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Overview of Health Human Resource Planning: A Canadian Perspective

Overview of Health Human Resource Planning: A Canadian Perspective. 2006 Trilateral Conference Vancouver, British Columbia, Canada Dr. Nick Busing President and CEO Association of Faculties of Medicine of Canada. Presentation Outline. A View of HHR in Canada. Thoughts on HHR Planning.

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Overview of Health Human Resource Planning: A Canadian Perspective

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  1. Overview of Health Human Resource Planning:A Canadian Perspective 2006 Trilateral Conference Vancouver, British Columbia, Canada Dr. Nick Busing President and CEO Association of Faculties of Medicine of Canada

  2. Presentation Outline A View of HHR in Canada Thoughts on HHR Planning

  3. The term “HHR” encompasses all those involved in the delivery of health care, such as physicians, nurses, technologists, therapists, and the wide spectrum of other health care providers. - Health Canada, Pan-Canadian Health Human Resource Strategy, 2004-2005 Annual Report.

  4. A View of HHR in CanadaBased on the Health Personnel Database (HPDB) • HPDB is maintained by the Canadian Institute for Health Information • Data is gathered primarily from professional membership and regulatory organizations • HPDB provides basic summary information for 23 health profession groups • HPDB describes the following for each health care provider group: • Brief definition of each provider group, including main responsibilities, activities and typical practice settings • Time spent training • When regulation was introduced, if at all • The number of providers exiting training • The total number of providers • Age and sex demographics • Key research and reports related to the profession

  5. Number of Health Care Providers, Canada, 2004 Plus 246,575 Registered Nurses Source: HPDB, CIHI

  6. Percent Change in Number of Health Care Providers, Canada, 1995 vs 2004

  7. Number of Graduates in 2004 and Percent Change in Number of Graduates 1995 vs 2004, Canada Source: HPDB, CIHI * For midwives, the percent change compares graduating class numbers for 1996 and 2004

  8. Females as a Percentage of Health Care Provider Groups, Canada, 2004 Source: HPDB, CIHI *Based on 2001Statistics Canada Census

  9. Percentage of Health Care Provider Groups Aged 45+, Canada, 2000 Source: Statistics Canada, 2001 Census

  10. Percentage of Health Care Provider Groups Who Worked Full-Time for the Full Year, Canada, 2000 Source: Statistics Canada, 2001 Census

  11. 2004 National Physician Survey • This survey provides insights on the extent to which various health care providers work together (from a physician perspective) • Separate surveys were mailed to all licensed physicians and all physicians in postgraduate training • Licensed physicians were asked about sharing patient care with other providers • Residents were asked who they plan to share care with

  12. 2004 NPS: Percent of Second Year Residents Who Plan to Share Care with Various Health Care Providers, Canada, 2004 Source: 2004 National Physician Survey, CMA, CFPC, RCPSC.

  13. 2004 NPS: Percent of Second Year Family Medicine Residents Who Plan to Share Care with Various Health Care Providers and the Percent of Licensed Family Physicians Who Share Care With Various Health Care Providers, Canada, 2004 Source: 2004 National Physician Survey, CMA, CFPC, RCPSC.

  14. 2004 NPS: Percent of Licensed Physicians Who Share Care with Various Health Care Providers, Canada, 2004 Source: 2004 National Physician Survey, CMA, CFPC, RCPSC.

  15. Interprofessional Education for Collaborative Patient-Centred Practice (IECPCP) • The IECPCP initiative is part of Health Canada’s Pan-Canadian HHR Strategy • Some of the project goals are to… • foster interprofessional education for collaborative patient-centred practice; • promote teaching from an interprofessional collaborative patient-centred perspective; • increase the number of health professionals trained for collaborative patient-centred practice, and • facilitate interprofessional collaborative care in both the education and practice settings.

  16. Interprofessional Education for Collaborative Patient-Centred Practice (IECPCP) • The project has gathered information on IE in Canada using survey and key informant methodologies • In its first cycle the project has funded 11 IE projects, including: • Creating an Interprofessional Learning Environment through Communities of Practice: An Alternative to Traditional Preceptorship • Structuring Communication Relationship for Interprofessional Teamwork (SCRIPT) • Interprofessional Education for Geriatric Care • The McGill Educational Initiative on Interprofessional Collaboration: Partnerships for Patient-Family Centred Practice • Seamless Care: An Interprofessional Education Project for Innovative Team Based Transition Care • Visit http://www.hc-sc.gc.ca/hcs-sss/hhr-rhs/strateg/interprof/index_e.html for more information

  17. Thoughts on HHR Planning

  18. Thoughts on HHR PlanningHHR Planning Often Focuses on Headcounts Source: AFMC, Canadian Medical Education Statistics, 2006.

  19. Thoughts on HHR PlanningEven Basic Adjustments Can Change The Headcount Picture Adjusted* Physician Supply: # MDs per 1,000 Population Source: Canadian Institute for Health Information * Adjusted for age-sex of patients and age-sex of physicians

  20. Thoughts on HHR PlanningInternational Indicators Highlight Physician Resource Challenges in Canada USA UK CAN

  21. Thoughts on HHR PlanningComparison of Medical School Opportunity Source: Personal communication with CMA. Note: UK data based on acceptances into pre-clinical medicine; US data based on medical school and osteopathic acceptances.

  22. Thoughts on HHR PlanningInternational Medical Graduates Play an Important Role in Canada’s Physician Supply Source: CMA Masterfile, January 2006, Canadian Medical Association

  23. Thoughts on HHR PlanningIMG Trends Vary Within the Physician Workforce Source: Supply, Distribution and Migration of Canadian Physicians, CIHI.

  24. Thoughts on HHR PlanningThe Number of Physicians Leaving Canada Has Declined Source: Supply, Distribution and Migration of Canadian Physicians, CIHI

  25. Thoughts on HHR PlanningThere is Still Much to Learn About the Things Health Care Providers Do

  26. Thoughts on HHR PlanningMany Individuals and Organizations Have a Hand in HHR Planning Individual Patients & Practitioners Health Care Facilities (clinics, hospitals, nursing homes, etc) Provincial/Territorial Governments • HHR Planning • The establishment of goals, policies, and procedures to direct all those involved in the delivery of health care. • An orderly arrangement of the wide spectrum of health care providers. • Having in mind an orderly arrangement of all health care providers. Training Institutions (colleges, universities, etc) Federal Government Teaching Hospitals Health Quality Councils Regional Health Authorities Regulatory Authorities Health Care Research , Information & Service Agencies (CIHI, CHSRF, CHEPA, CHSPR, MCHP, CaRMS, OPHRDC and many more) Professional Associations (membership, certifying & accrediting agencies, etc)

  27. Thoughts on HHR PlanningExample of Possible HHR Planning Roles

  28. THANK YOU Overview of Health Human Resource Planning:A Canadian Perspective 2006 Trilateral Conference Vancouver, British Columbia, Canada Dr. Nick Busing President and CEO Association of Faculties of Medicine of Canada

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