Overview of Health Human Resource Planning A Canadian

Overview of Health Human Resource Planning: A Canadian Perspective 2006 Trilateral Conference Vancouver, British Columbia, Canada Dr. Nick Busing President and CEO Association of Faculties of Medicine of Canada

Presentation Outline A View of HHR in Canada Thoughts on HHR Planning

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.

A View of HHR in Canada Based 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

Number of Health Care Providers, Canada, 2004 Plus 246, 575 Registered Nurses Source: HPDB, CIHI

Percent Change in Number of Health Care Providers, Canada, 1995 vs 2004

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

Females as a Percentage of Health Care Provider Groups, Canada, 2004 Source: HPDB, CIHI *Based on 2001 Statistics Canada Census

Percentage of Health Care Provider Groups Aged 45+, Canada, 2000 Source: Statistics Canada, 2001 Census

Percentage of Health Care Provider Groups Who Worked Full-Time for the Full Year, Canada, 2000 Source: Statistics Canada, 2001 Census

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

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.

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.

2004 NPS: Percent of Licensed Physicians Who Share Care with Various Health Care Providers, Canada, 2004 Source: 2004 National Physician Survey, CMA, CFPC, RCPSC.

Interprofessional Education for Collaborative Patient-Centred Practice (IECPCP) • The IECPCP initiative is part of Health Canada’s 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.

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 Mc. Gill 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/strateg/interprof/index_e. html for more information

Thoughts on HHR Planning

Thoughts on HHR Planning Often Focuses on Headcounts Source: AFMC, Canadian Medical Education Statistics, 2006.

Thoughts on HHR Planning Even Basic Adjustments Can Change The Headcount Picture Adjusted* Physician Supply: # MDs per 1, 000 Population * Adjusted for age-sex of patients and age-sex of physicians Source: Canadian Institute for Health Information

Thoughts on HHR Planning International Indicators Highlight Physician Resource Challenges in Canada USA UK CAN

Thoughts on HHR Planning Comparison 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.

Thoughts on HHR Planning International Medical Graduates Play an Important Role in Canada’s Physician Supply Source: CMA Masterfile, January 2006, Canadian Medical Association

Thoughts on HHR Planning IMG Trends Vary Within the Physician Workforce Source: Supply, Distribution and Migration of Canadian Physicians, CIHI.

Thoughts on HHR Planning The Number of Physicians Leaving Canada Has Declined Source: Supply, Distribution and Migration of Canadian Physicians, CIHI

Thoughts on HHR Planning There is Still Much to Learn About the Things Health Care Providers Do

Thoughts on HHR Planning Many Individuals and Organizations Have a Hand in HHR Planning Individual Patients & Practitioners Provincial/Territorial Governments Federal Government Health Quality Councils Health Care Facilities (clinics, hospitals, nursing homes, etc) Training Institutions HHR Planning (colleges, universities, etc) • The establishment of goals, policies, and procedures to direct all those involved in the delivery of health care. Teaching Hospitals • An orderly arrangement of the wide spectrum of health care providers. • Having in mind an orderly arrangement of all health care providers. Health Care Research , Information & Service Agencies (CIHI, CHSRF, CHEPA, CHSPR, MCHP, Ca. RMS, OPHRDC and many more) Regional Health Authorities Regulatory Authorities Professional Associations (membership, certifying & accrediting agencies, etc)

Thoughts on HHR Planning Example 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

THANK YOU Overview of Health Human Resource Planning: A Canadian Perspective 2006 Trilateral Conference Vancouver, British Columbia, Canada Dr. Nick Busing President and CEO Association of Faculties of Medicine of Canada