1. Health System Strategy in British Columbia BCSLA Annual Conference Doug Hughes, ADM, Ministry of Health September 28, 2015 1

2. Overview Changing context Addressing the challenge A collaborative approach 2

3. A Changing Context An aging population Over-congested emergency rooms Hospitals operating at capacity Need for appropriate care models for seniors and high needs populations Wait times for many procedures have not declined 3

4. What are the key populations? Higher users of service include:  Frail seniors (seniors with moderate to high complex chronic conditions and increasing risks or signs of frailty)  Complex chronic conditions  Severe mental illness and/or substance use 4

5. Addressing the challenge 1. Patient-Centred Care 2. Continuous Improvement 5

6. Setting Priorities for the B.C. Health System Strategic direction for the health sector Unifying platform for health authority planning and action The ‘Vision’: Priorities and Direction 6

7. Strategic Focus – 2015 to 2017 Improve quality of care for seniors with complex health issues and patients with mental illness and/or addictions while reducing hospitalizations Improve access to surgical services and procedures Improve delivery of rural health services Primary care access 7

8. Primary and Community Care 8

9. 9 Rural Health

10. Health-Care Forum: Focus on Improving Senior’s Care 10

11. Where do Senior Living Communities Fit in? Independent living and assisted living support individuals to live independently in the community Accommodation and support services meet the needs of a wide range of people (e.g. seniors, people with physical disabilities and those with substance use issues requiring support) The sector is well positioned to support change as need continues to grow 11

12. Related Priorities The Ombudsperson’s Report, The Best Care: Getting It Right for Seniors in British Columbia Office of the Seniors Advocate 12

13. The Way Forward Addressing health care system challenges Taking a collaborative approach with partners and stakeholders Responding to the Ombudsperson’s recommendations Seeking opportunities with the Office of the Seniors Advocate 13

14. Questions 14