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

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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. HPHA Primary Care 5 Family Health Teams across HPHA communities
Clinton FHT
Huron Community FHT
Happy Valley FHT
STAR FHT
Stratford FHT
1 Family Health Organization (Mitchell)
No “stand alone” models of care (by design)

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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 , available Monday-Friday from 9 a.m. to 5 p.m.
The HPHA Wants YOUR Feedback through an Engagement Survey

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