Greg Steer
@steerg.bsky.social
Enterprise Coach and Mentor. Retired from executive positions in the public and private sectors, I’ve developed and applied models (statistical, simulation, business) to provide insight into complex systems and guide transformation.
Canadians deserve and expect an open, transparent and accountable government that delivers services and policies informed by evidence and science, not nonsense and conspiracy. The Canadian Medical Association (CMA) should break ties with the American Medical Association (AMA).
Florida just equated childhood vaccination with slavery.
The CMA’s response? Linking arms with the AMA—an institution that looked away as disinformation captured U.S. medicine.
Solidarity isn’t policy. Canada needs independence, not borrowed outrage.
#CanMed #CdnPoli #HealthPolicy
The CMA’s response? Linking arms with the AMA—an institution that looked away as disinformation captured U.S. medicine.
Solidarity isn’t policy. Canada needs independence, not borrowed outrage.
#CanMed #CdnPoli #HealthPolicy
Why the CMA Must Break with the AMA
If the CMA follows AMA’s lead, it is only a matter of time before convoy-aligned doctors in Canada are positioned as “experts” inside Ottawa.
open.substack.com
September 6, 2025 at 9:47 PM
Canadians deserve and expect an open, transparent and accountable government that delivers services and policies informed by evidence and science, not nonsense and conspiracy. The Canadian Medical Association (CMA) should break ties with the American Medical Association (AMA).
BC healthcare can’t routinely expect heroics to deliver care & manage service. We need fewer execs & managers, ones with fresh ideas, & who are empowered & accountable for service.
If this was hockey, our team has great players but needs a better coach.
#bcpoli
vancouver.citynews.ca/2025/08/01/n...
If this was hockey, our team has great players but needs a better coach.
#bcpoli
vancouver.citynews.ca/2025/08/01/n...
'Good luck, see you later': doctors left to fill gaps in Northern B.C. maternity care
A group of doctors in Prince George has stepped up to cover unfilled shifts in the city's hospital amid a shortage of obstetric specialists.
vancouver.citynews.ca
August 2, 2025 at 3:49 AM
BC healthcare can’t routinely expect heroics to deliver care & manage service. We need fewer execs & managers, ones with fresh ideas, & who are empowered & accountable for service.
If this was hockey, our team has great players but needs a better coach.
#bcpoli
vancouver.citynews.ca/2025/08/01/n...
If this was hockey, our team has great players but needs a better coach.
#bcpoli
vancouver.citynews.ca/2025/08/01/n...
🇨🇦 It’s not a tech problem. We need to address health info stewardship roles & resps (esp data ownership) before implementing technology. Patients should own their medical info & authorise its use (e.g. role-based access). Not tech companies.
#cdnhealth #bchealth
www.theguardian.com/technology/2...
#cdnhealth #bchealth
www.theguardian.com/technology/2...
Trump administration launching health tracking system with big tech’s help
Initiative involving Americans’ personal data on systems run by private firms has ‘enormous concerns’, say experts
www.theguardian.com
July 31, 2025 at 8:01 PM
🇨🇦 It’s not a tech problem. We need to address health info stewardship roles & resps (esp data ownership) before implementing technology. Patients should own their medical info & authorise its use (e.g. role-based access). Not tech companies.
#cdnhealth #bchealth
www.theguardian.com/technology/2...
#cdnhealth #bchealth
www.theguardian.com/technology/2...
While we wait (& pay) for the #bchealth review to find admin savings, the opportunity to lean out the exec suite and consolidate health authorities to save money and improve service seems obvious 🤷🏼♂️
#bcpoli #cdnhealth
This review was done, for free
gregsteer.substack.com/p/streamlini...
#bcpoli #cdnhealth
This review was done, for free
gregsteer.substack.com/p/streamlini...
July 17, 2025 at 4:31 PM
While we wait (& pay) for the #bchealth review to find admin savings, the opportunity to lean out the exec suite and consolidate health authorities to save money and improve service seems obvious 🤷🏼♂️
#bcpoli #cdnhealth
This review was done, for free
gregsteer.substack.com/p/streamlini...
#bcpoli #cdnhealth
This review was done, for free
gregsteer.substack.com/p/streamlini...
