Canada – Ontario: Appropriateness Working Group Submits First 11 Recommendations This hyperlink will open in a new window.
Ontario's Appropriateness Working Group has submitted its first 11 recommended updates for healthcare tests and procedures. Formed to advise the provincial government, the physician-led working group is dedicated to improving the quality of patient care and reducing unnecessary medical tests. Its recommendations will ensure better use of healthcare resources and shorter wait times in Ontario.

Canada - Nursing resource strategy released in New Brunswick This hyperlink will open in a new window.
New Brunswick's government has released a nursing resource strategy focused on recruitment, retention, and nursing education and employment. The strategy contains 21 action items, including recruiting internationally educated nurses as part of the province's immigration efforts, creating assessment and retention programs, and developing promotional packages to attract nurses from other parts of Canada.

Europe - Increased spending on social care does not generally cut health care costs This hyperlink will open in a new window.
European countries that spend more on social care also tend to spend more on health care. These study results counter US research showing that low spending on social care results in higher healthcare costs. The European study suggests that positive correlation between social and healthcare spending is based on public support for both measures.

UK - New toolkit supports managers to transform workplace culture This hyperlink will open in a new window.
The National Health Service (NHS) has published a toolkit to help NHS managers improve workplace attitudes and behaviours. The Professionalism and Cultural Transformation (PACT) toolkit encourages managers to foster a positive, supportive workplace culture where staff can confidently raise concerns. Surveys show that 19% of NHS staff have experienced bullying, harassment or abuse from colleagues.

Ireland - Report of the Independent Review Group established to examine private activity in public hospitals This hyperlink will open in a new window.
After the Irish parliament recommended in 2017 that private activity be ended at public hospitals, Ireland established an Independent Review Group (IRG) to examine the impacts of doing so. The IRG has now submitted a report with eight recommendations, including a proposal for legislation to ensure that public hospitals only treat public patients.

Upcoming Events

Greece - 19th Annual International Conference on Health Economics, Management & Policy This hyperlink will open in a new window.
The conference takes place from June 22 to 25, 2020, in Athens, Greece. It brings together academics, researchers and professionals in health economics, management and policy. The deadline for abstract submissions is November 18, 2019.

UK - The King's Fund annual conference 2019: delivering population health This hyperlink will open in a new window.
This conference showcases work of the King's Fund and will focus on supporting improvements in health and wellbeing across communities, and promoting better health and care for people with the worst health outcomes. It will be held November 27 and 28, 2019, in London.

Reports and Issue Portfolios

Canada - Chronic disease prevention and management programs in primary care. Realist synthesis of 6 programs in Quebec This hyperlink will open in a new window.
Setting out to identify mechanisms associated with the success of chronic disease prevention and management (CDPM) programs, this study analyzed 108 documents from six primary care CDPM programs in Québec. Thematic analysis of the programs consisted of identifying outcomes and mechanisms, along with specific contexts. Four mechanism categories were associated with positive outcomes: patient-centred interdisciplinary care, care coordination, self-management and professional support.

Canada - The impact of hospital harm on length of stay, costs of care and length of person-centred episodes of care: a retrospective cohort study This hyperlink will open in a new window.
This Ontario study quantified the impact of adverse events on hospital length of stay and length of episodes of care (ECs). Out of 610,979 provincial hospital admissions in 2016, 5.9% involved hospital harm, with resultant hospital stays of up to 24 days. Total hospital days attributable to hospital harm were 407,696, at a cost of over one billion dollars.

UK - Primary health care quality indicators: An umbrella review This hyperlink will open in a new window.
This umbrella review categorized quality indicators from 33 systematic reviews of quality indicators in primary care. Indicators were classified according to five frameworks: clinical context, dimension of care (structure, process, outcome), type of care (acute, chronic, preventive), function of care (screening, diagnosis, treatment, follow-up) and domain of healthcare quality (safe, effective, efficient, timely, patient-centred, equitable). The review reveals which areas of primary care are better covered by quality indicators and invites further study on the comparison and implementation of indicators.

UK - The 10-year impact of a ward-level quality improvement intervention in acute hospitals: a multiple methods study This hyperlink will open in a new window.
The Productive Ward (PW) program was introduced in English hospitals in 2007 to advance the safety of care, increase time spent on patient care, and improve staff and patient experience. Surveying 91 PW nursing leads and 88 ward nurses and patients at 12 randomly selected hospitals in 2017, this study finds little robust evidence of PW leading to sustained improvements 10 years after implementation.

USA - Beyond CHNAS: Performance Measurement for Community Health Improvement This hyperlink will open in a new window.
American non-profit hospitals work with community organizations to produce community health needs assessments (CHNAs). This is one component of the many community health improvement (CHI) processes in place to improve population health. Addressing the lack of CHI performance measurement systems, this study of 10 CHI processes identifies best practices for population health measurement. It recommends strengthening CHNA regulations to require that hospitals report evaluation measures.

International - Spread tools: a systematic review of components, uptake, and effectiveness of quality improvement toolkits This hyperlink will open in a new window.
This systematic review of toolkit evaluations intended to spread interventions to improve healthcare quality analyzed 77 studies evaluating 72 toolkits to examine their components, uptake, and effectiveness. Most included research summaries, care plans and patient materials. Uptake data was limited. Studies generally indicated high satisfaction with toolkits, although the perceived usefulness of individual tools varied.

International - Assessing value in health care: using an interpretive classification system to understand existing practices based on a systematic review This hyperlink will open in a new window.
Strategies to assess the value of health services are necessary for the financial management of health systems. This review examined 38 studies to investigate strategies of value assessment, finding 22 distinct approaches to assess the value of healthcare interventions. Noting the common use of incremental cost-effectiveness ratios as the measure of value, the review suggests it might be better to base value estimates on multiple criteria.

International - The Impact of Technological Advancements on Health Spending - A Literature Review This hyperlink will open in a new window.
This literature review examines the impact of technological advances on health expenditure growth in the 36 member countries of the OECD. After analyzing 37 studies, the review estimates that technological change accounted for around 1% of annual growth in OECD health spending from 1995-2015. Future projections suggest technological change will increase health spending by 0.9% annually up to 2030.