Integrated Healthcare Organizations–Part II

ref: Are Integrated Healthcare Organizations Right For Ontario?

A strong reason why IHOs are being suggested is because they are supposed to be more cost effective.  I’d go further and suggest that before we make them sit and talk, we should define how we would measure their success.  Specify the complete picture we would like to see, and in what way we would like it to be efficient. 

It has been argued that unlike LHINs one size fits all won’t work with IHOs.  Also, area such as GTA pose great problem in form of scale and complexity.  Apprehensions have been raised that the whole issue is very disruptive, and a more evolutionary approach needs to be taken.  The apprehensions are not unfounded as we have no major example to learn from.  I’d suggest that we should go along this route in a cautious manor and consolidating after each careful step.  Also, it should be left to organizations to join or not, or probably do at a later time.  In the sense, such integrated system should be allowed to evolve.  Also, with or without IHOs, a province wide EPR is a must to share info with everybody providing healthcare.  Once this is done, the providers will themselves have incentives to explore further avenues. 

I see no harm in IHOs being acute care hospital dominated, as hospitals are the natural choice.  And as has been rightly said, with right funding, measurement and accountability we will be able to achieve the kind of integration we want.  Further, they should try to integrate just the primary and home care.  A kind of working relationship can be worked out with LTC. 


One Response to Integrated Healthcare Organizations–Part II

  1. Oh my goodness! a tremendous post man. Thank you Nonetheless I’m experiencing problems with ur rss . Don know why Unable to subscribe to it. Is there anybody getting equivalent rss problem? Anybody who is knowledgeable of kindly respond. Thnkx

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