
In this episode of Chats on Change, interim Nova Scotia Health CEO Karen Oldfield sits down with acclaimed health journalist André Picard for a wide-ranging discussion on the state of Canada’s healthcare system. As one of the country’s most respected voices on health policy, Picard shares his insights on interprovincial barriers, healthcare funding, workforce challenges, and the need for greater national coordination. The conversation explores innovative approaches happening in Nova Scotia, including physician mobility, a new internal travel nurse program, and the role of technology in modernizing care.
Picard also highlights lessons Canada can learn from European healthcare models, emphasizing the importance of data integration, prevention-focused care, and streamlined services. He and Oldfield discuss the power of artificial intelligence, predictive analytics, and how the healthcare system must evolve to remain sustainable. Thought-provoking and insightful, this episode is a must-listen for anyone interested in the future of Canadian healthcare.
Links:
https://www.andrepicard.com
https://www.nshealth.ca/news-and-notices/impact-c3-communication-and-collaboration-nova-scotia-health-insights-katelyn
https://www.nshealth.ca/care-coordination-centre-c3
Recent Articles:
- If Canada is tearing down interprovincial barriers, let’s start with health care
https://www.theglobeandmail.com/opinion/article-if-canada-is-tearing-down-interprovincial-barriers-lets-start-with/
- Canada needs a plan to help struggling caregivers
https://www.theglobeandmail.com/opinion/article-canada-needs-a-plan-to-help-struggling-caregivers/
- The first War on Drugs was a complete failure
https://www.theglobeandmail.com/opinion/article-the-first-war-on-drugs-was-a-complete-failure-a-fact-donald-trump/
- The Dutch and Danes have much to teach Canada about better health care
https://www.theglobeandmail.com/opinion/article-the-dutch-and-danes-have-much-to-teach-canada-about-better-health-care/
- Does the Canada Health Act require reinterpretation, or a more fundamental rethink?
https://www.theglobeandmail.com/opinion/article-does-the-canada-health-act-require-reinterpretation-or-a-more/
Mar 27, 2025
31 min

In this episode of "Chats On Change," interim CEO Karen Oldfield hosts a conversation with three distinguished doctors who are also innovators in residence at Nova Scotia Health. Doctor Karen Cross, a plastic and reconstructive surgeon, leads the Wound Innovation Collaborative and co-founded Mimosa Diagnostics to enhance skin health through early interventions. Doctor Amanda Caissie, head of Dalhousie University's Department of Radiation Oncology, focuses on data standardization and artificial intelligence in radiation oncology to improve patient care. Doctor Michael Dunbar, an orthopedic surgeon, works on increasing the precision of surgical techniques using robotics and mobile technology.
The discussion highlights the transformative impact of data and digital solutions on patient care in Nova Scotia. The doctors emphasize the importance of data standardization, access to care, and the need for a unified electronic medical record system. They also address the challenges of procurement and the significance of adopting Canadian innovation to improve the health system. This episode provides valuable insights into how innovative approaches are shaping the future of healthcare in the region.
Mar 25, 2025
34 min

In this episode of Chats on Change, interim Nova Scotia Health CEO Karen Oldfield welcomes Dave Benoit, CEO of Build Nova Scotia, for a deep dive into the province’s ambitious infrastructure projects. With a background in military leadership and healthcare planning, Dave shares insights into major developments, including hospital expansions in Cape Breton and the highly anticipated QEII redevelopment. He discusses how these projects are enhancing healthcare accessibility, driving economic growth, and creating long-term careers in skilled trades.
The conversation also covers the urgency of building modern healthcare facilities, the challenges of large-scale infrastructure, and the strategic planning behind Nova Scotia’s rapid growth. Dave highlights Build Nova Scotia’s role in shaping the province’s future while ensuring that projects are completed efficiently and at the right cost. Tune in for a fascinating discussion on how infrastructure is transforming healthcare for Nova Scotians.
Note: This episode was recorded in January 2025. In February 2025 (https://news.novascotia.ca/en/2025/02/19/qeii-halifax-infirmary-expansion-enters-main-construction-phase), the Government of Nova Scotia finalized its agreement with Plenary PCL Health to build the new acute care tower, part of the QEII Halifax Infirmary Expansion project.
LINK to Skilled Trades contact: https://www.nsapprenticeship.ca/get-started/pathways-certification#:~:text=Direct%20entry%20into%20apprenticeship%20can,train%20them%20as%20an%20apprentice.
LINK to photo of QEII Halifax Infirmary Expansion Project: https://www.nshealth.ca/sites/default/files/styles/medium/public/2025-03/HIEP%20Drone_2024_July%203_Edited_2.jpg?itok=7Ol6mzB-
Mar 17, 2025
34 min

In this episode of Chats on Change, interim Nova Scotia Health CEO Karen Oldfield sits down with Dr. Julie Maranda, Chief Medical Information Officer, One Person, One Record, to discuss the transformative One Person One Record (OPOR) project. Dr. Maranda, an experienced physician and healthcare leader, shares insights from her extensive career, including past implementations of digital health systems. They explore how OPOR will streamline healthcare across the province by providing a unified digital health record—reducing errors, improving transparency, and ultimately enhancing patient care.
Dr. Maranda and Oldfield also discuss the challenges and opportunities of implementing a project of this scale, emphasizing the importance of change management and collaboration. With OPOR set to roll out in phases, they highlight the expected benefits for both healthcare providers and patients, particularly those in rural areas. Plus, Dr. Maranda shares her personal experiences of moving to Nova Scotia, her impressions of the province, and what she looks forward to exploring next.
Feb 26, 2025
27 min

