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Adalsteinn Brown

Dr. Adalsteinn Brown, DPhil, AB is the Dean of the Dalla Lana School of Public Health at the University of Toronto, and former Co-chair of the Ontario COVID-19 Science Advisory Table.

He grew up in London, Ontario, and moved to New York in 1996 to co-found a healthcare consulting firm with offices on Park Avenue.1)

Due to his high-level positions and affiliations (particularly as Dean of the DLSPH), Brown “would effectively be the boss, and hold power over” several current Medical Officers of Health in Ontario including Eileen de Villa, Barbara Yaffe, Lawrence Loh, Vinita Dubey, Lisa Berger, and Avis Lynn Noseworthy.2)

On August 3, 2022, Brown stepped down as co-chair of the OST to focus on his work as Dean of the DLSPH. Upton Allen took his place.3)

Affiliations

Caldwell Partners International

Brown was named one of Canada’s Top 40 under 40 for his work on healthcare performance. selected by a panel of 29 business and community leaders assembled by Caldwell Partners International, an executive search firm in Canada. Brown was 32 years old at the time.

“Caldwell compiled a preliminary list of candidates from more than 1,400 nominations, a record. The panel then rated the finalists on six criteria: vision and leadership, innovation and achievement, community involvement, impact and strategy for growth.”4)

The National Board of Directors that selected him included representatives from the Canadian Institute of Health Research, Bell Canada Enterprises, National Bank of Canada, Astral Media (absorbed by Bell Media), the University of Toronto, St. Michael's Hospital, and the Government of British Columbia.

CorHealth Ontario

In his U of T financial disclosures for 2018-2019 and his OST forms, Brown reports receiving $25,000.00 from CorHealth (since absorbed by Ontario Health) for “consulting on information management requirements.”5) 6)

Hospital Report Project

Brown returned to Ontario in 1998 to join the Hospital Report Project, where he completed reports until 2001.7) The 1998 and 1999 reports were funded by the Ontario Hospital Association, and the 2001 report was prepared by the Canadian Institute for Health Information (CIHI) with “methodological advice from researchers at the University of Toronto.”

The project measured financial performance, patient satisfaction, clinical outcomes, management investment and innovation in Ontario hospitals.

In his 2001 profile, Brown lists his research interests to include “the cost-effectiveness of emerging technologies and the effective communication of performance information to consumers.” He states that he had “worked with a wide range of private sector clients in Canada, the U.S., and the Far East on strategy in health care, health care financing, and quality improvement topics.”

Institute for Clinical Evaluative Sciences

Brown served as an Adjunct Scientist at the Institute for Clinical Evaluative Sciences (ICES) in Ontario.8)

Ontario COVID-19 Science Advisory Table

Brown is the Co-chair of the Ontario COVID-19 Science Advisory Table.9) Despite the Table's claims of independence, a University of Toronto profile claims Brown “has worked collaboratively with the Ontario Premier and his cabinet on resilience and recovery measures and efforts.”10)

Omicron

In mid-December, Brown stated that “an accelerated booster campaign doesn't go far enough to keep the hospital system from becoming overwhelmed” by the Omicron Variant of SARS-CoV-2. He contradicted himself multiple times when attempting to claim the COVID-19 vaccine “booster shots” were effective, while also claiming two doses also offered protection. He also advised that families should only “associate with” people who are vaccinated.11)

However, as noted by Canuck Law, “all of these measures to 'prevent hospitals from being overwhelmed' [are] based on false pretenses, since Brown’s recent work shows he ALREADY KNEW there was a capacity problem in Ontario hospitals.”12)

Ontario Health

Brown is on the Board of Directors of Ontario Health.13)

Ontario Ministry of Health and Long-term Care

Brown is the former head of strategy and assistant to the Deputy Minister for the Ontario Ministry of Health and Long-term Care.14)

Ontario Ministry of Research and Innovation

Brown is the former head of policy and science for the Ontario Ministry of Research and Innovation.

Province of Ontario

Brown has held senior leadership positions in policy and strategy within the Ontario government.15)

He is also on the Premier's Council, which was created in 2018 to “provide the Premier of Ontario and the Deputy Premier and Minister of Health and Long-Term Care with strategic priorities and actions”.16) He was on the team that authored a report determining that Ontario's hospital system was already under strain well before COVID-19 or the “pandemic of the unvaccinated”. Canuck Law notes, “Even back in 2018, 2019, the Premier’s Council openly admitted that the Ontario Health Care system was overburdened, and was unable to meet current needs, let alone projected increases. Adalsteinn Brown is on that Council. When he headed up [the] Ontario Science Table the following year, did he simply forget his own report?”17)

St. Michael's Hospital

Brown is a scientist at the Li Ka Shing Knowledge Institute, St. Michael’s Hospital.18)

University of Toronto

Brown is the Dean of the Dalla Lana School of Public Health at the University of Toronto. Prior to becoming Dean, he was the Director of the Institute of Health Policy, Management and Evaluation and the Dalla Lana Chair of Public Health Policy also at the University.

