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 B: Comparison of Performance Measures in 2002/03 – 2004/05 and 2003/04 – 2005/06 Service Plans

(Performance measures for the Ministers of State are bolded)

Core Business 2002/03–2004/05 Service Plan Performance Measures 2003/04–2005/06 Service Plan Performance Measures
Services Delivered by Partners Goal 1 – Performance Measure #2d: Acute Care indicator: Rates of admission for conditions that could be managed outside hospital (conditions classified as "may not require hospitalization"). PS – PM #1: Rates of admission for conditions that could be managed outside hospital (conditions classified as "may not require hospitalization").
Goal 1 – Performance Measure #10: 24 by 7 access to basic health services (primary care) measured by NurseLine use. PS – PM #2: NurseLine use rates.
Goal 1 – Performance Measure #3b: HCC indicator: Alternative level of care days as a percentage of total inpatient days. PS – PM #3: Percentage of days spent by patients in hospitals after the need for hospital care ended measured by alternative level of care days (ALC days) as a percentage of total hospital inpatient days.
Goal 1 – Performance Measure #3a: HCC indicator: Percentage of home and community care clients with high care needs living in their own home. PS – PM #4: Percentage of clients with high care needs living in their own home rather than in a facility.
Goal 1 – Performance Measure #6: Waiting times for key services: Radiotherapy and Chemotherapy. PS – PM #5: Waiting times for key services: Radiotherapy and Chemotherapy.
PS – PM #6: Emergency Room Use performance measure TBD.
Goal 1 – Performance Measure #2b: Acute Care indicator: 5-year survival rates for lung, prostate, breast, colorectal cancer; relative survival rates for heart attack (365 days after admission to hospital) and stroke (180 days after admission). Reported in the B.C. Performance Indicators Reporting Committee (PIRC) Report.
Goal 1 – Performance Measure #2c: Acute Care indicator: Hospital re-admission rates for heart attack, congestive heart failure, pneumonia, and gastrointestinal hemorrhage. Reported in PIRC Report and the Canadian Institute for Health Information (CIHI) Report.
Goal 1 – Performance Measure #2a: Acute Care indicator: 30-day in-patient mortality (death rates) for acute myocardial infarction (heart attack) and stroke. Will be reported in PIRC Report in 2-3 years when data becomes available.
Goal 1 – Performance Measure #4a: Mental Health Indicator: Improved continuity of care measured by the proportion of persons hospitalized for a mental health diagnosis who receive community or physician follow-up within 30 days of discharge. PS – PM #7: Improved continuity of care measured by the proportion of persons (aged 15 to 64) hospitalized for a mental health diagnosis who receive community or physician follow-up within 30 days of discharge.
Goal 1 – Performance Measure #4bi: Mental Health Indicator: Improved availability of community services measured by: Percentage of days spent by mental health patients in hospitals after the need for hospital care ended. PS – PM #8: Improved availability of community services measured by:
Percentage of days spent by mental health patients (aged 15 to 64) in hospitals after the need for hospital care ended.
Goal 1 – Performance Measure #4bii: Mental Health Indicator: Percentage of mental health clients receiving services in their own region. PS – PM #9: Proportion of mental health services (community, physician and acute care) received by mental health clients (aged 15 to 64) that are obtained in their own health authority.
Goal 1 – Performance Measure #4biii: Mental Health Indicator: Proportion of mental health clients accessing community services. This measure is redundant with Performance Measure 7 and Performance Measure 9 and therefore will be captured under those measures.
Goal 3 – Performance Measure #3: Mental health services funding (including capital) per capita. Performance measure not carried forward because it was not an output or outcome measure and is not necessarily indicative of improved mental health services.
PS – PM #10: Performance measure for the highest needs population (the sickest) TBD.
Goal 3 – Performance Measure #1: Cross program patient costs (e.g., diabetes). Performance measure not carried forward because it was not an output or outcome measure and is not necessarily indicative of improved health services.
Goal 1 – Performance Measure #1: Rates of compliance with selected protocols and standards (e.g., number of times per year patients received blood glucose testing for diabetes). PS – PM #11: Adherence to clinical best practices for managing chronic diseases measured by use of evidence based quality benchmarks. (For 03/04 will report on diabetes; other major chronic conditions to be added in subsequent years).
PS – PM #12: Appropriate prescribing of and compliance with drugs for one or more chronic conditions where drug therapy is key (e.g., asthma).
PS – PM #13: Palliative care performance measure TBD.
