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“If you think about how healthcare is delivered, it’s on an ad hoc basis. Someone comes into a hospital, someone comes into a pharmacy, someone comes into a doctor. But beyond those touch-points, the patients are on their own. There’s no real continuity of care.” Christopher A. Viehbacher – CEO, Sanofi, Harvard's First Forum on Healthcare Innovation Report

All Together Now: A Conceptual Exploration of Integrated Care

Essay

I read with great interest Mr. Lewis’ essay on CEO compensation.  While he makes several good points, the focus on pay distracts us from the far more important questions related to our healthcare system and the leadership we need to transform it.
  1. What kind of performance and results do our healthcare organizations need to achieve?
  2. What kind of leadership and experience is required to achieve those results?
In fact, if we answered these two questions first, we may be in a far better position to ask of our CEOs and other leaders, ‘are they worth it?’

Off the Cuff

Money, money, money...

Heads of U.S. nonprofit hospitals earn an average of almost $600,000 a year, compensation that isn’t tied to quality measures such as mortality rates, a Harvard University study found. Bloomberg, October 2013

The CEO's compensation is a critical link between the board's philosophy for the company and the actions the CEO will take. Because the CEO's job is so multifaceted, the board can't sit back and simply say... Law and Governance, July 2004

...coming to grips with the details of CEO compensation plans, even bringing in their own external consultants to help them understand the true costs of compensation plans. Law and Governance, March 2006

The Final Brief – Tuesday, June 10, 2014
A Breakfast with the Chiefs presentation on Re-focusing from Efficiency to Appropriateness: The Value of Understanding Variation in Healthcare.
The Ontario election is on June 12, 2014. On June 10, we are pleased to present  . . .the final brief: Yes Minister, appropriate care actually decreases utilization.
Tom Closson with Mark Hundert and Chris Helyar will explore this theme and we will invite the parties to send their health gurus and join the discussion.

Need a distraction for a minute? "Did you ever see the customers in health - food stores? They are pale, skinny people who look half - dead. In a steak house, you see robust, ruddy people. They're dying, of course, but they look terrific."
Bill Cosby

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Last week in Canadian Health History
May 22, 1991:    UN Development Program praises Canadian health system, reporting Canada 2nd best place to live.
May 22, 2003:    SARS found again in Toronto Hospital.
May 24, 2000:    1 child and 3 adults die from E. coli in Walkerton, ON water.
 


 

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Transitions

Lori Marshall to Cheif Executive Officer, Erie St. Clair CCAC, Chatham, ON
George Weber to Chair Board of Directors, Accreditation Canada, Ottawa, ON
Dr. Karima Velji to Vice-Chair Board of Directors, Accreditation Canada, Ottawa, ON
Dylan Hardy to Chief Operating Officer, PatientOrderSets, Toronto, ON
Dr. Gary Redekop to Head pro tem, Department of Surgery, Faculty of Medicine, UBC, Vancouver, BC
Dr. Karl Schwarz to Director of Plastic Surgery, VM Medical, Montreal, QC
Grant Perry to Vice President, Government and Corporate Affairs, Purdue, Pickering, ON

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