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Big New Metrics That Matter for Health System Integration
1Neil Seeman, is a senior fellow and an associate professor at the Institute of Healthcare Policy, Management and Evaluation and a senior fellow at Massey College at the University of Toronto in Toronto, ON. He is a Fields Institute fellow, publisher at Sutherland House Experts and senior academic advisor to the Investigative Journalism Bureau and the Health Informatics, Visualization and Equity Lab at the Dalla Lana School of Public Health at the University of Toronto in Toronto, ON.
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As Canadian healthcare moves toward integrated care, it lacks "North Star" metrics, relying instead on hospital-centric indicators that miss the patient experience. Building on the integrated care framework by Anne Wojtak and Jodeme Goldhar, this paper argues for shifting from measuring system activity to measuring the burden placed on patients and caregivers. It proposes three new metrics: the System Friction Ratio, the Caregiver Latency Index and the Patient-Reported Burden Score. To achieve true population health, we must stop counting hospital-focused administrative outputs and start measuring the friction patients and families face when navigating the system.
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