DEVELOPING THE HEALTH SYSTEM STRATEGIC PLAN Metamorphosis Conference April 19, 2007

1. DEVELOPING THE HEALTH SYSTEM STRATEGIC PLAN Metamorphosis ConferenceApril 19, 2007

2. In November 2005, the Minister of Health and Long-Term Care made a commitment to develop a strategic plan for the health care system. The Ministry shall develop a provincial strategic plan for the health system that includes a vision, priorities, and strategic directions for the health system and make copies of it available to the public at the offices of the Ministry.Local Health System Integration Act, 2006

3. The Strategic Plan will provide long-term direction for the health system, government, stakeholders, and front-line providers • The 10 year health system strategic plan will guide: • Long-term health system planning • System investment decisions and priority setting to increase value for money • Planning, coordination, and allocation decisions of Local Health Integration Networks (LHIN) • Future work with other government ministries on health related issues (e.g. transportation, health promotion, social housing) • Health system accountability and performance management • Information regarding the development of the Strategic Plan can be found on the website, www.ourplanforhealth.ca • The plan will be continually reviewed and evaluated to ensure progress and renewed to ensure relevance

4. Changing population characteristics and health care system pressures mean we must plan better • People are living longer and the population is growing • Ontario’s population is aging • Ontario’s health care provider workforce is aging • More people are living in urban areas • An increased number of people are living with chronic disease • Healthcare spending continues to increase at 6% annually

5. Ontario Quebec 85 80 75 70 Life expectancy (years) 65 60 55 50 1921 1926 1931 1936 1941 1946 1951 1956 1961 1965 1971 1976 1981 1986 1991 1996 2001 2004 Date Life expectancy at birth in Ontario and Quebec, 1921 to 2004, and the provincial range Data Source: Statistics Canada

6. Ontario’s population is aging

7. The health provider work force is aging

8. More people are living in urban areas

9. Prevalence and Incidence of Ontarians with Diabetes, 1995-1999 An increased number of people are living with chronic disease

10. The development of the Strategic Plan has been based on information and opinions from a range of sources Progressive consolidation of issues and refinement of focus on key strategic directions *See Appendix A for list of consultations on Seniors’ issues

11. Research papers were developed using a collaborative process to consider trends and identify strategic solutions • Healthy and Responsible Consumers • Health Equity • Democratic Renewal and Public Engagement • Patient and Workplace Safety • Foundations for Health System Sustainability • Sustainability through Supply Management • Sustainability through Demand Management • 15 research papers were developed through Editorial Boards led by MOHLTC staff with each board comprised of MOHLTC staff, other government representatives and external experts • Topics: • Delivering Person-Centred Care • Innovation, Science and Technology • Strengthening Health System Governance • Health Human Resources • Aboriginal Health • Seniors’ Health • Serving the Health Needs of Children and Youth • Women’s Health • Each of the Research Papers: • Defines the current state and outlines challenges to be addressed • Outlines trends and emerging strategies from other jurisdictions and other sectors • Provides a knowledge and evidence based foundation for the development of future health system strategies • Identifies a broad range of innovative solutions and options that could be applied in Ontario • Summaries of the Research Papers have been posted online (www.ourplanforhealth.ca)

12. A range of cross-cutting themes and ideas about the future system emerged from our policy experts • Know and Apply What Works – use evidence in making clinical and planning decisions and measure performance • Address Equity - improve health outcomes for all people but with a focus on those in poorer health as part of a broader policy framework addressing broader social issues impacting health status • Be Patient Driven - reorient health care to the person not the system • Build Capacity - improve system capacity through health human resources, e-Health, information technology

13. Some common themes emerged from our consultation with Consumers, LHINs, and Stakeholder Organizations Priorities are in order of preference by group

14. The Ministry undertook 15 Regional Consultations to refine strategies and priorities, based on what had been heard to date • The Ministry conducted 15 MPP-lead Regional Consultations across the province (1200 participants overall, 30% general public, 70% stakeholders/front-line providers. • The objective was to refine ideas and strategies for the development of the final plan. • Participants were asked for input on the vision, principles, and priorities for the health system for the next 10 years. • Overall, the findings were consistent throughout the consultations: • Empowering consumers and providing them with the necessary supports and information • Equity is important, including reducing population-based health disparities • Inter-ministerial collaboration is fundamental to improving overall health • Health promotion and disease prevention is important • Improved options for Independent Living for all groups, e.g. Seniors, Disabled

15. From our research, analysis, consultation, and engagement, key priorities have emerged Focus on Improving Health • Throughout the consultations, health promotion and disease prevention were important priorities. • Ontarians are committed to improved self-care, if provided the appropriate resources. Access and Fairness • Stakeholders and the public emphasized the need to focus on improving access to a variety of health care services, and better navigation through the system. • Ontarians value a system that is equitable, and treats everyone fairly. Accountability and Quality • Based on expert research, and input from the public and stakeholders, it is important that decision making be evidence-based. • The consultations emphasized the importance of a high quality, efficient, and sustainable system.