Reposted by Greg Steer
I traded my U.S. medical career for life in Canada. Here’s how the two health systems stack up. #Doxit 🇨🇦
@canadahealthwatch.ca
@canadahealthwatch.ca
I traded my U.S. medical career for life in Canada. Here’s how the…
The differences hit me immediately, and are profound.
canadahealthwatch.ca
July 12, 2025 at 9:28 AM
I traded my U.S. medical career for life in Canada. Here’s how the two health systems stack up. #Doxit 🇨🇦
@canadahealthwatch.ca
@canadahealthwatch.ca
Lower pressure on Emergency Depts:
- Enhance 911 to coord on scene emerg care, not just dispatch
- Transfer custody of primary care medical records fr physicians to govt agency &
- 🇨🇦 std EMR
so EMS & Emerg Docs access medical history in pt’s EMR
#cdnhealth
gregsteer.substack.com/p/rethinking...
- Enhance 911 to coord on scene emerg care, not just dispatch
- Transfer custody of primary care medical records fr physicians to govt agency &
- 🇨🇦 std EMR
so EMS & Emerg Docs access medical history in pt’s EMR
#cdnhealth
gregsteer.substack.com/p/rethinking...
Rethinking Emergency Medical Services
Healthcare in Canada
gregsteer.substack.com
July 8, 2025 at 1:17 AM
Lower pressure on Emergency Depts:
- Enhance 911 to coord on scene emerg care, not just dispatch
- Transfer custody of primary care medical records fr physicians to govt agency &
- 🇨🇦 std EMR
so EMS & Emerg Docs access medical history in pt’s EMR
#cdnhealth
gregsteer.substack.com/p/rethinking...
- Enhance 911 to coord on scene emerg care, not just dispatch
- Transfer custody of primary care medical records fr physicians to govt agency &
- 🇨🇦 std EMR
so EMS & Emerg Docs access medical history in pt’s EMR
#cdnhealth
gregsteer.substack.com/p/rethinking...
Aviation requires a high level of teamwork and communication. While participants speak many languages in a global system, there’s only one language of aviation. English.
Why not one EMR for primary care medical records, federally licensed and provincially administered?
#cdnhealth #bchealth
Why not one EMR for primary care medical records, federally licensed and provincially administered?
#cdnhealth #bchealth
June 7, 2025 at 10:08 PM
Aviation requires a high level of teamwork and communication. While participants speak many languages in a global system, there’s only one language of aviation. English.
Why not one EMR for primary care medical records, federally licensed and provincially administered?
#cdnhealth #bchealth
Why not one EMR for primary care medical records, federally licensed and provincially administered?
#cdnhealth #bchealth
The problem with healthcare information in Canada is roles and responsibilities, not technology. #ehealth25 #cdnhealth #cdnpoli
gregsteer.substack.com/p/the-traged...
gregsteer.substack.com/p/the-traged...
June 2, 2025 at 5:30 PM
The problem with healthcare information in Canada is roles and responsibilities, not technology. #ehealth25 #cdnhealth #cdnpoli
gregsteer.substack.com/p/the-traged...
gregsteer.substack.com/p/the-traged...
Govt can ensure Canadians control their medical info & enable team care:
1️⃣ Fed legislation on patient’s data rights
2️⃣ National std EMR hosted in 🇨🇦, subject to 🇨🇦 law
3️⃣ Govt custodians of primary care medical records, not doctors
#cdnhealth
@hannay.bsky.social
gregsteer.substack.com/p/privacy-an...
1️⃣ Fed legislation on patient’s data rights
2️⃣ National std EMR hosted in 🇨🇦, subject to 🇨🇦 law
3️⃣ Govt custodians of primary care medical records, not doctors
#cdnhealth
@hannay.bsky.social
gregsteer.substack.com/p/privacy-an...
Privacy and Use of Primary Care Medical Records
Healthcare in Canada
gregsteer.substack.com
May 8, 2025 at 5:40 PM
Govt can ensure Canadians control their medical info & enable team care:
1️⃣ Fed legislation on patient’s data rights
2️⃣ National std EMR hosted in 🇨🇦, subject to 🇨🇦 law
3️⃣ Govt custodians of primary care medical records, not doctors
#cdnhealth
@hannay.bsky.social
gregsteer.substack.com/p/privacy-an...
1️⃣ Fed legislation on patient’s data rights
2️⃣ National std EMR hosted in 🇨🇦, subject to 🇨🇦 law
3️⃣ Govt custodians of primary care medical records, not doctors
#cdnhealth
@hannay.bsky.social
gregsteer.substack.com/p/privacy-an...
Fed govt could
✅ protect 🇨🇦 med info
⬇️ cost
⬇️ admin burden
⬆️ health research
⬆️ healthcare svcs
by
✅ standardising & licensing
- one EMR for primary care
- one EHR for acute care
✅ requiring vendors to locate apps & data in 🇨🇦 data centres.
