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Agenda and Speakers

Health Summit 2014: Aging, Chronic Disease, and WellnessOct 23–24, 2014 Toronto

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Thursday, October 23, 2014

7:45 AM Registration and Continental Breakfast
8:15 AM Opening Remarks from the Chair

John Brewer will introduce some of event's themes, and share his perspective on the challenges ahead and changes needed to achieve health care sustainability in Canada.


Brewer <br />  
Executive Program Developer
The Conference Board of Canada
8:30 AM Plenary Session 1
From Policy to Patients, and Economics to Experience—Rising to the Demographic Challenge

This session will consist of two parts. Louis Thériault will share the Conference Board's research agenda on senior care. Louis will also provide an overview of the soon to be published report, A Base Case Forecast of Demand and Supply of Care for Canada's Aging Population.

In the following interactive session, delegates will have the opportunity to think about and discuss changes to the health care system to make it more responsive to the needs of older and chronically ill patients. This session will include ideas suggested by a patient panel, these will be compared with ideas suggested by Summit participants.


Thériault <br />  
Vice-President, Public Policy
The Conference Board of Canada
Glinski <br />  
Vice-President and Head, Idea Couture Health
Idea Couture
Glouberman <br />  
President
Patients Canada
9:45 AM Tri Fit Energizer and Networking Break
10:15 AM Plenary Session 2
Power Panel: The Future of Canada's Health Care System—Sustainability and Radical Change

Canada's health care system seems to be perpetually at a crossroads. Report after report in recent years and even decades has identified changes, and recommended a radical shift away from acute care toward prevention and chronic disease management.

Such change requires a major rethink and transformation while, at the same time, ensuring the current system continues to deliver world-class care. How do we make the necessary changes, while still investing and sustaining the best of the Canadian health care system?

Two short presentations will be followed by a panel discussion. The first presentation will be based on a report released recently by the Institute for Competitiveness and Prosperity, Building Better Health Care: Policy Opportunities for Ontario. The second presentation will look at the provisions being made for an aging workforce.

The panellists will then discuss the potential implications on a change agenda for health, with each bringing their unique perspective to the issue.


Steeve <br />  
Speaker:
Executive Director
Institute for Competitiveness & Prosperity
Brown <br />  
Panellists:
Chief Executive Officer
Ontario Association of Community Care Access Centres
Kirk <br />  
Canada Research Chair in Health Services Research
Dalhousie University
Skinner <br />  
Dean, Faculty of Health
York University
11:30 AM Concurrent Sessions—Set A
(please choose one)
11:30 AM Concurrent Session A1
Chronic Disease: Myths, Misconceptions and Mass—Understanding the Wicked Problem that is Obesity in Canada

As obesity has increased in recent years, especially among the young, so has anxiety over the potential health effects. While the public might be concerned about increasing rates of obesity, misinformation abounds around the causes and solutions. Some see obesity as a disease while others continue to stigmatize the overweight—blaming and shaming them for a lack of willpower.

To call the problem complex is an understatement. Yet many of the public and even health system players still persist on seeing it as a straightforward issue of calories in, calories out. In this session leading Canadian obesity researcher Sara Kirk will share some of the latest thinking about obesity, explain why some apparently obvious fixes are doomed to failure and explore the need for a radical rethinking of our approach to this health crisis.


Kirk <br />  
Canada Research Chair in Health Services Research
Dalhousie University
11:30 AM Concurrent Session A2
Wellness and Healthy Active Living: Is Sitting the New Smoking?

As evidence of the negative health effects of a sedentary lifestyle piles up, the idea that "sitting is the new smoking" has quickly achieved mainstream acceptance. Many experts now argue that episodic activity is less effective as a health intervention than integrating movement—particularly walking—into your everyday activities. Given how many of us sit at desks all day, participating in enough activity poses a major challenge.

This session will feature two presentations that together present evidence for integrating activity into one's workday, and proven strategies to achieve this goal.


Kennedy <br />  
Founder and Chief Executive Officer
StepsCount Inc.
Sitt <br />  
Health and Wellness Consultant
Think MOVE
11:30 AM Concurrent Session A3
Challenges and Outcomes of Treating an Aging Workforce

The Canadian workforce is aging and more seniors are working as a result of delayed retirement or a return to the workforce. The WSIB must respond as it purchases health care for workers and offers return to work services in addition to wage loss replacement. The aging workforce presents a challenge not faced by the system in its hundred-year history.

In response, WSIB has deployed advanced data analytics and developed a strategic medical strategy to achieve a positive outcome for these workers. This presentation will explore and quantify the challenges and discuss the initiatives that have been introduced as part of the medical strategy, with a particular focus on low back injuries.

You will learn about the impact on worker outcomes, the workers' compensation system, and the sustainability of a health care system created for workers. Participants can reflect on the implications of the success of the WSIB health care delivery model for the aging population being treated within other payer streams.


