regina qu’appelle health region overview november 28, 2002
TRANSCRIPT
Regina Qu’AppelleHealth Region
Overview
November 28, 2002
Creation of a New Region
Creation of a New Region
December 2001, government says it will combine 32
districts into 12 regional health authorities.
The Action Plan for Saskatchewan Health Care
document, outlines rationale for health regions:
Bring together critical mass of skills to plan and deliver health services.
Reduce duplication and lead to more efficient management.
Larger regions better able to recruit professionals.
Creation of a New Region
Action Plan:
Better capacity to provide full range of primary services.
Strengthen hospital, emergency and long term care systems.
Minister of Health appoints members of Planning
Committees to begin progress toward Regional Health
Authorities.
Creation of a New Region
Members chosen from all parts of the region and represent
diverse backgrounds and experience.
There is no “ward system” in the new region. Members
represent the entire region.
Planning committees become Authorities that will govern
the new health regions.
Creation of a New Region
Minister’s Forum
To coordinate health planning for the province.
Maintains close relationships between regions and
the Minister of Health.
Made up of the chairperson’s from all health
authorities in the province.
Creation of a New Region
Regional Health Services Act:
Proclaimed on August 1, 2002.
Legislation creates 12 Regional Health Authorities
throughout Saskatchewan.
Pipestone, Regina and Touchwood Qu’Appelle
health districts merge into one organization.
Description and Population
Description and Population
Service area for the Regina Qu’Appelle Health
Region:
245,800 residents.
120 cities, towns, villages, rural municipalities and First Nation communities.
Provide specialized health care for all of southern Saskatchewan’s 465,000 residents.
Made from the boundaries of the former Pipestone, Regina and Touchwood Qu’Appelle health districts.
Description and Population
Population is projected to be stable, declining
only 2.6% over the next 15 years.
In 2000, the population was 245,814 people
In 2015, population projected at 239,385 people
Description and Population
Life expectancy is 78 years.
13.3 percent of total population over 65 years.
First Nations population makes up eight percent
of the regions total population.
16 First Nations Communities within the health
region’s boundaries.
Description and Population
Population is projected to get older.
Age Group 15 Year Projected Change
0 - 19 -14.90% 20 - 39 - 7.80%
40 - 64 8.80% 65 - 74 18.20% 75 - 84 - 6.70% 85 plus 22.20%
Source: HSURC
Description and Population
Native population is projected to get younger.
Age Group 15 Year Projected Change
0 - 19 14.40% 20 - 39 9.40%
40 - 64 4.40% 65 - 74 2.70% 75 - 84 1.30% 85 plus 1.00%
Source: Saskatchewan Health
Description and Population
Priorities:
The projected growth in First Nations populations means working with bands, tribal councils and governments to address health issues.
Aging population means looking at programs for
seniors including home care, adult day programs,
long-term care and “senior’s wellness” initiatives.
Health and Performance
Health and Performance
We are ranked among the top ten health regions in Canada for:
Births after caesarian sections.
Mammogram tests.
Pap smear tests.
Low re-admissions after heart attacks.
Health and Performance
Leading causes of hospitalization in the region:
Heart, pulmonary and hypertensive diseases.
Pneumonia, influenza, bronchitis and emphysema.
Asthma and lung diseases.
Pregnancy and childbirth.
Health and Performance
Leading causes of premature death in the region:
Heart disease and other heart related conditions.
Brain and vascular conditions.
Motor vehicle accidents.
Diabetes.
Lung conditions.
Health and Performance
Non-medical determinants of health:
18.3 percent of families live below the poverty line.
21.9 percent of children live in low income families.
4.8 percent unemployment rate and 9 percent youth unemployment.
70.6 percent graduate high school.
51 percent complete post-secondary education.
Economy and education pose a challenge in our region.
