BHeC Corporate Plan 2016-17

8/18/2019 BHeC Corporate Plan 2016-17

1/12

ERMUDA HEALTH COUNCILCORPORATE PLAN 2016-2017


2/12

Contact us:If you would like any further informa on about the Bermuda HealthCouncil, or if you would like to bring a healthcare ma er to our a en -

on, we look forward to hearing from you.

Mailing Address:PO Box HM 3381Hamilton HM PXBermuda

Street Address:Sterling House, 3rd Floor16 Wesley StreetHamilton HM11Bermuda

Phone: 292-6420Fax: 292-8067Email: [email protected]

Published by:Bermuda Health Council (March 2016)Copyright © 2016 Bermuda Health Council

Reference as:Bermuda Health Council (2016)Bermuda Health Council Corporate Plan 2016-2017Bermuda Health Council: Bermuda

Printed by:Bermuda Health Council

Front page photos:Le and middle images supplied by stock photosRight image supplied by Morgan A ride-S rling

Bermuda Health CouncilCorporate Plan 2016-2017


3/12

Table of Contents

INTRODUCTION

ABOUT US

OUR KEY ACHIEVEMENTS

OUR PRIORITIES FOR 2016-2017

OUR OBJECTIVES FOR 2016-2017

5

6

7

9

10


4/12Photograph by Morgan Attride-Stirling


5/12

IntroductionThis year the Health Council celebrates 10 years since we opened our doors in 2006. As were ect on our achievements and determine our future direc on, we pause to celebrateyou. Thank you to Bermuda’s residents, health professionals, health businesses, health-related chari es, and insurers and approved schemes for being there with us. Togetherwe have collaborated to make important changes to Bermuda’s health system.

As we start scal year 2016/17, we are focusing our e orts on improving quality andredirec ng how we pay for appropriate care. Our priority areas are care quality, regula on,

nance and economics, and making ourselves more accountable to you. We will do this

by:

▪ ensuring that employed residents have health insurance▪ making prescrip on drugs more accessible to the public▪ se ng standards for quality and safe care ▪ monitoring how we spend money in the health system ▪ coordina ng implementa on of the Bermuda Health Strategy and Bermuda Health

Ac on Plan

Thank you for taking this journey with us for 10 years; we look forward to working with youin 2016/17. Together, we can con nue to deliver on our expansive mandate to regulate,coordinate and enhance the delivery of health services.


6/12

What we doWe make sure health services provide Bermuda’s residents with quality, e ec ve and safe care;and we iden fy areas for improvement by:

We monitor health services and coordinate health system stakeholders to ensure Bermuda’sresidents have access to health insurance and safe, high quality care. We were established as aQUANGO by the Bermuda Health Council Act 2004 and opened in 2006.

We have a Board of 15 members who are appointed by the Minister of Health, Seniors andEnvironment and a small team of 8 people.

To fund opera ons, we receive money in two ways:▪ A grant from the Ministry of Health, Seniors and Environment and;▪ A transfer of $1.09, from every health insurance policy to us on a monthly basis.

Our MISSION is to regulate, coordinate and enhance the deliver of health services. Our VISION iachieving a quality, equitable and sustainable health system.

About Us

Taking appropriate ac ons if the publicfeel health services are not beingdelivered well

Monitoring the safety, legal complianceand business prac ces of local healthproviders

Listening to the public andstakeholders to provide the bestadvice to the Minister on healthsystem improvement

Conduc ng thorough inves ga ons toensure employees have health insurancethrough their employer

Carrying out in-depth review of healthinsurers and Approved Schemes toensure their con nued viability

Protec ng the vulnerable by reviewingthe cost of the basic health insurancepackage (Standard Premium Rate)annually

Reviewing the bene ts included inthe basic health insurance package(Standard Health Bene t)

Promo ng best prac ce standards bymonitoring health professionals

$

6


7/12

Our Key Achievments

▪ Helped insured pa ents keep moneyin their pocket (Upfront payments)

▪ Set standards of quality and safe care

for physicians, den sts, pharmacistsand nurses (Standards of Prac ce)

▪ Improved healthcare delivery,encouraging insured pa ents toreceive care at home (Home MedicalServices Bene t)

▪ Protected the cost of healthcare byse ng fees for some health services(Fee Schedules)

▪ Protected employees’ rights tohave health insurance through theiremployer (Employers’ Compliance)

