change is increasingly influenced by other global trends and pressures. What are the emerging trends and lived experiences that we can expect to have a certain impact on healthcare? And what opportunities should we explore and incorporate to achieve success? Jim Bottomley, one of Canada's foremost futurists, will bring his extensive experience across all sectors to provide insight into trend convergence. He will explore how technical, social, economic, demographic, and human behavior trends combine to provide future opportunities for new and collaborative strategies.

Profile: Jim Bottomley is an entrepreneur, futurist, management consultant and professional speaker. His unique thinking models enable both individuals and organizations to develop innovative plans for future success.

Jim is a partner in The Breken Group, combining strategic planning and marketing strategy development with award-winning ebusiness solutions.

As a futurist, Mr. Bottomley looks at trends with a unique spin. Jim is able to combine trends and look at their interplay. Real insight into innovation comes from trend convergence, better enabling organizations to identify opportunities, develop innovative strategies and better cope with the stress of change.

For the past 23 years as a consultant, Jim has worked with many different industries and government clients, helping find consensus as to future direction, concentrating on trend analysis, marketing and sales strategy development, leadership and organizational change. Jim's experience includes performing Work Design for a variety of government and private sector clients, helping them redesign internal processes, often utilizing technology to achieve long-term success. Through Entreco Corporation Jim was part of a delivery team that offered the Human Resource Canada sponsored Self-Employment Benefit Program, having supported the successful launch of over 1000 businesses. Jim was also part of a team that has developed and delivered the modular series, Leadership Training for the Future, with excellent ratings from the 600+ managers who have taken part.

Jim graduated with an HBA from Western and has managed marketing programs for Quaker Oats, from Cap'n Crunch to Life Cereal and has helped launch numerous new product and service offerings, from Kibbles 'n Bits to specialized fiberglass products.

Leading Together for a Brave New World

Jeffrey D. Selberg, MHA, Executive Vice President and Chief Operating Officer, Institute for Healthcare Improvement (IHI)
Increasing complexity, the burden of chronic disease, and runaway costs are real challenges to health systems. Jeffrey Selberg will discuss innovative ways to simultaneously improve population health, the individual's experience of care, and the per capita cost. Participants will hear about ideas for care coordination, reducing waste, and engaging patients and families, and communities to improve health and healthcare for all.

Profile: Jeffrey Selberg has overall responsibility for IHI's operations and works closely with the leadership team to develop strategic partnerships, innovate new models of care, and develop and spread new definitions of patient safety. Prior to joining IHI, Mr. Selberg served for twelve years as President and CEO of Exempla Healthcare in Colorado. His broad range of experience spans 35 years in the healthcare field, including serving in several executive leadership positions such as President and CEO of Southwest Washington Medical Center/Clark United Providers, and Executive Vice President and Chief of Operations for Good Samaritan in Oregon. Mr. Selberg is currently Chair for the McKesson Quest for Quality Committee of the American Hospital Association, and Chair of the Finance Committee of the Board for the Health Research and Education Trust. His primary area of interest is improving patient safety and clinical outcomes in patient care through the combination of effective public policy, system principles, and the development of highly functioning teams.

BC Health Authority CEOs Share Their Perspectives and Visions for the Future. Organizational Culture: An Enabler or Barrier in Service Integration and Consolidation?

Organizational culture is the pattern and collection of shared values, beliefs and assumptions that influence organizational behavior and function. During times of transition, particularly tough change, organizational culture can serve work to promote and enforce or destabilize the targeted change.

Within the context of non-clinical service consolidation, Health Authority CEOs will discuss their perspectives, experience and thoughts for future change. In particular, they will discuss whether the future holds more turbulence or stability.

Profiles:
Dianne Doyle, CEO, Providence Health Care
Dianne Doyle was appointed in September 2006 as President and Chief Executive Officer of Providence Health Care. Dianne has worked for Providence Health Care for over 25 years, first as a Head Nurse and Medical Instructor at St. Paul's Hospital and then as Vice President Patient Care Services at Mount Saint Joseph Hospital. She became the Chief Operating Officer and Vice President, Patient Care and Support Services for Mount Saint Joseph in 1995/96 and was then named Acting President and Chief Executive Officer, CHARA Health Care Society, followed by Vice President of Clinical Programs at Providence Health Care.

