The Forum

The blog for global health care leaders

Looking to improve access to hyperacute stroke care? Here are some solutions that might help.

by Miles Cottier and Liz Roberts November 7, 2019

Strokes remain one of the world's leading causes of death and disability, killing well over 5 million people annually and representing over half of the total neurological disease burden. The associated costs are huge. The UK, for example, expects to see a spending increase of 194% in stroke care over the next 20 years. The emotional burden is high, too: over 80% of Canadians over the age of 60 are affected by stroke in some way.

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This metric you've never heard of wins partner buy-in

by Jaren Kirkland and Vidal Seegobin October 31, 2019

We are in business to make and keep people healthy. But when we discuss digital solutions, we often frame performance in terms of return on investment (ROI), the amount of financial return generated relative to the initial cost. The use of ROI in isolation is a shortcoming in our industry because ROI measures how the investment improves the business but falls short of measuring how the investment improves outcomes.

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Stuck on the politics of reconfiguration? See how this Welsh system navigated away from gridlock.

by Rebecca Soistmann and Paul Trigonoplos October 24, 2019

When redesigning health systems, it's easy for stakeholders to get caught up in arguments about where services might move in the future, creating a contentious 'you-win-I-lose' mentality. Hywel Dda University Health Board in Wales ran into this problem when reconfiguring the system for its 384,000 person population.

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You can't create integrated care systems without primary care. Period.

Ashley Ford October 10, 2019

We've talked before about how global health systems are rushing to un-fragment our siloed health systems. I spend a lot of my time sharing insights and lessons learned from one part of the world to the next.

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What's really holding our care transformation back?

Ashley Ford , Vidal Seegobin October 3, 2019

Health care is slow to transform. We're seeing pockets of successful change around the world—but on the whole, it feels like as an industry we're not transforming fast enough. Why?

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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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