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Regional Implementation of Cancer Control Planning Framework

Regional Implementation of Cancer Control Planning Framework. Dr. Lynn Stevenson Partners in Cancer Care November 27, 2003. Outline. Why? Purpose Partnership Framework Next Steps Key Questions. Why?. Implement the Cancer Control Strategy

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Regional Implementation of Cancer Control Planning Framework

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  1. Regional Implementation of Cancer ControlPlanning Framework Dr. Lynn Stevenson Partners in Cancer Care November 27, 2003

  2. Outline • Why? • Purpose • Partnership Framework • Next Steps • Key Questions

  3. Why? • Implement the Cancer Control Strategy • Provincial and Regional Health Authorities - Clinical Direction Plans: - Service Delivery - Reducing Administrative Support - Balancing the Budget/Sustainability • BCCA 2001 Accreditation - Leadership team recommendations

  4. Purpose for BCCA • to provide a provincial forum and structure for deliberations and decision-making related to programs and initiatives outside the RCC’s • to provide a consistent and co-ordinated approach to program development, monitoring, and evaluation • to enhance partnerships with each of the RHA’s

  5. Purpose • Developing partnership discussions • Cancer control shared responsibility

  6. Partnership Framework

  7. Partnership Framework • Purpose for Cancer Control • Development Process • Operating Principles • Roles & Responsibilities • Developing Performance Measures • Resource Framework

  8. Development Process Step 1: Key representatives from each organization will meet and discuss the proposed “Partnership Framework”

  9. Development Process Step 2: The organizations will form a Regional Advisory Council to review, develop and agree on: -operating principles-roles & assigned responsibilities- performance measures -operating plan -resources framework

  10. Operating Principles • The Regional Advisory Councils will identify and agree on operating principles for the partnership • The example provided - BCCA & FHA for the Abbotsford Hospital & Cancer Centre • may/will differ by HA

  11. Clarifying Roles & Responsibilities

  12. Key Leadership Criteria for Cancer Control 1. Clinical Standards & Guidelines 2. Population Planning & Coordination 3. Fiscal 4. Operational 5. Knowledge Generation & Dissemination 6. Advocacy

  13. Clarifying Roles & Responsibilities • Each leadership criteria: - identified key competencies (CCHSA) - pages 7-9 • Provide a brief role description for each element of cancer control (pages 3&4) to assist in assigning a “level of responsibility” for each leadership criteria

  14. Clarifying Roles & Responsibilities • Developed a scoring system: 0 - no responsibility 1 - primary responsibility 2 - shared responsibility • BCCA and RHA • Current and Target

  15. Developing Performance Agreements

  16. Review Existing Agreements/Contracts • MoH & PHSA Contract • Nanaimo General Hospital - CON • BCCA Memorandum of Understanding - CON • SMH Purchased Services Agreement • Vernon Jubilee Agreement - draft • Screening Mammography Program of BC

  17. Core ElementsAgreements/Contracts • Legal Description • Service Description • Assignment of Responsibilities • Term of Agreement • Payment • Information Systems • Reports & Evaluation • Confidentiality • Assignment of Sub-Contracting • Indemnity and Insurance • Termination • Notices • Miscellaneous

  18. Developing Performance Measures

  19. Performance Measurement /Quality Indicators • Population Health & Wellness: Incidence, mortality, morbidity, PYLL, Utilization of screening programs... • Compliance • Timeliness (access) to services • Annual Audited Financial Statements • Critical incidents • Cost-effectiveness • Research grant funding, publications… • Public/End-user satisfaction • Others

  20. Allocation of Resources & Alignment to Need

  21. Operating Plan (1-5 years) & Resources Framework • Financial • Human Resources • Capital (Facilities & Equipment)

  22. Development Process Steps 3-10: 3. Review strategic initiatives of each organization 4. Prioritize Change Initiatives 5. A Population Health Approach (CCHSA) 6. Identify appropriate staff for implementation 7. Project(s) approval 8. Communication Plan 9. Monitor, Report, and Evaluate Project(s) 10. Regional Advisory Councils

  23. Advisory Council/Network • Stakeholder • Different levels-different roles

  24. Advisory Council / Network for Implementation of Cancer Control

  25. Next Steps & Key Questions

  26. Next Steps • Seek your feedback • Identify Key Health Authority Representatives • Schedule a meeting

  27. Key Questions • Are there any gaps in our approach and/or information? • Is the draft Partnership Agreement clear? • Are the definitions of the elements accurate? • Are the criteria that we used to identify responsibilities comprehensive? • Any other comments?

  28. …….. Thank you ……..

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