Integrated Health Services Quarterly Report on Strategies Q3 – 2015/16

1. Vision: Healthy people, families and communities. VP Quarterly Report on Strategies Q3 – 2015/16 VP: Karen Earnshaw – Integrated Health Services Multi-year Plans: Primary Health Care Multi-year Plan

2. RQHR Primary Health Care Vision Right Service, Right Provider, Right Place… All the Time RQHR Primary Health Care Mission Primary Health Care is the everyday support for individuals and communities to better manage their own health. Our commitment is to provide coordinated health services that are client centred, community designed and team delivered.

3. Primary Health Care NEW NETWORK VISUALS

4. Primary Health Care Multi-year Plan Provincial Health System Outcome By March 31, 2017, people living with chronic conditions will experience better health as indicated by a 30% decrease in hospital utilization related to 6 common chronic conditions.

5. Age and sex-adjusted hospitalization rates for 6 ACSCs per 100,000 population aged <75

6. 2015-16 Goals and Targets • Patient Flow: • Decrease ER visits, reduce admissions and readmissions; • Community Response Teams: Seniors Home Visiting, Connecting to Care, Community I.V. Therapy, Home First Quick Response • Improve chronic disease prevention and management • Financial Sustainability: • Improve efficiency, reduce unfunded positions, and match capacity with demand • Safety and Accreditation • Medication Reconciliation, Hand Hygiene and Immunizations

7. Successes • Patient Flow: • COPD - Community COPD rehab. program • SWADD Deep dive - electronic charting, load leveling and transitions to community • ALC: Provincial data capture form • Daily huddles - demand huddles & case conferences • PHC Response Team – central intake, community response • Eagle Moon engaged in PHC work including the single fathers program and smoking cessation. • Physician Recruitment -10 point plan • Repatriation Huddles - From urban to rural • Open Access (Moosomin) - Extended hours to 7 p.m.

8. Successes • Financial Sustainability: • 14/15 variance $5,954,498 - projected 15/16 negative variance $121,008. • Paid hours reduction of 1% to 14% when compared to the previous year • Safety and Accreditation • Hand Hygiene campaign and auditing • Childhood Immunization: home visits and re-alignment of caseloads.

9. Key Pieces of Work: Green / Red

10. 2015-16 Q2: Corrective Action Plans • HIV Testing / Childhood Immunizations • HIV Testing: Establish standard work for every client to be offered an HIV test. • Childhood Immunization: Realign caseloads, home visits and work with Health Canada on data sharing. • Eliminate Unfunded Positions - WOTT: Case load and roster review, home care skill task alignment project, increase direct care time, daily management.

11. 2015-16 Q2: Corrective Action Plans • Hand Hygiene / Flu Shots • Hand Hygiene: Hand Hygiene Campaign and daily management • Flu Shots : Continue to encourage staff • Physician Recruitment and Retention • 10 point physician recruitment plan established

12. Looking Towards 2016-17 • Patient Flow: • Access: Build capacity in Chronic Disease prevention and management, public health access, physician recruitment and retention. • Navigation: Infrastructure, team development, transitions between services, linking patients and providers to services. • Financial Sustainability: • Adherence to Budget and baseline staffing. • Explore PHC Modelling - HQC • Accreditation and Safety: - Hand hygiene, immunization, med rec, Falls, HIV testing, staff shoulder and back injuries