VP Quarterly Report on Strategies Q1 Report – 2015/16 June 23, 2015 Vision: Healthy people, families and communities.

VP Lead: Karen Earnshaw – Integrated Health Services Multi-year Plan: Primary Health Care Multi-year Plan

RQHR Primary Health Care Vision Right Service, Right Provider, Right Place… All the Time RQHR Primary Health Care Mission Primary Health Care is the everyday support for individuals and communities to better manage their own health. Our commitment is to provide coordinated health services that are client centred, community designed and team delivered.

NEW NETWORK VISUALS Primary Health Care

Portfolio Overview (Transitional Structure) Primary Health Care Service Line Networks and Services –Urban Networks –Rural Networks –Home Care/ SWADD –Palliative Care/ Midwifery –Population & Public Health –Eagle Moon Health Office Quality, Planning and Resource Management -KOT -Strategic Engagement and Decision Support -Program and Resources Management

VP is Leading on: Primary Health Care Multi-year Plan

Provincial Health System Outcome By March 31, 2017, people living with chronic conditions will experience better health as indicated by a 30% decrease in hospital utilization related to 6 common chronic conditions.

Age and sex-adjusted hospitalization rates for 6 ACSCs per 100,000 population aged <75

Provincial Improvement Targets –By March 31, 2017, there will be a 50% improvement in the number of people who say "I can access my PHC Team for care on my day of choice either in person, on the phone or via other technology" –By March 31, 2020, 80% of patients with 6 common chronic conditions (diabetes (DM), coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), depression, congestive heart failure (CHF) and asthma) are receiving best practice care as evidenced by the completion of provincial templates available through approved electronic medical records (EMRs) and the eHR viewer –By March 31, 2016, TBD% of patients with 4 common chronic conditions (DM, CAD, COPD, and CHF) are receiving best practice care as evidenced by the completion of provincial flow sheets available through approved EMRs and the eHR viewer Primary Health Care Multi-year Plan

ItemKey Work/Initiative/ProjectMonitored Status (Red/Green) 1Strengthen Home Care Quarterly Green 2Navigation Platform Quarterly Green 3Chronic Disease/ COPD Platform Quarterly Green 4Build Interdisciplinary Primary Health Care Teams Quarterly Green 5Chronic Disease PreventionQuarterly Green 6Hand Hygiene/ Flu Shots Quarterly Green 7Eliminate Unfunded Positions QuarterlyRed 8Physician (and other Provider) Resources Quarterly Red 9Community EngagementQuarterly Yellow Key Work/Initiative/Project To Achieve Multi-year Plan Outcome & Targets

Status of Strategy Implementation Successes Successes / What’s Working? A few examples…. Regular Home Care Huddles – Urban and Rural RPIW #81: Med Rec Acute Care to Home Care Reassignment of all urban case managed clients complete in June COPD A3 and Work plan created o Inventory of equipment, education and rehab services nearly complete o Practices selected for kaizen work Health Promotion and Therapies staff transitioning to Rural 5 Physicians soon at Meadow PHC Centre Reorganizing payroll and budget system for better use and functionality

Status of Strategy Implementation – Challenges & Risks Challenges/Gaps/Risks Ongoing recruitment and retention of family physicians and other providers Data/ Information Flow Funding Models Tight Budget Year Rollercoaster of Change

Continue to Strengthen Home Care Complete re-alignment of PHC leadership team and begin asking teams to work differently Reduce ER waits and improve pt. flow PHC Actions Improve accessibility to PHC; integrate Mental Health and PHC services Improve HIV testing and Immunization rates Safety: Hand Hygiene and Flu Shots Support seniors at home Recruit family physicians Strengthen Open Access in Moosomin Eliminate unfunded positions; establish a priority list of redeployed positions Next Steps: Work Plan

Key Work/Initiative/Project Roster Realignment Establish Network Hubs and supply chain Mobile Technology Inter-disciplinary Case Conferences Establish Network Production Boards Clinical Standards Review Medication Reconciliation on Admission Strengthening Home Care

Key Work/Initiative/Project Complete re-alignment of PHC leadership team and begin asking teams to work differently PHC Center and Open Access Clinic in Moosomin Redesign Home First, Connecting to Care and Seniors Home Visiting into single team focused on preventing ER visits and Acute Care Admissions. Network Analysis Home Care Transition Public Health Transition PHC Chronic Disease Teams Business Admin and Support

2015/2016 Focus Focus for PHC: -Complete alignment into Networks and start to build on our foundation -Support leaders in their new roles -Support staff in working differently -Continue work towards achieving improvement targets