On October 19, 2016, the NLMA, in partnership with Memorial University’s Harris Centre and the Newfoundland and Labrador Centre for Applied Health Research, hosted a provincial Forum to Determine the Need for a Review of Health Facilities and Services in Newfoundland and Labrador. On January 17, 2017, NLMA President Dr. Christopher Cox released the findings from the Forum in a Summary Report. The NLMA has now used these findings as the basis for its proposal to government entitled Rebuilding NL Health, which provides specific suggestions on the scope and process for how a review should be conducted.
NLMA Position Statement: Rebuilding NL Health Summary Report: Forum to Determine the Need for a Review
of Health Facilities and Services in NL
Click here to see the presentations and watch the videos from the Forum.
NL Health Care Facility Distribution
NL Health Profile Service Distribution
NL Financial Data
NL Health System Performance Indicators
NL Population Health Indicators
NL Demographic Overview
Dr. Christopher Cox, MD, FRCSC, FACS
Dr. Christopher Cox is a general surgeon and breast surgical oncologist in St. John’s. During his medical career, Dr. Cox has practiced within both the Central and Eastern region health authorities in Newfoundland and Labrador, which has given him an appreciation of the challenges that affect patients and physicians employed in these unique and diverse workplaces. He completed his medical degree from Memorial University in 1994 and completed the requirements for a Graduate Diploma in Community Medicine in 1999. He completed his residency training in 2000 and went on to complete a Fellowship in Breast Surgery Oncology from the University of Toronto in 2010. He is also a Fellow of the College of Physicians and Surgeons of Canada and a Fellow of the American College of Surgeons.
Dr. Wendy Graham, MD, CCFP
Originally from Rose Blanche, Dr. Graham completed both her MD (1997) and Family Medicine residency (1999) at Memorial University. She has spent her entire career in rural family practice. She also practices emergency medicine, outpatient care such as chemotherapy and inpatient care at the Dr. Charles L. LeGrow Health Centre in Port aux Basques. The Centre provides services through an interdisciplinary team approach to 9,000 residents living along the Southwest Coast. Dr. Graham makes house calls, visits personal care homes and provides palliative care in the home and in the Health Centre. She is an Associate Professor of Family Medicine with Memorial University. She teaches a high volume of both undergraduate and postgraduate learners. She is the Faculty Development coordinator for the Western Stream. Her current main research interest is in teaching rural and remote physicians research skills to improve not only their practice, but ultimately to improve healthcare in the communities they work. Wendy is a past president of the NLMA and the current co-chair of the Family Practice Renewal Committee.
Dr. David Naylor, MD, OC, FRCPC, FRSC
Educated at Toronto (MD, with awards in medicine, surgery and paediatrics) and Oxford (Rhodes Scholar, DPhil), David Naylor is currently Professor of Medicine and President Emeritus at the University of Toronto. He joined the Department of Medicine at that institution in 1988, and was promoted to full Professor in 1996. Dr Naylor has served as founding Chief Executive Officer of the Institute for Clinical Evaluative Sciences (1991-1998), Dean of Medicine and Vice Provost for Relations with Healthcare Institutions (1999-2005), and President of the University of Toronto (2005-2013). Co-author of approximately 300 scholarly publications, he has provided policy advice and strategic counsel to governments and healthcare associations, institutions, and enterprises in Canada and abroad for more than 25 years. Dr Naylor's volunteer service for Canada has included chairing the National Advisory Committee on SARS and Public Health (2003) which led to the creation of the Public Health Agency of Canada, and chairing the Advisory Panel on Healthcare Innovation (2014-15). He currently chairs the federal review of support for basic research. An Officer of the Order of Canada, Naylor has received a variety of national and international awards for leadership in healthcare, research, public health, and higher education.
