Will paying the piper change the tune? Promise and pitfalls of health care funding reform

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Sheraton Wall Centre, Vancouver BC
February 28, 2012 to February 29, 2012

Spending on health care continues to grow at rates considerably faster than inflation. Many provinces are now asking hard questions about value for money, and in particular, the quality of health care they are receiving for this increased spending. Amongst other effects, this has resulted in increasing attention from provincial governments to so-called “funding arrangements” – the processes through which provincial health ministries (and increasingly regional health authorities) purchase or pay for services for their ‘constituents’. An entire new lexicon is emerging along with this scrutiny – activity-based-funding, pay-for-performance, and so on. But the labels are often simply new names for old practices or, worse, can be misleading descriptions and appear, at times, to be put into practice on a wing and a prayer.

Is there really anything innovative in all of this? What is the evidence base supporting the ‘new’ approaches? And how is the public to understand the confusing array of fact and fiction regarding health system funding, particularly in the ramp-up to the expiry of the federal/provincial/territory health accord in 2014? These are some of the questions that CHSPR’s 2012 health policy conference will tackle. It will bring together leading experts to share lessons learned from around the world. This day-and-one-half program will be organized to help participants understanding the roles funding policies play in creating incentives for high-performing health care systems. Drawing from international experiences, speakers will examine the complex roles funding policies play in creating efficient, effective and safe health care systems and discuss the role, and emerging evidence, of innovations in funding policies in Canada and beyond.

Day 1: February 28, 2012

9:00 am -- Welcome and Opening Remarks  
  Elaine McKnight, BC Associate Deputy Minister of Health
9:20 am -- Opening Plenary  
  Reinhard Busse, Berlin Technical University Slides
10:45 am -- Incentives and Behaviours in Health System Funding

  Anne‐Marie Broemeling, Alberta Health Services
  Stephen Peckham, London School of Hygiene and Tropical Medicine Slides
  Les Vertesi, BC Health Services Purchasing Organization and Simon Fraser University Slides
12:15 pm -- Lunch Presentation  
  Dr. Doug Eby and Ileen Sylvester, Alaskan Southcentral Health System Slides
1:30 pm -- Innovations in health funding models  

  Richard Glazier, Institute for Clinical Evaluative Sciences
  Brian Golden, The University of Toronto & The University Health Network Slides
  Matt Sutton, University of Manchester
3:30 pm -- Funding arrangements and quality improvement: Is there a connection?  
  Maureen Bisognano, Institute for Healthcare Improvement Slides


Day 2: February 29, 2012

8:30 am -- Paying for Quality and Outcomes - three stories about how we can do better

  John Appleby, King’s Fund Slides
  Terry Sullivan, Canadian Partnership Against Cancer
  John Wasson, Dartmouth Medical School Slides
10:30 am -- Realistic options for Canada  

  Adalsteinn Brown, University of Toronto
  Duncan Campbell, Vancouver Coastal Health Authority Slides
  Dan Florizone, Deputy Minister of Health, Saskatchewan
12:00 pm -- Closing Plenary Speaker  
  Steven Lewis, Health Care Consultant, Saskatoon