2017 | Taking the Pulse of Primary Health Care Reform

Promise, Potential, and (Real) Progress

29th Annual Health Policy Conference | March 9-10, 2017

CHSPR’s 29th annual health policy conference, March 9-10, 2017, at the Pinnacle Hotel Vancouver Harbourfront, explored the promise, potential, and (real) progress on primary health care reform in BC and Canada.

Over the last decade primary health care (PHC) reform has received sustained attention from professionals, governments and researchers. Collaboration between governments, local health jurisdictions and physicians, in particular, has increased; but structures have been put in place for policy-makers to work collaboratively with physicians on funding and programs in some provinces but not others.

Importantly, the environment of reform and the proponents of changes are not uniform. Various provinces have approached PHC reform using different strategies, and model-driven, principle-based, quality-centered and incentive-oriented incremental changes have all played a role. There has been little publicly available information on the impact of these reforms, or the spread of successful innovations across the country.

Creative new ways of delivering and organizing health care are only the beginning. They must be scaled-up so they have application across the country, rather than being limited to regions or institutions as exists today. Innovations and scalability require funding; the Naylor Report proposes a major federally financed fund and a central agency to attain three main aspirational goals:

  1. Improving performance of the healthcare system
  2. Enhancing quality and value to Canadians
  3. Breaking down barriers to innovation.

This two day conference created a space for dialogue on important questions about the future organization and delivery of primary health care in Canada. We examined important building blocks of high performing primary health care and look to the future of primary health care. Ample opportunity was provided for clinicians, researchers, patients, and policymakers to interact, share, and strategize.


Download a pdf version of the full program

Day 1: Thursday, March 9

9:00 am | Pre-conference workshops (pre-registration only)

Workshop I: Patient engagement

This pre-conference event brought together patients, clinicians, and researchers to discuss research ideas and priorities to support broader patient engagement in primary care research.

Workshop II: Tools for primary health care reform

This pre-conference event aimed to identify policy and practice tools for scaling and spreading primary health care reform. View a selection of these tools
1:00 pm | Welcome remarks

Sabrina Wong, UBC Centre for Health Services and Policy Research
Roberta Price, Coast Salish Elder, Snuneymuxw and Cowichan First Nations
Nardia Strydom, Providence Health Care

1:15 pm | Keynote | Addressing the quadruple aim: Using the building blocks of primary care

Kevin Grumbach, University of California, San Francisco, and San Francisco General Hospital [Slides]

2:00 pm | Panel | Rethinking the way we do business: Template for the future

Chair: Michael Law, UBC Centre for Health Services and Policy Research
Rebecca Etz, Virginia Commonwealth University School of Medicine [Slides]
Rick Glazier, Institute for Clinical Evaluative Sciences [Slides]
Tracy Wasylak, Alberta Strategic Clinical Networks [Slides]

3:30 pm | Active dialogue: Audience ideas on rethinking the way we do business
4:00 pm | Poster session and reception

Day 2: Friday, March 10

9:00 am | Welcome remarks

Robyn Tamblyn, McGill University [Slides]

9:15 am | Panel | Data driven improvement: A building block of high-performing primary care

Chair: Kevin Grumbach, University of California, San Francisco, and San Francisco General Hospital
Rick Birtwhistle, Queen’s University Centre for Studies in Primary Care [Slides]
Fred Burge, Dalhousie University Department of Family Medicine [Slides]
Scott Garrison, University of Alberta [Slides]

11:00 am | Concurrent sessions

Session I: Access, quality, and cost
Session II: Interprofessional practice, integration, and coordination
Session III: Performance measurement and innovations in practice

1:00 pm | Panel | What is needed to scale up innovations in primary health care across Canada

Chair: Tracy Wasylak, Alberta Strategic Clinical Networks
Jeannie Haggerty, McGill University Department of Family Medicine
Stephen Samis, Canadian Foundation for Healthcare Improvement [Slides]
Stephen Peckham, Kent University (UK) Centre for Health Services Studies [Slides]

3:00 pm | Poster session
3:30 pm | Keynote | Accountability to our patients: Moving toward a high-performing primary care system

Tara Kiran, Health Quality Ontario [Slides]

4:30 pm | Closing remarks

Kim McGrail, UBC Centre for Health Services and Policy Research