Health System Redesign

Moving forward: Physicians co-designing an integrated health system for Saskatchewan

Since March 2016, the leadership of the Saskatchewan Medical Association has engaged its members in discussions about health system redesign. At its simplest, health redesign is about building a more integrated health system, one that provides better outcomes for patients and a better work environment for physicians. Click here to view the infographic.

For physicians, health system redesign encompasses the following four themes:

  • Relationships: How can physicians be more fully integrated into the system, and how can the system better partner with physicians?

  • Leadership: What leadership roles should physicians play within the health-care system, and what capabilities and skills do physicians need to fill these roles?

  • Data and accountability: What data and analysis supports are needed to help physicians build evidence-informed improvement into practice? What does accountability look like within a redesigned system?

  • Compensation: How can we best align physician compensation models with improvements in patient care and physician work-life balance?

What our members think of health system redesign

At the 2016 Spring Representative Assembly (RA) and at the 2016 Fall RA, SMA leadership, members and others discussed these ideas at length. There was a consensus that the SMA needed to hear from a wider swath of the membership. The 2017 survey on health system redesign was administered from Jan. 16 to Feb. 5, 2017. Close to 650 physicians participated in the survey, which asked their opinions on a range of issues including team-based care, data and accountability, compensation and physician participation in health system redesign.

The results (linked below) show that there is widespread support for moving in the direction that enables physicians to participate in the planning, management and governance of the health system.

Results - 2017 SMA Survey on Health System Redesign

Background materials

Summary of Redesign Discussions and Context from May to October 2016
Excerpt from the 2016 Fall Representative Assembly Delegate Package. This essay provides a good overview of the SMA discussions and activites on health system redesign leading up to the 2016 Fall RA.

Discussion Paper from May 2016
In advance of the 2016 Spring Representative Assembly, the SMA Board of Directors circulated this discussion paper which gives a good overview of the issues related to modernization and health system redesign.

2016 Fall Representative Assembly

The SMA's 2016 Fall Representative Assembly was held in Regina on Nov. 4 and 5, 2016.

President's Address by Dr. Intheran Pillay

2016 Fall RA resolutions

While many resolutions are aimed at improving and redesiging aspects of the health-care system, please note resolution number 29, linked above, as it explicitly comments on the SMA's commitment to building a more integrated health care system.

Related links

Articles and presentations related to Kaiser Permanente's Learning Visit to Saskatchewan (March 13-14, 2017):

Presentations by Dr. Bernadette Loftus:

Four Themes Discussion

Webinar Notes


Learning from Kaiser Permanente: Integrated Systems and Healthcare in Canada

How Multi-Specialty Hubs Fill a Major Gap in the Care Continuum

What Health Systems Can Learn From Kaiser Permanente: An Interview with Hal Wolf

Kaiser Permanente: Bridging the Quality Divide with Integrated Practice, Group Accountability, and Health Information Technology

Articles Related to Dr. Danielle Martin visit:

Interview with Dr. Danielle Martin, author of Better Now: Six Big Ideas to Improve Health Care for All Canadians 

Globe and Mail book review - Dr. Danielle Martin's Better Now: Six Big Ideas to Improve Health Care for All Canadians


Op-ed by SMA president Dr. Intheran Pillay in Leader-post/StarPhoenix (Feb. 16, 2017): Doctors ready to help redesign health system

Canadian Society of Physician Leaders - White Paper: Accepting our responsibility: a blueprint for physician leadership in transforming Canada's health care system

Globe and Mail column by André Picard - The real health-care change we need? Strong leadership

The Doctors' Revolt - a Toronto Life article by Philip Preville which recounts the
issues and challenges facing the Ontario Medical Association.

Remarks to Canadian Medical Association General Council 2016 - Dr. Jane Philpott

Remarks to Canadian Medical Association General Council 2016 - Dr. Granger Avery (video)

Interested in getting involved in health system redesign?

Please send your comments and suggestions to