Bain <br />  
Vice-President, Health Services
Workplace Safety and Insurance Board of Ontario
Wen <br />  
Vice-President and Chief Statistician
Workplace Safety and Insurance Board of Ontario
12:30 PM Luncheon and Keynote Presentation
Sustainability and Transformation—Inside and Outside the System

Drawing on his experience as a hospital Chief of Staff, Medical Director of an inner city health project for the homeless, and Medical Officer for Correctional Services, Jeffrey Turnbull is in a unique position to talk about health and health care reform. In his luncheon address, Jeffrey will describe the need for a radical transformation of both the health care system and society to improve the health of Canadians.

On a daily basis, Jeffrey Turnbull sees what's wrong with the current health system, as Ottawa Hospital—originally designed to deal with acute conditions—struggles to provide appropriate care to more and more patients with chronic conditions who have nowhere else to go.

In his other roles, Jeffrey sees first-hand the devastating impact of poverty on health, and the urgent need to address this if we're to be serious about implementing any kind of wellness initiatives for Canadians. While he supports programs to encourage healthy eating and greater activity, Jeffrey argues that tackling poverty and income inequality must become our top wellness priority.


Turnbull <br />  
Chief of Staff
The Ottawa Hospital
1:30 PM Concurrent Sessions—Set B
(please choose one)
1:30 PM Concurrent Session B1
Education Through Understanding: Northwestern University's "Buddy" Program for Alzheimer's Treatment and Care

"An estimated 500,000 Canadians have Alzheimer's disease or a related dementia. Within a generation, that number will more than double, ranging between 1 and 1.3 million people"

Rising Tide: The Impact of Dementia on Canadian Society, Alzheimer Society of Canada

For over 16 years Northwestern University has been pairing medical students with Alzheimer patients, and those with related illnesses, in an effort to allow students to gain a better understanding of those illnesses in a non clinical setting. Join first-year medical student Jared Worthington, retired physician and Alzheimer's patient, Dan Winship and his wife Jean Schmidt Winship as they discuss their unconventional friendship that began through Northwestern's buddy program. What started as an exercise to promote socialization and learning has become a deep friendship that has afforded them opportunities they could never have imagined. Jared, Dan and Jean will share what they have learned from the experience in this heartwarming and informal conversation.


Worthington <br />  
Medical Student
Northwestern University
Winship <br />  
Former Dean, Stritch School of Medicine, Loyolya University of Chicago and Professor Emeritus, Department of Medicine
University of Missouri School of Medicine
Schmidt Winship <br />  
Program Manager, Physician Assistant Program
Department of Medical Education, Feinberg School of Medicine, Northwestern University
1:30 PM Concurrent Session B2
Letting Go of Our Belief in Our Own Immortality—Stories from Palliative Care

At our recent Western Health Summit speakers were each asked to identify the one thing we need to give up or stop doing to improve the health of Canadians. Borrowing from His Holiness the Dalai Lama one suggested we stop believing we will never die. While in one sense this is a deep philosophical challenge it is also a call for greater investment and resources for palliative care in Canada. But perhaps that greater investment requires that we first make that philosophical leap.

So for this session we have brought together two experts in palliative care, one from Canada's largest palliative care hospital the other representing a national program that designs palliative care training, education and resources to better support care in all settings. This session won't be a discussion of policy-it will be an opportunity through storytelling to hear about the realities of palliative care from those who deliver essential end of life care to Canadians.


Downer <br />  
National Director
Pallium Canada
Hattersley <br />  
Palliative Care Physician
St. Peters Hospital, Hamilton Health Sciences
1:30 PM Concurrent Session B3
Wellness and Healthy Active Living: Panel on Urban Design and Healthy Neighbourhoods

City and neighbourhood design has a huge impact on the health of those who live there. The panel will explore current thinking and activity in healthy urban and neighbourhood design from three perspectives.

Gayle Bursey will share Mississauga's challenges and opportunities, as it tries to provide a healthier environment for its citizens.

Kate Hall will illustrate how walk-friendly communities encourage walking and can lead to improved health, revitalized local economies, increased social connections, and safer and more sustainable cities.

Ryan McGreal will discuss how citizens can organize themselves to create change in their communities, and some of the obstacles to change he has encountered as an activist in the city of Hamilton.


Bursey <br />  
Director, Chronic Disease and Injury Prevention
Regional Municipality of Peel
Hall <br />  
Program Manager, WALK Friendly Ontario
Canada Walks, Green Communities Canada
McGreal <br />  
Editor
Raise the Hammer
2:30 PM Plenary Session 3
Employers' Role in Health Care Sustainability—The Case of Workplace Mental Health

One of the core missions of the Canadian Alliance for Sustainable Health Care is to raise awareness for the role employers must play in advancing the health of Canadians. Working together with the Board’s workplace wellness research team it continues to focus attention on this issue to provide employers with practical tools and approaches, especially in the area of mental health.

