Overview of Health Human Resource Planning: A Canadian Perspective

1
Overview of Health Human Resource PlanningA
Canadian Perspective

• 2006 Trilateral Conference
• Vancouver, British Columbia, Canada
• Dr. Nick Busing
• President and CEO
• Association of Faculties of Medicine of Canada

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Presentation Outline

• A View of HHR in Canada

Thoughts on HHR Planning
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• The term HHR encompasses all those involved in
  the delivery of health care, such as physicians,
  nurses, technologists, therapists, and the wide
  spectrum of other health care providers.
• - Health Canada, Pan-Canadian Health Human
  Resource Strategy,
• 2004-2005 Annual Report.

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A View of HHR in CanadaBased on the Health
Personnel Database (HPDB)

• HPDB is maintained by the Canadian Institute for
  Health Information
• Data is gathered primarily from professional
  membership and regulatory organizations
• HPDB provides basic summary information for 23
  health profession groups
• HPDB describes the following for each health care
  provider group
• Brief definition of each provider group,
  including main responsibilities, activities and
  typical practice settings
• Time spent training
• When regulation was introduced, if at all
• The number of providers exiting training
• The total number of providers
• Age and sex demographics
• Key research and reports related to the profession

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Number of Health Care Providers, Canada, 2004
Plus 246,575 Registered Nurses
Source HPDB, CIHI
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Percent Change in Number of Health Care
Providers, Canada, 1995 vs 2004
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Number of Graduates in 2004 and Percent Change in
Number of Graduates 1995 vs 2004, Canada
Source HPDB, CIHI For midwives, the percent
change compares graduating class numbers for 1996
and 2004
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Females as a Percentage of Health Care Provider
Groups, Canada, 2004
Source HPDB, CIHI Based on 2001Statistics
Canada Census
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Percentage of Health Care Provider Groups Aged
45, Canada, 2000
Source Statistics Canada, 2001 Census
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Percentage of Health Care Provider Groups Who
Worked Full-Time for the Full Year, Canada, 2000
Source Statistics Canada, 2001 Census
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2004 National Physician Survey

• This survey provides insights on the extent to
  which various health care providers work together
  (from a physician perspective)
• Separate surveys were mailed to all licensed
  physicians and all physicians in postgraduate
  training
• Licensed physicians were asked about sharing
  patient care with other providers
• Residents were asked who they plan to share care
  with

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2004 NPS Percent of Second Year Residents Who
Plan to Share Care with Various Health Care
Providers, Canada, 2004
Source 2004 National Physician Survey, CMA,
CFPC, RCPSC.
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2004 NPS Percent of Second Year Family Medicine
Residents Who Plan to Share Care with Various
Health Care Providers and the Percent of Licensed
Family Physicians Who Share Care With Various
Health Care Providers, Canada, 2004
Source 2004 National Physician Survey, CMA,
CFPC, RCPSC.
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2004 NPS Percent of Licensed Physicians Who
Share Care with Various Health Care Providers,
Canada, 2004
Source 2004 National Physician Survey, CMA,
CFPC, RCPSC.
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Interprofessional Education for Collaborative
Patient-Centred Practice (IECPCP)

• The IECPCP initiative is part of Health Canadas
  Pan-Canadian HHR Strategy
• Some of the project goals are to
• foster interprofessional education for
  collaborative patient-centred practice
• promote teaching from an interprofessional
  collaborative patient-centred perspective
• increase the number of health professionals
  trained for collaborative patient-centred
  practice, and
• facilitate interprofessional collaborative care
  in both the education and practice settings.

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Interprofessional Education for Collaborative
Patient-Centred Practice (IECPCP)

• The project has gathered information on IE in
  Canada using survey and key informant
  methodologies
• In its first cycle the project has funded 11 IE
  projects, including
• Creating an Interprofessional Learning
  Environment through Communities of Practice An
  Alternative to Traditional Preceptorship
• Structuring Communication Relationship for
  Interprofessional Teamwork (SCRIPT)
• Interprofessional Education for Geriatric Care
• The McGill Educational Initiative on
  Interprofessional Collaboration Partnerships for
  Patient-Family Centred Practice
• Seamless Care An Interprofessional Education
  Project for Innovative Team Based Transition Care
  
• Visit http//www.hc-sc.gc.ca/hcs-sss/hhr-rhs/strat
  eg/interprof/index_e.html for more information

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Thoughts on HHR Planning
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Thoughts on HHR Planning HHR Planning Often
Focuses on Headcounts
Source AFMC, Canadian Medical Education
Statistics, 2006.
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Thoughts on HHR PlanningEven Basic Adjustments
Can Change The Headcount Picture
Adjusted Physician Supply MDs per 1,000
Population
Source Canadian Institute for Health Information
Adjusted for age-sex of patients and age-sex
of physicians
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Thoughts on HHR PlanningInternational Indicators
Highlight Physician Resource Challenges in Canada
USA
UK
CAN
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Thoughts on HHR PlanningComparison of Medical
School Opportunity
Source Personal communication with CMA. Note UK
data based on acceptances into pre-clinical
medicine US data based on medical school and
osteopathic acceptances.
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Thoughts on HHR Planning International Medical
Graduates Play an Important Role in Canadas
Physician Supply
Source CMA Masterfile, January 2006, Canadian
Medical Association
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Thoughts on HHR Planning IMG Trends Vary Within
the Physician Workforce
Source Supply, Distribution and Migration of
Canadian Physicians, CIHI.
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Thoughts on HHR Planning The Number of
Physicians Leaving Canada Has Declined
Source Supply, Distribution and Migration of
Canadian Physicians, CIHI
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Thoughts on HHR PlanningThere is Still Much to
Learn About the Things Health Care Providers Do
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Thoughts on HHR PlanningMany Individuals and
Organizations Have a Hand in HHR Planning
Individual Patients Practitioners
Health Care Facilities (clinics, hospitals,
nursing homes, etc)
Provincial/Territorial Governments
Training Institutions (colleges, universities,
etc)

• HHR Planning
• The establishment of goals, policies, and
  procedures to direct all those involved in the
  delivery of health care.
• An orderly arrangement of the wide spectrum of
  health care providers.
• Having in mind an orderly arrangement of all
  health care providers.

Federal Government
Teaching Hospitals
Health Quality Councils
Regional Health Authorities
Regulatory Authorities
Health Care Research , Information Service
Agencies (CIHI, CHSRF, CHEPA, CHSPR, MCHP, CaRMS,
OPHRDC and many more)
Professional Associations (membership, certifying
accrediting agencies, etc)
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Thoughts on HHR PlanningExample of Possible HHR
Planning Roles
Agency HHR Planning Role
Local health care facility Coordinate care of individual patients in multidisciplinary environment
Regional Health Authority Evaluate patient needs within region Work with local health care facilities to ensure delivery of service Implement recruitment/retention strategies
Provincial/Territorial Government Establish RHAs to carry out regional health care delivery Establish HHR regulatory frameworks Establish and manage health care programs and systems Work with colleges universities to set quotas for health care provider training
Provincial/Territorial Regulatory Authorities Assess credentials Issue licenses
National Government and Professional Agencies Set standards for certification Accredit training institutions Compile national level data and information for planning purposes
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Overview of Health Human Resource PlanningA
Canadian Perspective
THANK YOU

• 2006 Trilateral Conference
• Vancouver, British Columbia, Canada
• Dr. Nick Busing
• President and CEO
• Association of Faculties of Medicine of Canada