Dr. Tom Noseworthy, CM, MD, MSc, MPH, FRCPC, FACP
Tom Noseworthy is Professor (Health Policy & Management), Community Health Sciences and O’Brien Institute for Public Health, Cumming School of Medicine, University of Calgary. He is the former Head of that Department and inaugural Co-Director and founder of that Institute. Dr. Noseworthy is a physician trained in Internal Medicine and Critical Care, with specialty certification in the Royal College of Physicians and Surgeons of Canada (FRCPC), the American Colleges of Physicians (FACP), American College of Chest Physicians (FCCP) and American College of Critical Care Medicine (FCCM). He holds a Master of Science in Experimental Medicine from the University of Alberta, and a Master of Public Health (Health Policy & Management) from Harvard University. Dr. Noseworthy has had extensive experience in health care management and was VP Medicine and later CEO of the Royal Alexandra Hospitals (1989 – 1995). He joined Alberta Health Services as an embedded researcher in 2011 and was the Associate Chief Medical Officer, Strategic Clinical Networks until January 2015. As interim assignments in 2012/13 and 2013/2014, Dr. Noseworthy served as Zone Medical Director, and Vice President and Chief Health Operations Officer, North Sector & Edmonton Zone, respectively. In 2005, Dr. Noseworthy was awarded the Alberta Centennial Medal and was named as one of Alberta’s Top 100 Physicians of the Century by the Alberta Medical Association and College of Physicians and Surgeons of Alberta. In 2007, Dr. Noseworthy was appointed to the Order of Canada, for contributions to health policy and Medicare and in 2012, he received the Diamond Jubilee Medal. He was chosen from the U of C faculty to give the 2012 Lecture of a Lifetime. He received a Certificate of Meritorious Service from the College of Physicians and Surgeons of Alberta for 2012 and he was the recipient of the 2014 Barer-Flood Prize in Health Services and Policy Research (CIHR) and the Jil Sanders Award in Health Technology Assessment (CADTH) in 2016.
Dr. Pat O’Shea, MD, CCFP, FCFP
Dr. O’Shea obtained his medical degree in 1980 from Queen’s University in Ontario. He completed his residency at Memorial University and is a certified Fellow of the College of Family Physicians of Canada. He has practiced family medicine in St. John’s for the past 34 years, providing comprehensive care including palliative care, and house calls. Dr. O’Shea is a staff physician of both Chancellor Park and St. Patrick’s Mercy Home long-term care facilities. He is a Clinical Associate Professor of Family Medicine at Memorial University. Dr. O’Shea was first elected to the Newfoundland and Labrador Medical Association Board of Directors in 2007, and served as President of the Association from 2010-2011. In 2007, he received the Family Physician of the Year Award from the provincial chapter of the College of Family Physicians. At present he serves as Chair of the NLMA Board of Directors.
Mr. Terry Paddon, CPA, CA
Terry Paddon was appointed Auditor General effective June 1, 2012. This appointment is for a ten year period. Mr. Paddon received a Bachelor of Commerce degree from Memorial University in 1978 and was admitted to the Institute of Chartered Accountants of Newfoundland and Labrador in 1980. He articled with Clarkson Gordon (currently Ernst & Young) in St. John’s. Mr. Paddon spent in excess of twenty-one years with the Department of Finance of the Province of Newfoundland and Labrador. He started with the Tax Administration Branch in 1990 as a Tax Audit Manager before moving to the Tax Policy Division as a senior policy advisor. After a period as Director of Tax Policy he was appointed Assistant Deputy Minister responsible of Fiscal and Tax Policy in 1998. In 2004, Mr. Paddon was appointed Deputy Minister of Finance a position he held until his appointment as Auditor General. Prior to joining the public service Mr. Paddon worked in the private sector in Newfoundland and Labrador. Mr. Paddon is a member of the Canadian Council of Legislative Auditors and served as Chair of that organization from October 2013 until September 2014. He is also a member of the Board of Directors of the CCAF-FCVI Inc., an organization dedicated to strengthening public sector accountability by promoting effective performance audit and oversight of government operations.
Dr. David Peachey, MD
David Peachey is a principal of Health Intelligence Inc., a Halifax-based health care consulting firm with clients in the public, private, and not-for-profit sectors. Prior to establishing the consulting firm in 1995, he was the Director of Professional Affairs at the Ontario Medical Association for ten years. His clinical experience included comprehensive family medicine, emergency medicine, and urgent care. Consulting work has focused on physician compensation and funding models, provincial and territorial physician workforce and clinical services planning, fee schedule reform, clinical governance, compensation database development and analysis, physician accountability, and measurement of clinical performance. In addition to successfully completing seven provincial workforce and clinical services plans, he has presented workshops on physician compensation models and performance measures, consulted on the reforming of medical services, and advised governments on delivery and funding models for medical care. He has been the lead consultant on a number of projects analyzing physician compensation models and trends, drafting revisions to fee schedules and preambles, and conducting inter-provincial fee schedule comparisons and billing scenario analyses. Clients have included federal, provincial, and territorial governments, professional associations, and the Canadian Institute for Health Information.