He is also the director of the Institute for Pandemics, which he said will “ramp up research and training for more agile, equitable preparation, resilience and recovery from pandemics.”19) 20)

Massey College

University of Western Ontario

Brown has been an Honorary Lecturer in the Department of Epidemiology and Biostatistics and an Instructor in the Department of Family Medicine at the University of Western Ontario.26)

Workplace Safety and Insurance Board

Brown was paid by the Ontario Workplace Safety and Insurance Board (WSIB) as a member on their COVID-19 Expert Committee.27)

Education

He received his undergraduate degree in government from Harvard University and his doctorate from the University of Oxford, where he was a Rhodes Scholar.

During his time working as the principal investigator on the Hospital Report Project with the University of Toronto, Brown was completing his doctorate in the Faculty of Clinical Medicine at Oxford on differences in hospital utilization and health care system performance in the UK and Canada.28)

Publications

  • October 2018: Development of Enriched Core Competencies for Health Services and Policy Research30)
    • Funded by the Canadian Institutes of Health Research’s Institute of Health Services and Policy Research (CIHR-IHSPR) via its Institute Strategic Grant and by a CIHR-IHSPR Institute Community Support Grant held by Dr. Adalsteinn Brown and Dr. Stephen Bornstein
1) , 4)
Mayer, A., McKinnon, M., Shulgan, C., & Smith, M. (2003, April 25). top forty/under forty. The Globe and Mail. https://archive.ph/PGKaF
2) , 12) , 17)
Ronnie. (2021, May 15). Meet Adalsteinn Brown: Swamp King; OST; Dean Of DLSPH; Ministry Of Health; Ford Operative; Premier’s Council. Canuck Law. https://archive.ph/AeGUo
3)
Ontario COVID-19 Science Advisory Table Leadership Update August 2022. (2022, August 3). Public Health Ontario. https://archive.ph/24EaY
5) , 18)
Adalsteinn Steini Brown | Institute of Health Policy, Management and Evaluation. Dalla Lana School of Public Health; University of Toronto. Retrieved January 22, 2022, from https://archive.ph/hR1oD
7)
The Hospital Report 2001 Series. (2001, July 26). Hospital Reports Project; University of Toronto. https://web.archive.org/web/20010809234902/http://www.hospitalreport.ca/
8) , 26) , 28)
Key Researcher Profiles. (2001, August 22). Hospital Report Project; University of Toronto. https://web.archive.org/web/20010822143907/http://www.hospitalreport.ca/ResearcherProfilesPg4.htm
9)
About Us. Ontario COVID-19 Science Advisory Table. Retrieved January 21, 2022, from https://covid19-sciencetable.ca/about/#brown-adalsteinn
10) , 20)
Institute for Pandemics. Dalla Lana School of Public Health; University of Toronto. Retrieved January 21, 2022, from https://archive.ph/Lham0
11)
The Canadian Press. (2021, December 16). Experts say circuit breaker necessary to blunt Omicron’s effect in Ontario. MSN News. https://archive.ph/fEPuK
13) , 15)
Board of Directors. Ontario Health. Retrieved May 15, 2021, from https://archive.ph/vQXKp
14)
Hayeems, R. Z., Moore Hepburn, C., Chakraborty, P., Odame, I., Clarke, J., Miller, F. A., & Brown, A. D. (2017). Managing sickle cell carrier results generated through newborn screening in Ontario: a precedent-setting policy story. Genetics in Medicine, 19(6), 625–627. https://doi.org/10.1038/gim.2016.162
16)
Hallway Health Care: A System Under Strain – First Interim Report from the Premier’s Council on Improving Healthcare and Ending Hallway Medicine - Public Information - MOHLTC. (2018). Ontario Health. https://archive.ph/Srsll
19)
Lavery, I. (2020, August 19). University of Toronto launches new Institute for Pandemics | News. Daily Hive. https://archive.ph/vDfcB
21)
Supporters. Retrieved January 22, 2022, from https://archive.ph/wjiET
23)
Chancellors’ Circle of Benefactors. University of Toronto. Retrieved January 22, 2022, from https://www.chancellorscircle.utoronto.ca/members/
29)
Khan, Y., O’Sullivan, T., Brown, A., Tracey, S., Gibson, J., Généreux, M., Henry, B., & Schwartz, B. (2018). Public health emergency preparedness: a framework to promote resilience. BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-6250-7
30)
Bornstein, S., Heritage, M., Chudak, A., Tamblyn, R., McMahon, M., & Brown, A. D. (2018). Development of Enriched Core Competencies for Health Services and Policy Research. Health Services Research, 53, 4004–4023. https://doi.org/10.1111/1475-6773.12847
31)
Mery, G., Dobrow, M. J., Baker, G. R., Im, J., & Brown, A. (2017). Evaluating investment in quality improvement capacity building: a systematic review. BMJ Open, 7(2), e012431. https://doi.org/10.1136/bmjopen-2016-012431
32)
About IDEAS. IDEAS. Retrieved January 22, 2022, from https://archive.ph/Xx24h
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