WRHA Supply Chain Forum Presentation November 21, 2012 Opening Remarks – Réal Cloutier

Vision, Mission and Values   Healthy people. Vibrant communities. Care for all. Mission    To coordinate and deliver safe and caring services that promote health and well-being. Values We value:   Dignity as a reflection of the self-worth of every person Care as an unwavering expectation of every person Respect as a measure of the importance of every person.

Commitments Commitment We are committed to: Innovation that fosters improved care, health, and well-being Excellence as a standard of our care and service Stewardship of our resources, knowledge and care.  

WRHA Strategic Directions – 2011 to 2016 Enhance Patient Experience Improve Quality and Integration Foster Public Engagement Support a Positive Work Environment Advance Research and Education Build Sustainability

Future orientation Continued specialization of hospitals More care to support care in the community as an alternative to institutional models Aging in place strategies Increased emphasis on technology Patient and public engagement strategies Increased focus on innovation and outcomes Stronger focus on population health issues

WRHA as a Public Agency Regional Health Authority defines the role and responsibilities of the WRHA and other RHAs Primary responsibility is the administration and coordination of health care Agency of the Provincial Government Board of Directors Minister of Health

RHAs WRHA is one of 5 RHAs in Manitoba Consolidation process related to combining RHAs continues Interlake – Eastern Northern Southern Western WRHA (includes Churchill) Administrative efficiency target

Multiple Accountabilities WRHA Board of Directors Minister of Health Manitoba Health Government of Manitoba and various departments Office of the auditor general Quasi judicial offices like the ombudsmen’s office and the Human Rights Commission Legislative Requirements

Why are people interested in the WRHA We spend $2.4 billion on health care in Winnipeg This represents about 20% of the provincial budget We employ about 27,000 people We care for many people from within and outside the region Its hard for anyone to say that they have not used or know someone who has used our health care system in the past year

What does this make us? The WRHA has an important role in terms of addressing the health needs of people who depend on us. It also has a strong role in shaping the health care delivery system and influencing policies and approaches to improving the health and well being of our population……however it also makes us a …..

What does this make us?

Pressures Freedom of information requests (about 300 per year and growing) Media Political Complaints to external parties / organizations Compliance with Inter-provincial trade rules Local development

Pressures Compliance with Government and Internal policies (e.g. industry relations, inter-provincial trade rules, etc.) Funding Ensuring that purported innovations do not put patients at risk WRHA owns and operates a number of facilities in the region and has contracts with other organizations for the remaining services

History Lesson Media story in 2009 regarding WRHA contracting process – Brown envelopes Allegations that WRHA had poor procurement practices – WFP “What’s in the envelop” OAG investigates the matter and identifies a few issues to address around the process. There were no findings that supported the original allegations

Outcome Tighter process around tendering Reinforcement on policy-Value Adds are not accepted by WRHA Stringent industry relations policy Strict conflict of interest policy Low risk tolerance

What vendors need to Know WRHA employees and physicians are required to adhere to our policies Price and quality are important Establishing common standards and approaches is not easy in health care When you say your product is innovative and will save money, we tend to examine this more broadly so that we don’t pass on cost to parts of the system.

What vendors need to Know As a Government Related Entity, we have to follow the same rules as Government We cannot put patients at risk by trialing products that have not been fully assessed or approved for use Our capital budgets are tight so we can’t afford to purchase products that don’t live up to expectations

What vendors need to know You have to make your case as part of the process – end runs generally don’t build sustained relationships While business relationships are important, products and services must demonstrate a value

What vendors need to know R and D is important in health care Evaluation standards are high in health care We are working to improve our capacity in research and links with outside organizations Research is generally funded outside of insured health services It is always challenging to transfer research evidence to changes in practice – this is a reality in many industries

Questions