Dr. Kelly Shaw, MBBS, MPH, PhD, FRACGP, FAFPHM, GAICD
Kelly works as a clinician, public health physician, health services manager and consultant in the health care sector. Kelly has developed numerous health services practice standards and guidelines across Australia. She was the lead clinician that developed the Tasmanian Role Delineation Framework and Clinical Services Profile. This work provided the blueprint for health services reform in Tasmania.
Areas of expertise
- Clinical services review
- Health policy
- Public health
- Health services management
Dr. Margaret Steele, HBSc, MD, FRCPC, MEd, DFCPA, CCPE
Dr. Margaret Steele is the first woman Dean of the Faculty of Medicine at Memorial University of Newfoundland. She took on this exciting role as of August 15, 2016. Margaret is a Professor in the Department of Psychiatry. Prior to coming to the Faculty of Medicine at Memorial University of Newfoundland Dr. Steele was the Vice Dean, Hospital & Interfaculty Relations, Schulich School of Medicine & Dentistry for five years. In her previous Vice Dean role, Margaret led the implementation of the SouthWestern Academic Health Network (SWAHN). SWAHN’s goal is to improve patient and population health outcomes by academic integration with community stakeholders in SouthWestern Ontario. Margaret earned her Honours degree in Microbiology and Immunology at Western University in 1983 and completed her MD in 1987. She obtained her Fellowship in Psychiatry in 1992, and in 1993, completed the requirements for the Child and Adolescent Psychiatry Diploma. Margaret earned a Masters of Higher Education from the Ontario Institute of Studies in Education\University of Toronto and became a Fellow of the Hedwig van Ameringen Executive Leadership in Academic Medicine at Drexel University in Philadelphia, Pennsylvania in 2008. In 2012, Margaret became a Distinguished Fellow of the Canadian Psychiatric Association and in 2013 she became a Canadian Certified Physician Executive. She also was the first Canadian who participated in the Association of American Medical Colleges, Council of Dean fellows.
Dr. Keith Storey, PhD
Keith Storey is an economic and social geographer. He trained in Britain and Canada and is currently Director of the Population Project at the Harris Centre, Memorial University and an Honorary Research Professor in Geography at Memorial University. Most of his working life has been spent based in Newfoundland, but his work has taken him to Western Canada, the Canadian North, the United States Gulf Coast, Australia and South America. He has a wide experience in the assessment and management of the social and economic impacts of large-scale resource developments in peripheral and remote areas. His current work with the Population Project seeks to examine the implications of the demographic changes currently faced by Newfoundland and Labrador and to develop policy recommendations to government as to how these might best be addressed.
Mr. Robert Thompson
Mr. Robert Thompson is a graduate of Memorial University (political science), with graduate studies in public administration at York University, and in business administration at Memorial. In 2010, he was appointed Clerk of the Executive Council and Secretary to Cabinet, Government of Newfoundland and Labrador. From 2008-2010, he was Deputy Minister, Department of Natural Resources and from 2007-2008 he served as Secretary to Cabinet (Health Issues). In that position, he managed government’s participation in the Commission of Inquiry on Hormone Receptor Testing, and chaired a Task Force on the management of adverse health events. Between 2003 and 2007, Mr. Thompson was Clerk of the Executive Council and Secretary to Cabinet. His previous positions include Deputy Minister, Department of Health and Community Services (2001 to 2003), and as Deputy Minister of Tourism, Culture and Recreation (1996 to 2001). He has also served as Assistant Secretary to Cabinet for Economic Policy and has held management positions with the Intergovernmental Affairs Secretariat; the Department of Education; the Department of Career Development and Advanced Studies; and, the Department of Rural, Agricultural and Northern Development. Mr. Thompson has also served on the boards of the Canadian Policy Research Networks; Canada Health Infoway Inc.; the Canadian Tourism Commission; the Atlantic Canada Tourism Partnership; the Special Celebrations Corporation; and, in a volunteer capacity, on the boards of the St. John’s Downtown Development Corporation and Shallaway: Newfoundland and Labrador Youth in Chorus. Mr. Thompson resides in St. John’s with his wife Wanda and their daughter Emily.