Shift: Conversations on Changing Canadian Health Care

28 Episodes

Reverse

The 90% Code: The New Leadership Model for the AI Era

2026-10-2747:22

In this episode Kyla sits down with Sonali Sharma, author of The 90% Code: Rewriting Power for the AI Era, for a wide-ranging conversation about power, leadership, and how we might build systems that run on the intelligence and agency of the many rather than the authority of the few. Using Bill Sharpe’s Three Horizons model as a guide, they start with Horizon One: the “hero model” of leadership, which Sonali argues is dying for both moral and functional reasons, and which AI is now unde...

How Scotland Built a National Approach to Health System Change

2026-10-1354:51

In August 2026 Kyla sat down with Dr. Clare Morrison, Director of Engagement and Change at Healthcare Improvement Scotland, and Diana Hekerem, Associate Director of Transformational Change, to talk about the Scottish Approach to Change — a national framework for change that launched across Scotland's health and social care system in November 2025. Built around five enablers and eight steps, and deliberately never abbreviated to protect its meaning, the approach was shaped by years of en...

BONUS: What Do You Really REALLY Want from Health Care?

2026-10-0941:32

In 2009, a keynote from Don Berwick changed the course of my career. Seventeen years later, with privatization pressures, looming strikes and dual practice in Alberta, his question feels more urgent than ever: What do we really, really want from our health care system, and what are we willing to give up to get it? In this episode, I share why that speech has been coming back to me recently, and why I keep thinking about the tragedy of the commons: individuals making reasonable choices for the...

A Mental Health Program Built by Farmers for Farmers

2026-09-2943:06

Kyla sits down with Dr. Michelle Pavloff, a registered nurse and researcher at the University of Saskatchewan, to talk about how she built a mental health network for Saskatchewan farmers and ranchers almost entirely from the ground up. Michelle's path started in a rural emergency room, where she was often the only nurse in the building, and where she began to notice that farm culture — distinct from both rural and urban culture — wasn't being served by either. When she set out to research fa...

Reimagining Home Care - The Buurtzorg Way

2026-09-1546:10

What happens when you stop managing nurses and start trusting them? In this episode, Kyla sits down with Jos de Blok — the Dutch nurse-turned-founder of Buurtzorg, the neighbourhood care organization that rebuilt home nursing in the Netherlands around self-managing teams instead of hierarchy. Jos started as a community nurse in the 1980s, watched that model get dismantled when the system shifted to task-based, regionalized care in the '90s, and spent the next two decades building something be...

#box-pro-ellipsis-179317846294474{-webkit-line-clamp:2;}Shift: Conversations on Changing Canadian Health Care

Shift: Conversations on Changing Canadian Health Care