Efficiency, Productivity and Performance: turn words into action!

Efficiency, Productivity and Performance: turn words into action! GMF Symposium April 18 2013 16th QMA Annual Convention April 19 and 20 2013 Delta Centre-Ville Hotel, Montréal PROGRAM

GMF SYMPOSIUM THURSdaY APRIL 18 2013 Setting up and then managing a family medicine group on a daily basis is quite a challenge for physicians in Québec. From negotiating agreements to implementing information technologies to managing supply and demand, sharing roles, interdisciplinary work and conflict management come and acquire a few tools to help you meet these challenges that you will face every day. A must for anyone who wants to manage their team more efficiently! 2 PROGRAM

GMF SYMPOSIUM 7:30 am REGISTRATION AND BREAKFAST VISIT OF EXHIBITORS 8:30 am WELCOME DR. RUTH VANDER STELT President Québec Medical Association DR. ALAIN LAROUCHE Host President, Corporate Affairs Concerto Health Group 8:45 am WHAT LEGAL STATUS? SÉBASTIEN DESJARDINS Executive Director GMF Jacques-Cartier, Sherbrooke A family medicine group (GMF) is a group of family physicians who work in close collaboration with nurses from the public network, in an environment that fosters the practice of family medicine to registered individuals. This is the definition found on the Web site of the Ministère de la Santé et des Services sociaux (MSSS). But what is it really? Do GMFs have a real legal status? What are their legal obligations from the professional and civil standpoints? Who has the authority to ensure compliance with service agreements between the GMFs, health and social services centres (CSSS) and regional agencies? What types of business can GMFs manage? Our speaker will attempt to answer these questions and will analyse the various legal formulas that GMFs may use. PROGRAM 3

titre GMF SYMPOSIUM 9:45 am SUCCESSFULLY IMPLEMENTING ELECTRONIC MEDICAL RECORDS GARY TOKATELIAN Senior Consultant Project Manager CGI Group Access to clinical information is a major issue when it comes to the efficiency and quality of services offered by GMFs. But can this be done successfully? Where do you start? The managers of GMFs benefit greatly when they clearly determine their needs and learn about the specifics of existing tools. To help them with this, CGI Group proposes a simple approach based on best practices in the health field, from identifying needs to change management, solution implementation and operations support. 10:45 am BREAK AND VISIT OF EXHIBITORS 11:15 am MANAGING OFFER AND DEMAND DR. MARIE HAYES Family Physician GMF Jacques-Cartier, Sherbrooke FRANÇOIS DUBÉ Direction de l organisation des services de première ligne intégrés (DOSPLI) MSSS Accessibility to an GMF begins with the ability to offer patients an appointment within a reasonable time. Managing offer and demand is more than just simply choosing an appointment scheduling system. Our speakers, Dr. Marie Hayes and François Dubé, will demonstrate that waiting lists can cease to be a nightmare and become a real development tool. 4 PROGRAM

GMF SYMPOSIUM titre 12:00 noon LUNCH AND EXHIBITIONS 1:30 pm SHARING ROLES IN AN GMF Speakers Dr. Michel Turgeon Renée-Claude Côté Family Physician Nurse Practitioner GMF Clinique Médicale GMF Clinique Médicale Sainte-Foy Sainte-Foy Management leadership is an essential part of the success of an GMF. A hierarchical structure must be defined, along with administrative, clinical and staff management mechanisms. Added to this is the concept of interdisciplinary work that is a daily challenge for all health care professionals. Interdisciplinary work requires trust, respect and a clear sharing of roles and responsibilities. This conference will cover the importance of sharing roles within an GMF and the day-to-day problems that can be encountered. 2:45 pm BREAK AND VISIT OF EXHIBITORS Dominique Proteau Primary Care Nurse Practitioner GMF Clinique Médicale Sainte-Foy 3:15 pm CONFLICT MANAGEMENT JULIE CARIGNAN Senior Associate SPB Organizational Psychology Inc. Workplace conflicts occur regularly and are a normal part of life in an organization. While properly managed conflicts can become a source of development and learning for team members, a poorly managed conflict is a source of stress and wasted time. It is essential for managers and team members at an GMF to be properly equipped to identify sources of conflict and resolution/mediation mechanisms. This conference will cover the various forms of conflict and propose strategies and tools to deal with them. Participants will be invited to share conflicts they have experienced in their organizations and, together with the moderator, will help to find solutions. 4:45 pm CLOSING ADDRESS 5:00 pm COCKTAIL AND VISIT OF EXHIBITORS PROGRAM 5

