HEALTH CARE IMPROVEMENT SYSTEM
CHALLENGE: Enable everyone to have a family doctor in BC.” We led a provincial prototype that made this dream a reality.
Reporting to a provincial tripartite committee including the Ministry, five Health Authorities, and the Doctors of BC, we led the project during a turbulent political period.
Introduced design thinking to physician groups hoping to balance system capacity with the individual workload (and business needs) of physicians.
Implemented several breakthrough initiatives to make it possible for everyone in a community to have a family doctor.
Leveraged our success into a $164 million provincial program that benefitted thousands of people seeking primary care
INDIGENOUS HEALTH & WELL BEING
CHALLENGE: The state of well-being of indigenous people and communities is a terrible legacy of policy. People living with HepC and HIV are among the most vulnerable. And remote communities find it difficult to access community based services in general.
We led a provincial research project on HIV and Hep C services and facilitated dialogues to review funding for indigenous organizations serving people living with these conditions
We helped Northern Health Authority to improve access to community-based responses, expanding services from three to twelve and enabling indigenous people to get the support they need, closer to where they live
We are working with Nuu-chah-nulth Tribal Council, First Nations Health Authority, and Island Health to improve oral health and access to dental treatment for communities that can only be accessed by boat or plane
TECHNOLOGY AND CULTURE CAN’T BE SEPARATED. WORK ACROSS SILOS TO ENSURE ALL THE RIGHT PEOPLE WERE INVOLVED IN DESIGNING AND IMPLEMENTING THE SOLUTION.
CHALLENGE: Make it possible for patients in BC’s most rural and isolated communities to get health care without travelling. The scope of the project included health care services for 300,000 people living in communities spread across an area the size of France and separated by great distances and disruptive weather.
We worked with a regional committee that included the most knowledgeable clinical, technical, and policy leaders in the province.
We dug down what really mattered to them and built a framework of values, principles, goals, and metrics to overcome the strong differences of opinion around the table. Then we built the plan with insights from the ground up, across the region.
We evaluated the Tele-Kidney Care program and showed that the initiative had dramatic results that won the clinical team awards for innovation..
INNOVATIVE CLINICAL DESIGN
COMMUNITY-DESIGNED SOLUTIONS FOR LOCAL PROBLEMS
ADDRESSING THE MOST COMMON CHRONIC DISEASE OF CHILDHOOD AND REMOVING BARRIERS TO ACCESSING CARE
CHALLENGE: Low income children are most likely to have poor oral health, and this is compounded by language and systemic barriers. Strathcona Elementary's children had the worst oral health levels in BC.
OUTCOME:Kyle led a community group of dental advocates to design, execute and operate a dental clinic with an unusual business model. Instead of generating profit, we wanted a clinic that would remove barriers to access for every child in Vancouver. The Strathcona Community Dental Clinic has served over 8000 children and family members - mostly low-income. And it’s still running strong after 22 years.
We brought together a diverse group of committed community members to develop a dental clinic that runs on a mixed-revenue model. Our key innovation is balancing economic and extra-economic incentives to ensure that inner-city children and their families can get the expert care they need. Then we expanded the model to include preventive care.