Huron Perth Healthcare Alliance Community Workshops

Why We’re Here Today “My interest is in the future because I am going to spend the rest of my life there.“ Charles Kettering

Our Starting Point – Building on Success 6 Years as an Alliance Strong Sites with Cohesive Teams Staff beginning to Work Multiple Sites Excellent Reputation for High Quality Patient Care External Acknowledgements Accreditation Research

Buildings and Technology Surgical Activity Increasing Financial Situation Buildings and Technology Stratford Site Redevelopment and PACS Surgical Activity Increasing Wait Times down Significantly Recruitment and Retention

VISION 2013 - Key Principles Status Quo is Not an Option Retain Four Sites with Viable Roles Ensure Standards of Quality and Safety for Patients Live within our means Current Balanced Budget Support Equitable Access to Services for Patients Based on Clinical Priority

Understanding Who We Serve

Ontario Population Pyramid, 2006 (%) www.footwork.com Source: Statistics Canada

Our Goals and Commitment Process Not Driven by Funding All Services Currently offered through HPHA Remain Available within System Strengthen Hospital-Based Healthcare Delivery Enhanced Access to Secondary Care Better Use of Existing Facilities Strengthen Professional Practice Reduced Duplication (“Quadrication”) Adjust to Human Resource Realities

Bottom Line….. We are committed to making ongoing changes that will strengthen access to appropriate hospital services for the people we serve

VISION 2013 – Current Areas of Focus Centres of Specialty (not only role) Acute Care in Stratford Day Surgery in Clinton Bed Distribution Acute Care in All Sites Enhanced at Stratford Site Rehabilitation in Seaforth and St. Marys Alternate Level of Care in Seaforth and St. Marys

Emergency Departments Maintain 4 Emergency Departments Assess St. Marys Hours Against Demand, Human Resource Availability and Proximity Assess Clinton and Seaforth in Conjunction with Local Health Integration Network Emergency Department Human Resources Study

Unscheduled ER by Triage Level HPHA 08/09 Immediate 15 Minutes 30 Minutes 60 Minutes 120 Minutes Total 7am – 7pm 83 2,459 10,825 22,214 4,418 39,999 7pm – 7am 55 1,450 5,001 7,181 833 14,520

Realigning Services with Beds Transportation Regional Focus – 68:32 New Service Identification Child and Adolescent Mental Health Renal Dialysis Redevelopment MRI

VISION 2013 – Keys to Success Change is Necessary and Important Physician Support Healthcare as a “Continuum” Recruitment and Retention Quality and Safety Good Communication and Implementation Plan Community Support and Understanding

“Change is the law of life “Change is the law of life. And those who look only to the past or present are certain to miss the future” John F. Kennedy

Happy to take questions via phone or email 519-272-8202 andrew.williams@hpha.ca