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    Like Longwoods eLetter September 13, 2016 | ...blood on the premier's hands on Facebook share on Twitter


"There's definitely blood on the premier's hands." Overdoses killed 249 people in B.C. last year, and 62 per cent of those were linked to fentanyl. The fact that death toll could triple this year is no surprise to anyone who's been paying attention.


British Columbia’s Failed Healthcare Experiment by Kimberlyn McGrail and Ruth Lavergne
In the early 2000s, there was widespread concern across Canada that primary care was in decline. Walk-in clinics and emergency departments became the de facto point of care for patients who lacked timely access to a family doctor. Patients struggled to find doctors to take them on as regular patients. Though British Columbia was not alone among Canadian provinces in recognizing the need for primary care reform, it was unique in its approach to solving the problem. B.C.’s chosen fix for primary care was based on the simple and appealing idea that we have to pay for what we want.

Off The Cuff

B.C. Coroner’s Report Fentanyl-Detected Illicit Drug Overdose Deaths January 1, 2012 to June 30, 2016

Fentanyl drug of choice for almost 50% of addicts, Alberta addictions experts say

Implementing System Safeguards to Prevent Error-Induced Injury with Opioids (Narcotics) (2006) by Margaret Colquhoun, Christine Koczmara and Julie Greenall

Just Released! Healthcare Quarterly, Vol. 19, No.2: Special Focus on Complex Care and Multimorbidity

'It will destroy the system,' says Crown about lawsuit challenging medicare

Meet Dr. Sara Gray, the woman you want in an emergency

Professor G. Ross Baker Receives Peggy Leatt Award from IHPME

Governance, Policy and System-Level Efforts to Support Safer Healthcare (2014) by G. Ross Baker

The Journey toward High Performance and Excellent Quality (2012) by Adalsteinn Brown, G. Ross Baker, Tom Closson and Terrence Sullivan

Toronto doctor launches 24-hour concussion hotline

Healthcare system might not make sense, but it's oh-so Canadian: Neil Macdonald

Task force calls for independent body to probe alleged sex abuse by doctors

Ontario patients deserve better protection

Hand washing and hospitals: There's an app for that

Should Canada have a hybrid public-private healthcare system?

Learning from Kaiser Permanente Integrated systems and healthcare improvement in Canada

Breakfast with the Chiefs -  New Speakers Added

Wednesday, September 21, 2016
Dr. Edward Brown, 
CEO of the Ontario Telemedicine Network (OTN)
Joanne Flewwelling, Executive Vice President, Clinical Services and Chief Nursing Executive, William Osler Health System
Dr. Anand Iyer, Chief Strategy Officer at WellDoc, Inc.
Dr Thuy-Nga (Tia) Pham, Lead Physician, South East Toronto Family Health Team and the East Toronto Health Link; and Deputy Chief, Department of Family Medicine, Michael Garron Hospital
Topic: 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

Upcoming Speakers
October 13, 2016
– Christine Elliott, Ontario Patient Ombudsman Designate
November 16, 2016  – Chris Power, CEO, Canadian Patient Safety Institute

Our Editors Recommend

Healthcare Quarterly
The Challenge Before Us
Renee Lyons
Can Better Care for Complex Patients Transform the Health System?
Helen Angus and Anna Greenberg
Healthcare Policy
Mapping Collaborative Relations among Canada’s Chronic Disease Prevention Organizations
Damien Contandriopoulos, Nancy Hanusaik, Katerina Maximova, Gilles Paradis and Jennifer L. O'Loughlin
Nursing Leadership
Clinical Nurse Specialists in Canada: Why Are Some Not Working in the Role?
Kelley Kilpatrick, Alba DiCenso, Denise Bryant-Lukosius, Judith A. Ritchie, Ruth Martin-Misener and Nancy Carter
World Health and Population
Empowerment of Women for Health Development: A Global Perspective
Snehendu B. Kar, Catherine Pascual, Kirstin Chickering and Tracy Hazelton



More | Add your conference


  • Vanessa Burkoski to Chief Nursing Executive of Humber River Hospital, Toronto, ON
  • Matthew Anderson to President and CEO, Lakeridge Health, Oshawa, ON
  • Joanne Flewwelling to Interim President and CEO, William Osler Health System, Etobicoke, ON
  • Ted Scott to Chief Innovation Officer, Hamilton Health Sciences Corp, Hamilton, ON
  • Daniel Coderre to President and CEO of Génome Québec, Montreal, QC
  • Ken Deane to Interim CEO, Chatham-Kent Health Alliance, Wallaceburg, ON
  • Bruce Quigley to President and CEO, Alexandra Marine and General Hospital, Goderich, ON
  • Martine Alfonso to Interim President and Executive Director, McGill University Health Centre, Montreal, QC
  • Terry Power to Chief Executive Officer of Medisys Health Group, Montreal, QC
  • Rob Lee to Chief Information Officer, Michael Garron Hospital, Toronto, ON
  • Jeff Nesbitt to Vice President, Canadian Men’s Health Foundation, Vancouver, BC
  • Ron Kaczorowski to President & Managing Director - Prism Alliance Group (IBO)
Retraction – September 6, 2016, Longwoods announced Lawrence Rosenberg as the new head of the McGill University Health Centre using a Montreal Gazette story published September 1, 2016 as the source.

More | Send us your transitions


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