Saskatchewan Health Authority Scott W. Livingstone, Chief Executive - - PowerPoint PPT Presentation

May 13, 2018

Saskatchewan Health Authority

Scott W. Livingstone, Chief Executive Officer

Saskatchewan Health Authority

Key Dates

August 2016

Government of Saskatchewan establishes an advisory panel a four-point mandate to provide advice on the further structure of the health system in Saskatchewan.

January 2017

The Advisory Panel presents its report to Health Minister Jim Reiter who accepted all recommendations, and announced the province will begin work to consolidate the 12 existing regional health authorities into a single provincial health authority.

March 2017

Legislation introduced for a single health authority.

May 2017

Saskatoon chosen as Saskatchewan Health Authority head office.

June 2017

Saskatchewan Health Authority Board of Directors appointed.

August 2017

Saskatchewan Health Authority CEO announced.

December 2017

Legislation proclaimed to launch the Saskatchewan Health Authority on December 4, 2017.

Saskatchewan Health Authority

In recommending the move to a single provincial health authority, the Advisory Panel noted this structure would result in many benefits to patients and staff:

• Reduce complexity and administration, leading to more agile and responsive

decision-making.

• Enable health care providers to coordinate their efforts and serve patients better,

resulting in more seamless continuity of patient care.

• Establish one provincial approach to plan and deliver health care services.
• Break down geographic boundaries and service silos, to provide more consistent and

coordinated health care services across the province.

• Increase efficiencies and reduce duplication in the health system.

Background

Saskatchewan Health Authority

Optimizing and Integrating Patient-Centred Care

The Advisory Panel recommended several actions for its four-point mandates:

The Blueprint

Mandate 1

• Recommend a

structure with fewer Regional Health Authorities (RHAs).

Mandate 2

• Consider
• pportunities

to consolidate clinical or health system support services.

Mandate 3

• Review current

legislation and processes.

Mandate 4

• Identify

processes to enhance management information.

Saskatchewan Health Authority

• Recommend a new structure that transitions 12 existing RHAs to a

single, provincial authority.

• Create service integration areas.
• Implement the Primary Health Care Framework.
• Use Community Advisory Networks to achieve a patient and family

centred health system.

• Engage with Indigenous partners.

Mandate 1

Saskatchewan Health Authority

• Consider opportunities to consolidate clinical or health system

support services.

• Pursue opportunities for consolidation of clinical services within and

across the service integration areas.

• Allow for a standardized approach to a range of health system

support services.

• Over next two years, Government of Saskatchewan should review the

governance arrangements with key partners.

• Health Quality Council (HQC) should remain as an independent
• rganization.

Mandate 2

Saskatchewan Health Authority

• Review current legislation and processes to achieve appropriate

accountability.

• Establish a Board to govern the activities of the Provincial Health

Authority.

• Clarify the respective roles and responsibilities of SHA and the

Ministry of Health for strategic planning and operational management

• Ensure physicians play an active role in the planning, management

and governance of the health system.

Mandate 3

Saskatchewan Health Authority

• Identify processes to enhance management information to improve

and observe on performance management of the health care system.

• Create the capacity to standardize data collection and analysis across

the health system.

• Task the HQC to work with the Provincial Health Authority and the

Ministry of Health in monitoring and reporting on the experience and

• utcomes of patient care.

Mandate 4

Vision: One provincial health authority that is focused on better coordination of health services across the province will ensure patients receive high quality, timely health care, regardless of where they live in Saskatchewan.

Saskatchewan Health Authority

About the Organization

Saskatchewan Health Authority

Quick Facts

Saskatchewan Health Authority

• There is a phased process to fully develop SHA’s organizational

structure:

• Phase One: September to December 2017 (COMPLETE) – The senior leadership

structure announced in late September 2017 set the stage for subsequent

• rganizational structure development. It was important to have senior leaders

involved in determining the needs for their portfolios for the next phase.

• Phase Two: January to March 2018 (COMPLETE) – This phase determined all

Executive Director and some Director positions.

• Phase Three: April 2018 – Executive Directors will determine the structural

needs of their teams to finalize the full out-of-scope organizational structure. This may take several months to conclude.

