How Successive Governments Have Weakened the Foundation of All Canadian's Social and Economic Security At some point you will find yourself lying in a hospital bed. There is a good chance that your bed will be a firm, rubber pad held secure between two rails and parked along a corridor in a busy emergency department. Moans of “Nurse!” will echo from the beds ahead of you in line. Those pleas will fall largely on deaf ears. Your hospital is underfunded and understaffed. Welcome to the current reality of Medicare in the 21st century. Using searing analogies and first-hand accounts, Dr. Whatley makes the argument that the current Medicare system is unsustainable and unless critical choices and changes are made soon, the publicly funded, single-payer system in Canada will implode. Successive governments, regardless of political stripe, know all too well that Canada's system of health care is one of the defining characteristics of “being a Canadian”, and any changes deemed harmful will have them thrown out of power. Thus, decades of cuts around the margins, centralized control, federal/provincial infighting, and government oversight has left doctors and hospitals with little input on how your health dollars are allocated and spent. Citizens are being left to languish in pain for months, sometimes years, because the current cost and delivery system is programmed for the benefit of governments staying in power. That was not what was intended. Medicare should be about delivering high-quality and timely healthcare value for Canadians. This is not an easy fix. Treatment starts with a serious look at the disease, and Dr. Whatley pulls no punches. But what sounds like a radical new approach is neither new nor radical. He is not arguing for the end of Medicare per se but is making the case to let medical professionals — those providing the services — become equal partners in its design, implementation and delivery.
No More Lethal Waits is a concise and compelling step-by-step guide to transform emergency departments in Canada and anywhere patients wait unconscionable times for their needs to be met. Dr. Shawn Whatley - who knows whereof he speaks, having led and participated in radical change to a large emergency department - summarizes the steps as: 1. Revamp Triage. 2. Close the Waiting Room. 3. Redefine Nurse-to-Patient Ratios. 4. Use Chairs and Exam Tables, Not Stretchers. 5. Change Scheduling to Meet Patient Needs More Efficiently. 6. Give MDs Responsibility for Flow and Hire Patient Navigators. 7. Use Real-Time Data and Adopt a Full Capacity Protocol. 8. Expect Resistance and Prepare for It. 9. Build on Solid Leadership Principles. 10. Get Political. "...Dr. Shawn Whatley is a revolutionary medical systems thinker." -COLIN LESLIE, Editor-in-Chief, The Medical Post "A call to administrators and nursing and physician leaders alike...Damn the torpedoes and do the right thing for patients." -GRANT INNES, MD, Founding Editor-in-Chief of Canadian Journal of Emergency Medicine "...will ...return pride and joy back to emergency medicine." -MARKO DUIC, MD, Chief, Department of Emergency Medicine, Southlake Regional Health Centre, Newmarket, Ontario "For the courageous, this book promises to spark discussion; it is a must read for everyone involved in emergency care." -CHRIS SIMPSON, MD, Chair, Wait Time Alliance, 2014-2015 President, Canadian Medical Association "...poses, presses, and answers the question: How can we continue to tolerate long and dangerous waits in the emergency department when there are clear solutions which cost little and can save lives?" -PETER VICCELLIO, MD, Clinical Director, Department of Emergency Medicine, Stony Brook University Hospital, New York "Where's the beef in this book? It's in the sacred cows of emergency medicine that Dr. Whatley kills... A must read for anyone frustrated with a system that presumes people must wait." -JON JOHNSEN, MD, Assistant Professor of Medicine, Northern Ontario School of Medicine, Thunder Bay "...a very stimulating and awakening message." -STEPHEN B. STOKL, MD, author of Mentally Speaking
How Successive Governments Have Weakened the Foundation of All Canadian's Social and Economic Security At some point you will find yourself lying in a hospital bed. There is a good chance that your bed will be a firm, rubber pad held secure between two rails and parked along a corridor in a busy emergency department. Moans of “Nurse!” will echo from the beds ahead of you in line. Those pleas will fall largely on deaf ears. Your hospital is underfunded and understaffed. Welcome to the current reality of Medicare in the 21st century. Using searing analogies and first-hand accounts, Dr. Whatley makes the argument that the current Medicare system is unsustainable and unless critical choices and changes are made soon, the publicly funded, single-payer system in Canada will implode. Successive governments, regardless of political stripe, know all too well that Canada's system of health care is one of the defining characteristics of “being a Canadian”, and any changes deemed harmful will have them thrown out of power. Thus, decades of cuts around the margins, centralized control, federal/provincial infighting, and government oversight has left doctors and hospitals with little input on how your health dollars are allocated and spent. Citizens are being left to languish in pain for months, sometimes years, because the current cost and delivery system is programmed for the benefit of governments staying in power. That was not what was intended. Medicare should be about delivering high-quality and timely healthcare value for Canadians. This is not an easy fix. Treatment starts with a serious look at the disease, and Dr. Whatley pulls no punches. But what sounds like a radical new approach is neither new nor radical. He is not arguing for the end of Medicare per se but is making the case to let medical professionals — those providing the services — become equal partners in its design, implementation and delivery.
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