Dianne is a fellow of the Canadian College of Health Leaders and the Association of Canadian Academic Healthcare Organizations Board; Chair of Board of Canadian Advanced Medical Services International; and past member of the Canadian Health Services Research Foundation EXTRA Advisory Council and the Royal Roads University Centre for Health Leadership and Research Advisory Board. In 2007 and 2008, Dianne was named as one of Canada's Top 100 Most Powerful Women in the Public Sector.

Dr. Nigel Murray, CEO, Fraser Health Authority
Dr. Nigel Murray is the CEO of Fraser Health Authority. Dr. Murray was previously the Interim CEO of the Southland District Health Board and the Lead CEO for New Zealand Health Sector Industrial and Employee Relations. Before that, he worked in senior health administration roles including Acting General Manager, National Women's Hospital; General Manager, Planning and Development, Auckland District Health Board; and General Manager, Health Services Delivery Plan.

In 1995, he was named a Member of the Order of the British Empire for services to health in the New Zealand Defence Force.

Dr. Murray received his Bachelor of Arts from Dartmouth College; Bachelor of Medicine and Surgery from the University of Otago Medical School and Masters of Occupational Medicine from Harvard University School of Public Health.

Dr. David Ostrow, CEO, Vancouver Coastal Health Authority
David N. Ostrow, MD, BSc (Med), MA, FRCPC, FCCP, FACP. Dr. Ostrow graduated from the University of Manitoba in 1968. He received post-graduate education in Montreal, Winnipeg, and East Lansing, MI. He became a Fellow of the Royal College of Physicians of Canada in 1973, of the American College of Chest Physicians in 1976, and of the American College of Physicians in 1986. He is a Professor of Medicine at the University of British Columbia. In 1995 he chaired the development of the UBC Faculty of Medicine's problem-based curriculum.

Dr. Ostrow was the founding Medical Director of the BC Transplant Society/Vancouver General Hospital's Lung Transplant Program (1988-1997). He was Vice President of Clinical Services from 1997-2001 at Vancouver General Hospital and was Chief Information Officer for the Vancouver Coastal Health Authority (VCH) from 2001-2003. He was Vice President, Medical and Clinical Innovation for VCH 2003-2009. Since 2009, Dr. Ostrow has been the President & Chief Executive Officer of Vancouver Coastal Health Authority.

Howard Waldner, CEO, Vancouver Island Health Authority
Howard Waldner joined the Vancouver Island Health Authority as President and Chief Executive Officer in October 2004. Prior to this appointment, Howard was the former Executive Vice President and Chief Operating Officer for the Calgary Health Region—a post he held for five years. Preceding the move to Canada in 1999, Howard held several Chief Executive Officer and Senior Executive positions within the National Health Service in the United Kingdom. Howard received his MBA from the University of Glasgow, Scotland and is an active member of the Canadian College of Health Leaders. He is also a Fellow of the UK Institute of Health Care Management and an Adjunct Professor with the Faculty of Medicine at the University of British Columbia.

Thursday, October 13, 2011

Leading the First Nations Transformation to Self Control and Responsibility for Health Service Delivery

Imagine the future, when First Nations people in BC are considered the healthiest people in Canada. A time when a first nations wellness system is the centre of First Nations health providing integrated, quality health services with an emphasis on maintenance of good health. Where accessible accredited First Nations health centres provide traditional healing with pharmacy, diagnostic services, dental care, medical and nursing services. And where vibrant partnerships with provincial health authorities create the provision of higher level health care that is also culturally sensitive to First Nations. The Tripartite First Nations Health Plan was signed in 2007 by BC First Nations, the Canadian Government and the government of British Columbia amidst growing international evidence that supports the need for First Nations to have greater control over health. Four years later, BC First Nations are poised to become the first in Canada to assume governance and accountability for the design and delivery of healthcare from the Federal Government. With the signing of the Framework Agreement a new First Nations Health Authority will be created and along with the First Nations Health Council and the First Nations Health Directors Association will provide the First Nations leadership for real change in health.