Creating a High Performing System

Saskatchewan Health Authority

Leadership and Structure

Saskatchewan Health Authority

Area Map

Executive Leadership Team

Geographic Distribution

Executive Leadership Team & Senior Leadership Team

Saskatchewan Health Authority

• Local management and support services across the province
• High quality and consistent point-of-care health services for

Saskatchewan people, wherever they live.

• Having the right people, with the right skills, in the right jobs.
• Transparency, integrity and respect for people.
• Our people are our greatest strength.

Organizational Design

Saskatchewan Health Authority

• One of the strengths of our new system is the priority we have placed
• n greater physician integration.
• Our medical governance structure will ensure that physicians play an

active role in the design, implementation and operation of a system that is more integrated, efficient and patient-centred.

• This structure will provide physicians with an opportunity to reach

new heights in quality improvement, increase efficiency, reduce duplication and enhance the patient experience across the continuum of care.

Physician Integration

Saskatchewan Health Authority

• The medical governance structure is based on dyad leadership that

partners physician leaders and administrative leaders in a complementary, decision-making relationship.

• This partnership between a physician leader’s clinical expertise and

an administrative leader’s business expertise is a model proven to improve care in high-performing health systems across the world.

• Through shared responsibility and accountability between physicians

and administrative leaders, we will find solutions to long-standing system issues.

Dyad Leadership

Saskatchewan Health Authority

A System for All People

First Nation and Métis Health Service Navigators First Nation and Métis Health Council First Nation and Métis Patient and Family Advisory Committee Representative Workforce Strategy Client Representative IRS Elder/Advisor First Nation and Métis Engagement

First Nation and Métis Health Department

Circle of Partners (RHA Reps) Elders’ Council CTC Elder/Advisor

Saskatchewan Health Authority

As patients, providers, administrators, community leaders and other partners debated and discussed primary health care, a vision emerged:

Our vision is a primary health care system that is sustainable, offers a superior patient experience and results in an exceptionally healthy Saskatchewan population. Primary Health Care

Saskatchewan Health Authority

Transitioning to One

• A health care system that is better, smarter, safer and more coordinated.
• Enhanced patient experience across the continuum of care.
• Achieve new heights in quality improvement.
• Unlock significant social and economic benefits.
• Innovations and improved outcomes that can be replicated province-wide.
• Better coordination of health care services across the province.
• Strengthened bonds across diverse groups, celebrated differences.
• Standardized and improved systems and processes.
• A health care system co-designed with patients, families, physicians, health

care providers, communities and partners.

One organization

Saskatchewan Health Authority

The Power of One

Saskatchewan Health Authority

A Local Focus

Local leadership Local connections Local health care

Research Clinical evidence Innovation

The Journey Ahead

Saskatchewan Health Authority

We have reached the 162-day mark in our shared journey to redefine how Saskatchewan residents receive health care services as part of one new organization – the Saskatchewan Health Authority. A Multi-Year Journey

Saskatchewan Health Authority

• Variation
• Innovation
• Opportunity

Early Observations

Saskatchewan Health Authority

Provincial Programs Organizational Chart

Corey Miller

Paul Babyn

Carrie Dornstauder Executive Director Maternal & Children’s Provincial Programs Services Bryan Witt Executive Director Medical Imaging Services Provincial Programs & Services Patrick Robertson Executive Director Pharmacy Services Provincial Programs & Services Rod MacKenzie Executive Director Community Care Provincial Programs & Services Lori Garchinski Executive Director Tertiary Care Provincial Programs & Services Lenore Howey Executive Director

• Path. & Lab. Services

Provincial Programs & Services

Saskatchewan Health Authority

• Provincial Program – Dr. Patrick Robertson Exec Dir Pharmacy Services
• 230 Pharmacists
• 204 Pharmacy technicians/Drug Distribution Technicians
• Will be one of the first areas of clinical transformation (DI, LAB,

EMS, etc)

• Volume based services – value based services

Pharmacy Services

Saskatchewan Health Authority

• Primary Care
• Dx/OTC Tx/Prescribing/ Immunization/Education/Prevention
• Clinical data - Communication
• Safe high quality transitions – Med Rec
• Supply Chain
• Still opportunities to drive value
• LTC contracts – Standard of care
• Provincial standards, and Formulary

Pharmacy Services

Thank You

For more information, visit saskhealthauthority.ca

Questions ?

For more information, visit saskhealthauthority.ca