READ THIS FIRST!

1. READ THIS FIRST! These slide presentations are for leaders in Health Network development to use in sharing information on Health Networks. Key details are in speaking notes on each slide. Please DO NOT EDIT SLIDES Leaders: You may add/remove slides based on your audience, at your discretion.

2. Family Medicine Health Networks In Saskatchewan

3. What patients are telling us Voice of the patient “Conversations about the ideal state of First Nations and Metis health and well-being is difficult when there are so many challenges and barriers within the health system” “… felt completely on our own when transferred to the ward, and even more alone when discharged home...” “Physicians are experts in a particular field of medicine, but patients are experts on how they feel.”

4. What providers are telling us • “Working with a team of care providers has allowed me to work more effectively as a physician. We work together, each bringing our unique skills to the team, to address the health needs of the people we serve in the Meadow Lake area.” • – Dr. A. Viljoen, family physician Meadow Lake 62% of physicians reported risk of burnout is high

5. SMA Redesign Survey • 98% think care is improved when delivered by teams working to maximum scope of practice • 76% of Saskatchewan doctors use data from their practices to improve their own • 87% think Saskatchewan doctors should be responsible for using health-care resources wisely • 89% think doctors have an obligation to influence care beyond their own practices

6. Health Networks Recommendation The Provincial Health Authority and the Ministry of Health should prioritize the integration of team-based community and Primary Health Care with the acute care system with the explicit goal of better serving patient needs in the community. Saskatchewan Advisory Panel on Health System Structure Report December 2016

7. Health Networks A Definition Developed by the Ministry of Health, SHA & SMA Health Networks are collaborative teams of health professionals, including physicians, and community partners providing fully integrated services to meet the health needs of individuals and communities.

8. Health Networks 2019/2020 Strategic Plan: Goal: Connected care for the people of Saskatchewan Goal: Create a health system culture that promotes patient and staff safety Goal: Establish physicians as leaders in the health-care system Goal:Improve system wide coordination and alignment of services Alignment to the Strategic Plan

9. Health Networks Principles and Attributes Better Health • Needs-based, culturally safe and responsive services • Proactive: population health approach with a focus on wellness and prevention • Rooted in the community Better Care • Integrated care, with all necessary services wrapped around the patient • Seamless, high-quality transitions of care • Allows for strong relationships between patients, families, and providers BETTER HEALTH BETTER CARE Better Teams • Interdisciplinary, team-based care with a focus on developing information flow processes that work for local teams • Local teams will be develop based on local context and needs, with physician engagement and leadership Better Value • Sustainable • Accessible care, with services as close to home as possible • Responsive to changing needs of clients, based on demographics and usage patterns BETTER TEAMS BETTER VALUE

10. Benefit of the Health Networks Model Which Will… Benefit patients (access and continuous care) Benefit providers Shorten hospital lengths of stay Shorten ED wait times Support local physician leadership Delivery of culturally appropriate and safe care Improve connections with the First Nations and Métis communities Evolve over time Key Features: Tailored Network Teams developed based on data & patient, physician & provider advice Coordinated point of entry for patients and providers Integrated patient pathway navigation

11. Health Networks 3 year vision (2021) • “Care happens in the community” is the norm • The health networks concept is understood • All health networks are operational, but not mature • Patients know how their family doctor fits into the system. Family doctors know how they are part of the system. • Mechanisms in place to improve access to intermediate and complex care, and support coordinated care throughout the health system • Access to care pathways & best practice • Wrap corporate supports and provincial programs around networks • Culturally safe practices areembedded • A culture of quality and safety is the norm • Community voices & data support network services • Use of tools to support navigation

12. Health Networks 5 year vision (2024) • Integrated services are appropriate for community needs, beyond healthcare services • Partnerships with communities to support wellness, social determinants of health • Access to intermediate and complex care in the community • Continuous engagement to meet community needs, inclusive of First Nation and Métis peoples • Tools and information available to support patient empowerment and self-directed care • Integrated technology and processes to support seamless care in community (EMR, e-referrals, shared care plans)

13. Health Networks How They Work

14. Health Networks Connected Care Strategy Image source: Health Quality Council

15. Health Networks Connected Care Strategy Image source: Health Quality Council

16. Health Networks Connected Care Strategy Image source: Health Quality Council

17. Health Networks Connected Care Strategy

18. Patient’s Medical Home & Health Networks The Patient’s Medical Home (PMH) provides seamless care that is centered on individual patients’ needs, within their community, throughout every stage of life, and integrated with other health services The PMH is based on Comprehensive Team-based Care with Family Physician Leadership The Health Networks will enhance the role of the PMH and allow it to fulfill its full potential of offering comprehensive, coordinated and continuing care How They Work Together

19. Health Networks The Ideal Health Ecosystem

20. Role of Physicians • The family physician is an integral part of the patient’s overall care • Health Networks are based on the tenet that there will be comprehensive team-based care with family physician leadership • Physician leadership at the Health Network level is a fundamental feature of Health Networks • Physicians must play an active role in the planning, management and governance of Health Networks

21. Work to Date Health Networks

22. How We Work Together

23. Health Network Transformation Next Steps

24. Health Networks Big System Change Empower Listen to and empower local communities and care teams Common Improvement Tools and Method Patient and Family Centered System Partnerships Shared Vision Measure Common understanding of goals and progress System-wide spread of best practices

25. Physician Engagement Physician Engagement is a priority; Need to engage in a dialogue; Understand concerns & opportunities; Can’t move ahead without your support

26. Please connect with your area Executive Director to express interest… Physicians are a critical part of Health Network Development in Saskatchewan. Do you want to be involved?

27. Executive Directors

28. Executive Directors

29. For more information contact: Adrienne Danyliw Director - Strategy & Innovation Adrienne.Danyliw@saskhealthauthority.ca Phone: 306-655-6290 Questions?