This dynamic panel discussion will provide a recap of the important accomplishments to date and the significant work ahead to realize the First Nations vision for change in health.

Profiles:
Dr. Evan Adams, Aboriginal Health Physician Advisor, Office of the Provincial Health Officer, BC Ministry of Health Services
Dr. Evan Adams of the Sliammon First Nation (Powell River, BC) completed his medical doctorate (M.D.) at the University of Calgary, his Aboriginal Family Practice residency at St. Paul's Hospital/UBC in Vancouver, and is currently the Director of the Division of Aboriginal People's Health, UBC Faculty of Medicine, and the Aboriginal Health Physician Advisor, Office of the Provincial Health Officer, BC Ministry of Health Services (Victoria, BC). Dr. Adams also has a Masters of Public Health from Johns Hopkins Bloomberg School of Public Health in Baltimore, MD.

Joe Gallagher, CEO First Nations Health Society
Joe Gallagher is a member of the Sliammon First Nation and serves as the Chief Executive Officer for the First Nations Health Society. In this executive role, Joe is responsible in providing coordination and leadership for the implementation of the Tripartite First Nations Health Plan, Transformative Change Accord: First Nations Health Plan, and other First Nations health plans and agreements. Joe has over 20 years experience in working successfully with First Nations communities in British Columbia as a health leader and in the past as a principal consultant of Visions First Nations Planning Group.

Linda Revell, Chief Operating Officer, First Nations Health Society
Linda has made a name for herself as a champion of change and innovation in the health system and is well known for her visionary, creative and actionoriented leadership style. Linda has held several senior leadership positions—including the position of Vice President, Clinical Programs for Providence Health Care and Vice President, Clinical Integration for Fraser Health Authority. Linda joined the First Nations Health Society as the Chief Operating Officer in January 2011 and provides senior leadership support to the evolving First Nations Health Society and its expanding role in First Nations health.

Leading Transformation

Jim Harris, Strategic Advantage Leader and National Post Columnist
One of the prevailing themes in Canadian healthcare today is the need for change. Experience shows sustainable change has been difficult and year-over-year cost reductions are not the answer. We need to consider long-term interventions in order to deliver lasting results. The focus must be on increasing system innovation, efficiency, effectiveness and outcomes. What are the leadership competencies and attributes required for transformation vs. transactional change?

Profile: Business strategist and futurist Jim Harris helps organizations gain strategic advantage. Harris has worked internationally for 20 years helping executives successfully identify and respond faster to emerging trends. He is one of North America's foremost authors and thinkers on change and leadership.

Harris' track record includes identifying trends that continue to blindside organizations and whole industries. Seemingly healthy companies can fail to recognize and respond quickly to market changes, resulting in being blindsided by competitors who overtake their market or industry changes that impact their business significantly.

Before "going green" became part of our everyday lexicon, Harris forecast the shift in thinking. He was one of the first 250 people personally trained by Al Gore and renowned climate change scientists to present the slideshow from An Inconvenient Truth.

Harris speaks internationally and conducts strategic planning sessions on leadership, CRM, future trends, innovation, strategic planning and how sustainability drives profitability. He has been ranked by Association Magazine as one of the nation's top ten speakers.

Between 1992 and 1996 he represented the Covey Leadership Center as an instructor of Dr. Stephen Covey's Seven Habits of Highly Effective People.

He is author of a number of popular business and personal development books, including Blindsided - How to Spot the Next Breakthrough that will Change our Business Forever and The Learning Paradox, and more. Harris' third book, Blindsided, is published in 80 countries worldwide and is a #1 international bestseller having hit the top position for business books on The Financial Times of London's European edition.

