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I reject totally the idea that physicians must accept what any given Province may decide to unilaterally pay." – Justice Emmett Hall, considered one of the originators of medicare.


What Ontarians (and their Auditor General) Should be Asking About Physician Pay by Steven Lewis (2011)
The central question is what we pay family doctors (and increasingly, primary healthcare teams) to do. The short answer is that we pay them to provide services, but the short answer is not always the right answer.

Weekly Special

50% off High Performing Healthcare Systems: Delivering Quality By Design by G. Ross Baker et al
“In the systems profiled in this book, quality and cost are not opposing goals; rather, quality is one of the ways to improve cost control. Moreover, these systems are not rich healthcare systems or systems that serve only the rich.” – Adalsteinn Brown
Download the pdf of the book for 50% of the listed price. Just click on Purchase this Book and add coupon code HPHS16. Expires Monday, August 22, 2016.

Off The Cuff

Doctors are Still Unhappy

Are Physician Executive Pay-for-Performance Programs the Future of Physician Leader Compensation in Canada? by Frank Vounasis and Isser L. Dubinsky
Pay-for-performance plans are becoming increasingly popular with boards of many healthcare organizations across the country. They may offer an opportunity for increased accountability in the context of the 2003 Health Accord. Although there is little current evidence to support the notion that incentive-based compensation has long-term implications for quality improvement, their popularity continues to increase.

Implementing a Physician Leader Compensation Program at a Major Community Hospital by Isser L. Dubinsky, Moshe Greengarten, Larry Grossman, Mark Hundert, Diane Sawatzky and Bill Whittaker
The roles of physician leaders in Canadian hospitals and health regions are becoming more complex and time consuming. Physician leaders are increasingly being seen by hospital boards and executives as key to achieving strategic and operational outcomes.

Public Payments to Physicians in Ontario Adjusted for Overhead Costs by Jeremy Petch, Irfan A. Dhalla, David A. Henry, Susan E. Schultz, Richard H Glazier, Sacha Bhatia and Andreas Laupacis

Dorothy Wylie, one of Canada's outstanding nursing leaders, has passed away

Dorothy Wylie Profile by Anita Dubey

Creating Different Approaches To Nursing Practice by Dorothy M. Wylie

We're Having a Heat Wave ...


Wednesday, September 21, 2016
Dr. Edward Brown, CEO of the Ontario Telemedicine Network (OTN)
 There’s No Place Like Home: How to Build a Better, Patient-Centred Health System Using Virtual Care
Register here
Sponsored by: Novari HealthJohnson and JohnsonGetinge GroupCSI, and BD

Our Editors Recommend

Healthcare Quarterly
Balancing Institutional and Community-Based Care: Why Some Older Persons Can Age Successfully at Home While Others Require Residential Long-Term Care
A. Paul Williams, David Challis, Raisa Deber, Jillian Watkins, Kerry Kuluski, Janet M. Lum and Stacey Daub

Funding Long-Term Care in Canada: Who is Responsible for What?
Raisa B. Deber and Audrey Laporte

Healthcare Policy
Accountability for Community Benefit: A Reasonable Expectation for Canadian Hospitals
J. Ross Graham

Nursing Leadership
A Systematic Review of the Cost-Effectiveness of Clinical Nurse Specialists and Nurse Practitioners in Inpatient Roles
Kelley Kilpatrick, Kim Reid, Nancy Carter, Faith Donald, Denise Bryant-Lukosius, Ruth Martin-Misener, Sharon Kaasalainen, Patricia Harbman, Deborah Anne Marshall, Renee Charbonneau-Smith and Alba DiCenso

World Health and Population
Case Study: Clinical Governance as an Approach to Improve Maternal and Newborn Health in 22 Hospitals in Indonesia
Dwirani Amelia, Stephanie Suhowatsky, Mohammad Baharuddin, Maya Tholandi, Anne Hyre and Reena Sethi



More | Add your conference



  • Bradly Wouters to Executive Vice President of Science and Research, UHN, Toronto, ON
  • Ariella Zbar to Associate Medical Officer of Health, Sudbury and District board of Health, Sudbury, ON
  • John Younes to Acting Chief Medical Examiner, Government of Manitoba, Winnipeg, MB
  • Vindell Washington, MD, to National Coordinator for the Office of the National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services, Washington, DC
More | Send us your transitions


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