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Dollars and Sense: Using Health Economics to Inform Public Policy: Part 2

Economic analyses are an essential tool for policy makers who make difficult decisions regarding the allocation of scarce public health resources. However, traditional cost-effectiveness analyses are not always the most appropriate or useful approach for value assessment, particularly when the benefits of said investment are accrued over-time. So where’s the middle ground? The Conference Board of Canada has taken a different approach to this analysis. Our research predominately focuses on a cost-consequence approach to estimating the burden of illnesses and the health and economic impact of health programs and policies, where direct costs are associated with health care system utilization, and indirect costs are associated with productivity and benefits to the economy. In this two-part webinar series (July 12 and July 14), Dr. Thy Dinh will provide an overview of the key concepts in health economics and demonstrate how health economics can be used to answer difficult health policy questions, now and in the future. Thy will describe several approaches to estimating burden of illness, the health and economic impact of a new or proposed policy, and the benefits of "scaling-up" existing or pilot interventions to different or larger populations. Don’t miss this chance to hear information on resources that could be used by researchers, policy analysts, and public health practitioners who may not have the capacity or need to conduct full health economic evaluations.

Recorded Webinar | July 2016 | Thy Dinh | The Conference Board of Canada

Dollars and Sense: Using Health Economics to Inform Public Policy

Economic analyses are an essential tool for policy makers who make difficult decisions regarding the allocation of scarce public health resources. However, traditional cost-effectiveness analyses are not always the most appropriate or useful approach for value assessment, particularly when the benefits of said investment are accrued over-time. So where’s the middle ground? The Conference Board of Canada has taken a different approach to this analysis. Our research predominately focuses on a cost-consequence approach to estimating the burden of illnesses and the health and economic impact of health programs and policies, where direct costs are associated with health care system utilization, and indirect costs are associated with productivity and benefits to the economy. In this two-part 90 minute webinar series (July 12 and July 14), Dr. Thy Dinh will provide an overview of the key concepts in health economics and demonstrate how health economics can be used to answer difficult health policy questions, now and in the future. Thy will describe several approaches to estimating burden of illness, the health and economic impact of a new or proposed policy, and the benefits of "scaling-up" existing or pilot interventions to different or larger populations. Don’t miss this chance to hear information on resources that could be used by researchers, policy analysts, and public health practitioners who may not have the capacity or need to conduct full health economic evaluations.

Recorded Webinar | July 2016 | Thy Dinh | The Conference Board of Canada

How Businesses Can Impact Reconciliation: The Benefits of A New Partnership Path

In 2015, the Truth and Reconciliation Commission of Canada came out with 94 Calls to Action targeted at addressing the many impacts of the residential school system on Indigenous people in Canada. In moving forward, reconciliation has two broad agenda: an equity agenda aimed at closing the gap in a variety of factors including education, income and health; and a restoration agenda aimed at building a new relationship between Aboriginal and non-Aboriginal people in Canada. Businesses can play a role in both of these agendas. This special webinar is with David Newhouse, an expert in Indigenous governance and thought, and modern Aboriginal societies. David is a Professor of Indigenous Studies at Trent University in Peterborough, Ontario.

Recorded Webinar | June 2016 | The Conference Board of Canada

Canadian Health Care in 2035: Four Scenarios on the Future of Health Care Funding

How could strategic foresight help our health care system? Unlike traditional economic forecasting that focuses on the development of a probable or most-likely future, strategic foresight aims instead to develop a series of plausible futures. Its goal is not to predict the future—rather to offer insights to decision-makers on how best to prepare for all possibilities, what they might do to shift toward a future they prefer, and how to recognize and adapt to events and trends that may point toward a specific future. The Conference Board of Canada applies strategic foresight techniques to a range of issues, from the future of energy in Canada to a range of security and intelligence challenges. Health care sustainability is, and will remain a key issue for Canadians in the years ahead. In this special webinar, Dr. Satyamoorthy Kabilan will explore health care funding scenarios generated by representatives of the Canadian Alliance for Sustainable Health Care (CASHC) and other health system stakeholders (see Funding Canadian Health Care in 2035: Strategic Foresight Scenarios). Kabi will explore four possible scenarios for health care funding in 2035, highlighting the key drivers shaping these divergent scenarios and the elements that each scenario has in common. While there is no certainty that we are moving toward any specific scenario, these scenarios provide insights into strategic elements that must be taken into account by all stakeholders, regardless of how our country, and the world, evolves. The scenarios suggest priorities that Canadians should consider if they wish to tilt the odds in a particular direction, and give decision-makers insights into how Canadian health care strategies might be shaped within the context of each of these futures.