#cdnpoli #cdnhealth
www.ctvnews.ca/health/artic...
✅ protect 🇨🇦 med info
⬇️ cost
⬇️ admin burden
⬆️ health research
⬆️ healthcare svcs
by
✅ standardising & licensing
- one EMR for primary care
- one EHR for acute care
✅ requiring vendors to locate apps & data in 🇨🇦 data centres.
#cdnpoli #cdnhealth
www.ctvnews.ca/health/artic...
Protect ‘valuable’ Canadian health data from Trump’s AI aspirations, experts urge
Medical researchers and lawyers say our rocky relationship with the U.S. creates an urgent need to protect a critical Canadian resource: patient health information that can be used to train artificial...
www.ctvnews.ca
April 24, 2025 at 3:38 PM
Fed govt could
✅ protect 🇨🇦 med info
⬇️ cost
⬇️ admin burden
⬆️ health research
⬆️ healthcare svcs
by
✅ standardising & licensing
- one EMR for primary care
- one EHR for acute care
✅ requiring vendors to locate apps & data in 🇨🇦 data centres.
#cdnpoli #cdnhealth
www.ctvnews.ca/health/artic...
✅ protect 🇨🇦 med info
⬇️ cost
⬇️ admin burden
⬆️ health research
⬆️ healthcare svcs
by
✅ standardising & licensing
- one EMR for primary care
- one EHR for acute care
✅ requiring vendors to locate apps & data in 🇨🇦 data centres.
#cdnpoli #cdnhealth
www.ctvnews.ca/health/artic...
Objective of BC healthcare review should be to improve healthcare (which includes efficiency), not just reduce admin costs.
We can achieve this objective
gregsteer.substack.com/p/case-study...
strategically, affordably, quickly
gregsteer.substack.com/p/team-based...
#bchealth #cdnhealth
We can achieve this objective
gregsteer.substack.com/p/case-study...
strategically, affordably, quickly
gregsteer.substack.com/p/team-based...
#bchealth #cdnhealth
Case Study #1: Healthcare Service Model
Healthcare in British Columbia
gregsteer.substack.com
April 17, 2025 at 7:06 PM
Objective of BC healthcare review should be to improve healthcare (which includes efficiency), not just reduce admin costs.
We can achieve this objective
gregsteer.substack.com/p/case-study...
strategically, affordably, quickly
gregsteer.substack.com/p/team-based...
#bchealth #cdnhealth
We can achieve this objective
gregsteer.substack.com/p/case-study...
strategically, affordably, quickly
gregsteer.substack.com/p/team-based...
#bchealth #cdnhealth
Data interoperability among primary care EMRs won’t really help. One EMR federally licensed & provincially administered:
⬇️ admin burden
⬆️ team-based care (primary, acute)
⬇️ cost
⬆️ privacy
Faster Better Cheaper
#bchealth #cdnhealth
@markhollandlib.bsky.social
gregsteer.substack.com/p/stewardshi...
⬇️ admin burden
⬆️ team-based care (primary, acute)
⬇️ cost
⬆️ privacy
Faster Better Cheaper
#bchealth #cdnhealth
@markhollandlib.bsky.social
gregsteer.substack.com/p/stewardshi...
Stewardship of Healthcare Information
Healthcare in British Columbia
gregsteer.substack.com
April 17, 2025 at 4:54 PM
Data interoperability among primary care EMRs won’t really help. One EMR federally licensed & provincially administered:
⬇️ admin burden
⬆️ team-based care (primary, acute)
⬇️ cost
⬆️ privacy
Faster Better Cheaper
#bchealth #cdnhealth
@markhollandlib.bsky.social
gregsteer.substack.com/p/stewardshi...
⬇️ admin burden
⬆️ team-based care (primary, acute)
⬇️ cost
⬆️ privacy
Faster Better Cheaper
#bchealth #cdnhealth
@markhollandlib.bsky.social
gregsteer.substack.com/p/stewardshi...
The problem with 🇨🇦 healthcare is mostly service delivery (provincial), not funding (federal). Fed govt could select and provide a std EMR (primary care) & a std EHR (acute care) to fix data interop, ⬇️ cost, ⬇️ admin burden & ⬆️ privacy.
#cdnpolitics #cdnhealth
gregsteer.substack.com/p/federal-he...
#cdnpolitics #cdnhealth
gregsteer.substack.com/p/federal-he...
