Budget 2003 -- Government of British Columbia.
         
Contents.
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Minister's Letter  
Accountability Statements  
Introduction  
Highlights and Changes from Previous Plan  
Strategic Context  
Ministry Goals  
Core Businesses  
Objectives, Strategies, Performance Measures and Targets  
Consistency with Government Strategic Plan  
Resource Summary  
Summary of Related Planning Processes  
Appendix A: Comparison of Strategies in 2002/03 – 2004/05 and 2003/04 – 2005/06 Service Plans  
Appendix B: Comparison of Performance Measures in 2002/03 – 2004/05 and 2003/04 – 2005/06 Service Plans  
Appendix C: Link between Health System Goals and Core Business Objectives  

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2003/04 – 2005/06 SERVICE PLAN
Ministry of Health Services

Appendix A: Comparison of Strategies in 2002/03 – 2004/05 and 2003/04 – 2005/06 Service Plans

Core Business 2002/03–2004/05 Service Plan Strategies 2003/04–2005/06 Service Plan Strategies
Services Delivered by Partners
  Goal 1 – Strategy 7: Reallocate resources and develop policy to support innovative community, home care and palliative care services as alternatives to institutional care. Priority Strategy 1: Hospital Admissions Prevention through Increased Community Care Options: Prevent unnecessary hospitalizations by providing patients with better access to family physicians, specialists and other providers and services in the community.
Priority Strategy 2: Post-Acute (hospital care) Alternatives: Provide appropriate community health support to enable timely discharge of patients from hospital once the need for acute medical care has ended.
Priority Strategy 3: Effective Management of Acute Care Services in Hospitals: Plan for and manage the demand on emergency health services and surgical and procedural services.
Goal 1 – Strategy 8: Provide 5,000 new home and community care placements Priority Strategy 4: Alternatives to Institutional Care: Help elderly and disabled individuals avoid institutionalization and remain as independent as possible in their own homes and communities by increasing the range of supportive housing environments and community care options, reserving residential institutions for patients with the most complex care needs.
Goal 1 – Strategy 13: Implement an integrated health information system to facilitate better patient care across program Priority Strategy 5: Build the Foundation for Integrated Care Networks:
a. Connect physicians and other health care professionals to diagnostic services, to hospitals, and to each other.
Goal 3 – Strategy 5: Implement an information technology plan that incorporates shared, standardized business systems across region
Goal 1 – Strategy 5: Modernize mental health care through the implementation of the Mental Health Plan Priority Strategy 5: Build the Foundation for Integrated Care Networks:
b. Provide a continuum of services in each health authority for mental health patients that better integrates primary, secondary, community and tertiary mental health care and is integrated with the larger care networks.
Goal 2 – Strategy 4: Support initiatives to improve the health status of people with mental illnesses
Goal 1 – Strategy 6: Implement an annual mental health services report card
Priority Strategy 6: Better Care for People with Extensive Care Needs: Provide integrated care and targeted services for patients who have extensive health care needs to more effectively manage their contact with healthcare services.
Goal 1 – Strategy 4: Introduce strategies to improve the care of people with chronic health conditions Priority Strategy 7: Better Care for People with Chronic Conditions: Increase the emphasis on the effective management of chronic diseases (e.g., diabetes) to prevent or slow disease progression.
Goal 2 – Strategy 1: Deliver effective strategies to prevent or delay onset of selected illnesses and injuries
Priority Strategy 8: Better Care for the Dying: Expand palliative care services to provide dying people with greater choice and access to services to ease the passage of death.
Goal 2 – Strategy 5: Support initiatives to improve Aboriginal health through the formalized participation of Aboriginal people in the planning and delivery of health care Priority Strategy 9: Improve the Health Status of Aboriginal Peoples: Support initiatives to improve Aboriginal health through the formalized participation of Aboriginal people in the planning and delivery of health care.
Goal 2 – Strategy 2: Promote behaviors that decrease people's risk of preventable illness Priority Strategy 10: Enhancing Self-care and Self-Management: Support individuals' self-management efforts to help healthy people stay healthy and allow people with chronic conditions to better manage their condition.
Goal 1 – Strategy 14: Increase access to information to help patients and their families understand and manage their health through the self-care project, the NurseLine and other patient self-care approaches
Goal 3 – Strategy 1: Reduce the incidence of preventable conditions through targeted prevention programs based on a business case Priority Strategy 11: Protection from Disease or Injury: Protect public health by implementing core public health prevention and protection programs (e.g., food and water safety programs, immunization programs, falls).
Goal 1 – Strategy 3: Introduce strategies to improve access to basic health services (primary care — repeated under services by ministry) Priority Strategy 12: Service Quality Enhancement for Rural and Smaller Communities: Consolidate services where necessary to ensure there is a critical mass of expertise to deliver services safely, cost-effectively and at a high quality.
Priority Strategy 13: Managing within Budget Allocation: Manage the delivery of services within budget.
Services Delivered by Ministry
  Goal 3 – Strategy 10: Review the provision of ambulance services Priority Strategy 14: Better Integrate the BC Ambulance Service within the Overall Health Services System: Review the ambulance service to ensure it is governed, managed and delivered by the most appropriate means and most appropriate providers to meet the needs of British Columbians.
Priority Strategy 15: Improve Registration Services to the Public: Review the MSP and Pharmacare registration criteria and processes to ensure they provide appropriate and timely services to British Columbians and are managed and delivered by the most appropriate and efficient means.
Stewardship & Corporate Management
Stewardship Goal 1 – Strategy 1: Work with health authorities and providers to implement and audit health service standards MOHS Strategy 1: Translate government's direction into measurable expectations that will guide operational management and delivery of health services, while allowing partners the flexibility to operate services to meet those expectations.
MOHS Strategy 2: Align health care funding with BC's strategic priorities, while ensuring health care commitments made with other governments are met.
Goal 3 – Strategy 2: Introduce more modern and cost-effective strategies for patient care to reduce complications and unnecessary health services MOHS Strategy 3: Facilitate the delivery of health services by partners through the development and use of best practice guidelines and protocols.
MOHS Strategy 4: Make data accessible, with due attention to quality, security and privacy protection, to support improved planning of patient care and clinical decision making by partners (e.g., Electronic Health Record; CDM registries; inter-provincial/national data collection standards and registries).
MOHS Strategy 5: Eliminate conflicting or unnecessary policies and regulations in policy manuals to ensure policy direction is clear and consistent.
MOHS Strategy 6: Align incentives to facilitate the achievement of expectations (e.g., incentives to retain and recruit rural/remote physicians).
MOHS Strategy 7: Ensure contract negotiations support strategic priorities and do not serve as a barrier to change.
Goal 3 – Strategy 8: Implement a definitive accountability strategy that includes: clear expectations for performance, performance contracts for health authorities, routine reporting and monitoring, comprehensive assessment using agreed upon performance indicators and opportunities for support and assistance for performance improvement. MOHS Strategy 8: Develop an effective monitoring and evaluation framework for services provided by health authorities and other system partners (e.g., health professions).
Goal 3 – Strategy 13: Manage within the three-year funding target MOHS Strategy 9: Monitor financial status to ensure overall health system costs stay within budget.
MOHS Strategy 10: Improve the quality and timeliness of reporting by the health authorities.
Goal 3 – Strategy 9: With the Ministry of Health Planning, develop and implement efficiency mechanisms for the Medical Services Plan, Pharmacare, laboratory services, ambulance and regional programs. MOHS Strategy 11: Undertake value for money reviews of the following: A review of scopes of practice; a review of laboratory services; a review of the Medical Services Commission; and streamlining and improving business practices in Pharmacare.
Corporate Management MOHS Strategy 12: Implement Human Resource Management Plan for the Ministries of Health. (see Section F in this service plan)
MOHS Strategy 13: Embed sound business practices and a business management culture within the Ministries of Health.

