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EM:POWER Full Report

Section 1: A Systems Approach to the Future of Emergency Care

Chapter 1: Introduction to EM:POWER

Overview of Canada's emergency care challenges, including access block, system complexity, and guiding principles for redesign.

Chapter 2: What Have Emergency Departments Become and What Should They Be?

Examines the evolving role of EDs, misalignment of care, and recommendations for refocusing emergency medicine on acute, time-sensitive conditions.

Section 2: One System, With Many Access Points

Chapter 3: ED Categorization, Quality, and Standards

Proposes a national framework for categorizing EDs and urgent care centres, with standards for quality, staffing, and integration.

Chapter 4: Competencies, Certification, and Teamwork

Discusses emergency medicine competencies, certification pathways, and strategies for building high-functioning interdisciplinary teams.

Chapter 5: System Integration

Explores integration across emergency, primary, and public health care, including EMS coordination and virtual care models.

Chapter 6: Emergency Physician Resource Planning

Introduces the Savage Model for needs-based, behavior-informed physician workforce planning in emergency care.

Section 3: Access Block and Accountability Failure

Chapter 7: Access Block and Accountability Failure

Analyzes systemic access issues and proposes accountability frameworks to improve patient flow and care delivery.

Section 4: Disaster Preparedness

Chapter 8: Disaster Preparedness

Highlights Canada's lack of readiness for disasters and outlines strategies for building resilient, integrated emergency response systems.

Section 5: Adapting and Evolving in a Changing World

Chapter 9: Coevolving in the Research and Quality Ecosystem

Advocates for aligning emergency medicine research with population health needs and integrating it into broader healthcare systems.

Chapter 10: The Future of Digital Health in Emergency Medicine

Explores the role of digital health and virtual care in transforming emergency medicine and achieving the Quintuple Aim.

Chapter 11: Managing Intergroup Relations

Addresses the challenges of collaboration across healthcare silos and proposes strategies for improving intergroup dynamics.

Chapter 12: Emergency Medicine’s Future Role in Health Policy and Advocacy

Emphasizes the importance of emergency physicians in shaping health policy and leading systemic change.

Chapter 13: Emergency Medicine in the Era of Climate Change

Discusses the impact of climate change on emergency care and outlines adaptation and mitigation strategies.

Chapter 14: Building on Values: Justice, Equity, Diversity, and Inclusion (JEDI)

Advocates for embedding JEDI principles in emergency medicine staffing, leadership, and care delivery.

Chapter 15: Lessons from Other Healthcare Systems

Reviews international healthcare systems and identifies best practices for improving emergency care in Canada.

Next Steps

Consolidated Chapter Recommendations

Appendices

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