51st Annual Meeting

Regional Policy Forum of the

Council of State Governments/East

August 9, 2011

Challenges

Rising cost of health care and declining revenue

Health Human Resources

Primary Care and the pressure on Emergency Room Care

Provincial Government health care expenditure (per capita) source: CIHI

Provincial Health Spending as percentage of GDPsource: CIHI, Statistics Canada

Annual growth (NS provincial revenue & health expenditure)

2002-03 to 2011-12source: NS Budget Estimates

2011-2012 Inter-Departmental Expenses (estimates)($ thousands)

source: NS Budget Estimates

2007-08 to 2011-12 Expenditure Growth in Health ($ thousands)

source: NS Budget Estimates

6.2% 7.2% 1.8%

Challenges

Health Workforce Supply

Health Workforce Utilization and Productivity

Quality of Work Life

Physicians and Nurses

Shortages of continuing care assistants, Medical Radiation Technologists, Physiotherapists, Occupational Therapists in NS

Health Information Management people and social workers in NB

And Resident Care Workers in PEI

Solutions

Physician resource plan

Solutions Models of Care

Renewal of Nursing Strategy