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Redesigning Canadian Health Care for the Age of Complex Care Queens Health Policy Change Conference Series May 16, 2014 Drs Tom Noseworthy & Tom Briggs.

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Presentation on theme: "Redesigning Canadian Health Care for the Age of Complex Care Queens Health Policy Change Conference Series May 16, 2014 Drs Tom Noseworthy & Tom Briggs."— Presentation transcript:

1 Redesigning Canadian Health Care for the Age of Complex Care Queens Health Policy Change Conference Series May 16, 2014 Drs Tom Noseworthy & Tom Briggs

2 Better Quality, Better Outcomes, Better Value Alberta Health Services Costs Demographics Clusters Policy & practice considerations Complex High Needs Populations

3 3 The Goal Alberta to have a sustainable health system that creates the healthiest population and best health outcomes in Canada One Health System: 5 Zones 4.2 million lives 100,000 employees 8,400 doctors 13.4 B budget

4 4 Population defined by costs attributed at patient level $9.6B costs allocated Top 5 % of population (total costs) identified This populations consumes 66% of total costs Health Service Areas examined for opportunities Identified clusters using hierarchical cluster analyses Clustering by demographics & chronic/episodic diseases Complex High Needs Populations

5 5 Total provincial CHN population190,323 –North23,874Calgary65,091 –Edmonton 59,575South16,417 –Central25,366 Percent female57.5% Percent living alone11.9% Provincial CHNP – Overall Demographics

6 6 Pop Frail Elderly68,700 Complex Older Adults60,202 Reproductive Health36,495 Complex Infants/Toddlers7,343 High Needs Young Adults6,885 High Needs Children6,365 High Needs Youth4,333 High Level Cluster Overview

7 7 Financial Impact

8 8 Provincial example – Frail Elderly Profile Average age is 77.5 years 54% female 14% living alone 9% in LTC Percent with dementia15.5% Percent at end-of-life>19% Days in hospital per year20.1 Average visits to family doctor per year 13.5/year

9 9 Hypertension 72.5% Acute Musculoskeletal Diagnosis39.3% Acute Respiratory Diseases/COPD 33.7% / 22.6% Osteoarthritis 31.8% Diabetes 28.5% Congestive Heart Failure 20.8% Neuromuscular/Neurological Diagnoses20.7% Depressive and/or Other Psychoses20.2% Frail Elderly Clinical Profile (Partial) Note: Data shows averages based on physician visit billing

10 10 Bringing appropriate care to the community Strengthen community and primary health care Develop innovative service delivery models Increase service integration and accountability

11 11 Use an evidence-informed approach Identify, measure & understand complex needs clusters Clusters influence what care, where, by whom, funded how? Place of care & provider funding aligned to pathways/models Defined structures & processes for clinically led change Care pathways & models of care necessary but insufficient Individualized care plans This is not new money & requires reallocation from acute care to the community Policy & Practice Considerations


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