Federal Healthcare Policy
Healthcare in Canada
gregsteer.substack.com
April 14, 2025 at 1:30 AM
The problem with 🇨🇦 healthcare is mostly service delivery (provincial), not funding (federal). Fed govt could select and provide a std EMR (primary care) & a std EHR (acute care) to fix data interop, ⬇️ cost, ⬇️ admin burden & ⬆️ privacy.
#cdnpolitics #cdnhealth
gregsteer.substack.com/p/federal-he...
#cdnpolitics #cdnhealth
gregsteer.substack.com/p/federal-he...
British Columbia needs an efficient healthcare system designed for the future, not a legacy system from the past.
#bchealth #cdnhealth
gregsteer.substack.com/p/bc-health-...
#bchealth #cdnhealth
gregsteer.substack.com/p/bc-health-...
April 11, 2025 at 11:40 PM
British Columbia needs an efficient healthcare system designed for the future, not a legacy system from the past.
#bchealth #cdnhealth
gregsteer.substack.com/p/bc-health-...
#bchealth #cdnhealth
gregsteer.substack.com/p/bc-health-...
BC should review all Health Authorities at once, not sequentially. We don’t need 6. One HA would lower cost, improve patient outcomes, and steward healthcare information.
#bchealth #cdnhealth
gregsteer.substack.com/p/stewardshi...
#bchealth #cdnhealth
gregsteer.substack.com/p/stewardshi...
April 11, 2025 at 10:39 PM
BC should review all Health Authorities at once, not sequentially. We don’t need 6. One HA would lower cost, improve patient outcomes, and steward healthcare information.
#bchealth #cdnhealth
gregsteer.substack.com/p/stewardshi...
#bchealth #cdnhealth
gregsteer.substack.com/p/stewardshi...
Review of BC Healthcare System
- Gated project? ✅
- Staffing freeze limited to exec, admin & support ✅
- Sequential review of each Health Authority ❌
Review all HAs. One HA would lower cost and deliver better team-based care.
#bchealth #cdnhealth
gregsteer.substack.com/p/streamlini...
- Gated project? ✅
- Staffing freeze limited to exec, admin & support ✅
- Sequential review of each Health Authority ❌
Review all HAs. One HA would lower cost and deliver better team-based care.
#bchealth #cdnhealth
gregsteer.substack.com/p/streamlini...
April 11, 2025 at 6:03 PM
Review of BC Healthcare System
- Gated project? ✅
- Staffing freeze limited to exec, admin & support ✅
- Sequential review of each Health Authority ❌
Review all HAs. One HA would lower cost and deliver better team-based care.
#bchealth #cdnhealth
gregsteer.substack.com/p/streamlini...
- Gated project? ✅
- Staffing freeze limited to exec, admin & support ✅
- Sequential review of each Health Authority ❌
Review all HAs. One HA would lower cost and deliver better team-based care.
#bchealth #cdnhealth
gregsteer.substack.com/p/streamlini...
Here’s a (short) scenario that illustrates how extending the proven, team-based healthcare service model used in acute care to primary care can better deliver healthcare.
gregsteer.substack.com/p/primary-ca...
gregsteer.substack.com/p/primary-ca...
Primary Care in Lake Cowichan
Healthcare in BC
gregsteer.substack.com
April 5, 2025 at 6:40 PM
Here’s a (short) scenario that illustrates how extending the proven, team-based healthcare service model used in acute care to primary care can better deliver healthcare.
gregsteer.substack.com/p/primary-ca...
gregsteer.substack.com/p/primary-ca...
We can have timely and effective healthcare for everyone, everywhere by extending the proven, team-based healthcare model used in acute care to primary care. It’s not just technology.
gregsteer.substack.com/p/team-based...
gregsteer.substack.com/p/team-based...
April 5, 2025 at 6:34 PM
We can have timely and effective healthcare for everyone, everywhere by extending the proven, team-based healthcare model used in acute care to primary care. It’s not just technology.
gregsteer.substack.com/p/team-based...
gregsteer.substack.com/p/team-based...
The business model (roles and responsibilities) for managing health information is obsolete and broken. Interoperability is an expensive and complex band aid.
@hannay.bsky.social
gregsteer.substack.com/p/improving-...
@hannay.bsky.social
gregsteer.substack.com/p/improving-...
April 5, 2025 at 6:30 PM
The business model (roles and responsibilities) for managing health information is obsolete and broken. Interoperability is an expensive and complex band aid.
@hannay.bsky.social
gregsteer.substack.com/p/improving-...
@hannay.bsky.social
gregsteer.substack.com/p/improving-...