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One problem with Harpers Quebec proposal adoption
By: Brian Eaton
More from Brian Eaton's Blog
Published:03/1/2006

File this under 'No news is good news' -- if you dare.

It seems to me there has been precious little public dialogue on patient wait times since the middle of last month when newly-minted Prime Minister Stephen Harper reiterated his government's plan to negotiate a Patient Wait Times Guarantee with the provinces, and in doing so commended the Quebec's plan to ensure patients receive timely access to vital services.

There has been even less discussion about how Quebec's plan, in part, runs in the face of the conventional wisdom of electronic health record (EHR) functionality, or a grasp of what the private sector partners can bring to the mix.

"We welcome this innovative approach as a starting point and it is our hope that the Government of Canada will be able to collaborate with all of its provincial and territorial government partners to develop a national Patient Wait Times Guarantee," Harper said.

Also, mirroring the Government of Canada's approach, the so-called Quebec proposal would allow Quebec residents who cannot receive timely treatment in their own area to receive treatment in another jurisdiction or at a private clinic with costs being paid for by public insurance.

Read the full release here http://www.conservative.ca/EN/1091/40635

Well, let's not get ahead of ourselves, public money for private care may not even be necessary, let alone a sufficient condition for transferring patients out of their jurisdictions.

In recent years, most governments have been pointing to a promised land of efficient, effective health care with minimal wait times. But, says Michael Green, vice-president for health care at Toronto-based Agfa Inc. "most people want to get access (to health care) immediately."

"I think the government strategy is to have wait time targets," said Green. "There are other issues like public safety, but I don't think those are at the top of the public mind."

Green said many in his shoes believe technology that can provide long-term solutions and guarantee an improvement to the health care system is a better investment.

"Implementing technology and resources that are currently lacking, such as MRI machines and Picture Archive and Communications Systems (PACS), can actually reduce wait times," said Green. "It will also remove the need for patients to travel in order to receive care."

"If you eliminate film from a hospital you create an electronic image that is available to anyone, at any time, and at any number of locations." Green said. "You can do distance consulting and all sorts of other things that increase the efficiency of the process."

Read Michael Green's full comments here http://www.itworldcanada.com/a/E-Government/9a91f580-0a33-4aa2-b6a9-6a1d1f2e12e6.html.

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Sandford Borins

As Professor of Strategic Management at the University of Toronto, Sandford Borins brings InterGovWorld.com readers exclusive insights into how and why the public sector is changing. You'll find new perspectives and questions, observations and objectives, lessons and answers. Cover to Cover, the blog by Prof. Sandford Borins, appears every Thursday.

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