Among those who share this commitment, Karen Seward of Cira is a genuine pioneer in the field of workplace mental health and a long time and essential supporter of the Board's research. In this session she will underscore the critical role of employers through discussion of the difference employers can make by focusing attention and resources on the mental resilience of their workforce. She will explain how this investment, properly channeled, yields a more productive, flexible and innovative workplace while at the same time reducing costs to the health care system and so furthering the cause of sustainability.

Karen believes passionately in employers' duty to act in this field but also argues persuasively that the return on the investment is so clear that addressing this issue is simply good business.


Seward <br />  
President
Cira Medical Services
3:00 PM Refreshment Break
3:15 PM Plenary Session 4
Remote Care: Creating a Virtual Primary Care Team

In early 2014, Sykes Assistance Services engaged Dr. Karim Keshavjee and his team to investigate, design and then build requirements for a solution to support the scalability and virtualization of primary care teams.

The widely supported Enhanced Chronic Care Model indicates that the foundation of population based prevention and management of chronic illness is the interaction of an activated patient and a prepared proactive primary care team. Other evidence supports an interdisciplinary team-based approach to self-management support as a means to help people live well with chronic illness. Finally the Ontario HealthLinks model in its many forms is designed to create communities of effort to support people with multiple chronic conditions that are frequents users of the health care system.

The presentation will be delivered in two parts:

  1. The first part will be a review of the findings of a recent qualitative analysis of the delivery of primary care by teams in Ontario with a focus on multidisciplinary primary care teams, the challenges of multi-morbidity, case finding, stratification, and system navigation.
  2. The second part will be a review of a few solutions that could provide patients and their families with access to team based care regardless of where they live or to what type of primary care model they belong.

Keshavjee <br />  
Chief Executive Officer
InfoClin Inc.
Murphy <br />  
Vice-President, Healthcare Strategy and Business Development
Sykes Assistance Services Corporation
4:00 PM Plenary Session 5
Lessons Learned from 25 Years of Progressive Experience in Alzheimer's Care

The Netherlands is a world leader in care for Alzheimer's patients. Hugo Van Waarde is a registered nurse who has worked in Alzheimer's care for over 25 years. In 1989 he became manager of the Anton Pieck-hofje in Haarlem, the first small-scaled living facility in the Netherlands, an alternative to a traditional nursing home.

In the 90s Hugo was a member of two European working groups on small-scale care for the elderly. In Almere, Netherlands, he was project manager of the development of new living and care facilities for the elderly.

Hugo's work emphasizes hominess, recognizability, and individual freedom as key characteristics of care. He will discuss what he has learned over the years, and how Canada might apply some of these lessons to improve its care of Alzheimer's patients.


Harvey <br />  
Moderator:
Chief Public Policy and Program Initiatives Officer
Alzheimer Society of Ontario
van Waarde <br />  
Speaker:
Independent Consultant, Netherlands
5:00 PM Closing Remarks from the Chair
Brewer <br />  
Executive Program Developer
The Conference Board of Canada
5:15 PM Networking Reception

Take the opportunity for an informal conversation with your fellow delegates and the experts after the event. Share your thoughts on the day's discussions and create new connections with your peers.


Friday, October 24, 2014

7:30 AM Continental Breakfast
8:00 AM Opening Remarks from the Chair

As in previous years, the second day of the Summit will focus on innovation, and how it can be applied to improve the health of Canadians. From robotics to "apps," and from mindfulness to new medications, we'll look at innovations that target aging, chronic disease, and wellness.


Brewer <br />  
Executive Program Developer
The Conference Board of Canada
8:15 AM Plenary Session 6
Putting Innovation into Action—Presentation, Panel Discussion

It seems as if every day the headlines announce a new health care innovation, whether it's a new drug, device, or process. Recently there has been a lot of attention on new, highly targeted prescription drugs, and questions surrounding their cost and the ability of publicly funded health care systems to finance their use.

The presentation and panel will explore the gap between innovation and implementation. Beginning with a presentation by the President of CADTH, whose role is to assess the efficacy of new health innovations, we'll move to a lively discussion among innovators about the obstacles faced and how they have or are planning to overcome them.


Moore <br />  
Moderator:
Director, Programs and Services
The Arthritis Society
O'Rourke <br />  
Speaker:
President and Chief Executive Officer
CADTH
Deshpande <br />  
Panellists:
Vice-President, Strategy and Business Development
McKesson Canada
Graydon <br />  
Senior Vice-President, Client Services
LifeLabs Medical Laboratory Services
Robinson <br />  
Vice-President, Government Affairs
Canada's Research-Based Pharmaceutical Companies
9:15 AM Plenary Session 7
Creating the Conditions for Disruption: Can Radical Innovations Transform the Health Care System

Session details to be advised.