▪ Reduced pa ents’ exposure topoten ally unnecessary tests andradia on by monitoring providers’ordering rate (Diagnos c Test Rates)

▪ Protected pa ents’ access to care byverifying the stability of the Island’shealth insurers (Health insurers

licensing)

▪ Involved our local health serviceproviders and other healthorganiza ons in projects

▪ Listened to you, the public, and actedon your concerns and experiences

in receiving care (Health systemcomplaints and queries)

Standards of Practice for

Dentists

Bermuda Dental Board

Bermuda Medical Council

Standards of Practice for

Medical Practitioners

Standards of Practice for Nurses

Standards of Practice forPharmacists

Pharmacy Council


8/128

“Te Health Council seeks to ensure all residents have a goodquality and sustainable health system.”


9/12

Our Priorities for 2016-2017 At the end of each scal year, we iden fy gaps in healthcare and collaborate with otheren es to iden fy ways to improve the health system for the coming year. Then we setour priori es to re ect the areas that need improving.

For 2016-17 our priori es include:

PATIENTSCAREQUALITY

REGULATION

FINANCE ANDECONOMICS

ACCOUNTABILITY

Increasing collabora on to encourage best prac cewhen delivering healthcare

Ensuring all organiza ons that contribute to our healthare opera ng according to the law

Monitoring resources available for improving thehealth system and the health of the popula on

Being transparent to the public about what we do andhow we do it4

3

2

1


10/12

Objectives for 2016-2017We deliver on our priori es by se ng speci c objec ves for the year. For 2016-2017, our objec vesby priority area are:

Regula on

1SHB are the bene ts that must be provided to all employees and their non-employed spouses. They are included inevery insurance policy on the Island and there is no co-payment. These include most hospital services, home medicalcare and community diagnos c services.

1. Enforce compliance with the Claims Regula ons2012 to ensure insured pa ents are not chargedupfront for health services, and health professionalsreceive prompt reimbursement of electronic claims.

2. Monitor and enforce employers’ compliance withthe Health Insurance Act 1970 to ensure non-

compliant employers meet legal obliga ons.3. Introduce infrastructure needed for an electronichealth record (EHR) to improve informa on exchange across the health system.

4. License health service providers (businesses) to ensure quality care, reduce inappropriate self-referrals and monitor health technology.

5. License health insurers for 2017 to ensure they are compliant with the Health Insurance Act 1970requirements.

6. License approved Standard Health Bene t (SHB 1) providers to ensure quality care and pa ent safety.7. Manage and monitor health system complaints and queries to the Health Council.

Care Quality & Standards1. Monitor the licensing of health professionals and

introduce standards and codes of prac ce.2. Educate professionals on their diagnos c tests’

order rates to ensure appropriate tes ng.

0


11/12

We will focus on comple ng these objec ves throughout 2016/17. We will work with everyone toensure the most e ec ve delivery. Updates on our progress will be provided to the public regularlyo ensure we meet our performance objec ves.

Next Steps

Health System Financing & Economics

1. Determine a way to reduce fragmenta on in healthsystem nancing, in order to improve e ciency andsustainability.

2. Publish an Actuarial Review to recommend the cost of

the basic health insurance package (Standard PremiumRate) for 2017/18 to the Ministry of Health, Seniors andEnvironment.

3. Publish reports that monitor nance and expendituretrends across Bermuda’s health system.

4. Publish schedules to set services and fees for non-hospital Standard Health Bene ts.

5. Develop a prescrip on drug formulary to make sure keymedica ons are available to those who need it most.

Accountability1. Conduct public educa on on health sector trends and

developments to ensure stakeholders’ awareness ofand engagement with health issues.

2. Coordinate implementa on of the Ministry’s BermudaHealth Strategy and Bermuda Health Ac on Plan.

3. Ensure e cient and e ec ve opera ons. We are asmall team of 8, and our e cient opera ons ensure thedelivery of our expansive mandate.

1


12/12

441-292-6420

[email protected]

www.bhec.bm

h p://www.bhec.bm/queries/

h ps://www.facebook.com/BermudaHealthCouncil/

h p://www.bhec.bm/strategic-corporate-plans/

How to contact us:

@

?

f

BHeC Corporate Plan 2016-17

Documents

Transcript of BHeC Corporate Plan 2016-17