March E-News Bilingual

COMMENTARY FROM THE CEO

Le français suit ci-dessous.

March, 2018

Dear Stakeholders of the New Brunswick Health Research Enterprise, Remembering an exceptional person, not only for New Brunswick but for all Canada.

It is a time to recall the life, death and legacy of Dr. Dennis Fur- long, husband, father, family member to his brothers and sisters (one of our Colleagues from UNB-Nursing) and to our many communities of medicine and medical health research. He had an impact as a Minister of Health / education, President of the provincial of the College of Physicians and Surgeons, but mostly to his patients as a Family Physician for decades. His legacy is important and for me as I had the privilege to meet with him on a number of occasions, at our NBHRF office and other venues. He was passionate about making our healthcare system better (his book, a must read), more patient-centered and about a real universal pharmacare program, starting with New Brunswick. He will have a lasting impact on those whom he has met with and inspired. It is up to us to pick up where he was so abruptly interrupted, way too young. Read commentaries in the Telegraph Journal by Marshall Button and David Campbell , and CBC Sarah Petz . The review of the eight (8) Federal Health Agencies or PCHOs The report is out - 188 pages: FIT FOR PURPOSE: FINDINGS AND RECOMMENDATIONS OF THE EXTERNAL REVIEW OF THE PAN-CANADIAN HEALTH ORGANIZATIONS by Dr. Pierre-Gerlier Forest and Dr. Danielle Martin, from Calgary and Toronto. Good read, so is the summary by André Picard from the Globe & Mail . Some of you are fully aware of the com- plexity of our health research environment - the Tri-Councils, the CFI, the NCEs, the PHAC and more. The annual budgets of these eight agencies (or Pan Canadian Health Organizations (PCHOs)), created between 1988 and 2007 are:

Canadian Centre on Substance Use and Addiction (CCSA) - $8.83M Canadian Agency for Drugs and Technologies in Health (CADTH) - $31.1M Canadian Institute for Health Information (CIHI) - 109.3M Canadian Foundation for Healthcare Improvement (CFHI) - 19.1M Canada Health Infoway (Infoway) - $116.8M Canadian Patient Safety Institute (CPSI) - $8.6M

Canadian Partnership Against Cancer (CPAC) - $39.9M Mental Health Commission of Canada (MHCC) - $19.54M

Status quo is not an option. Let’s resist the temptation to create an even bigger $1B monster institution rather than 8 frag- mented small-ones totaling about $350M. But as suggested, some need to go, some need to merge, some mandates need to be re-defined. It will take more than money, it will take vision (sometimes you can be intelligent but not-too-smart). Our national collective needs OPOR (one-patient-one-record) and functional and communicative EMR/EHR (Electronic Medical Records/Electronic Health Records), even-more-so with the eventuality of an interconnected pharmacare program. Avoid duplication. Make those federal agencies more transparent. Make those federal agencies work better with provinces. The case of NAPHRO members with CIHR and others is a recurrent one when it comes to creating and defining new programs. Don’t necessarily be obsessed with the word “innovation”. It is rather that research is mobilized and translated (KM/KT) into practice while public systems are too slow to change and modernize. As for ACOA’s looming consolidation , excellence and economic development are synonymous with biosciences, health and life sciences as well, part of the Knowledge Economy. If those currently leading ACOA do not take notice, maybe some re-alignment to other national agencies that support such themes (biosciences, health and life sciences) may not be such a bad thing for Atlantic Canada, rich in natural / biological resources, having an aging population where chronic diseases and comorbidities and cancer are endemic (eg. regularly found among particular people or in a certain area).

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