CEO INTRODUCTION Keith Dewar, President & CEO

Our Purpose Why we are here

Strategic Hierarchy Government of Saskatchewan Ministry of Health Regina Qu’Appelle Health Region Provincial Health System Patient, Staff and Physician Input

Planning And Reporting Flow Chart Hard copies are on your table to see the details

Quarterly Report on Strategic Plan: –VP Lead of multi-year plans report on outcome measures and progress towards targets RQHR Strategic Plan Reporting Mechanism

S TRATEGIC M ULTI - YEAR PLANNING & R EPORTING

RQHR Strategic Plan RQHR Multi-year Strategic Plan includes: Provincial Strategies ED Waits and Patient Flow (prov. Hoshin) Mental Health and Addictions (prov. Hoshin) Seniors Infrastructure Primary Health Care Wait 1/GP to Specialist Appropriateness Financial Sustainability Culture of Safety RQHR Internally Identified Strategies Patient Family Centred Care Engagement Academics and Research

RQHR Strategic Plan – Cont’d We are confident in the strategic direction we are taking as a province and organization Each strategy is led by a Vice President (VP) who is accountable for achieving the outcome Each strategy is supported by a multi-year plan Each strategy is being monitored and reported out quarterly Funding restraint will slow the progress of multi-year plans and delay achievements and could potentially result in a deterioration in our gains to date We have significant capital and infrastructure deficiencies (facilities, equipment and information technology systems) that could impede our ability to meet strategic, business plan and operating budget targets

2015/16 T HE C URRENT Y EAR B USINESS P LAN

RQHR Business Plan 2015/16 RQHR Business Plan ( One-year Regional priorities ) : –Continues to focus on: o Quality and Safety o Patient Flow (also a 15/16 provincial Hoshin) o Primary Health Care –Added one more focused area: o Mental Health & Addictions (also a 15/16 provincial Hoshin)

Link RQHR Strategic & Business Plan RQHR Multi-year Strategic Plan includes: Provincial Outcomes ED Waits and Patient Flow (prov. Hoshin) Mental Health and Addictions (prov. Hoshin) Seniors Infrastructure Primary Health Care Wait 1/GP to Specialist Appropriateness Financial Sustainability Culture of Safety RQHR Internally Identified Strategies Patient Family Centred Care Engagement Academics and Research RQHR Business Plan has 4 Focused Areas: o Quality and Safety o Patient Flow (also a provincial Hoshin) o Primary Health Care o Mental Health & Addictions (also a provincial Hoshin)

Focuses on the work of the Senior Leadership Team (SLT) –It includes regional work that SLT has to lead, monitor, and report Supports alignment across the RQHR –It is supported by work plans at the portfolio, service line and unit level Focuses SLT support for daily management –Quality care, safe care, and financial sustainability Business plan can and will change during the year –When targets are met, initiatives can be replaced by other work appropriate for SLT RQHR Business Plan – Cont’d

2015/16 W HAT HAS CHANGED SINCE OUR BUSINESS PLAN WAS APPROVED

2015/16 Preliminary Operating Budget 14

Service Volume Changes Has an Impact on Costs 15 Hospital Care Utilization P% Change Admissions 34,123 34,549 35,281 36,595 38, % Average Daily Census % Average Lenth of Stay (Days) % Births/Newborn Admissions 3,771 3,954 4,087 4,234 4, % Emergency Visits 106, , , , , % Surgeries 21,683 22,774 23,232 26,615 26, % Diagnostic Imaging Procedures 274, , , , , % Laboratory Tests Performed 3,555,074 3,662,535 3,783,155 3,952, % Home Care Service Workload Units 168, , , , , % Emergency Medical Services Calls 23,598 23,764 24,870 24,811 25, % # of Influenza Immunizations provided by Public Health 34,487 33,076 35,447 52,346 n/a51.78% Ambulatory Care & Medical Outpatient Procedures 86,056 99, , , , % # of Long Term Care Beds n/a 1,989 1,961 1, %

Primary Driver – Paid Hours 16

Regional Focus to a Balanced Budget

A CCREDITATION

Accreditation Items before Sept. 17, 2015 Standard Set Due Date June June June 29-July 3 July July July July Aug 3- 7 Aug Aug Aug Aug 31- Sept 4 Sept Dr. McCutcheon Emergency Department Sep-15 Emergency Medical Services Sep-15 Medicine Services Sep-15 Cancer Care and Oncology Sep-15 Critical Care Sep-15 Michael Redenbach Mental HealthSep-15 Population Health and Wellness Sep-15 Long-Term Care Sep-15 Sharron Garratt Ambulatory Sep-15 Obstetrics Sep-15 Perioperative Sep-15

Accreditation Items before Sept. 17, 2015 Cont’d Karen Earnshaw Hospice, Palliative, and End- of-Life Sep-15 Home care Sep-15 Public Health Sep-15 Rural (Imbedded in other CQI Teams) Emergency Department Ambulatory IPAC Reprocessing Medication Management Perioperative Long -Term Care Keith Dewar Leadership: Medication Reconciliation Sep-15 Leadership: Workplace Violence Prevention Sep-15

Accreditation Items before Sept. 17, 2015 Cont’d Dawn Calder Reprocessing Sep-15 Rehabilitation Sep-15 Medication Management Sep-15 Medication Reconciliation Antimicrobial Stewardship Program Concentrated Electrolytes High- Alert Medications Heparin Narcotics Infusion Pump Training Marlene Smadu IPAC Sep-15

P ATIENT F LOW V ISIONING S ESSION

Current Year Course Correction Listen and take notes throughout the day Note changes to things that will influence your area and your plan, e.g. budget restriction. Dedicate time after the session to work in your teams and look at your plans to see what needs to be adjusted for this year and the following years Who will you need to talk to/link in with to connect your work?

Portfolio Planning & Deployment