Presentations
The presentations provided here represent leading edge thinking on seniors’ care
in British Columbia and in the world. Copyright permission is required to reproduce
any part of these presentations.
Home and Community Care, Including End-of-Life Care
The Impact of Aging on the Health Care System: catastrophe or catalyst?
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Dr. Réjean Hébert
Dr. Réjean Hébert (pdf 2,444 Kb) is currently Dean of Medicine and a professor in the Department of Family Medicine at the University of Sherbrooke and also a National Research Fellow of the Québec Health Research Fund (FRSQ). From 2000 to 2003, he was the first scientific director of the Institute of Aging of the Canadian Institutes of Health Research. Previously, he was the founding director of both the research centre at the Sherbrooke Geriatric University Institute and the Québec Research Network in Gerontology and Geriatrics. He has been a member of several boards and committees such as: The administrative board and the executive committee of the Québec Health Research Fund; the advisory committee of the Senior Independence Research Program (Health Canada); and the advisory committee on health services of the conference of Ministry of Health in Quebec.
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His research focuses on functional decline in the elderly, including epidemiology and evaluation of services. He is currently engaged in evaluative studies on the efficacy of health services and program, particularly integrated networks of services for the elderly and disabled. He is involved in research on caregivers of demented patients and is the principal investigator of a multi-centre study on the efficacy of a new support group program. He developed and validated the functional autonomy measurement system (SMAF), a disability rating scale used in Canada and in other countries for clinical and research purposes. He is one of the principal investigators of the Canadian Study on Health and Aging, one of the largest studies on the epidemiology of dementia.
Planning for Long-Term Care in the 21 st Century
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Dr. Peter C. Coyte
Dr. Peter C. Coyte (pdf 114 Kb) is a professor of health economics at the Department of Health Policy, Management, and Evaluation, University of Toronto. He publishes widely in the areas of health economics, health policy and health services research. His studies have included the measurement of regional variations in health service utilization, evaluations of the cost effective provision of health care services and assessments of health service finance, delivery and organization for organizations and governments both in Canada and internationally. |
In 2000, Coyte co-founded the Home and Community Care Evaluation and Research Centre with his colleague, Dr. Patricia McKeever. In 2002, McKeever and Coyte launched the CIHR (Canadian Institutes of Health Research) strategic training program in health care, technology and place, which complements the activities of the Canadian Health Services Research Foundation/Canadian Institutes of Health Research Chair.
The Role of Assisted Living in Home and Community Based Care: The American Experience
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Dr. Keren Brown Wilson
Dr. Keren Brown Wilson (pdf 2,328 Kb) is widely known as the architect of the ‘Oregon model’ of assisted living and for her work with affordable assisted living. Her Oregon-based assisted living companies have provided development and management services to over 200 projects in 17 states, with more than 7,000 residents. Many of the companies serve specialized populations, including native American, Spanish-speaking, African-American, deaf, rural and urban, low-income residents, as well as people with mental illness. Dr. Wilson is also a recognized expert on negotiated risk agreements. |
Dr. Wilson most recently developed a course on international health and aging and began a new focused education program abroad in Latin America for policy and direct service (long term care and housing). She serves as an advisor to the Pan American Health Organization and has provided technical assistance to many countries, including Canada, China, Uruguay, Nicaragua and the British Virgin Islands, in the areas of long term care and housing. Her research in assisted living began with two of the earliest studies ever done and she is currently involved in four studies. Dr. Wilson was recently recognized by the Nicaraguan government for developing a long-range plan for aging services, including research, training and programs for the elderly, as well as direct assistance to homes for low-income elderly people.
