Theme
(No. Ideas)
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Idea / Comment
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Governance
& Policy - During a Pandemic (13)
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Significantly increased powers, resources for local public health
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Governance
& Policy - During a Pandemic (13)
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Funding policies on infection control- use/ mandatory use of N95 etc
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Governance
& Policy - During a Pandemic (13)
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I think that when we talk about "Pandemic Planning" we need to be very clear where public health's responsibility lies. It seems to me that clarifying public health's role in primary prevention and the MOH's/acute care's role in secondary and tertiary prevention is critical. So MIM is public health's role, antiviral distribution is MOH's role, etc. Having a Pandemic Plan that is joint (Public Health and MOH) for all levels of management - primary, secondary, tertiary prevention - and that roles out at local levels (PHU/primary care/ hospitals) seems really important to me.
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Governance
& Policy - During a Pandemic (13)
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Inter health unit jurisdiction planning
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Governance
& Policy - During a Pandemic (13)
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Significantly more effective leadership skills from local public health, which needs significant powers and resources.
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Governance
& Policy - During a Pandemic (13)
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Too many cooks in the kitchen; impossible to get clinical guidelines out in a timely fashion. As well these guidelines were meant to be evidence-based and ended up being vetted through the political process and looked quite different out the other end. As well, no communication between federal and provincial guidelines-- duplication and waste of expertise and high confusion quotient
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Governance
& Policy - During a Pandemic (13)
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Distribution of antivirals
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Governance
& Policy - During a Pandemic (13)
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Decisions regarding vaccine production should be evidence-driven including evidence from the Southern Hemisphere.
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Governance
& Policy - During a Pandemic (13)
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We need to work on getting the various parts of the PH system in Ontario to work together better in a smooth, seamless response to urgent situations (i.e.: The field, The OAHPP, the CMOH & the PHD.) It needs to be coordinated, but done in a collegial rather than a coercive way.
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Governance
& Policy - During a Pandemic (13)
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System wide integration needs to consider where gaps/needs are -in our area, we did not need a flu assessment centre but we needed more ICU capacity.
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Governance
& Policy - During a Pandemic (13)
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Health system integration is critical (so that doctors, hospitals, public health are all accountable to the same organization and incentives are aligned). This will only be achieved at the provincial level with significant political will.
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Governance
& Policy - During a Pandemic (13)
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We cannot forget the roles of other primary care providers as Ontario's models change - nurse practitioner led clinics, midwifery clinics, etc. I also think that including specialists in the expectation of responsibility for vaccination in their offices is not unreasonable and would significant expands the resources we would have to conduct immunizations to high risk patients (those who have significant illness, pregnant patients, etc.).
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Governance
& Policy - During a Pandemic (13)
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We need improved alignment of accountability and funding- health Units and primary care should come under the LHIN management. LHIN management could be used to bring together leaders of primary care, public health and CCAC and the hospital sectors to improve our responses to our patients needs.
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Public Education
& Information (5)
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Information given to a patient from the public health unit did not match up with the recommended guidelines at that time. How do we make sure everyone is on the same page?
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Public Education
& Information (5)
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Effective use of social media.
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Public Education
& Information (5)
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Have one provincial communication strategy instead of 36.
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Public Education
& Information (5)
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It really is all about communication and relationships.
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Public Education
& Information (5)
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Find a way to include pharmacists in the communication stream of the data and of the secondary prevention.
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Research & Evaluation (3)
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Everything we have discussed today has been based on our subjective impressions. There has not an objective quantitative analysis of any aspect of our pandemic response.
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Research & Evaluation (3)
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Need to understand the different H1N1 impact on aboriginal population
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Research & Evaluation (3)
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What is our evaluation plan for the next pandemic response?
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Primary Care (3)
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For primary care to be effective partners and to be included, they need to stop whining about money exclusively, and also care about the health system.
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Primary Care (3)
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$$ - doctors want $ to participate on committees, in facs, etc and this can be a significant barrier.
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Primary Care (3)
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Primary care cannot do assessment and mass immunization at same time.
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Evidence- based Practice (2)
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Web-based tools for patient self-assessment
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Evidence- based Practice (2)
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Decision tools for parents- web based
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Ethics (1)
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I would like to see much more importance be placed on public entitlement and behavioral changes to health care (should EVERYONE who has a flu be able to insist of being seen?)
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Surveillance (1)
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Did we need flu assessment centres? If not, what did we need? Integrated surveillance tool that incorporates primary care and acute care
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