ANNUAL CONFERENCE FRIDAY april 19 AND SATURDAY april 20 2013 For its 16th annual convention, the QMA will be looking at ways to improve the performance and efficiency of the health care system. Because improving the efficiency of our clinical environments is the prime objective, pay-for-performance, clinical performance measurement, activity-based funding, co-management and medical leadership development will be among the solutions discussed. 8:00 am REGISTRATION AND BREAKFAST VISIT OF EXHIBITORS 8:30 am WELCOME DR. RUTH VANDER STELT President Québec Medical Association 8:40 am OPENING ADDRESS DR. ALAIN LAROUCHE Host President, Corporate Affairs Concerto Health Group 6 PROGRAM

ANNUAL CONFERENCE 8:50 am MAIN CONFERENCE PRODUCTIVITY IN THE QUÉBEC HEALTH SYSTEM ROBERT GAGNÉ Director of the Centre for Productivity and Prosperity HEC Montréal In October, the Centre for Productivity and Prosperity published its 2012 Overview that offers a comparative analysis of management practices between Québec and Canada as a whole and six countries recognized for their remarkable economic success over the past three decades. With respect to the health care sector, the authors point out that since there is no link between the number of patients treated and the hospital s budget, there is minimal competitive pressure on institutions to improve their performance. After clarifying the concepts of efficiency, productivity and performance, Robert Gagné from HEC Montréal will present his analysis and propose a few solutions susceptible of increasing productivity in our health care system. 9:50 am BREAK AND VISIT OF EXHIBITORS PROGRAM 7

ANNUAL CONFERENCE 10:20 am ACTIVITY-BASED FUNDING: LEVERAGE TO IMPROVE PERFORMANCE? PATRICK NÉGARET General Manager of the Caisse primaire des Yvelines and Manager of the national Santé Active project Caisse nationale d Assurance Maladie - France Activity-based funding is a method of allocating budgets to institutions based on the cases treated. This method has been used in France for several years now. Mr. Patrick Négaret from France s Caisse nationale d Assurance Maladie will explain how it works, the advantages and disadvantages, and the obstacles that had to be overcome when it was implemented. The emphasis will be on the concrete impacts of this method on professional independence, medical practice and clinical performance. After approximately eight years of functioning with this kind of budget allocation, what assessment can France make of this approach? 11:10 am ACTIVITY-BASED FUNDING: THE EXPERIENCE IN BRITISH COLUMBIA JONATHAN D. AGNEW Director of Policy British Columbia Medical Association Several years ago, British Columbia introduced an activitybased funding model. Jonathan D. Agnew will talk about the impacts of this budgeting method and the elements to take into account in implementation. 12:00 noon LUNCH AND EXHIBITIONS 8 PROGRAM

ANNUAL CONFERENCE 1:30 pm THE ELIMINATION OF WASTE AS A PERFORMANCE IMPROVEMENT STRATEGY? Dr. Tom Noseworthy Associate Chief Medical Officer, Strategic Clinical Networks & Clinical Care Pathways Alberta Health Services According to the Institute for Healthcare Improvement, waste of all sorts represents at least 20% of total health care expenditures in the US. There is no reason to believe the situation is much different on this side of the border. Overtreatment, failures of care coordination, hospitalacquired infections, medication errors, preventable incidents, readmissions, etc. How can physicians, together with other health care professionals, contribute to contain, or even eliminate, these sources of waste that threaten the sustainability of our system? 2:30 pm BREAK AND VISIT OF EXHIBITORS 3:00 pm CLINICAL LEADERSHIP AND ADMINISTRATIVE LEADERSHIP: THE MEETING OF TWO SOLITUDES DR. GEORGES HONOS Cogestionnaire médical du Centre cardiovasculaire Chef du service de cardiologie Centre hospitalier de l Université de Montréal LYNE MARQUIS Cogestionnaire du regroupement cardiovasculaire Centre hospitalier de l Université de Montréal Practising both clinical leadership and administrative leadership every day is quite the challenge for many physicians. Co-management, which involves a team made up of a physician and administrative manager, has been PROGRAM 9

ANNUAL CONFERENCE the preferred management model for a number of years for clientele groups in many hospitals. Like any management model, adjustments must be made regularly to adapt to the environment and ensure efficiency and performance. Our two speakers, who are the joint directors of a clientele program at CHUM, will share their thoughts on the delicate rudiments of day-to-day co-management and future changes to this management model in their environment. 4:00 pm PHYSICIAN ASSISTANTS: A STEP TOWARDS BETTER EFFICIENCY? LOUIS-FRANÇOIS ROBICHAUD President, Québec Chapter Canadian Association of Physician Assistants In Canada, about 300 physician assistants currently work in the health care field, primarily in Manitoba, New Brunswick and Ontario. They also practise in the Canadian Forces. This profession is still relatively unknown in Québec and has not received any sort of official recognition. Physician assistants are professionals who work with a certain autonomy that is negotiated and agreed upon with the supervising physician. They can work in many clinical contexts to extend the services of physicians. Louis-François Robichaud will explain how physician assistants can have an impact on the efficiency, productivity and performance of the health care team in all the areas of medicine in which they practise. 4:45 pm CLOSING ADDRESS 5:00 pm COCKTAIL AND VISIT OF EXHIBITORS 10 PROGRAM