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Dr. Eduardo Bruera
Dr. Eduardo Bruera (pdf 2,164 Kb) is a professor of medicine, F.T. McGraw Chair in the Treatment of Cancer and Chair of the Department of Palliative Care and Rehabiliation Medicine at the University of Texas M. D. Anderson Cancer Center in Houston. Previously, he served as Director of the Division of Palliative Care Medicine at the University of Alberta and Clinical Director of the Edmonton Regional Palliative Care Program. After earning his medical degree at the University of Rosario in Argentina, Dr. Bruera completed his training in medical oncology at the University of Salvador in Buenos Aires. |
He subsequently began a fellowship in supportive care at the National Institute of Canada at the University of Alberta, followed by an appointment as a professor of oncology and Chair in Palliative Medicine of the Alberta Cancer Foundation. He has a strong interest in the global development of palliative care and has collaborated for many years with the World Health Organization/Pan American Health Organization as a regional focal point for palliative care and as leader of several specific projects.
Health and Aging: The Myer Foundation Vision for 2020
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Professor John McCallum
Professor John McCallum (pdf 1,816 Kb) has recently joined Victoria University in Melbourne as the Deputy Vice Chancellor of Educational Programs and Director of the Technical and Further Education Division (TAFE). Prior to this, he was Dean of the College of Social and Health Sciences, Campbell town Campus, University of Western Sydney (UWS). |
John worked at Griffith University, the Research School of Social Sciences and the National Centre for Epidemiology and Population Health at the Australian National University, the Andrus Gerontology Center at the University of Southern California, Nanzan University in Nagoya and the Tokyo Metropolitan Institute of Gerontology, both in Japan.He joined UWS in 1995 and has established a range of new health science courses, including podiatry, chinese medicine, osteopathy and naturopathy. His major research publications and projects are in the areas of aging, health services research, health outcome measures and Vietnam veteran's health. John is a member of the National Health and Medical Research Council (NHMRC) Australian Health Ethics Committee, as well as the NHMRC health advisory committee. He was a contributor to the Myer Foundation Report 2020: A Vision for Aged Care in Australia.
Continuing Care in Canada: The Policy Landscape and Outstanding Issues
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Steven Lewis
Steven Lewis (pdf 49 Kb) is a partner in Access Consulting Ltd. and sits as a councillor on Canada’s recently-formed Health Council. He is former Chief Executive Officer of both Saskatchewan's Health Services Utilization and Research Commission and the Saskatchewan Health Research Board. Since 1974, he has been a health services researcher, research administrator and health policy analyst and consultant. He has worked in government (provincial and federal), in an applied health research centre, as a granting agency administrator and as a private consultant. |
Chronic Illness and Primary Health Care Reform
Group Medical Appointments
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Dr. John Scott
Dr. John Scott (pdf 788 Kb)has served as Chief of Service, Director of Primary Care Redesign and Chief of Service of the multi-specialty clinic with Kaiser Permanente and is currently on the board of directors of Kaiser Permanente. He developed a group model of care for high-utilizing geriatric patients, which became known as the cooperative health care clinic (CHCC) model. The CHCC was established as a national program within the Kaiser system and ultimately stimulated interest in other modifications of the group visit concept for management of chronic disease. Kaiser Permanente is the largest nonprofit health plan in the United States, serving 8.2 million members, with headquarters in Oakland. Dr Scott uses group visits to take a hard look at ways in which the chronic care model has redefined health care for chronic conditions. |
Alternative Models of Care for Complex Vulnerable Seniors:
Lessons Learned in the Community
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Cori Paul
Cori Paul (pdf 1,734 Kb) is a clinical nurse specialist/manager for the Good Samaritan Society Seniors' Clinic in Edmonton. Prior to this, she worked with the complex frail elderly as the advanced practice nurse for the Good Samaritan Society CHOICE program, the first of its kind in Canada. Paul was an instructor at the University of Alberta (U of A) faculty of nursing for many years and was a founding member of the faculty of nursing primary health care task force. There, she helped to lay the foundation for the integration of primary health care into all nursing programs at the U of A. |
During this time, she was instrumental in establishing the first interdisciplinary international health course at the U of A with Dr. Amy Zelmer. This course exposes students to primary health care concepts and their value. Paul is an instructor with Athabasca University in health promotion, primary health care, health assessment and physical examination in the nursing baccalaureate program.
