VP Quarterly Report on Strategies Q1 – 2015/16 Vision: Healthy people, families and communities. VP: Sharon Garratt – Integrated Health Services Update on Surgical Initiative

Portfolio Overview Surgical Service Line –Perioperative Services –Surgical Access & Inpatient Services Women’s & Children’s Health Specialized Ambulatory Care –Ambulatory Care & Medical Outpatients –Kidney Program KOT

Saskatchewan Surgical Initiative Transform the patient experience through sooner, safer, smarter surgical care By March 31, % of patients have the option of receiving surgery within3 months By March 31, 2015, 100% of cancer surgeries/treatments done within consensus timeframe from the time of suspicion or diagnosis of cancer

Surgical Initiative Outcome Measure

Status of Strategy Implementation Successes Successes/What is working Good tracking systems are in place Surgical Team understands the contributors to volume, what is within control and not within control Weekly and monthly monitoring identifies need for course correction

Status of Strategy Implementation – Challenges & Risks Challenges/Gaps/Risks We need to match capacity to demand, however demand is a projection – which is an educated guess about the future based on a variable that fluctuates widely throughout the year. There is a risk that patients will experience longer wait times as our budgeted volumes assume demand growth under 1% and as of June 1 st we were at 2.2%. It takes time to course correct – OR allocation changes take months to implement It was much easier to achieve cooperation when the program was adding capacity and resources. Now that those two things need to be constrained it is more difficult.

Surgical Demand – Surgical Bookings by Section Section Growth Rate DENTISTRY % NEUROSURGERY % OTOLARYNGOLOGY % VASCULAR SURGERY % OBSTETRICS GYNAECOLOGY % UROLOGY % PLASTIC SURGERY % ORTHOPAEDIC SURGERY % ONCOLOGY11 0.0% THORACIC SURGERY39 0.0% OPHTHALMOLOGY % GENERAL SURGERY % CARDIOVASCULAR SURGERY % PAEDIATRIC SURGERY % TOTAL %

Surgical Targets UncontrollableControllable Month EmergenciesC-Sections ElectivesTOTAL IPOPIP Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Total

Surgical Waitlist

Next Steps -Continue to monitor volume to target weekly -Proceed with summer, Christmas and February slowdowns as planned -Review IP/OP mix -Deep dive on reasons for increase in emergency surgeries -Close vacated OR time