 

Completed 02/03 Service Plan Strategies

Goal 1 Strategy 2: Rationalize and redesign hospital care Implemented
Goal 1 Strategy 9: Commence implementation of a population needs-based funding formula to allocate resources to Health Authorities Implemented
Goal 1 Strategy 10: Establish the Provincial Health Services Authority to reduce variability in access to specialized services across patient groups and place of residence Implemented
Goal 1 Strategy 11: Work with Ministry of Health Planning to implement the rural and remote health initiative Underway
Goal 1 Strategy 12: Expand the number of hospitals utilizing the PharmaNet system and B.C. Bedline Implemented
Goal 2 Strategy 3: Ensure compliance with and enforcement of health regulations that protect the health of the public Ongoing operational
Goal 3 Strategy 3: Restructure user fees for selected non-Canada Health Act services to reflect ability-to-pay Implemented
Goal 3 Strategy 4: Implement a framework for increased private sector involvement in capital financing, in the delivery of health services, and in the development and implementation of necessary information technology systems Moved to MOHP plan
Goal 3 Strategy 6: Restructure the regional health services delivery system Implemented
Goal 3 Strategy 7: Reorganize the Ministry of Health Services to better support the health system Implemented
Goal 3 Strategy 11: Work with the health authorities and professional associations to implement strategies to support effective and appropriate use of the health care workforce Moved to MOHP plan
Goal 3 Strategy 12: Establish a Leadership Council of health authority CEOs and senior government officials, to provide overall guidance and leadership to the health system Implemented

 

 
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