Canadian Health Information Podcast

As Canada’s population ages, it is expected that an increasing number of people will become frail. Individuals living with frailty have an increased risk of the following: hospitalizations, longer hospital stays, hospital readmissions, emergency department visits and in-hospital death. New data shows that more than one-third of all hospitalized older adults in Canada are at risk of frailty. On this episode of the Canadian Health Information Podcast, host Avis Favaro speaks with Dr. Kenneth Rockwood, clinical research professor of frailty and aging at Dalhousie University in Halifax, about the harms of frailty and what we can do to better protect older adults at risk. This episode is available in English only. Learn more about frailty risk here: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html

Hospital harm — medical conditions that patients experience in hospital that they did not have when they were admitted — is on the rise. A new CIHI analysis shows that 1 in 17 patients admitted to hospital was unintentionally harmed during their stay. Meanwhile, nurses and other health care workers charged with caring for patients in Canada are struggling. Sick time and overtime hours are skyrocketing. In this episode of the CHIP, we are joined by Kate Parson, Health Human Resources program lead at CIHI; Linda Silas, president of the Canadian Federation of Nurses Unions; Kathleen Finlay, founder and CEO of The Compassion Innovation Lab and founder of the Center for Patient Protection ; and Annette Elliott Rose, vice president of Clinical Care Strategy and chief nurse executive at IWK Health to discuss these findings and what they mean for patients and the people who care for them. This episode is available in English only.

Clips from the following sources were used in this recording:CTV News (Drivers dodge flames and smoke from Nova Scotia wildfire | DRAMATIC VIDEO)CBC News (As unprecedented fire year rages on, experts warn of longer, more destructive seasons)Reuters (Nova Scotia floods cause 'unimaginable' damage)CTV News (State of emergency in Quebec | Mass flooding across the province)The Guardian ('The era of global boiling has arrived' warns the UN – video)CTV News (B.C. family suspects wildfire smoke contributed to 9-year-old's fatal asthma attack

The federal government reached a funding agreement recently with Canada’s provinces and territories that will add roughly $46.2 billion in new money over 10 years to be directed at 4 priority areas: family health services, health workers and backlogs, mental health and substance use, and a modernized health system. In this episode of the CHIP, we speak about what this agreement will mean for average people in Canada and how quickly we can expect to see the effect of this funding. Our guests are Dr. Jennifer Zelmer, president and CEO of Healthcare Excellence Canada; Annamarie Fuchs, a former registered nurse and author of Partners in Health Conversations; and Teri Price, whose brother died tragically in 2012 after falling through the cracks in our health care system. This episode is available in English only.

More people in Canada are receiving palliative care near the end of their lives than ever — but a lot of work remains. A new CIHI analysis shows there are still many who are not getting the care they need. In this episode of the CHIP, host Avis Favaro speaks with Dr. Naheed Dosani — a palliative care physician at St. Michael’s Hospital at Unity Health Toronto, the lead physician for Palliative Education and Care for the Homeless (PEACH) at Inner City Health Associates and medical director at Kensington Hospice — about the future of palliative care in Canada and why it is such a critical part of health care. This episode is available in English only.

Virtual health care in Canada has boomed during the COVID-19 pandemic, offering Canadians unprecedented online access to medical professionals. Now, as the day-to-day effects of the pandemic are lessening in much of the country, the question on many minds is “will I still have this convenient option going forward?” In this episode of the CHIP, host Avis Favaro speaks with Dr. Ewan Affleck, the senior medical advisor for health informatics at the College of Physicians and Surgeons of Alberta and chair of the Alberta Virtual Care Coordinating Body, about the future of virtual care in Canada and why he is so passionate about continuing its growth. This episode is available in English only.

Canada’s health care systems were already facing numerous challenges with wait times for surgeries before the COVID-19 pandemic hit. Now those problems are far worse. On this episode of the CHIP, host Avis Favaro speaks with Dr. David Urbach, head of the department of surgery at Women’s College Hospital and professor at the University of Toronto, about how hospitals and health systems in Canada are trying to deal with the huge backlog of surgeries and what could be done to fix the problems for the long term. This episode is available in English only.

The COVID-19 pandemic exposed some clear gaps in Canada’s health care systems, including the need to better understand the roots of health inequalities and disparities based on race. On this episode of the CHIP, host Avis Favaro speaks with Dr. Chika Stacy Oriuwa, poet, author, advocate and the only Black woman ever selected as sole valedictorian at the University of Toronto’s medical school, about the value of race-based data and the importance of Black representation in health care in Canada. This episode is available in English only.

In this episode of the CHIP, host Avis Favaro speaks with nurse practitioners Cindy Fehr and Stan Marchuk about where their field fits in Canadian health care and the challenges they face.

Overuse of medical procedures and tests is a serious concern that costs Canada’s health care systems a lot of time and money and can even be harmful to patients. Host Avis Favaro is joined by Dr. Janet Reynolds and Dr. Wendy Levinson of Choosing Wisely Canada to discuss the roots of this issue, the progress made since a previous report on the topic in 2017 and alternatives to reduce overuse.This episode is available in English.