The Economic Burden of Healthcare: Moving Towards a Sustainable System

Health spending accounted for 11.4% of GDP in Canada in 2009, almost two percentage points higher than the OECD average of 9.5%. Public spending on healthcare is one of the largest government expenditures and Canadian healthcare costs continue to increase rapidly. Transformation is a necessary step towards a sustainable system. Our panelists will discuss actions that are currently taking place in BC that are aiming to create a sustainable system. They will also highlight opportunities within and across the public and private sectors that will move us beyond transactional modifications and towards long lasting transformational changes.

Profiles:
Dr. Les Vertesi, Executive Director, BC Health Services Purchasing Organization
Dr. Vertesi is an ER physician with over 30 years of experience in major trauma referral hospitals, known for founding the Advanced Life Support paramedic ambulance service in BC (1975 to 1985). Dr. Vertesi obtained his MD from the University of Toronto and a specialty certificate in Emergency Medicine from the Royal College of Physicians and Surgeons of Canada in 1985. He received an M.Sc. in Health Sciences and Clinical Epidemiology from UBC, specializing in computer modeling and simulation. In 2002, he served on the advisory panel for Senator Kirby's report on Canadian healthcare. In December 2003, he was named BC's representative member on the Health Council of Canada and continues in that role. He is the Senior Health Systems Consultant and founding member of the Complex Systems Modeling Group at Simon Fraser University's interdisciplinary research group (IRMACS). He currently works as the Executive Director of BC's new Health Services Purchasing Organization, and still finds time to practice clinical medicine on a part time basis in the ER at the Royal Columbian Hospital.

Dr. Mark Godley, Medical Director, False Creek Healthcare Centre
Dr. Mark Godley is the Medical Director at the False Creek Healthcare Centre in Vancouver, British Columbia—a multi-disciplinary state-of-the-art private Centre.

Born in South Africa, he received his medical degree—MB ChB—in 1987 from the University of Cape Town. He obtained his Residency Training Anesthesiology at the University of Alberta and University of British Columbia. He is a Fellow of the Royal College of Physicians, practicing Anesthesiology in BC and Manitoba. He is a current elected Board Member of the British Columbia Medical Association (BCMA).

As an outspoken champion of patients' rights, he has earned the respect of his medical colleagues. He advises on sophisticated and innovative medical interventions across a broad range of surgical disciplines for which he is responsible. He is passionate in his belief that patients must once again be the focus of the Canadian healthcare system. In 1998, with his resolve to act on the belief that Canadians want and deserve choice in the healthcare services, he founded the False Creek Healthcare Centre.

Dr. Jason Sutherland, Assistant Professor, Centre for Health Services and Policy Research School of Population and Public Health, University of British Columbia
Dr. Jason M. Sutherland is an Assistant Professor in the Centre for Health Services and Policy Research (CHSPR) at the University of British Columbia's (UBC) School of Population and Public Health. Dr. Sutherland's projects include development of methods for quantifying hospital utilization and expenditure patterns, adjusting for hospital input price differences and accounting for differences between hospital patient populations. Dr. Sutherland is also involved in developing policy options and strategies for equitably funding hospitals within health systems including the development of methods to measure efficiency, access to care and quality of care. Dr. Sutherland's research interests include evaluation of case mix methods, risk adjustment and hospital funding policy. Prior to joining UBC, Dr. Sutherland was a faculty member at Dartmouth College's Dartmouth Institute for Health Policy and Clinical Practice in New Hampshire, USA.

Navigating the Healthcare Maze

Stories of patients and families getting lost in the system are numerous and often disturbing. Their experiences and frustration often get media attention. Patient navigators are health professionals, usually nurses, who support the care journey and help with the complex coordination required. The roles are still fairly new to BC. In this plenary, panelists discuss the lessons learned so far, how navigators are changing and improving care and how navigation can be expanded in a healthcare system that operates with finite dollars.