A B.C. Perspective
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Dr. Chris Rauscher
Dr. Chris Rauscher (pdf 245 Kb) is a physician consultant in geriatric medicine for the Vancouver Coastal Health. He pursues his work in three related areas: clinical practice seeing frail seniors living at risk at home or in care facilities through home visits, professional practice development and health systems planning. Dr. Rauscher has been a medical director in care facilities and has worked extensively with community health care systems, including home and community care and community mental health. |
He has been involved in developing practical practice tools for working with these populations including a risk assessment approach and an ethics framework for clinical practice in the community. In the last few years, Dr. Rauscher has taken a lead in British Columbia in chronic disease management. He is physician-lead for chronic disease management for Vancouver Coastal Health. He chaired a group of health care professionals that wrote the heart failure care guideline for British Columbia and was the co-chair of the first chronic disease management structured collaborative in British Columbia, the BC CHF Collaborative.
UK Primary Care Developments: Chronic Disease Management
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Dr. Tony Snell
Dr. Tony Snell (pdf 631 Kb) is currently Medical Director for Birmingham and the Black Country Strategic Health Authority in the United Kingdom. In this role, he takes the lead on public health, inequalities, clinical governance and primary care. He was instrumental in leading a successful quality improvement program in England, which focused on chronic disease management in primary care. This resulted in his being named co-vice chair of a National Health Services Confederation negotiating team leading a quality and outcomes framework.ontract quality and outcome framework. |
During this period, he worked with England’s Department of Health in negotiating the new general medical services (GMS) contract with the general practitioners’ committee of the British Medical Association. He was responsible for the development and implementation of the primary care clinical effectiveness project (PRICCE), which became the basis for the new GMS c
Improving Acute Episodic Care of the Elderly
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Dr. Robert Kane
Dr. Robert Kane (pdf 286 Kb) currently holds an endowed chair in long term care and aging at the University of Minnesota, where he directs the Center on Aging, the Minnesota Area Geriatric Education Center, the Clinical Outcomes Research Center and an Agency for Healthcare Research and Quality (funded evidence-based practice centre). He has conducted numerous research studies on both the clinical care and organization of care of elderly people, especially those needing long term care. |
He has analyzed long-term systems, both in the United States and abroad. His current research addresses both acute and long term care for elderly people (or older people), with special attention to the role of managed care, chronic disease and disability. Dr. Kane is a consultant to a number of national and international agencies, including the World Health Organization's Expert Committee on Aging.
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Dr. Henrik Bjurwill
Dr. Henrik Bjurwill (pdf 296 Kb) is Chief Executive Officer and Senior Physician of Nackageriatriken Limited in Sweden. Nackageriatriken is a private health care provider delivering high quality geriatric care to patients. Most of its services are carried out on behalf of Stockholm County Council. Prior to joining Nackageriatriken, Dr. Bjurwill was a geriatric consultant to the National Board of Health and Welfare and to various other organizations. He is a member of the board of the geriatric section for the Swedish Medical Association. |
Acute Episodic Care of the Elderly: Can it be Improved?
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Dr. Michael Gordon
Dr. Michael Gordon (pdf 1,343 Kb), MSc, FRCPC, FRCPEdin, serves as Vice President of Medical Services and Head of Geriatrics and Internal Medicine for Baycrest Centre for Geriatric Care in Toronto. He is a professor of medicine and a member of the Joint Centre for Bioethics at the University of Toronto. Dr. Gordon is also Head of the Division of Geriatrics at Mount Sinai Hospital. He has participated on many professional and government committees on aging and related subjects and is past chair of the Ontario provincial drug quality and therapeutics committee and an active member of the coroner’s committee on geriatrics and long term care. He is a member of the National Advisory Council on Aging and was recently elected a member of the general council of the College of Physicians and Surgeons of Ontario |
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