Rickhi <br />  
Director, Founding Member, and Research Chair, Canadian Institute of Natural and Integrative Medicine and Associate Clinical Professor
University of Calgary
Sharpe <br />  
Managing Director
QoC Health Inc.
Winsor <br />  
Director, Health System Strategies and Chief Marketing Officer
Medtronic of Canada Ltd.
10:15 AM Tri Fit Energizer and Networking Break
10:30 AM Concurrent Sessions—Set C
(please choose one)
10:30 AM Concurrent Session C1
Aging: Safety for Seniors in Hospitals and at Home

As hospitals treat increasing numbers of older patients, more attention must be paid to making the processes and facilities safe for seniors. Also, with more and more care taking place at home, safety issues in that environment also become a greater concern.

Ariella Lang and Barbara Liu will discuss the latest initiatives and thinking in making hospitals and private homes safer for seniors requiring care.


Lang <br />  
Nurse Scientist
VON Canada
Liu <br />  
Executive Director
Regional Geriatric Program of Toronto
10:30 AM Concurrent Session C2
Chronic Disease: Is Isolation a Looming Chronic Health Crisis

Isolation and loneliness don't typically come immediately to mind as chronic diseases. Researchers in the U.K. recently concluded that loneliness can be two times as deadly as obesity for older people. They tracked over 2,000 people 50+ for six years, and found the loneliest were nearly twice as likely to die as the least lonely.

Other studies have linked loneliness to increased risk of high blood pressure, a weakened immune system, depression, heart attacks, and strokes. The effects are also not limited to the old.

"In the West, we live faster, higher in the air, farther from our workplaces, and more singly than at any time in the past. Social scientists will be struggling to understand the consequences of these transformations for decades to come, but one thing is clear: Loneliness is our baggage, a huge and largely unacknowledged cultural failing." - The Globe and Mail

This may be the defining condition of our age.


Kemeny <br />  
Director, Granting and Community Initiatives
Vancouver Foundation
10:30 AM Concurrent Session C3
Wellness and Healthy Active Living: Social Media and Crowdsourcing for Innovation

A recent report by Active Healthy Kids Canada delivered a very negative assessment of Canada as a country whose children are among the least physically active in the developed world. This was in spite of the fact that Canada has world-class facilities, such as parks and recreation centres. There was a clear disconnect between the capacity to be active and the behaviour.

One response to this crisis of inactivity is the Play Exchange (www.changemakers.com/playexchange). This partnership aims to use crowdsourcing to identify and fund the best ideas to get kids active in Canada. Chad Hartnell will explain the thinking behind the project, what it took to get it going, and some of the great ideas it generated and is now helping to implement.


Hartnell <br />  
Senior Director
Public Health Agency of Canada
11:30 AM Plenary Session 8
Nudging Canadians to Better Health—What Can You Do and What Results Can You Expect

Whether it's increasing hand washing compliance, encouraging people to eat well and exercise, designing a new health facility, or undergoing a major lean transformation, all successful change relies on people changing their behaviour. Organizations usually rely on coercion, communication, or education to achieve the desired outcome, and these strategies often fall short or completely fail to deliver sustained change.

Philip Oreopoulos will outline a relatively new approach that is rapidly gaining ground around the world. Known by the shorthand term "Nudge," it involves tweaking the environment or restructuring the decision process to encourage people to make certain choices. Not without controversy, this approach has been used successfully in the U.K. and the U.S., and will likely be coming soon to a health care facility near you.


Oreopoulos <br />  
Professor, Economics
University of Toronto
12:15 PM Closing Remarks from the Chair
Brewer <br />  
Executive Program Developer
The Conference Board of Canada
12:30 PM Summit Adjourns

Sponsors

We’d like to thank our generous sponsors for their contribution to this event.

Sykes Assistance Services Corporation logo


Medtronic of Canada Ltd. logo



Cira Medical Services Inc. logo



Canada’s Research-Based Pharmaceutical Companies (Rx&D) logo


Dr. Roger's Prize logo


LifeLabs Medical Laboratory Services logo



McKesson Canada logo



LCM Healthcare Services logo


Marketing Partners

Canadian Coalition for Green Health Care logo

Canadian College of Health Leaders logo

Canadian Health Information Management Association logo


Canadian Positive Psychology Association logo


Canadian Psychological Association logo

Evidence Exchange Network logo

Gallant HealthWorks & Associates logo


University of Toronto—Institute for Life Course and Aging Collaborative Program in Aging logo


NICE (National Initiative for the Care of the Elderly) logo

Special Contributors

Data on the Spot logo


M and M Sales and Consulting logo


Tri Fit Inc. logo


The details of this event are subject to change. Please revisit this page periodically for updated information.