Recorded Webinar | June 2016 | Satyamoorthy Kabilan | The Conference Board of Canada

The Path to Better: Improving Quality in our Health Care Systems

Quality improvement in health care is one of the greatest opportunities of our generation. It plays a critical role in helping Canada's health care system deal with two daunting problems: large variations in quality of care and the lack of appropriate measures to ensure that many patients (especially high risk ones) receive the care and support they need, when they need it. Key dimensions of the quality agenda include the triple aim of health care and the six dimensions for improvement identified by the Institute of Medicine. But are current plans on the right track? What can health stakeholders do now to help create a better healthcare system moving forward? In this webinar, Dr. Joshua Tepper will outline five key steps health system stakeholders must take to ensure that best practices are implemented and become the normative standard of care for everyone. These steps include teaching people the skills they need, adopting electronic health records and information technology systems, looking at systems rather than sectors, discussing and learning from failure, and selecting quality leaders. These steps will drive the quality agenda and will help us collectively ensure the quality health system Canadians deserve.

Recorded Webinar | June 2016 | The Conference Board of Canada

Workplace Inclusion for Indigenous People

Workplace inclusion can be a complex topic for any organization. Bringing together employees from multicultural backgrounds has many challenges and many benefits. The Aboriginal Human Resource Council has been working with companies and Indigenous organizations for sixteen years. The Council has learned first-hand from Indigenous employees what inclusive organizations look like, why it’s important and why it leads to better retention. Build your understanding of your Indigenous employees’ views and perspectives about your workplace and why inclusion is so important to their success.

Recorded Webinar | May 2016 | The Conference Board of Canada

Changing Healthcare for the Better: Lessons from Ontario’s Chief Health Innovation Strategist

Healthcare innovation doesn’t just happen. So who is responsible for making sure it does? In 2013, the government of Ontario established the Ontario Health Innovation Council (OHIC), a group of experts from the health care, research, academic, business and not-for-profit sectors. Their mandate: to provide recommendations on how Ontario could accelerate the adoption of new technologies in the health care system and support the growth and competitiveness of Ontario’s health technology sector. In December 2014, the government accepted all of the council’s recommendations, which included the establishment of a brand new office for Ontario’s health regulators. The Office of the Chief Health Innovation Strategist (OCHIS) is a catalyst to help accelerate health technology commercialization efforts in Ontario. OCHIS works on behalf of health technology innovators to remove barriers and improve access to Ontario’s health care system. Our goal is to grow businesses and build a health innovation ecosystem in Ontario. Purpose To drive collaboration across the health care system to accelerate the adoption and diffusion of new innovative health technologies and processes to: Improve patient outcomes (in accordance with the Ministry of Health and Long-Term Care’s Patients First: Action Plan for Health Care) Add value to the system Create jobs in Ontario. So how does the OCHIS accomplish this monumental task? Who is accountable? And what results can we expect to see in the future?

Recorded Webinar | May 2016 | The Conference Board of Canada

Multiple Sclerosis in the Workplace: Achieving Successful Employment Experiences

Multiple Sclerosis (MS) is a significant health and economic issue in Canada. Decreased workforce participation from people living with MS is often detrimental to the health and financial situation of people living with the disease and their loved ones. In addition, lost productivity associated with the disease may cost Canada hundreds of millions of dollars per year. The facts are clear: Canada has the highest prevalence of MS in the world Most MS diagnoses occur in people during their prime working years (15-40 yrs old) By not effectively employing and retaining people living with MS, employers are often losing workers with valuable experience and training A positive employer attitude to MS and employee accommodations can benefit employers and employees Early use of interventions and disease management strategies is essential to maximise their effectiveness In order to explore this issue and strategies that can be used to achieve the most successful employment experiences, the Conference Board of Canada undertook a two phase research project on this topic including a broad literature review followed up with a facilitated stakeholder workshop including representatives from provincial and federal government, not-for-profit organizations, employers, insurers, researchers, individuals living with MS and caregivers. Join Dr. Philip Astles as he discusses the findings of this research, and explores the insights gained.

Recorded Webinar | May 2016 | Philip Astles | The Conference Board of Canada

Transforming Healthcare Technology for an Aging Population: Quality Living in the Golden Years

AGE-WELL is Canada’s first research network in technology and aging. This initiative aims to help older Canadians maintain their health and quality of life through practical and affordable technologies that increase safety and security, support independent living, and enhance participation in social activities. However, while there has been significant research on the development of these technologies, the majority of these devices have not made it to market, or suffer from various limitations that make them inappropriate for an older adult to operate efficiently and effectively. In order to ensure that future technologies for aging populations are useful, a rethink of design and use is required. So what’s the next step?