ANNUAL CONFERENCE SATURDAY APRIL 20 2013 8:00 am REGISTRATION AND BREAKFAST VISIT OF EXHIBITORS 8:30 am WELCOME DR. RUTH VANDER STELT President Québec Medical Association 8:40 am SPEECH DR. ANNA REID President Canadian Medical Association 8:55 am PANEL COMPENSATION METHODS FOR PHYSICIANS: LEVERAGE TO IMPROVE PERFORMANCE? PANELLISTS Dr. Ruth Vander Stelt President Québec Medical Association Dr. Louis Godin President Fédération des médecins omnipraticiens du Québec PIERRE THOMAS LÉGER Associate Professor and Professorship in Health Economics Institute of Applied Economics, HEC Montréal CIRANO, CIRPÉE, CEPREMAP Dr. Gaétan Barrette President Fédération des médecins spécialistes du Québec Dr. Denis A. Roy Vice-President, Scientific Affairs Institut national de santé publique du Québec Lise Denis Former Executive Director AQESSS A conference of Pierre Thomas Léger will first provide an overview of the various compensation methods for physicians, PROGRAM 11

ANNUAL CONFERENCE with their advantages, disadvantages and adverse effects. Then our panellists will debate the key question: Is it appropriate and desirable to review the compensation methods for physicians in order to improve the efficiency of our health care system? 10:35 am BREAK 10:55 AM Survey of certain medical practices in Québec Suzanne Bisaillon Fellow, CIRANO, Lecturer École Polytechnique de Montréal Université de Montréal - Faculty of Medicine The Center for Interuniversity Research and Analysis of Organizations (CIRANO) conducted a survey, in collaboration with the QMA, to analyse certain medical practices in Québec, namely the use of defensive medicine. The survey covered the decision-making process for requesting diagnostic and laboratory tests, prescribing drugs, the time spent with patients, the time spent completing medical records, as well as patient safety, the quality of care and medical responsibility. The CIRANO researchers will present the highlights of the survey. 11:25 am PRESENTATION OF SCHOLARSHIP 11:45 am closing speech DR. RUTH VANDER STELT President Québec Medical Association 12:00 noon LUNCH At this lunch, the QMA will honour member physicians who have been practising for 50 years and will present the new senior members of the CMA. 12 PROGRAM

ANNUAL CONFERENCE 2:00 pm ANNUAL GENERAL MEETING OF THE QMA 6:00 pm PRESIDENT S GALA Cocktail and dinner Delta Centre-Ville Hotel Regency Room AB PRESIDENT S GALA Under a Mexican Fiesta theme, celebrate the induction of the QMA s new president with us. A few unexpected surprises will also liven up this colourful evening. QMA member physicians and residents will then be honoured with the QMA s awards of excellence. PROGRAM 13

GeNeRAL INFORMATION INFORMATION AND REGISTRATION Québec Medical Association 380 Saint-Antoine West, Suite 3200 Montréal, Qc H2Y 3X7 Telephone : 514.866.0660 Toll free: 1.800.363.3932 Fax: 514.866.0670 On line : www.amq.ca Starting March 29, registration fees will increase by $50. Register soon to take advantage of the reduced fee! on a third party Web site. Portions may be used in promotional material for the convention, as well as third party publications and Web pages. Your attendance at the convention constitutes consent to potential inclusion in these various media. No person may record any portion of the conference proceedings whether by video, still or digital photography, audio or any other recording or reproduction mechanism. This includes recording of presentations and supporting audiovisual materials. LOCATION AND ACCOMMODATIONS CONTINUING PROFESSIONAL DEVELOPMENT CREDIT Your participation to the event will earn you 14 Continuing Professional Development credits at the Faculty of Medicine, Université de Montréal (6 credits for the GMF Symposium and 8 credits for the Annual Convention). NOTICE TO ATTENDEES The conferences at the QMA s 16th annual convention may be audio- or videotaped, photographed, and could be posted Delta Centre-Ville Hotel 777 University Street Montréal, Qc H3C 3Z7 Reservation*: 1.800.268.1133 *Remember to mention that you are attending the QMA Convention in order to get the preferential rate. Type of room and group rate Delta/Premier (single or double room) $ 149 Mode $ 169 Signature Club $ 199 Suite $ 395 14 PROGRAM