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

1
Canadian Heart Health Strategy and Action Plan
(CHHS-AP)Dr. Lyall Higginson, Member,
CHHS-AP Steering Committee
2
Context for the CHHS-AP

• CVD is Canadas 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.

3
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

4
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

5
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

6
(No Transcript)
7
CHHS-AP Management Group
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

• Executive Committee of Steering Committee
• Administrative body of CHHS-AP
• Operational responsibilities

8
Thinking About The Future

• The point is not to predict the future but to
  prepare for it and to shape it

9
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

10
Crossing the quality chasmA new health system
for the 21st century

• Institute of Medicine, 2001

11
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

12
IOM report 10 rules for redesigning health care

• Anticipation of needs
• Continuous decrease in waste
• Cooperation among clinicians

13
Framework for a Comprehensive Canadian Heart
Health Strategy and Action Plan
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

1. Decreased burden of cardiovascular disease

1. Healthier population

1. Added quality life years

1. Sustainable health system

1. Reducedinequities

14
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 systems performance on
  safety, evidence based practice, and patient
  satisfaction

15
CHHS-AP Theme Working Groups

1. Strengthening information systems for monitoring,
   management, evaluation and policy development
2. Creating environments conducive to cardiovascular
   health
3. Preventing, detecting and controlling major risk
   factors
4. Addressing and enhancing Aboriginal / indigenous
   cardiovascular health
5. Timely access to quality (acute) care and
   diagnostics
6. Timely access to quality chronic disease
   management, rehabilitation services and
   end-of-life care

16
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

17
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

18
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

19
(No Transcript)
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
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