Recorded Webinar | May 2016 | The Conference Board of Canada

Under Pressure: The Future of Canada’s Rail & Related Infrastructure

Canadian overseas exports are increasing in both value and volume, creating pressure on Canada's rail and marine freight infrastructure. The Conference Board Report Building for Growth: Trade, Rail and Related Infrastructure, details recent shifts in Canada’s trade patterns and explores the importance of rail service to Canada's goods exports. The report estimates that commodities shipped by rail will increase to 260 million tonnes annually by 2025, compared to 200 million tonnes in 2011. Likewise, rail carloadings are forecast to rise from 2.4 million in 2011 to 3.2 million by 2025. Where will there be pressure points on Canada’s rail system? Will Canada's rail-to-marine networks be able to accommodate the forecasted growth in freight rail volumes through 2025?

Recorded Webinar | May 2016 | James Knowles | The Conference Board of Canada

Competitive Dialogue: An Instrument Toward Value-based Procurement in Health Care

This report describes and analyzes the competitive dialogue process, its application to health care systems, and its compatibility with legal frameworks in Europe, Ontario, and Canada at large.

Report | 44 pages | May 2016 | Gabriela Prada | The Conference Board of Canada

Le dialogue competitive : Un outil qui facilite l’approvisionnement fondé sur la valeur en soins de santé

Ce rapport décrit et analyse le processus de dialogue compétitif, son application aux systèmes de santé et sa compatibilité avec les cadres juridiques de l’Europe, l’Ontario et l’ensemble du Canada.

Rapport | 46 pages | May 2016 | Gabriela Prada | The Conference Board of Canada

More than Prescribed: A Review of Pharmacy Services and Skills in Canada

There is no disputing that pharmacists are an integral part of the health care system, and the role they play is growing. Pharmacists' scope of practice has expanded in recent years, meaning the community pharmacy is now regarded as more than just a medications dispensary. One of the largest changes seen in recent years is pharmacists' ability to deliver flu vaccines in the community. From minor to complex conditions, pharmacists today are providing more services aimed at meeting the demand for convenient, accessible, and cost-efficient health care services. However, despite this critical role in heath care sustainability, the evidence regarding pharmacists’ ability to help meet these goals is often not well articulated. In addition, their scope of practice differ from province to province, leading to confusion on their roles and responsibility within the larger health care system. Working directly with The Canadian Pharmacists Association, The Conference Board conducted a review of pharmacy services in Canada in order to shed light on the challenges and opportunities for policy and practice. This report, the first in a three-part series, takes a look at health and economic evidence gleaned through original research and stakeholder interviews. Join us as we review the findings of the report, and identify pharmacy services that could be further assessed for potential scale-up and spread.

Recorded Webinar | May 2016 | Thy Dinh | The Conference Board of Canada

Cleaning Up Our Act: An Environmental Report Card for the Provinces

With climate change taking centre stage globally, there is finally a consensus: economic growth pursued at the expense of the environment and scarce and finite physical resources is not sustainable. World leaders have noted that protecting the environment from further damage is not a problem for tomorrow, but a challenge for today. So how does Canada and its provinces compare to its global peers? Canada has fared poorly in previous editions of The Conference Board of Canada’s How Canada Performs—Environment analysis, when compared against other advanced developed countries. Join Sheila Rao and James Knowles as they present the findings of this year’s Report Card and discuss where Canada has improved, and where it could do much better. For the first time, the How Canada Performs analysis will compare the environmental performance of individual provinces with that of 16 advanced peer countries. Attendees will learn how the provinces and peer countries fare on indicators in four broad categories: air quality, waste, natural resource management, and climate change.

Recorded Webinar | May 2016 | James Knowles, Sheila Rao | The Conference Board of Canada

