A policy, planning and research analyst with the Department of Research and Innovation at Eastern Health in St. John's, NL. He is experienced in research and evaluation methods, with a focus on user-centred research and testing of innovative healthcare products and services. He can be reached by e-mail at
A health economist and works primarily with Eastern Health in St. John's, NL. He also teaches economics at Memorial University. He has been involved in analysing and making recommendations on provincial healthcare policy and funding related to innovation, pharmaceutical products and technologies, program evaluations, physician funding and payment models and primary healthcare renewal initiatives.
Healthc Q. 2022 Apr;25(1):36-42. doi: 10.12927/hcq.2022.26808.
Eastern Health (EH) is the most populous of four Regional Health Authorities in Newfoundland and Labrador. In 2017, EH realized the potential impact that healthcare innovation could have on improving patient care, its outcomes as well as provincial economic development. This paper describes EH's innovation journey with "vested contracting," a relatively rare approach in Canada, for its procurement of management services for support activities, such as housekeeping, laundry, patient/resident food services, retail food services and portering. Through individual interviews with EH executives, directors and the successful vendor, this paper describes the system changes needed to accommodate "vested contracting," the burden associated with learning and changing the procurement process and lessons learned.
东海岸健康（EH）是纽芬兰和拉布拉多四个地区卫生局中人口最多的一个。2017 年，EH 意识到医疗保健创新可能会对改善患者护理、改善结果以及省级经济发展产生的潜在影响。本文描述了 EH 的创新之旅，采用了“委托承包”这一在加拿大相对较少见的方法，用于采购支持活动（如家政、洗衣、患者/居民餐饮服务、零售餐饮服务和搬运）的管理服务。通过对 EH 高管、董事和成功供应商的个人访谈，本文描述了适应“委托承包”所需的系统变更、学习和改变采购流程的相关负担以及所吸取的经验教训。
