The Forum

The blog for global health care leaders

How one Ontarian health system's communication strategy prevented merger pushback

by Paul Trigonoplos and Vidal Seegobin August 8, 2019

Stories of failed mergers or service reconfigurations are pretty easy to come by in health care. One of the most dramatic ones we have seen comes from our research on network integration a few years ago. A system in New Zealand was looking to consolidate maternity services to one hospital to control costs and improve quality, but it overlooked engaging one crucial stakeholder—the midwives. Because they were against moving locations, the midwives went so far as to form an anti-consolidation effort in which they told mothers that their children wouldn't be part of the community if they were born in a different hospital.


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5 key insights from a year's worth of international CEO roundtables

Vidal Seegobin July 4, 2019

Two weeks after the conclusion of our Global Forum meeting series, I've been reflecting on the conversations and questions your peer CEOs shared.  

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Successful high-risk care models must exclude patients. Here's how the best programmes decide to do it.

by Rachel Zuckerman and Vidal Seegobin June 20, 2019

Health systems around the world have built complex care management models to better care for the small group of patients who represent an outsized amount of health care spending. The most successful care management programmes activate patients to better self-manage in the community, thereby reducing their over-reliance on the hospital.

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Lessons from one Dutch oncology network on spurring engagement from network participants

Liz Jones June 13, 2019

A few years ago, specialty providers in the Netherlands began proposing minimum volume thresholds for certain procedures. This push was driven by data showing—especially for complex procedures—increased efficiencies and improved outcomes above certain volumes. The Ministry of Health and health inspection authorities subsequently endorsed these minimum volumes.

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How one UK hospital used a cartoon character to boost mental health capacity

by Asya Igmen and Liz Roberts June 6, 2019

Twenty percent of children and adolescents experience mental health disorders—an unsurprising figure considering that half of all mental illnesses begin by the age of 14 and three-quarters by the mid-20s. What's more, children with complex medical conditions are more likely to suffer psychological disorders than those without. In fact, evidence suggests that 58% of children with a medical condition experience mental health disorders, and that having one has a negative impact on quality-of-life over time.

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The major mind shift this Ontario hospital had to make to improve care for its homeless population

by Rachel Zuckerman and Vidal Seegobin May 23, 2019

Many urban centres around the world are home to financially insecure people managing numerous clinical and psychosocial challenges, including substance abuse and mental health conditions. As a result, urban hospitals often become the care provider for underserved patients when no one else can step up. Ambulances and even police dispatches bring these patients to the emergency department when their conditions are at their worst, often because there's nowhere else to take them.

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