Board of Health PEIBoard of Health PEI

A Work in ProgressA Work in ProgressA Work in ProgressA Work in Progress

April 2, 2012

OverviewOverview

�Our Health System

� Success Stories: 2010-11

• Challenges

Our Health System – How is it Organized?

Department of Health and Wellness

Honorable Doug Currie, Minister

Health PEI Board

Policy(Decides What)

Oversight

Compliance and

Monitoring Committee

Quality and Safety

Health PEIKeith Dewar, CEO

Health PEI BoardLeo Steven, Chair

Oversight(Decides How)

Operations(Delivers Services)

Public Engagement

Committee

Quality and Safety

Committee

Health PEI Board of DirectorsHealth PEI Board of Directors

� Chair: Leo Steven

� 11 member, Competency-Based Board

� Responsibilities

• Deliver health services in line with the provincial health

plan;plan;

• Employ the Chief Executive Officer;

• Set the strategic direction;

• Monitor performance; budget; risks, quality and safety;

• Approve medical staff by-laws;

• Engage with the public and key stakeholders; and

• Provide plans and reports to the Minister.

Health PEI OperationsHealth PEI OperationsChief Executive Officer: Keith Dewar

Source: Health PEI Finance (2011-12)

Health PEI Medical Leadership

Health PEI

Board of Directors

Chief Executive Officer

Exec. Director of

Medical Affairs

Presidents’

Council

Presidents’

CouncilProvincial Medical Advisory Committee

Department/Program

Heads

Site/Network Medical

Directors

Queen

Elizabeth

Hillsborough

Hospitals

MAC

West Prince

MAC

Prince

County

Hospital

MAC

Kings

County

MAC

Local Medical Staff Associations

ONE ISLAND HEALTH SYSTEM

�A single, integrated system of care

�Evidence-based decision making

�Focused on primary health care and services that can appropriately

and safely be provided locally

�Most appropriate setting, by the most appropriate provider and in the

Strategic Direction: One Island Health SystemVision

CARING

�Most appropriate setting, by the most appropriate provider and in the

most cost effective manner

EXCELLENCE STEWARDSHIP

Values

Goals

SUSTAINABILITY

Stability –

Now and Future

Generations

EFFICIENCY

Optimize our

Workforce Skills

EQUITY

Fair Allocation

Timely Access

QUALITY

Safe, Dependable,

Quality Care

Dimensions of Change

SUCCESS STORIESSUCCESS STORIES

Community-Based Primary Health Care

Home-Based Home Care ServicesHome-Based Home Care Services

Integration of Acute and Facility-Based Care

Support Systems

COMMUNITY-BASED

PRIMARY HEALTH CARE

Primary Health Care Facts

What is Primary Care?

• First point of contact

• Provided in physician offices and

health centers located across the

Island

Primary Care Networks

• Physician services

• Illness and chronic disease

prevention and management

Island

• Some health centers also run walk-in

clinics for the general public

• Primary mental health

• Public health programming

• Targeted screening programs

The Primary Health Care Team

• Health Care Professionals

– Family Physicians (FP), Nurse Practitioners (NP), nurses (RN), licensed

practical nurses (LPN), diabetes educators (nurses and dietitians)

– Other health care providers (community dietitians, mental health

services, etc.) may also be available within a Primary Care Network

• Administrative Personnel: Manager, medical director, nurse

clinical lead, administrative supervisor and secretary

• You: A partner in planning and managing your own care

Primary Health Care on PEIPrimary Health Care on PEI

• Five Primary Care

Networks

• Islanders are within 30 • Islanders are within 30

kilometers of primary

health care access

• Right care, right

provider, right place

Percentage of Population Reporting

a Regular Family Doctor

Note: As of January 17, 2012 it is estimated that 95% of Islanders have a family physician. Calculations based on data from the PEI Patient Registry and 2011 population projections.

Source: Statistics Canada, CANSIM, table 105-0501 and Catalog no. 82-221-X.

Self-report data from Canadian Community Health Survey for population age 12 and over.

HOME-BASED HOME CARE

SERVICES

Home-Based Home Care Services

� Home Care: • Increased number of staff

and expanded hours

• As of January 2012, 220 LTC

Eligible Clients supported at

� Long-Term Care: • Person Centered Care

• Manor ReplacementEligible Clients supported at

home• Colville Manor, Souris

• Maplewood Manor, Alberton

• Prince Edward Home,

Charlottetown

• Summerset Manor, Summerside

• Riverview Manor, Montague

Year # of Clients Supported

2009/10 3899

2010/11 4298 (10% increase)

INTEGRATION OF ACUTE AND

FACILITY-BASED CARE

Integration of Acute and Facility-Based Care

� Mental Health Services Strategy

� Cancer Care

� Stroke Care Model� Stroke Care Model

� QEH Ambulatory Care Center

� Dialysis Care

SUPPORT SYSTEMS

� Collaborative Model of Care

• Units appropriately and sustainably staffed and safe

• Increased patient care for first three Phases by 78,400 hours

• Reduction in overtime and sick leave

• Improved staff satisfaction

• Beds re-opened: QEH Unit 3 and KCMH

Support Systems Support Systems

• Beds re-opened: QEH Unit 3 and KCMH

• Decreased Health Human Resource pressures

• Fewer Seasonal Bed Closures: 40 in Summer 2011, down from 74 summer 2009.

� Provincial Clinical Services

• Improved wait times

• Atlantic Canada leader

� Integrated Electronic Health Record (EHR)

• For Islanders – Your health history is provided securely to health

Support Support Systems Systems

• For Islanders – Your health history is provided securely to health

providers when & where needed

• PEI –provincial systems approach – reputation as national leader

• For more information on EHR: http://www.healthpei.ca/ehr

CHALLENGESCHALLENGES

8000

9000

10000

11000

12000

13000$ Per Capita

Fiscal Capacity After Equalization

Equalization

4000

5000

6000

7000

NL PE NS NB QC ON MB SK AB BC

$ Per Capita

Province

Own-Source Fiscal Capacity

300

400

500

600

Spending ($ Millions)

Federal and Provincial Health Expenditures

Provincial

Federal

-

100

200

2006-07 2007-08 2008-09 2009-10 2010-11 2011-12

Spending ($ Millions)

Total Provincial/Territorial Government Health Expenditure

per Capita, by Age and Sex, Canada, 2009

PEI Population, 2009 and 2036

Source(s): Statistics Canada, Demography Division

Health Health BehavioursBehaviours and Chronic Diseaseand Chronic Disease

� Healthy Eating

� Breastfeeding trends

� Activity levels

� Obesity

� Chronic Diseases

Services and ResourcesServices and Resources

• Pharmaceuticals

• Catastrophic disease

• Provincial formulary

• New technologies:

• ‘New’ health technology can lead to improved

patient outcomes but may increase costs

• How to balance population health benefits and

costs

ContactingContacting the Boardthe Board

� E-mail: healthpeiboard@gov.pe.ca

� Phone: 902-368-4637

� Fax: 902-368-4974

� Web page: www.healthpei.ca/board

• Read governance policies, meeting minutes, reports and publications, and how the public can make presentations publications, and how the public can make presentations to the board

www.twitter.com/Health_PEI