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

2. 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

3. Saskatchewan Surgical Initiative Transform the patient experience through sooner, safer, smarter surgical care By March 31, 2014 100% 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

4. Surgical Initiative Outcome Measure

5. 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

6. 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.

7. Surgical Demand – Surgical Bookings by Section Section20142015Growth Rate DENTISTRY17024041.2% NEUROSURGERY20024723.5% OTOLARYNGOLOGY21125219.4% VASCULAR SURGERY637214.3% OBSTETRICS GYNAECOLOGY55962311.4% UROLOGY2522738.3% PLASTIC SURGERY1641767.3% ORTHOPAEDIC SURGERY139114735.9% ONCOLOGY11 0.0% THORACIC SURGERY39 0.0% OPHTHALMOLOGY992879-11.4% GENERAL SURGERY682595-12.8% CARDIOVASCULAR SURGERY6757-14.9% PAEDIATRIC SURGERY8353-36.1% TOTAL488449902.2%

8. Surgical Targets UncontrollableControllable Month EmergenciesC-Sections ElectivesTOTAL IPOPIP Apr-1536650731612 2101 May-1543234831599 2148 Jun-1542349761667 2215 Jul-1542955851118 1687 Aug-1545544971491 2087 Sep-1541644801665 2205 Oct-1539147831661 2182 Nov-1538450851594 2113 Dec-1539548791466 1988 Jan-1641548841597 2144 Feb-1636837681349 1822 Mar-1644345831669 2240 Total49175519761848824932

9. Surgical Waitlist

10. 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