Ray J. Racette

Procurement change in Canada: an opportunity for improving system performance.

The Canadian healthcare system is undergoing restructuring of how goods and services are purchased. A conference “Navigating Hospital and Health System Procurement” was organized by MEDEC and the Canadian College of Health Leaders to examine the issues. This paper describes the implications and opportunities these changes present for healthcare policy, regulation, practice, and the supplier marketplace.

The emergence of precision therapeutics New challenges and opportunities for Canada’s health leaders

In the era of personalized and precision medicine, the approach to healthcare is quickly changing. Genetic and other molecular information are being increasingly demanded by clinicians and expected by patients for prevention, screening, diagnosis, prognosis, health promotion, and treatment of an increasing number of conditions. As a result of these developments, Canadian health leaders must understand and be prepared to lead the necessary changes associated with these disruptive technologies. This article focuses on precision therapeutics but also provides background on the concepts and terminology related to personalized and precision medicine and explores Canadian health leadership and system issues that may pose barriers to their implementation. The article is intended to inspire, educate, and mobilize Canadian health leaders to initiate dialogue around the transformative changes necessary to ready the healthcare system to realize the benefits of precision therapeutics.

Will we be judged ready for the influenza pandemic

n May 2006, the Canadian College of Health Service Executives issued a position paper entitled The Role of Health Care Leaders in Planning for an Influenza Pandemic.1 It was a well-researched overview of leadership accountabilities current at that time. However, although there has been considerable work throughout Canada and around the world to prepare for a pandemic, much has also changed over the intervening period regarding expectations. The complexities of preparing for a pandemic are immense. We have spent the last three years discussing pandemic planning at conferences and in the College’s Health Professional Roundtable for Strategy (HRPS) sessions. Are we ready? This question is extremely timely for all health leaders as we react to the most recent scare with the severe respiratory illness outbreak, H1N1, which originated in Mexico. So let us catch up to where we are today. As shown in Table 1, the World Health Organization has a six-level pandemic alert scale.2

Reinventing Hospitals: On Target for the 21st Century

Any books that you read, no matter how you got the sentences that have been read from the books, surely they will give you goodness. But, we will show you one of recommendation of the book that you need to read. This reinventing hospitals on target for the 21st century is what we surely mean. We will show you the reasonable reasons why you need to read this book. This book is a kind of precious book written by an experienced author.Inevitably, reading is one of the requirements to be undergone. To improve the performance and quality, someone needs to have something new every day. It will suggest you to have more inspirations, then. However, the needs of inspirations will make you searching for some sources. Even from the other people experience, internet, and many books. Books and internet are the recommended media to help you improving your quality and performance.

L'émergence de la thérapeutique de précision: de nouveaux défis et de nouvelles possibilités pour les leaders en santé du Canada.

À l’ère de la médecine personnalisée et de la médecine de précision, l’approche envers les soins est en rapide mutation. Les cliniciens exigent de plus en plus d’information génétique et moléculaire et les patients s’attendent à la fournir pour la prévention, le dépistage, le diagnostic, le pronostic, la promotion de la santé et le traitement d’un nombre croissant de maladies. Les leaders en santé canadiens doivent comprendre les changements nécessaires liés à ces technologies perturbantes et ouvrir la voie. Le présent article s’attarde sur la thérapeutique de précision, mais contient également de l’information générale sur les concepts et la terminologie liés à la médecine personnalisée et à la médecine de précision. Il explore également le leadership en santé canadien et les problèmes liés au système qui peuvent nuire à leur mise en œuvre. L’article vise à inspirer, informer et mobiliser les leaders en santé canadiens à amorcer un dialogue sur les transformations nécessaires pour préparer le système de santé à profiter des bienfaits de la thérapeutique de précision.

Nous jugera-t-on prêts pour la pandémie d'influenza ?

n mai 2006, le Collège canadien des directeurs de services de santé a publié un document de principes intitulé Rôle des responsables de la santé dans la planification des mesures en cas de pandémie de grippe1. Il s’agissait d’un aperçu bien documenté des responsabilités des gestionnaires à l’époque. Cependant, même si, au Canada et aux quatre coins du monde, on a abattu un travail considérable pour se préparer à la pandémie, les attentes ont beaucoup changé pendant cette période. La préparation en cas de pandémie est une tâche d’une extrême complexité. Depuis trois ans, nous discutons de la planification de la pandémie aux congrès et aux séances des Stratégies d’évaluation des professionnels en santé du Collège. Sommesnous prêts ? Cette question ne peut pas mieux tomber pour tous les gestionnaires de service de santé tandis que nous réagissons à la récente frayeur causée par la pandémie de maladie respiratoire sévère au Mexique. Essayons donc de voir où nous en sommes aujourd’hui. L’Organisation mondiale de la santé prévoit six phases d’alerte de pandémie2.

Book ReviewReinventing Hospitals: On Target for the 21st CenturyDalton Truthwaite Toronto (ON), Nancy Cybulski, Jo-anne Marr, Isabel Milton (Eds.), McLeod Publishing (1997), p. 257 pp

Any books that you read, no matter how you got the sentences that have been read from the books, surely they will give you goodness. But, we will show you one of recommendation of the book that you need to read. This reinventing hospitals on target for the 21st century is what we surely mean. We will show you the reasonable reasons why you need to read this book. This book is a kind of precious book written by an experienced author.Inevitably, reading is one of the requirements to be undergone. To improve the performance and quality, someone needs to have something new every day. It will suggest you to have more inspirations, then. However, the needs of inspirations will make you searching for some sources. Even from the other people experience, internet, and many books. Books and internet are the recommended media to help you improving your quality and performance.

Dalton Truthwaite Toronto (ON), Nancy Cybulski, Jo-anne Marr, Isabel Milton (Eds.). McLeod Publishing (1997), 257 pp

Any books that you read, no matter how you got the sentences that have been read from the books, surely they will give you goodness. But, we will show you one of recommendation of the book that you need to read. This reinventing hospitals on target for the 21st century is what we surely mean. We will show you the reasonable reasons why you need to read this book. This book is a kind of precious book written by an experienced author.Inevitably, reading is one of the requirements to be undergone. To improve the performance and quality, someone needs to have something new every day. It will suggest you to have more inspirations, then. However, the needs of inspirations will make you searching for some sources. Even from the other people experience, internet, and many books. Books and internet are the recommended media to help you improving your quality and performance.