January 2022 What I’m Thinking About


Providing Complex Care Through a Complexity Lens

Linda Peritz, Harold Siden

Date: Tuesday, January 11, 2022

Time: 12:00pm to 1:30pm

Zoom ID: For connection details, please email ches.communications@ubc.ca.


One consequence of the success of acute care medicine is that many children are surviving serious illness, premature birth and genetic conditions, but sometimes not without consequences. They may be chronically ill, requiring a great deal of ongoing care from their families and many clinical specialties; they are admitted to hospital frequently, often in PICU. We describe them as “children living with health complexity”.

Over the past three years, we have organized international conferences and local workshops for clinicians to discuss the challenges of caring for children living with health complexity. We have learned that clinicians are frustrated because “the system doesn’t let me provide the care they need”; they feel the system needs to be changed but they don’t know what to do. Our work (and that of others) with parents indicates that they find getting care for their children frightening and overwhelming. It appears that health care organizations work on the assumption that care is complicated, but we believe that viewing care through a complexity lens would result in better experiences for clinicians and for children and their families.

In the coming years, we would like to learn how clinicians understand the concept of complexity and to improve their ability to identify complex (vs complicated) care so that they can act appropriately. We are interested in identifying peer-reviewed literature that addresses these challenges, developing specific research questions related to providing care in complexity and partnering with CHES collaborators to answer those questions.

Biography: Linda Peritz

Linda is an independent consultant. Her previous roles include CEO of the Institute for Health System Transformation & Sustainability, Executive Director of the Centre for Health Care Management (Sauder School of Business) and Associate Director of the Vancouver Coastal Health Research Institute. Linda holds certificates in Social Innovation (SFU, 2017); Dialogue and Deliberation (Fielding University, 2011): Adult and Continuing Education (UVic, 2004). Linda also holds a PhD in molecular biology (U of Toronto, 1984).

Biography: Harold Siden

Dr. Harold (Hal) Siden, MD, MHSc, FRCPC is Medical Director at Canuck Place Children’s Hospice in Vancouver, Canada. He is also is an Attending Physician in Pediatrics and Division Head of Palliative Medicine at BC Children’s Hospital and an Investigator in the BCCH Research Institute. He is a Clinical Professor in the Department of Pediatrics at the University of British Columbia (UBC) with a joint appointment in the Inter-Departmental Division of Palliative Medicine. His clinical interests are pediatric palliative care, pediatric pain management and general & complex care pediatrics. He is Principal Investigator on several projects funded by the Canadian Institutes for Health Research.

Accredited by UBC CPD

The University of British Columbia Division of Continuing Professional Development (UBC CPD) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide study credits for continuing medical education for physicians. This program meets the certification criteria of the College of Family Physicians of Canada and has been certified by UBC CPD for up to 15.0 Mainpro+ Group Learning credits. Each physician should claim only those credits accrued through participation in the activity. CFPC Session ID#: 195173-001.

RCPSC Accreditation

The CHES Cutting Edge Speaker Series is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.