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Bulletin

The OISSS electronic monitoring bulletin is disseminated free of charge to subscribers every two weeks in French and English. The Bulletin monitors current news, upcoming events, and publications related to reforms of healthcare systems around the world, in particular in OECD countries and countries of the Americas.

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Headlines

Summer season

Please note that the newsletter’s publication will be interrupted for the summer. We will resume publication on August 14, 2018.

Canada - Manitoba government releases health system transformation blueprint

Manitoba’s government has released a blueprint for broad health system changes aimed at improving the quality, accessibility, and efficiency of healthcare services across the province. The plan will determine priority areas, identify gaps in service, establish standards of care and models of service delivery, and outline clear care pathways for patients and providers.

Canada - Canada’s nursing workforce experiences slowest growth in a decade

Although Canada’s nursing workforce continues to grow, figures from the Canadian Institute for Health Information (CIHI) show that the growth rate in 2016-17 was the slowest in 10 years. Canada experienced 0.7% growth in the nursing workforce last year, compared with an annual growth rate of 1.3% to 2.8% over the past decade.

UK - NHS launches plan to improve patient care by cutting long hospital stays

The National Health Service (NHS) in England has announced plans to cut unnecessarily long hospital stays by 25%, freeing up more than 4,000 beds. Nearly 350,000 patients spend more than three weeks in hospital each year, taking up a fifth of all available beds.

USA - NIH releases strategic plan for data science

The National Institutes of Health (NIH) released its first strategic plan for data science as it seeks to upgrade the storage, management, and standardization of data produced by NIH-funded biomedical data scientists. The strategy will address the interoperability, integration and increasing cost of data management, and introduce a new position of NIH Chief Data Strategist.  

International - OECD Health Statistics 2018

The online database OECD Health Statistics 2018 has been released on June 28. The OECD Health Database offers the most comprehensive source of comparable statistics on health and health systems across OECD countries. It is an essential tool to carry out comparative analyses and draw lessons from international comparisons of diverse health systems.

International - WHO releases new International Classification of Diseases (ICD 11)

The WHO’s International Classification of Diseases (ICD-11) provides health professionals worldwide a common language to share information, identify trends, and interpret data. Completely electronic, ICD-11 contains 55,000 codes for injuries, diseases and causes of death, and includes new chapters on sexual health and traditional medicine.

Upcoming Events

Australia - Digital Transformation for Health & Ageing

This conference will look at the latest technological solutions in the health and aged care sectors, explore their benefits in terms of productivity, safety and efficiency, as well as risks such as data security. Australian providers of elder care and home care are early adopters of digital technologies and will describe lessons learned through their experience. The conference takes place July 26 and 27, in Melbourne.

USA - 11th Annual Conference on the Science of Dissemination and Implementation in Health

Co-hosted by the National Institutes of Health (NIH) and AcademyHealth, this conference explores the potential of evidence to optimize health and health care by bridging the gap between research, practice, and policy. This year’s event to be held from December 3 to 5, 2018, in Washington DC, will focus on strategies for scaling up effective interventions across communities, health systems, networks and countries, and efforts to build capacity for dissemination and implementation science. The call for abstracts is open until July 24, 2018.

Reports and Issue Portfolios

Australia - Coordinating Mental and Physical Health Care in Rural Australia: An Integrated Model for Primary Care Settings

Based on staff interviews at a small town clinic providing primary healthcare to people using community mental health services, this article examines factors driving successful primary care integration in rural settings. It finds that the necessary processes and structures (including a booking system and team-based approach) evolved locally from supportive professional and organizational relationships. Strong collaborative relationships also led to the upskilling of local staff.

Canada - Organizational factors influencing successful primary care and public health collaboration

This study identifies factors in primary care and public health organizations that influence successful collaboration between the two. Findings are based on interviews with policy makers, managers and service providers. Five major organizational factors that influence collaboration were identified: clear mandates and goals; coordination and communication mechanisms; collaborative organizational culture; optimal use of resources; and collaborative approaches to programs and service delivery.

Europe - Mental health, human rights and standards of care

Published by the WHO, this report rates the quality of care and protection of human rights in mental health institutions in 20 European countries. The objective of the report is to address gaps in knowledge about these institutions and identify deficiencies in care standards through the lens of the United Nations Convention on the Rights of Persons with Disabilities.

UK - Taking the value-based agenda forward: the five essential components of value-based approaches to health and care

Against a backdrop of financial pressures, growing demand for services, and the quest to transform local delivery systems, the concept of value in the UK health system has gained increasing prominence. This paper explores how to spread the adoption of value-based health care across all of the constituent parts of the National Health Service (NHS), and explores key factors in successful adaptation.

UK - Horizontal or Vertical: Which way to integrate? Approaches to community services integration and consequences for emergency hospital activity. A case study based on the Transforming Community Services Policy

In 2010, the UK government’s Transforming Community Services Policy required a complete break between policy/funding and provider functions in emergency hospitals. Eight years later, this case study explores the impact this choice had on the use of emergency hospital by older Britons and considers the wider implications for the National Health Service (NHS) as it develops new models of care and integrated care systems.

UK - Risk and reward sharing for NHS integrated care systems

Risk and reward sharing (RRS) allows healthcare policymakers to incentivize providers to moderate demand by sharing in savings or cost overruns. This paper traces the application of RRS, first in American accountable care organization, and then within integrated care in the UK National Health Service (NHS). It warns that the NHS must be aware of the complexities inherent in RRS as well as the benefits.

UK - Driving improvement. Case studies from 10 GP practices

Produced by the Care Quality Commission (CQC), England’s healthcare regulator, this report examines how 10 substandard general practices made changes to improve their CQC ratings and standards of care. The authors interviewed a range of people at each practice, including general practitioners (GPs), managers, nurses, staff, patients and external stakeholders, to establish common improvement strategies and practices, most of which involved leadership, training, and communication.

USA - Accounting for the Rise of Health Spending and Longevity

This study by Québec researchers investigates the rise of health spending and longevity in the US over the period 1965-2005. It estimates that technological change and more generous health insurance explain 36% of the health-spending rise. Technological change, taking the form of increased healthcare productivity, explains most of the rise in life expectancy over the study’s 40-year period.