How We Will, Not Whether We Can: Improving Health and Healthcare - Examples of change in Canada drawn from my recent Healthcare Policy editorial

1. EMR Use
Use of electronic medical
records in primary care is
more than twice what it was in
2009
Heart Attack Mortality
The rate of in-hospital deaths
following a heart attack is
falling steadily, reflecting
broad-based improvements in
cardiac care
Smoking Rates
Scope of Practice Changes
Scope of practice expansions
in all provinces mean that
pharmacists can increasingly
adapt/manage prescriptions
Gastroenteritis Hospitalizations
Hospitalizations for rotavirus-related
acute gastroenteritis in children have
fallen significantly since a vaccination
program was introduced in 2011
Smoking rates are at the
lowest level since
measurement began
Progress is Possible
H
Source: http://www.longwoods.com/content/25031

3. Source: https://www.pharmacists.ca/cpha-ca/assets/File/cpha-on-the-issues/ScopeofPracticeinCanada_DEC2016.pdf

4. Hospitalizations for overall acute gastroenteritis per 10,000 children <24 months of age,
August 1, 2005-March 31, 2013: Ontario, Canada
Source: Wilson SE, Rosella LC, Wang J, Le Saux N, Crowcroft NS, et al. (2016) Population-Level Impact of Ontario’s Infant Rotavirus Immunization
Program: Evidence of Direct and Indirect Effects. PLOS ONE 11(5): e0154340. doi:10.1371/journal.pone.0154340
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0154340

5. Trend in EMR Use in Primary Care,
Canada, 2009 to 2015
Source: Commonwealth Fund International Health Policy Survey, as reported by CIHI and CIHR
at https://www.cihi.ca/sites/default/files/document/2015-cmwf-chartpackenrev-web.pptx

6. Smoking Prevalence in Canada, Aged 15+, 1965-2013
Source: Reid JL, Harnmond D, Rynard VL, Burkhalter R. Tobacco Use in Canada: Patterns and Trends, 2075 Edition.
Waterloo, ON: Propel Centre for Population Health Impact, University of Waterloo.

7. 30-Day Acute Myocardial Infarction In-Hospital
Mortality (%)
Source: https://yourhealthsystem.cihi.ca/epub/SearchServlet
Notes: 1.Rates are based on three years of pooled data. The reference year reflects the mid-point of a three-year period.
2.As of 2011, Quebec data is included in the indicator calculation. As a result of this change, caution should be used when
comparing rates with those of previous years.