Physician Recruitment Update Andrew Williams President & CEO Huron Perth Healthcare Alliance February 25, 2019

Discussion Overview THANK YOU Provincial Context Huron Perth Healthcare Alliance (HPHA) Overview Primary Care Overview HPHA Stratford/Tavistock/Milverton Recruitment Focus and Results

Provincial Context Healthcare is a Provincial Responsibility Largest Single Commitment BY FAR Locally, Currently Structured Around Local Health Integration Networks Oversight to a Geographic Region and Accountability Agreements with “Health Services Provider” Provincial Oversight through Organizations such as Cancer Care Ontario, Health Quality Ontario, Trillium Gift of Life Network National Standards through Accreditation Canada

Current Provincial Priorities include “Ending Hallway Medicine” and Strengthening Mental Health Services Significant Focus on Integration and Engagement Oversight Structure Expected to Change Increased Local Accountability to work as a System Increased Emphasis on Standardization Choosing Wisely Canada Increased Emphasis on Access Currently 800,000 Ontarians without Family Physician

Increased Emphasis on Fiscal Accountability New, Four-Year Agreement just reached between Province and Ontario Medical Association Working Group to be Established to Review Primary Care Primary Care Models varies Across Province Stand Alone; Group Practices – Family Health Group, Family Health Network, Family Health Organization; Community Health Centres Family Health Teams

HPHA Overview Four Hospitals; Clinton, St. Marys, Seaforth & Stratford Single Board of Directors 140 Professional Staff 1200 Staff 500+ Volunteers $140 Million Annual Operating Budget

Values: Compassion, Accountability, Integrity Mission: Collaborating for Exceptional Care Vision: Innovating for Exceptional Health Strategy Guided by “Commitment to Our Communities” Guiding Principles: People, Partnerships, Performance

Top Performer in the Province MRI Access Top 5 Performer in the Province CT Access Emergency Wait Times Exceed Provincial Targets Significant Improvements in Access to Hip and Knee Replacements Strong Annual Financial Operating Position Weak Cash Position National Leader in Patient and Caregiver Engagement Very Strong Recruitment Environment

Stratford General: Secondary Care Centre Schedule 1 Mental Health Facility Regional Stroke Centre Major training site for Schulich/Western Internal Medicine, General Surgery, Urology, Orthopedics, Psychiatry, Otolaryngology, Obstetrics Gynecology, Paediatrics, Pathology, Anesthesia, Emergency, Family Medicine, Ophthalmology and Radiology

HPHA Primary Care 5 Family Health Teams across HPHA communities Clinton FHT https://www.clintonfht.ca/index.html Huron Community FHT https://www.hcfht.ca/ Happy Valley FHT http://www.happyvalleyfht.ca/ STAR FHT http://www.starfht.ca/ Stratford FHT https://www.sfht.on.ca/ 1 Family Health Organization (Mitchell) No “stand alone” models of care (by design)

Stratford Primary Care There are 2 Family Health Teams (FHTs) STAR - 3 locations in Stratford & Tavistock Stratford - 3 locations in Stratford & Milverton Comprehensive care provided to 44,000+ patients Access to FHT services Shared Electronic Medical Record Evening and weekend access for rostered patients Open Information Flow with Hospitals

Hospitalist Physicians Investment in a new program for inpatient care Frees up family physician to spend more time in clinic Service is an extension of primary care Emergency Room Physicians Not all visits are emergent and that’s ok

What We Know Health Care Connect is the Provincial Registry for Patients without a Family Physician 575 people without a family physician in Stratford are Registered on Health Care Connect Health Care Connect does not reflect All Patients who have a Family Physician outside the Area A mechanism is being established to allow individuals to self identify Local Physician Needs are Determined through Health Care Connect

What are we doing Dedicated Full-Time Staff for Physician Recruitment Planning, Recruitment & Retention includes various Internal and External Partners; Huron & Perth Family Health Team administrators Hospital Foundations Municipalities South West Local Health Integration Network HealthForceOntario Health Care Connect

Recent Recruitments 8 Family Physicians 2 Clinton; 1 St. Marys; 1 Seaforth; 4 Stratford/Tavistock 16 Specialists Anesthetists (3); Emergency Medicine (2); General Surgeons (2); Geriatrician; Internal Medicine (3); Obstetrician/Gynaecology; Orthopedic Surgeon; Pathologist; Psychiatrist; Radiologist

2019/2020 Confirmed Recruits 3 Family Physicians 2 Stratford/Tavistock (New/Replacement); Clinton 6 Specialists 2 Emergency Medicine (Sea/St); Internal Medicine; Psychiatry; 2 Radiology Continued Focus on Family Medicine, Psychiatry, Anesthesia

Key Takeaways New Physician coming in September Fills Local Approved Complement of Family Physicians We are Introducing a Process to Identify Local Residents who are NOT on Health Care Connect and Have a Family Physician Elsewhere Recruitment Activities Ongoing and Robust Emergency Departments are Your Friend We Have a Very Strong, Compassionate Local Healthcare System Committed to Continually Getting Better

Closing We Would be Nowhere Near as Strong Absent the Leadership and Support We Have Received from Council If You Don’t Have a Family Physician, Register to Health Care Connect Phone - 1-800-445-1822, available Monday-Friday from 9 a.m. to 5 p.m. https://www.ontario.ca/page/find-family-doctor-or-nurse-practitioner The HPHA Wants YOUR Feedback through an Engagement Survey www.surveymonkey.com/r/hphacommunity

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