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Canadian Heart Health Strategy and Action Plan (CHHS-AP) Dr. Lyall Higginson, Member, CHHS-AP Steering Committee PowerPoint Presentation
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Canadian Heart Health Strategy and Action Plan (CHHS-AP) Dr. Lyall Higginson, Member, CHHS-AP Steering Committee. Context for the CHHS-AP. CVD is Canada’s number one public health problem.

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Canadian Heart Health Strategy and Action Plan (CHHS-AP)Dr. Lyall Higginson, Member, CHHS-AP Steering Committee

context for the chhs ap
Context for the CHHS-AP

CVD is Canada’s number one public health problem.

Risk factors (unhealthy eating, inactivity), as well as obesity, diabetes and hypertension are increasing.

Gaps between what we know and what we do exist in primary and secondary prevention as well as in treatment.

The health care system lacks integration – access is limited with significant disparities.

Health human resources are deficient.

Care delivery models have been relatively stagnant.

Canada lacks a surveillance system for CVD.

chhs ap how it began
CHHS-AP How it began

Steven Fletcher,MP, introduced a private members bill calling for chronic disease strategies: cancer, heart and mental health (May 2005)

2005 federal budget included CVD specific resources

Representatives from CV community met in the fall of 2005 and with Steven Fletcher (April 2006)

Presentation at health caucus meeting (June 2006)

Verbal commitment for funding

chhs ap purpose and description
CHHS-AP Purpose and Description

Purpose

To reduce the growing burden and loss due to CV disease in Canada

Description

Independent, stakeholder driven

Comprehensive, integrated strategy

Continuum of the health system: health policy/prevention to end-of-life care

Continuum of life: preconception to death

Respond to concerns of Canadians

Address inequities

Evidence-based/best practices

chhs ap leadership
CHHS-AP Leadership

Leadership partners:

Heart and Stroke Foundation of Canada

Canadian Cardiovascular Society

Canadian Institutes of Health Research

(Institute for Circulatory and Respiratory Health)

Funder:

Public Health Agency of Canada

chhs ap management group
CHHS-AP Management Group

Executive Committee of Steering Committee

Administrative body of CHHS-AP

Operational responsibilities

CHHS-AP Steering Committee

  • Primary policy decision-making body
  • 29 thought leaders and experts
  • Balance of expertise, knowledge, skills, regions, gender, research pillars, continuum of health care
thinking about the future
Thinking About The Future
  • The point is not to predict the future but to prepare for it and to shape it
slide9

Predictions of Lord Kelvin, president of the Royal Society, 1890-95

  • "Radio has no future"
  • "Heavier than air flying machines are impossible"
  • "X rays will prove to be a hoax”
iom report 10 rules for redesigning health care
IOM report: 10 rules for redesigning health care
  • Care based on continuous healing relationships - care whenever its needed, not just through face to face visits
  • Customization based on patient needs and values
  • The patient as the source of control
  • Shared knowledge and free flow of information
iom report 10 rules for redesigning health care12
IOM report: 10 rules for redesigning health care
  • Anticipation of needs
  • Continuous decrease in waste
  • Cooperation among clinicians
framework for a comprehensive canadian heart health strategy and action plan
Framework for a Comprehensive Canadian Heart Health Strategy and Action Plan

Additional quality life years

Favourable environments

Healthybehaviours

Lower population risk

Fewer acute events

Less chronic disease

Access to Services

Information and Monitoring

Research

Health Human Resources

The Vision

HEALTH PROMOTION

PRIMARY

SECONDARY

Interventions Required

TREATMENT

Policy and environmental change

Behaviour change strategies

Prevention, detection & management of risk factors

Timely access to quality (acute) care

Timely access to quality chronic disease manage-ment/rehab

Timely access to end oflife care

PREVENTION

OUTCOMES

  • Decreased burden of cardiovascular disease
  • Healthier population
  • Reducedinequities
  • Added quality life years
  • Sustainable health system
iom report 10 rules for redesigning health care14
IOM report: 10 rules for redesigning health care
  • Evidence based decision making
  • Safety as a system property
  • The need for transparency--all information available, including the system’s performance on safety, evidence based practice, and patient satisfaction
chhs ap theme working groups
CHHS-AP Theme Working Groups

Strengthening information systems for monitoring, management, evaluation and policy development

Creating environments conducive to cardiovascular health

Preventing, detecting and controlling major risk factors

Addressing and enhancing Aboriginal / indigenous cardiovascular health

Timely access to quality (acute) care and diagnostics

Timely access to quality chronic disease management, rehabilitation services and end-of-life care

chhs ap theme working groups16
CHHS-AP Theme Working Groups

Co-chairs – (1 member of SC)

11 – 15 members per group selected on basis of expertise

~ 80 members total

Two face-to-face retreats (Spring, Fall 07)

Provide theme specific advice and expertise

Commission synthesis research

Develop reports with key recommendations and priorities for action (associated costs, evaluation, surveillance etc.)

Innovative, implementable and practical

Based on evidence and best practices

Integration with existing strategies

Input from stakeholders

emerging broad areas of focus
Emerging Broad Areas of Focus

Improve access to quality acute care and diagnostics with facilitated transitions between points of care:

Regional models of integrated care: multi-disciplinary teams with improved coordination and facilitated transitions (patient centered-care)

Address health human resource needs

emerging broad areas of focus18
Emerging Broad Areas of Focus

Apply chronic disease management model (multidisciplinary team approach) centred in primary care:

Apply CDM model to many aspects of ‘acute’ care

Facilitated patient transitions depending on care needs

emerging broad areas of focus23
Emerging Broad Areas of Focus

Address unique cardiovascular needs of Aboriginal/indigenous people:

Primary health care reform.

Research: foster development and application of First Nations, Métis, and Inuit controlled databases

Integrated primary health care, respectful of traditional knowledge, synergy with other CDs

Human resources: development of Aboriginal health service providers, improve cultural competency of non-Aboriginal