Profiles:
Pamela Fayerman, Vancouver Sun Medical/Health Issues Reporter
Pamela Fayerman has been the Vancouver Sun's Medical and Health Issues reporter for over 15 years. Her stories appear in Postmedia papers across the country. She has worked at newspapers across Canada and has been a journalist since 1980. Her professional development includes awards/fellowships from the New York Times Foundation, National Institutes of Health (U.S.A.), Knight Science Journalism, Saskatchewan Press Club and Canadian Bar Association. She obtained a journalism degree at Ryerson and completed courses and programs at Queen's University Law School; Columbia University (neuroscience); Mount Sinai Medical Center (issues in aging); M.I.T. (medical evidence and digital science journalism); and Dartmouth College (Medicine in the Media). She's a member of the Association of Health Care Journalists. Pamela was a recipient of a team reporting award from the Jack Webster Foundation and a finalist in 2008 and 2010 for projects on brain stem strokes and breast cancer. In 2010, she was awarded a grant from the Canadian Institutes of Health Research for her series on patient navigators. Her popular online blog is called Medicine Matters.

Janet Bates, BC Cancer Agency Southern Interior, IB-RAPID Program
Janet Bates is a graduate of the University of Western Ontario Faculty of Nursing. Her interest in oncology started when she joined the staff of Edmonton's Cross Cancer Institute. Planning to stay briefly, learn all about oncology then move on, twenty-seven years later she realizes her goal remains elusive. Her enthusiasm for navigation started when she assisted in the implementation of Alberta Health Services: Cancer Care's Comprehensive Breast Care Program and contributed to AHS: Cancer Care's navigation course for oncology nurses. In November 2010 she was excited to join the staff of the BC Cancer Agency's Centre for the Southern Interior in Kelowna to help establish their breast cancer navigation program Interior Breast – Rapid Access Program for Investigation and Diagnosis or IB-RAPID for short.

Anastasia Elworthy, Operations Leader, Surgical Ambulatory Clinics, Providence Health Care
Anastasia Elworthy received her BScN from the University of British Columbia in 1984. She began her career as a critical care nurse at the Shaughnessy and St. Vincent's Hospitals in Vancouver and then worked in the cardiovascular ICU at St. Michael's Hospital in Toronto. Anastasia has been on staff at Providence Health Care (PHC) for the last 17 years.

As Clinical Nurse Leader for the PHC Pre-Assessment Clinic (PAC) and Surgical Day Care program, she led the implementation of the LEAN recommendations for the PAC. In 2008, she established the Foot and Ankle Screening and Triage (FAST) clinic (funded by the Lower Mainland Innovation and Integration Fund). In 2009, she was appointed as the Operations Leader for the Surgical Ambulatory Clinics. In May 2009, she opened the Rapid Access Breast Clinic at Mount Saint Joseph Hospital.

Anastasia received 9 months of surgical and adjuvant therapies for breast cancer before returning to work in 2011. Her current portfolio includes the following clinics: Audiology, ENT, Ophthalmology, GI, Rapid Access Breast Clinic and the Procedure Room.

LaDonna Fehr, Director of Clinical Operations, BC Northern Cancer Centre
LaDonna Fehr, RN, CONC began her career as an oncology nurse in 1981 at Baylor University Medical Center in Dallas, Texas. After moving to Prince George with her husband, she joined the staff of the Prince George Regional Cancer Care Unit. In 2003 she became the manager of this systemic therapy clinic at Prince George Regional Hospital (now University Hospital of Northern BC). In 2005 the role of Regional Oncology Leader for the Northern Cancer Control Strategy was added to her portfolio. In this role she has developed and led both the local Prince George clinic and a regional team including nurses, pharmacists, social workers, dieticians, cancer care navigators and physicians who work together as an interdisciplinary team to help the nine NH Community Oncology Clinics deliver "the best of care, close to home." As a core member of the Northern Cancer Strategy team, she has taken on the significant challenge of improving cancer outcomes in the health region of British Columbia with the largest geographical area and the lowest, and largely rural, population base in BC In 2011 LaDonna was appointed by British Columbia Cancer Agency as the first Director of Clinical Operations (ST) for the Northern Cancer Centre, to be opened in 2012.