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First Health, Then Medicine

Dr Harvey Skinner, Dean Faculty of Health

Brett Thompson

on 19 October 2012

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Transcript of First Health, Then Medicine

Exploring the links between poverty, policy, health and quality of life for Canadians. Dr. Dennis Raphael, Health Policy & Management

Discovering new interventions with community care providers to reduce cognitive, social and physical decline in older adults
Dr. Mary Fox and Dr. Deborah Tregunno, Nursing

Establishing a global monitoring system to address disability discrimination allowing countries to evaluate their laws, policies and programs to comply with United Nations’ standards.
Dr. Marcia Rioux, Health Policy & Management

Bilingualism boosts cognitive capacity for low-income children and forestalls symptoms of Alzheimer’s disease by average of 4.5 years.
Dr. Ellen Bialystok, Psychology

Using eHealth mobile technology to prevent or manage chronic disease.
Dr. Paul Ritvo, Kinesiology and Health Science Positive aging
Social determinants of health
Child development
Chronic disease prevention & management
Disability rights
eHealth technology ‘Why the Produce Manager is more important for your Health than the Physician’ First Health, Then Medicine Dr. Harvey Skinner, Dean
Faculty of Health 1. The Big Idea and Challenges for sustainable
wellness and healthcare

2. The Faculty of Health’s role in
leading the transformation

3. What you can do Dialogue Aims - Meryl Streep It's bizarre that the produce manager is more important to my children's health than the pediatrician. If prevalence continues to increase at ~6% per year, more than 10% of adults in Ontario will have diabetes before 2010 In 10 years, the prevalence rise has already
exceeded that predicted for a 35-year period 1995: WHO projected increase
for Canada by 2030 2005: Actual increase in
Ontario by 2005 1995 2030 2005 ? 69% 65% Diabetes Projections Were Conservative Ontario Health Budget 95% 5% Spending on Treatment Spending on Disease Prevention & Health Promotion Foothills Hospital, Calgary
Sept 28, 2010 to April 27, 2011
7 months funded by Alberta Healthcare Charlie’s Angels The Challenges are Large
but not Insurmountable ‘First Health, Then Medicine’ The BIG Idea‘Keeping more people healthier longer’ Challenge: make ‘York Region the Healthiest in Canada
Via: an integrated health promoting & care system
Lead By: York’s Faculty of Health and its Partners Faculty
Health Psychology Nursing Kinesiology &
Health Science Health Policy
& Management By the Numbers:
4 Units; over 10,000 students; over 400 faculty; Diverse Programs Healthy Bodies Healthy Minds Healthy Patients Healthy
Communities New undergraduate degree 2014 1. EDUCATING Leaders who make a difference

2. Game Changing RESEARCH
from discovery to action to impact

3. ENGAGING diverse sectors to address complex challenges of the 21st century Faculty of Health
Leading the Transformation:
Three Pronged Approach HealthAid student Peer Advisors
eLearning: Online and Blended Learning
Experiential Education 1. EDUCATING Leaders by
Improving the Student Experience Graduating 2,000 ‘Agents of Change’
each year for Transforming Health Critical
Integrative Oath: ‘We are Agents of Change for Health: transforming lives, communities, systems and the world.’ Role Modeling
Leading Social Responsibility
Life-long learning
Courage An integrated eHealth system for delivering People-Centred Health and Wellness

Personalized Health Coaching using mobile technology (mHealth): eg. management of patients with diabetes

‘Game Changing’ projects for improving people-patient outcomes and system transformation What if eHealth could enable
Integrated Health Solutions? Understanding muscle health for practical solutions to muscle atrophy, disease and loss of muscle mass associated with aging.
Dr. David Hood, Canada Research Chair, Kinesiology and Health Science

Better understanding the effects of concussion on the brain to improve treatment options. Dr. Lauren Sergio, Dr. Alison Macpherson, Dr. Frances Flint, Kinesiology and Health Science