Goal 2 – Performance Measure #7: Improved health status for Aboriginal peoples measured by infant mortality and life expectancy. PS – PM #14: Improved health status for Aboriginal peoples measured by infant mortality and life expectancy.
Goal 1 – Performance Measure #1: Rates of compliance with selected protocols and standards (e.g., number of times per year patients received blood glucose testing for diabetes). PS – PM #15: Patient use of self-management techniques measured by use of evidence based quality benchmarks. For 03/04 will report on % of patients with diabetes receiving at least 2 blood glucose (HbA1c) tests during the year.
Goal 2 – Performance Measure #3: Immunization rates:
a) 2 year olds with up-to-date immunizations
b) b) Influenza vaccination, population age 65 and over.
PS – PM #16: Immunization rates.
a) 2 year olds with up-to-date immunizations.
b) Influenza vaccination, population age 65 and over.
Goal 1 – Performance Measure #8: Administrative and support services expenditures as a percentage of total expenditures, by health authority. PS – PM #17: Administrative and support services expenditures by health authorities.
Goal 3 – Performance Measure #2: Regional financial status (health authorities in a balanced budget position at year-end). PS – PM #18: Health authorities in a balanced budget position over the two-year period 2002/03 – 2003/04 and then are balanced in each subsequent fiscal year. (This PM is repeated under Stewardship).
Goal 2 – Performance Measure #1: Incidence of selected communicable diseases (acute hepatitis B; cryptosporidiosis; E. coli 0157). Reported in PIRC Report and Provincial Health Officer's (PHO) Report.
Goal 2 – Performance Measure #2: Potential Years of Life Lost (PYLL) due to cancer, cardiovascular disease and injuries. Reported in PHO and Vital Statistics annual reports and related data in PIRC and CIHI Health Indictors Reports.
Goal 2 – Performance Measure #4: Utilization of screening programs for at risk groups (screening mammography). Reported in PHO Report and related data reported in Statistics Canada Health Indicators Report.
Goal 2 – Performance Measure #5: Smoking rates (measured every 2 years). Reported in Statistics Canada Health Indicators Report and related data reported in PHO and PIRC Reports.
Goal 2 – Performance Measure #6a: Rates of healthy behaviors and conditions:
a) Percentage of population age 12 and older physically active enough to attain health benefits (measured every 2 years).
Reported in Statistics Canada Health Indicators Report and related data reported in PHO and PIRC Reports.
Goal 2 – Performance Measure #6b: Rates of healthy behaviors and conditions:
b) Percentage of adults with a healthy body weight (measured every 2 years).
Reported in Statistics Canada Health Indicators Report and related data reported in PHO and PIRC Reports.
Goal 1 – Performance Measure #7: Regional variation in access to selected services. Reported in CIHI Health Indicators Report.
Goal 1 – Performance Measure #5: Appropriate use of blood products for clinical purposes measured by utilization of Intravenous/Immune Globulin Blood Products. Data monitored by Canadian Blood Services.
Services Delivered by Ministry PS – PM #19: Ambulance service response rates.
Moved from MOHP Plan. PS – PM #20: Percentage of the population adequately insured for eligible prescription drug costs.
PS – PM #21: Turnaround times for MSP/Pharmacare (beneficiary) services to the public.
Stewardship & Corporate Management (Stewardship) MOHS – PM #1: Partners' ratings of clarity and timeliness of direction and usefulness in guiding service delivery.
MOHS – PM #2: Commitments articulated in the 2003 Accord met.
MOHS – PM #3: Strategic clinical practice guidelines in priority areas developed and implemented.
MOHS – PM #4: Clients' and partners' ratings of data availability and usefulness in supporting planning and service delivery.
MOHS – PM #5: Percentage of regulatory requirements reduced.
MOHS – PM #6: Number of policies eliminated from policy manuals.
MOHS – PM #7: HA compliance with the performance agreement.
Goal 3 – Performance Measure #2: Regional financial status (health authorities in a balanced budget position at year-end) MOHS – PM #8: Health authorities are in a balanced budget position over the two year period 2002/03 – 2003/04 and then are balanced in each subsequent fiscal year.
MOHS – PM #9: Overall health system financial status (actual expenditures compared to budgeted expenditures at year end).
MOHS – PM #10: Pharmacare programs and policies reviewed for congruence with quality patient outcomes, program sustainability and transparency.
Goal 1 – Performance Measure #9: Public satisfaction rates Moved to MOHP Service Plan — see MOHP Performance Measure #11.
Stewardship & Corporate Management (Corporate Management) MOHS – PM #11: Percentage of employees who indicated comprehension of vision, mission, and goals of the organization, and their role in assisting in achieving these goals. (Annual Employee Survey).
  MOHS – PM #12: Percent of divisions with integrated service (business) plans and HR plans.
 
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