Canadian Marijuana Legalization and The Lessons from Colorado

Canada is set to become the first G7 country to legalize the recreational use of marijuana. The new federal government pledged in its 2015 election campaign to legalize, regulate, and restrict access to marijuana. Since assuming office, the government has indicated that it will announce a federal-provincial-territorial task force to consult experts and others on a framework to remove marijuana consumption and incidental possession from the Criminal Code. However, marijuana legalization brings a number of economic, regulatory, social and health challenges. Canada can learn from locations such as Colorado that have already moved ahead with legalization. To learn more, join us for this webinar with Sam Kamin, who has emerged as one of America's expert voices on marijuana law reform in Colorado and throughout the country. He sat on Colorado Governor John Hickenlooper’s Amendment 64 Implementation Task Force and worked with the ACLU and California Lt. Governor Gavin Newsom on the Blue Ribbon Panel on Marijuana Reform to formulate a set of best practices for marijuana regulation in that state. He has written more than a dozen scholarly articles on the subject of marijuana law reform and co-authors the series “Altered State: Inside Colorado’s Marijuana Economy” for Slate Magazine, chronicling the impact of Colorado’s marijuana regulations on lawmakers, businesses and consumers. In the spring of 2015, Professor Kamin taught the nation’s first law school course on representing marijuana clients and was named the Vicente Sederberg Professor of Marijuana Law and Policy.

Recorded Webinar | May 2016 | The Conference Board of Canada

Understanding the Implications of the United Nations Declaration on the Rights of Indigenous Peoples in Canada

In 2007 the UN adopted the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP). Twenty-five years in the making, it is a significant instrument, which asserts the collective rights of Indigenous peoples around the globe. Amongst the many important aspects of UNDRIP is the principle of Free, Prior and Informed Consent (FPIC), which refers to the rights of Indigenous peoples to provide their consent in decision-making processes that affect them and their lands, including education, natural resource management, economic development, and health care. As the current Canadian Liberal government works towards implementing UNDRIP, questions arise around what this instrument means, and in particular how FPIC plays into such matters as natural resource development in Canada.

Recorded Webinar | May 2016 | The Conference Board of Canada

The Power of Virtual Care: Moving the Patient to the Centre

Healthcare is a complex enterprise, simultaneously political, human, expensive, disconnected, and dynamic. As the population ages and people live increasingly with chronic conditions, the healthcare system must respond. We are moving from a paradigm of emergency rooms, hospital beds and multiple specialists in silos, to one in which patients receive integrated care in the community and transition seamlessly through different parts of the of the system. Virtual care is the first great opportunity for a true revolution in healthcare. With virtual care, the patient moves to the centre of their care. It involves the application of technology to improve the flow of information between patients and their healthcare teams (and within those teams themselves) in order to improve analysis, coordination, decision-making, and ultimately, health outcomes. But this could all be stifled if the system does not get out of the way. Join us for The Power of Virtual Care: Moving the Patient to the Centre. In this webinar, Dr. Trevor Jamieson will discuss the concept of the patient as the care hub. He will also discuss the role of the Women’s College Institute for Health Systems Solutions and Virtual Care (WIHV) in this system transformation. Dr. Jamieson will explore how all stakeholders—patient, clinician, innovator, institution, industry player or other catalyst—can help this patient-centric vision of health powered by virtual care to become a reality.

Recorded Webinar | April 2016 | The Conference Board of Canada

Improving Health Care Access Through Fiscal Policy

Many Canadians continue to struggle with out-of-pocket health expenses, such as prescription drugs and dental care. One potential solution is to leverage health-related tax policies, to improve access to health care services, products, and programs, particularly for lower-income Canadians. But would it be enough? New research from the Conference Board examines the efficiency and equity of current and proposed health-related tax policy. Join researcher Alexandru Dobrescu as he details the findings of Tax Policies in Canadian Health Care: Do They Incentivize Utilization? In this session, Alexandru will examine usage patterns of some current and proposed tax policies as well as the role of federal and provincial governments in ensuring equitable and timely access to the health care system for Canadians. Alexandru will also analyze the current Medical Expense Tax Credit and Children’s Fitness Tax Credit, and explore the Refundable Health Tax Credit proposed by the Advisory Panel on Health Innovation, as well as a hypothetical medical expense tax deduction. The webinar will conclude with a discussion of the implications of making employee benefits taxable, and the lessons learned from examining current and proposed tax policies.

Recorded Webinar | March 2016 | The Conference Board of Canada

Canadian Corporate Dividend Withholding Tax: Holding Back Inbound Investment

Is Canada holding back inbound investment? This briefing indicates that eliminating the Canadian withholding tax on dividend payments to non-residents would lift foreign direct investment of $2.6 billion per year.

Briefing | 23 pages | March 2016 | Elise Martin | The Conference Board of Canada

La retenue d’impôt sur les dividendes au Canada : Un frein à l’investissement étranger?

Le Canada freine-t-il les investissements étrangers? D’après ce document, supprimer la retenue d’impôt canadienne sur les dividendes versés aux non-résidents ferait augmenter l’investissement direct étranger de 2,6 G$ par an.

Résumé | 27 pages | March 2016 | Elise Martin | Le Conference Board du Canada

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