Using play-based therapy to draw autistic children out of their solitary worlds and into a shared one. Dr. Stuart Shanker, Distinguished Research Professor, Psychology

Canadians may be overeating by overestimating food serving sizes as per Canada’s Food Guide: cross cultural study.
Dr. Jennifer Kuk, Kinesiology and Health Science 2. York’s Game Changing RESEARCH from discovery to action to impact 19.7% reduction in hospital admissions

25.3% reduction in bed days of patient care

Average yearly cost of $1,600 per patient compared to $13,121 for primary care & $77,745 for nursing home care US Veterans Administration Home Telehealth
Comparisons of 1 year before to 6 months after Enabling People-Centered Health Reference: TELEMEDICINE and e-HEALTH. DEC 2008; VOL.14(10):1118-1126 An Engaged Person is a Healthier Person A collaboration between York University (Dr Paul Ritvo) and NexJ Systems to prove the health benefits of mobile ehealth technology combined with personal coaching for people at risk for Type II Diabetes. Jane-Finch Diabetes Study Health Coaching / year = ($150/yr) + RPM device & NexJ Software ($320/yr) = $470/yr Program Costs / Cost Savings Healthy Eating ‘app’ from York’s Fusion Lab Innovators New training program at York for the Health Coach

combining multiple skill sets in behaviour change for health promotion; disease and injury prevention; treatment and rehabilitation - the leading university in Canada to do so.

combination of mobile technology, electronic health records and behaviour change supported by a Health Coach will help more people live healthier, longer, and receive timely access to effective healthcare when needed. This is the essence of people-centred health ‘Health Coach’ A New Health Profession 3. ENGAGING diverse sectors to address
complex challenges of the 21st century Cloud-based software system with mobile technology

Allows patients, their family, their friends and their care teams to collaboratively manage health and wellness through the use of innovative applications
Will assist in chronic disease management for patients and health professionals who use the system
Enables collaborative care teams by providing transparency and security among service providers while respecting privacy $15.5 Government funding for the development of the Program. The total project size is $40 million.
Collaborative effort of York University (the applicant and administrator of the project), NexJ Systems, McMaster University and other academic, and industry partners Connected Health
& Wellness Project Partners Southern Ontario’s best teaming for global leadership One million people, one of the fastest growing regions in Canada, culturally diverse, economic engine for Canada York Region/GTA
‘innovation ecosystem’ How could International Partners
Work Together to Improve health:
Global - Local? A network model with hospitals, primary care, community health care, public health, industry, and health promoting organizations
Faculty of Health and other groups as hub on York Campus
Multi-purpose learning and research centres distributed among partners Building the York Health Academic Network (YHAN) Search for the
Magic Bullet 1. Be physically active
2. Eat better and eat less
3. Learn new things and make new friends
4. Be an Agent of Change for Health
5. Help us lead the Transformation Five Things you can Do 1. Non-Smoking
2. Moderate Drinking (alcohol)
3. Healthy Nutrition
4. Physical Activity
5. Managing Stress Five Healthy Habits for Seven More Years ICES Report, April 2012 Life Expectancy:
20 Years Difference With a solution that begins not in the hospital emergency
room or in the doctor’s office, but in and with our community. We are Agents of Change for Health: transforming lives, communities, systems and the world.’ Agents of Change Oath - Tommy Douglas “Only through the practice of preventive medicine will we keep the costs from becoming so excessive that the public will decide that Medicare is not in the best interests of the people of the country.” Harvey’s Angels ‘Agents of Change’ A Network of Integrated Health Promotion &
Health Care Health Care
Providers Government Industry Academic From the cellular To the community, local & global York’s Faculty of Health
Leading the Transformation Global Health Together With health-care institutions, non-profit
organizations, the private sector and government: We are generating and mobilizing knowledge

We are cultivating the next generation of
‘Agents of Change’ who will redefine
health and health care

We are transforming lives, communities,
systems and the world Lena and Nate The Future
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