Merging three Organizations
Merging three Organizations
The challenges:
Integrating services, management systems and philosophies:
Programs and services
Medical administration
Financial systems
Recruitment and retention programs
Communication
Merging three Organizations
The challenges:
Understanding urban and rural realities.
Dealing with uncertainty caused by change.
The continuing role of a tertiary centre with two designated provincial hospitals.
Developing a strategy and identity for the new health region.
Development of an integrated organizational structure.
The new Organization
The new Organization
The goal of the new organizational structure:
To manage a process of change.
To develop an effective and integrated organization
that delivers quality and accessible health services.
Be capable of meeting the challenges and
opportunities that lie ahead for the region.
The new Organization
The principles for developing the organizational
structure:
Staff and physician involvement.
Workforce stability.
Local decision-making.
Balance between health services and corporate
support.
President &CEO
Regional HealthAuthority
Com m unityAdvisory Netw ork
Foundation andTrust Funds
Corporate andSupportServices
HealthServices
CorporateServices
Hum anResources
OperationsSupport
Strategy &Com m unication
M edicalServices
HealthServices &Program s
Prim ary Care Specialty Care Continuing Care
The new Organization
Programs and Services are based on a model of three care streams:
Primary care.
Specialty care.
Continuing care.
The care streams reflect the reality and
priorities of the new health region.
The new Organization
Primary Care:
Mental health and addictions.
Home care and Palliative care.
Emergency, EMS and Ambulatory Care.
Population and public health.
The new Organization
Specialty Care:
Women’s and Children’s health.
Surgical care.
Cardio, neuro, respiratory and critical care.
Medical care and pharmacy.
Diagnostic imaging, lab, and nuclear medicine.
The new Organization
Continuing Care:
Long-term care and rehabilitation services.
Health facilities.
Health services organizations.
Staffing and Physicians
Staffing and Physicians
Staff and physicians are the most important resources the
health region possesses.
The new region employs 8,470 staff (including in
affiliated agencies) and over 450 physicians.
We continue to cope with staff shortages in many areas,
including nurses and technical professionals.
Aggressive recruitment and retention efforts continue.
Financial Overview
Financial Overview
2002/03 budgeted revenue, $460.4 M.
2002/03 budgeted operating expenditures,
$457.4 M. Surplus of $3.0 M will be directed to capital
expenditures. As of September 30, 2002, the Authority
was on track in terms of budgeted versus actual
expenditures.
Financial Overview
Salaries represent 79% of expenditures (staff, medical remuneration, affiliate staff).
Service expenditures Acute & specialized hospital care - 60% Long-term (supportive) care - 20%
Goal is to continue delivering quality and accessible health services in a financially responsible manner.
Financial Overview
Capital as at June 30, 2002:
2002/03 Budgeted Capital Expenditures, $10.3 M.
Budget is:
- Medical Equipment $ 7.3
M
- Information technology, renovations, and non-medical
equipment $ 3.0 M
Trust Funds and Fundraising
Trust Funds and Fundraising
Trust funds exist in many communities in the
region.
Funding for equipment, projects and capital
construction.
Money was raised in local community.
Health Authority recognizes importance of these
funds.
Trust Funds and Fundraising
Authority’s position is that money from all trust funds
will be used for the purposes they were designated.
Funds will remain in their respective communities.
The important role of trust fund committees.
The health authority will develop relationships with
committees and fundraising foundations.
Trust Funds and Fundraising
Hospitals of Regina Foundation
Established in 1987.
Volunteer-led, non-profit organization.
Works with donors and the community to raise
funds for medical equipment needs in Regina’s
hospitals.
Authority recognizes the importance of the
Foundation and intends to support its fundraising
activities.
Trust Funds and Fundraising
Community trust funds: Balances as at September 30, 2002
Touchwood Qu’Appelle $ 303,986 Pipestone $ 4.8 M
Hospitals of Regina Foundation:
Balance as at August 31, 2002 $ 4.4 M
Conclusion and Next Steps