1. Primary Health Care

2. Current State

3. Future State

4. This is a work in progress Over April to June each PHC will have a VSM current and Future which will inform the over all Future state map Most of the current state 16-17 maps are close to being complete. – The regional VSM will reflect the individual maps. – Individual work will have drill down VSMs that will cascade from the individual clinic VSM

5. Improvement Goals By March 31, 2016, improve access to Primary Health Care in Prairie North Health Region, as measured by a 10% increase in available appointments. Complete Short term improvement goal: By June 30, 2015, all six core PHC teams have a value stream map with improvements agreed upon by physicians at the site. Complete!

6. Quality

7. Cost

8. Delivery

10. Safety

11. Engagement

13. Corrective Action Director to lead by example when meeting with managers – would like access to web-ex so can do weekly huddles without the travel Coach managers – make use of our QI experts Managers to coach clinics – be available at huddles

14. Strategy for meeting goals Key MilestonesWho is Responsible Completion Date PHC RN CDM QIP Facilitator in place and supporting providersCharlotteMay 30/15 Clear expectations for physicians and PN are documented and sharedVikki/CharlotteJune 30/15 Design RPIW to reduce CTAS 4 and 5 currently coming to BUH ERVikki SmartJune 30/15 Every core team has a VSM with Kaizens agreed upon by the physicians in the site PHC Team Managers June 30/15 A3 with workplan in place to support PHCC integration into MH/AD team. Partially completed, MHAD supervises staff and have adopted some of the MHAD work processes Charlotte/ChadJune 30/15 Pilot integration of existing MH and Addictions staff into rural PHC teams. Charlotte/ChadSept 30/15 Develop strategy to integrate regional HP staff into PHC teamsPHC Team Managers Sept 30/15 Design and trial self-management CD care plans in one core PHC siteJoan WentworthMarch 31/16 Develop and implement a MedRec process that meets Accreditation Canada standards in one core PHC site (Meadow Lake) Charlotte/PHC Managers March 31/16

15. Current Challenges Team’s ability to meet demand for services Increasing incidence of chronic conditions places increased demand on health care teams to prevent and manage these conditions. – Physician time: each CD visits takes ½ hour to properly manage a chronic condition – Chronic Nurse Educator resources are limited and in much demand – STRIDES and Live Well program resources to meet the needs

16. Current Challenges Developing PHC services to care for patients with high risk conditions (mental health, addictions, HIV and Hep C). Working with MHAD and PH to increase capacity and ensure best use of all resources. Developing appropriate PHC services to care for patients with high risk conditions (mental health, addictions, HIV and Hep C). – Working with MHAD and PH teams to increase capacity and ensure best use of all resources.

17. Opportunities Continue to integrate other health care providers into the PHC team to ensure patients are receiving the right care by the right provider. Improve Patient and Family Engagement in PHC services to ensure our services meet the needs of the population. Work with Mental Health and Addictions and Population Health to remove barriers to services.

18. Opportunities Partner with PHC sites to identify and address gaps in meeting Accreditation Canada standards. (MedRec) Continue to build our skills in the use of Lean tools and adopt a continuous quality improvement culture