Regina Qu’Appelle Health Region Overview November 28, 2002.

Regina Qu’AppelleHealth Region

Overview

November 28, 2002

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.


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.


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.


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.


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


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.


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


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.


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


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


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


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.


Leading causes of hospitalization in the region:

Heart, pulmonary and hypertensive diseases.

Pneumonia, influenza, bronchitis and emphysema.

Asthma and lung diseases.

Pregnancy and childbirth.


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.


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


The challenges:

Integrating services, management systems and philosophies:

Programs and services

Medical administration

Financial systems

Recruitment and retention programs

Communication


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 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 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


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.


Primary Care:

Mental health and addictions.

Home care and Palliative care.

Emergency, EMS and Ambulatory Care.

Population and public health.


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.


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 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.


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.


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.


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

Regina Qu’Appelle Health Region Overview November 28, 2002.

Documents

Transcript of Regina Qu’Appelle Health Region Overview November 28, 2002.