Time for Transformative Change - Senate of Canada

Mar 31, 2012 - 14 An electronic health record (EHR) refers to a secure and private ..... Act's regulations, namely nursing-home, intermediate-care services, ...
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Time for Transformative Change A Review of the 2004 Health Accord

Standing Senate Committee on Social Affairs, Science and Technology

The Honourable Kelvin K. Ogilvie

Chair The Honourable Art Eggleton, P.C.

Deputy Chair

March 2012

For more information please contact us by email [email protected] by phone: (613) 990-0088 toll-free: 1 800 267-7362 by mail: The Standing Senate committee on Social Affairs, Science and Technology Senate, Ottawa, Ontario, Canada, K1A 0A4 This report can be downloaded at: www.senate-senat.ca/social.asp Ce rapport est également offert en français

TABLE OF CONTENTS ORDER OF REFERENCE .................................................................................................................. iii MEMBERS .......................................................................................................................................... iv EXECUTIVE SUMMARY .................................................................................................................. v 1.

INTRODUCTION ......................................................................................................................... 1

2.

BACKGROUND: AN OVERVIEW OF COLLABORATION IN HEALTH-CARE REFORM IN CANADA ................................................................................................................................. 4 A. The Federal Role in Health and Health Care .......................................................................... 4 B. F/P/T Collaboration in Health-Care Reform........................................................................... 6

3.

REDUCING WAIT TIMES AND IMPROVING ACCESS ....................................................... 11 A. Overview of Wait-time Commitments in the 10-Year Plan ................................................. 11 B. Progress to Date .................................................................................................................... 11 C. Moving Forward on Wait Times: Committee Observations and Recommendations ........... 16

4.

HEALTH HUMAN RESOURCES ............................................................................................. 19 A. Overview of Health Human Resources Commitments in the 10-Year Plan ......................... 19 B. Progress to Date .................................................................................................................... 20 C. Moving Forward: Committee Observations and Recommendations .................................... 26

5.

HOME CARE .............................................................................................................................. 28 A. Overview of Home-Care Commitments in the 10-Year Plan ............................................... 28 B. Progress to Date on Home Care ............................................................................................ 29 C. Moving Home Care Forward: Committee Observations and Recommendations ................ 30

6.

PRIMARY CARE REFORM ...................................................................................................... 33 A. Overview of Primary-Care Reform Commitments in the 10-Year Plan............................... 33 B. Progress to Date .................................................................................................................... 34 C. Moving Forward in Primary-Care Reform: Committee Observations and Recommendations................................................................................................................. 37

7.

ELECTRONIC HEALTH RECORDS AND TELE-HEALTH .................................................. 39 A. Electronic Health Record and Tele-Health Commitments in the 10-Year Plan ................... 39 B. Progress to Date .............................................