The Market (The Canadian Context)

The healthcare market in Ontario Canada alone is a $50 billion+ industry, and continues to grow exponentially without any signs of slowing down.

With Canada’s changing demographic fabric, increasing legislative compliance and regulatory forces, as well as stretched budgets, this has increased pressures on the healthcare sector and has added new layers of complexity. Our deep and relevant experience in Healthcare & Digital Health, have made us well-positioned and an indispensable partner to leading organizations in this sector.

Our understanding across the healthcare value chain, whether a doctor, patient, payer, or manufacturer, contributes to our ability to help manage these complexities. GEF works with healthcare organizations to fuel innovation, reduce the cost and complexity of the system, and drive value in today’s evolving market.

Our team has been at the forefront of leading, cutting-edge initiatives in Digital Health by bringing our diverse and deep experience, as well as a unique perspective to every healthcare engagement.

We have served the following clients with distinction:

Ontario Government / Agencies / Broader Public Sector (BPS)
  • Ministry of Health and Long-Term Care, Primary Care Branch
  • Ministry of Health and Long-Term Care, Health Network System (Cluster)
  • Ministry of Health and Long-Term Care, Drug Programs Delivery Branch
  • Ministry of Health and Long-Term Care, Digital Health Program Branch
  • Ministry of Health and Long-Term Care, Digital Health Solutions (Cluster)
  • Ministry of Health and Long-Term Care, Ontario Government Pharmaceutical and Medical Supply Service (OGPMSS)
  • Health Services Division, Workplace Safety Insurance Board (WSIB)
  • eHealth Ontario
  • Association of Ontario Health Centres / Alliance for Healthier Communities (AOHC)
  • Ontario Telemedicine Network (OTN)
  • Pediatric Oncology Group Ontario (POGO)
Ontario Hospitals / Shared Services Organization’s / Community Care
  • University Health Network (UHN)
  • St. Joseph’s Healthcare Hamilton (SJHH)
  • Mount Sinai Hospital
  • Queensway Carleton Hospital (QCH) / Champlain LHIN
  • Healthcare Supply Chain Network (HSCN)
  • Community Living Toronto
  • Ontario Association of Community Care Access Centres (OACCAC) / Health Shared Services Ontario (HSSO)
Federal / Pan Canadian / Private Sector
  • Health Canada
  • Canada Health Infoway(CHI)
  • Canadian Institute for Health Information (CIHI)
  • Canadian Medical Equipment Protection Plan (CMEPP)
  • Shoppers Drug Mart(SDM)

Sample Engagement No. 1 (Business Transformation Services)

In 2019, GEF was engaged by a leading Canadian healthcare organization that champions childhood cancer care to understand the business processes from end-to-end (current state), as it relates to its survivorship and aftercare programs and then develop future state requirements in order to make recommendations in support of its long-term roadmap. GEF also compiled an inventory of business processes and made recommendations for greater efficiency and closer alignment to its strategic goals.

Sample Engagement No. 2 (Business Transformation Services)

GEF conducted a Hospital Utilization and Efficiency Review for the Pharmacy function at one of the largest hospitals in Ontario, Canada, with the goal of improving utilization, effectiveness and efficiency in order to optimize aspects of this important business and clinical functions. This included: Analysis the current state (“as is”) environment; Established benchmark productivity rates and KPI’s for the current pharmacy drug distribution processes identified (e.g. Dispensing First Doses of Medications, Missing Medication Doses, Overrides in Automated Dispensing Cabinets); Identified opportunities for improved efficiencies within the current workflow; Conducted an external scan (“benchmarking”) and analysis of other comparable hospital inpatient pharmacy KPI’s, to assist in making recommendations to SJHH; Developed a cost efficient future state (“to be”) pharmacy service model for SJHH within an electronic health record environment to identify, evaluate and support like processes in the future electronic health record environment, which includes the replacement of the current Pharmacy Information System, implementation of a Computerized Prescriber Order Entry, moving to an electronic Medication Administration Record, and bedside barcode verification, prior to medication administration.

Sample Engagement No. 3 (Strategic Procurement Advisory)

GEF was retained to recover the procurement phase of a very large healthcare solution and services procurement. The Client was seeking to procure an innovative and flexible best-of-breed hosted and managed Drug Adjudication and Formulary Management solution in order to achieve key strategic goals. Their goals included implementing a new customer centric business model that would achieve adjudication excellence, that would support their strategy of "digital first", and that enabled sound financial stewardship. The Client realized their approach to the project was not aligned to their strategic goals, and they selected GEF to rapidly implement a new approach and methodology to produce a high-quality procurement that would achieve the desired strategic outcomes.

Sample Engagement No. 4 (IT Advisory)

In order to inform future direction, GEF was engaged to conduct a study on a province wide drug adjudication system focusing on a technical & security assessment of the current solution, along with an application portfolio analysis and supported by curated international market research. Some of the fundamental questions we answered were: Does the existing service delivery model align with current business and technical trends and industry best practices in the delivery of I&IT managed services? What are the inherent risks in current and emerging (Blockchain) technology platforms? What are Industry best practices for application development strategies within a managed services contract structure?

Sample Engagement No. 5 (Strategic Delivery / Program Management)

One of the significant challenges facing Canada’s health system is the need to improve the management of prescription medication. Since 2016, our Client has been working with the provinces and territories and other stakeholders to establish a multi-jurisdiction e-Prescribing Solution (“PrescribeIT”) that would facilitate better, safer, more cost-effective and more appropriate prescription drug use by Canadians. Within a two-year timeframe, the objective of the program was to develop and conduct a limited production release of PrescribeIT that allowed prescribers (i.e. doctors) to transmit a prescription to a patient’s pharmacy of choice electronically. During this time, GEF exclusively provided program management services to provide short and long-term planning, strategic alignment, leadership, subject matter expertise, program & project management, operational oversight, negotiation, monitoring, and risk management to ensure the successful roll-out and Pan-Canadian implementation of the program.