Canadian Heart Health Strategy and Action Plan CHHSAP

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Canadian Heart Health Strategy and Action Plan
(CHHS-AP)
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Context Political

• Public concern about access
• Health accord
• 2005 federal budget included CVD specific
  resources
• Stephen Fletcher, MP, introduced a private
  members bill calling for disease strategies
  cancer, heart and mental health (May 2005)
• Representatives from CV community met in the Fall
  of 2005 and with Stephen Fletcher (April 2006)
• Presentation at health caucus meeting (June 2006)
• Verbal commitment

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CHHS-AP Chronology of Events

• Management Group formed (Summer 2006)
• Developed ToR for Strategy Development Process, a
  Governance Model and a Thought Leaders Survey
• Announcement by federal Minister of Health (Oct
  22, 2006)
• Press conference (Oct 23, 2006)
• Steering Committee membership confirmed (Nov
  2006)
• Secretariat established and staffed (Nov 2006)
• Themes confirmed January 2007

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CHHS-AP Purpose and Description

• Purpose
• To reduce the growing burden and loss due to CV
  disease in Canada
• Description
• Independent, stakeholder driven
• Comprehensive, integrated strategy
• Continuum of the health system health
  policy/prevention to palliation
• Continuum of life preconception to death
• Address disparities
• Evidence-based/best practices

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CHHS-AP Leadership

• Leadership partners
• Heart and Stroke Foundation of Canada
• Canadian Cardiovascular Society
• Canadian Institutes of Health Research
• Funder
• Public Health Agency of Canada

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CHHS-AP Steering Committee

• Primary policy decision-making body
• 29 thought leaders and experts
• Balance of expertise, knowledge, skills, regions,
  gender, research pillars, continuum of CV health

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CHHS-AP Steering Committee
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CHHS-AP Steering Committee
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CHHS-AP Steering Committee
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CHHS-AP Management Group

• Executive Committee of Steering Committee
• Administrative body of CHHS-AP
• Operational responsibilities

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CHHS-AP Secretariat

• Housed at the offices of the Heart and Stroke
  Foundation of Canada and the Canadian
  Cardiovascular Society
• Provides management services and operational
  support
• Director, Program Manager, Administrative
  Coordinator

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CHHS-AP Themes

• Strengthening information systems for monitoring,
  management, evaluation and policy development
• Creating environments conducive to cardiovascular
  health
• Preventing, detecting and controlling major risk
  factors
• Addressing and enhancing Aboriginal / indigenous
  cardiovascular health
• Timely access to quality (acute) care and
  diagnostics
• Timely access to quality chronic disease
  management, rehabilitation services and
  end-of-life care

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CHHS-AP Cross-Cutting Issues

• Reducing the impact on cardiovascular outcomes
  that result from disparities.
• Expanding the knowledge base.
• Translating knowledge into action.
• Addressing impact/outcomes of interventions.
• Addressing and enhancing Aboriginal/indigenous
  cardiovascular health.
• All groups will also consider workforce/education
  system needs

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CHHS-AP Theme Working Groups

• Structure
• 2 Co-Chairs one member of SC
• Members selected on basis of expertise
• Charged with developing strategic recommendations
• Innovative, implementable and practical
• Based on best practices/evidence
• Integration with existing strategies

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CHHS-AP Theme Working Groups

• 2 Co-chairs (1 SC member)
• 11 15 members per group (including Co-Chairs)
• 80 members total
• Two face-to-face retreats (May, late Fall 07)
• Provide theme specific advice and expertise
• Commission synthesis research
• Develop reports with 5 6 key recommendations
  and priorities for action (associated costs,
  evaluation, surveillance etc.)

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CHHS-AP TWG Co-Chairs

• TWG 1
• Anne McFarlane
• Andy Wielgosz
• TWG 2
• John Millar
• Roy Cameron
• TWG 3
• Norm Campbell
• Jean-Pierre Despres

• TWG 4
• Jeff Reading
• Richard Jock
• TWG 5
• Peter Glynn
• William Ghali
• TWG 6
• Heather Arthur
• Richard Lewanczuk

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Framework for a Comprehensive Canadian Heart
Health Strategy and Action Plan
The Vision
HEALTH PROMOTION
PRIMARY
SECONDARY
Interventions Required
Policy and environmental change
TREATMENT
Behaviour change strategies
Prevention, detection management of risk factors
Timely access to quality (acute) care
Timely access to quality chronic disease
manage-ment/rehab
PREVENTION
Timely access to end oflife care
OUTCOMES

• Decreased burden of cardiovascular disease

• Healthier population

• Added quality life years

• Sustainable health system

• Reducedinequities

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CHHS-AP Timelines

• January July 2007
• Steering Committee meeting ( Jan 10- 11 in
  Montreal)
• Established Theme Working Groups (March)
• 6 Theme Working Groups Retreats (1 1 ½ days -
  May)
• Launch web site www.chhs--scsc.ca (public
  private sides)
• Commission work for 6 Theme Working Groups and SC
• Develop and implement a consultation strategy
• Stakeholders (200 people) meeting (May 28-29
  Toronto)
• Ongoing consultation with p/ts and stakeholders
  (meetings, surveys, workshops etc.)
• Commission writer

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CHHS-AP Timelines cont

• Aug 2007 March 2008
• Analysis and synthesis of evidence by 6 Theme
  Working Groups
• Second Theme Working Groups Retreats (late Fall
  2007)
• Draft Reports from Theme Working Groups (mid Dec
  07)
• Review of draft reports by SC
• Co-Chairs present to SC (late Jan 08)
• TWG Final Reports (end of March 08)

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CHHS-AP Timelines cont

• April 2008 October 2008
• Integration of TWG reports by Steering Committee
• Dialogue with stakeholders
• Prepare Strategy Report and Business Plan
• November 2008
• CHHS-AP Chair submits final report to Minister of
  Health

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CHHS-AP

• Success factors
• Engage stakeholders
• Engage provincial/territorial governments
• Maintain timelines
• Innovative and practical strategies
• Sound implementation plan
• Successful integration with other strategies

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CHHS-AP

• Contact
• 613. 569.4361 ext 254
• info_at_chhs-scsc.ca
• www.chhs-scsc.ca