Saskatchewan Health Authority Scott W. Livingstone, Chief Executive Officer May 13 , 2018
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. The Advisory Panel presents its report to Health Minister Jim Reiter who accepted all January 2017 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 Background 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.
Saskatchewan Health Authority The Blueprint Optimizing and Integrating Patient-Centred Care The Advisory Panel recommended several actions for its four-point mandates: Mandate 1 Mandate 2 Mandate 3 Mandate 4 • Recommend a • Consider • Review current • Identify structure with opportunities legislation and processes to fewer Regional to consolidate processes. enhance Health clinical or management Authorities health system information. (RHAs). support services.
Saskatchewan Health Authority Mandate 1 • 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.
Saskatchewan Health Authority Mandate 2 • 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 organization.
Saskatchewan Health Authority Mandate 3 • 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.
Saskatchewan Health Authority Mandate 4 • 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 outcomes of patient care.
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 Creating a High Performing System • 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 organizational 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.
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 Organizational Design • 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.
Saskatchewan Health Authority Physician Integration • One of the strengths of our new system is the priority we have placed on 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.
Saskatchewan Health Authority Dyad Leadership • 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.
Saskatchewan Health Authority A System for All People Circle of Partners First Nation and (RHA Reps) M é tis Health Service Navigators First Nation and First Nation and M é tis Health Métis Engagement Council First Nation and Métis Health First Nation and M é tis Department Patient and Family IRS Advisory Committee Elder/Advisor CTC Elders’ Council Elder/Advisor Representative Client Workforce Representative Strategy
Saskatchewan Health Authority Primary Health Care 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.
Saskatchewan Health Authority Transitioning to One
Saskatchewan Health Authority The Power of One One organization • 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.
Saskatchewan Health Authority A Local Focus Local Local Local leadership connections health care Research Clinical Innovation evidence
The Journey Ahead
Saskatchewan Health Authority A Multi-Year Journey 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 .
Saskatchewan Health Authority Early Observations • Variation • Innovation • Opportunity
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