In this episode of Chats on Change, interim President and CEO Karen Oldfield sits down with Jason Shannon, President of Shannex Inc., a leader in senior living and healthcare services across Nova Scotia, New Brunswick, and Ontario. Together, they highlight Shannex's innovative initiatives, such as Parkland on the Common, and their groundbreaking new healthcare partnership with Nova Scotia Health - West Bedford Transitional Health.
Jason shares insights into creating vibrant, community-oriented spaces that prioritize patient-centered care and integrate cutting-edge technology to improve mobility and foster independence. This conversation highlights how collaboration and innovation are driving the future of healthcare, with a focus on restorative care that helps patients return home.
Links:
https://www.nshealth.ca/locations-and-facilities/west-bedford-transitional-health
https://shannex.com/living-options/transitional-health/
Jan 5, 2025
30 min

In this episode of Chats on Change, interim CEO Karen Oldfield speaks with Lewis Bedford, Sr. Director of Clinical Networks for Nova Scotia Health’s Diagnostic and Therapeutic Services Network, about transforming diagnostic imaging and its impact on patient care. Lewis shares insights into his four years leading innovation in diagnostic services, focusing on integrating provincial systems to streamline processes for MRIs, CT scans, and ultrasounds. He emphasizes the move from paper-based to digital systems, which is key to reducing wait times and ensuring equitable access for patients across the province. This conversation also highlights the collaborative efforts with co-leader Dr. Tim Mailman, whose expertise complements Lewis’s in reshaping diagnostic services.
The discussion delves into the implementation of centralized electronic referral platform, the introduction of cutting-edge equipment such as relocatable MRIs, and partnerships to manage increasing demands. Lewis also addresses challenges like recruitment of medical radiation technologists and leveraging international talent to support Nova Scotia Health’s ambitious goals. The episode closes with a celebration of the dedicated frontline teams and an optimistic look at the continued evolution of diagnostic imaging in Nova Scotia. You can learn more about efforts to improve and transform diagnostic imaging access here. https://www.nshealth.ca/improving-diagnostic-imaging-access-and-care
Jan 5, 2025
30 min

In this episode of Chats on Change, Nova Scotia Health’s interim CEO Karen Oldfield sits down with Scott McKenna, Chief Information Officer, to discuss the transformative impact of digital innovation in health care. Scott shares insights into his journey since joining Nova Scotia Health, highlighting the success of the YourHealthNS app, which has already connected over half a million Nova Scotians to vital health resources and records. The conversation delves into the importance of empowering patients with accessible health data, building trust, and integrating systems to streamline care delivery.
Scott also outlines the future of digital health in Nova Scotia, from enhancing appointment scheduling and reminders to leveraging AI for better navigation of services. The discussion touches on efforts to bridge the digital divide, ensuring equal access for all Nova Scotians. Tune in to hear how these advancements are reshaping health care and what lies ahead for the province’s digital health strategy.
Dec 16, 2024
28 min

In this episode of Chats on Change, Karen welcomes Dr. Nicole Boutilier, Executive Vice President of Medicine and Clinical Operations at Nova Scotia Health. With over 20 years of medical practice in rural Nova Scotia, Dr. Boutilier shares her journey and insights into driving systemic improvements in healthcare delivery. They discuss the concept of "operational excellence," emphasizing alignment, accountability, and a culture of continuous improvement. Dr. Boutilier explains how initiatives like the daily management system and huddle boards empower healthcare teams to solve problems collaboratively, creating efficiencies and enhancing care quality.
The conversation delves into significant achievements such as the progress toward primary care for all Nova Scotians, the impact of integrated health strategies, and the transformative potential of artificial intelligence in healthcare. Dr. Boutilier also highlights the innovative discharge hub initiative, which prioritizes patient transitions and home-based care. With a forward-looking approach, this episode offers a deep dive into the challenges and successes shaping healthcare in Nova Scotia.
Dec 16, 2024
30 min

In this episode of Chats on Change, Dr. Jack Rasmussen, a plastic surgeon and critical care physician specializing in burn and wound care, speaks with Nova Scotia Health interim CEO Karen Oldfield. Dr. Rasmussen discusses his journey, from his upbringing in Antigonish to his medical training at Dalhousie University and specialized fellowship in burn care at Toronto’s Ross Tilley Burn Centre. Since joining Nova Scotia’s QEII Health Sciences Centre in 2018, he has been pivotal in transforming burn care across the Maritimes.
Dr. Rasmussen also delves into the advancements in burn care, including dermal regeneration templates and new grafting techniques, which significantly improve recovery outcomes and reduce the number of surgeries for patients with severe burns. He also discusses emerging technologies, such as laser therapy for scars, which he hopes to bring to Nova Scotia in the future. Additionally, he mentions the important support role played by the Nova Scotia Firefighters Burn Treatment Society, which helps fund crucial equipment and resources. Dr. Rasmussen shares his vision for advancing care through ongoing education initiatives, like the Burn Care Education Day, aimed at empowering healthcare providers across the Maritimes to deliver high-quality, localized burn care, minimizing the need for patients to travel to Halifax.
Nov 6, 2024
31 min
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