1. 51 st Annual Meeting Regional Policy Forum of the Council of State Governments/East August 9, 2011

2. Challenges  Rising cost of health care and declining revenue  Health Human Resources  Primary Care and the pressure on Emergency Room Care

3. Provincial Government health care expenditure (per capita) source: CIHI

4. Provincial Health Spending as percentage of GDP source: CIHI, Statistics Canada

5. Annual growth (NS provincial revenue & health expenditure) 2002-03 to 2011-12 source: NS Budget Estimates

6. 2011-2012 Inter-Departmental Expenses (estimates)($ thousands) source: NS Budget Estimates

7. 2007-08 to 2011-12 Expenditure Growth in Health ($ thousands) source: NS Budget Estimates 6.2%7.2%1.8%

8. Challenges  Health Workforce Supply  Health Workforce Utilization and Productivity  Quality of Work Life

9. Physicians and Nurses Shortages of continuing care assistants, Medical Radiation Technologists, Physiotherapists, Occupational Therapists in NS Health Information Management people and social workers in NB And Resident Care Workers in PEI

10. Solutions  Physician resource plan

11. Solutions  Models of Care  Renewal of Nursing Strategy