SMA News Digest (Spring 2014) | Page 5

YOUR SMA alues its privileges above its principles soon loses both.” - Dwight D. Eisenhower health system transformation. There will be a lot of talk in the next few months about appropriateness and making the best choices for all. Physicians ought to endorse the right care, provided by the right provider, to the right patient, in the right venue, at the right time. Ensuring each of these elements is present each time a patient accesses the health system will eliminate the over-use, underuse or misuse of treatments and diagnostic procedures. Part of the privilege of being a physician may be recognition as a leader in the health care system. Physicians must be aware that they are accountable to their colleagues, to other health care providers, and to administrative entities. These providers, in turn, must be aware that they need to work in true collaboration with physicians, enabling patient-centred, team-delivered care, in a sustainable system. When physicians are committed to leading and improving quality, optimal patient outcomes will be achieved and costs will come down. To achieve this, we will require more communication, more collaboration and better quality metrics and reporting. Our participation in accountable care initiatives will ensure that physicians are heard, and are helping to set accountability standards. Principled providers will highly value evidence-based best practices, appropriateness and accountability. We will support, on principle, immunization of health care workers. We support, on principle, diagnosis based on professional clinical assessment. We support, on principle, treatment tailored to true diagnosis. As we, along with the Canadian Medical Association, currently focus on physician professionalism, and the unique value of physicians among other providers, we are reminded of the need to act with integrity in recognizing our own privileges and principles. Sincerely, Dr. Clare Kozroski SMA President [email protected] SMA NEWS DIGEST | SPRING 2014 3