HOW BUSINESS LEADERSHIPCAN SAVE UNIVERSAL HEALTH CARE

RECLAIMING OUR NATIONAL DREAM

DIANNE CARMICHAELSPEECH BY

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What happened to a

health care systemthat was to be the envy of the world?

CANADIAN HEALTH CARE

ratio in the developed world

In the 1970s, Canada had the

highest physician-to-patient

health care system in the G7

Canada has the

Second most expensive

in the world because they lack access to primary care physicians

Canadians are amongst the

highest users of ERs

Canada was defined as having health care that was

Least effectiveLeast safeLeast co-ordinatedLeast timelyLeast patient-centered

at the problem with little to show

Governments have thrown

more money

Health care spending is projected to increase to

80% of total spendingin Ontario by 2030

This leaves a mere

20% for everything elselike education, transportation, infrastructure and policing

There has been a great deal of

thought & timeput in to how we might restore our health care system

We’re at a point where

private care isfilling the gaps

Desperate people do

desperate things

We need to fix the system

put patients first

We need to promote and embrace

innovation & technology

We need to tap existing

skills sets

We can’t rely on

politicians

Don’t get me wrong

Their hearts are in the right place

Health care can even cause people to become

irrational

I’ve never had a

about health care that didn’t

cost me votes.

conversation

—Joey Smallwood

… The politics of leading change will be

virtually impossible for government…

We need a different sort of

leadership

Challenging Canada’s business community to

lead the change

Health care system with applied

business thinking

Health care shouldn’t

run like a business

Put the health care system on the road to

financial sustainability

information management

sustainability

supply chain management

asset management

change management

communications

quality control

execution

I have the skills and want to be part of

the solution

We want to share ideas to reduce waste and

close the gaps

Many front-line health care workers make

heroic effortsto improve patients’ lives

Many feel that our health care

is falling apart

train wreckIt’s like watching a

This is not going to be a simple

30 minute fixover breakfast

What I’m hoping to do is

start a conversation

Left the financial services industry as a

senior executive

Chair and CEO, overseeing four companies, three reporting presidents and

1,200 people

2004, my father was admitted to hospital with

advanced lung cancer

He received an

unnecessary bloodtransfusion

A small firm

buried in criticalillness policies

5 years later that company provides employer-paid extended health coverage

to over 5 million Canadians

Cutting edge use of

electronic medical recordsand medical-analytic processes

This is a complementary service that

helps the patientget the best out of our existing system

The system was focused on

acute care

Life expectancies were lower for

men and woman

Leaders recognized the financial cost would be

significant

The explosion of

chronic disease

Very expensive

drug therapy

Access to

is not access to

HEALTHCARE.

a waiting list

—Beverley McLachlin

It was cheaper than

palliative care

This situation is

unacceptableand must stop

Those who can afford it, fly to

private clinics abroad

In 2010

45,000 Canadianssought medical treatment abroad

That’s an increase of

12% over 2009

At the age of 52, Mr. Murray received

hip replacement surgery

His physician recommended a

private clinic in Quebec

The surgery cost him

$20,000

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Health care is a

customer-focused servicewhere the patient comes first

Successful business leaders know what it takes to

keep customers satisfied

Did you know that

up to 80% of a GP’s time is poorly allocated

Someone other than a doctor could treat

up to 80% of ER cases

Did you know that a total of

70% of our health care dollars are spent on chronic care

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Desired behaviours can be

encouragedthrough compensation and incentive models

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EXPLOITEXISTING

SKILL SETS

In Canada we still do not have

electronic health records

The success of

online banking

Some of the best technology companies in Canada are forced to

take innovation abroaddue to lack of adoption in Canada

Belize ranked 78thon the United Nation’s Human Development Index

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NEW BRUNSWICK

Business leaders know the

transformative role technology can play

The question is

How do we include business leaders?

As a first step, we need

experienced business leaders to work with health care and government

The question is

Why not a business advisory council on health care?

about the current state of of our system and why change must happeneducatePurpose is to

Health care accordset to expire in 2014

Help make a change in the lives of Canadians diagnosed with serious illness

My focus will be to

restore our national dream