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.

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.

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.

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.

Performance Measures:

PS – PM #10 (Relates to Priority Strategy 6): Performance measure for the highest needs population (the sickest) TBD.

Actual 02/03: N/A

Target 03/04: TBD

Target 04/05: TBD

Target 05/06: TBD

For designated Chronic Disease Management (CDM) conditions (in 2002/03 Congestive Heart Failure and Diabetes; in 2003/04 Asthma, Kidney Disease, Depression and Arthritis):

PS – PM #11 (Relates to Priority Strategy 7): Adherence to clinical best practices for managing chronic diseases measured by use of evidence-based quality benchmarks. (Will report on diabetes for 2003/04; other major chronic conditions to be added in subsequent years).

Diabetes: Percentage of patients with diabetes receiving at least 2 blood glucose (HbA1c) tests during the year.

Target 02/03: 45%

Target 03/04: 55%

Target 04/05: 60%

Target 05/06: 65%

PS – PM #12 (Relates to Priority Strategy 7): Appropriate prescribing of and compliance with drugs for one or more chronic conditions where drug therapy is key (e.g., asthma).

Target 02/03: N/A

Target 03/04: Determine baseline and set targets

Target 04/05: TBD

Target 05/06: TBD

PS – PM #13 (Relates to Priority Strategy 8): Palliative care performance measure TBD.

Actual 02/03: N/A

Target 03/04: TBD

Target 04/05: TBD

Target 05/06: TBD

PS – PM #14 (Relates to Priority Strategy 9): Improved health status for Aboriginal peoples measured by infant mortality and life expectancy.

Long-term target: Comparable health status between Aboriginal people and other residents of BC.

Target 02/03: Improvement in Status Indian infant mortality and life expectancy, from 1991–1999 baseline.

Target 03/04: Improvement in Status Indian infant mortality and life expectancy, from 1991–1999 baseline.

Target 04/05: Status Indian infant mortality rate equal to that of other residents of B.C.; continued improvement in Status Indian life expectancy.

Target 05/06: Status Indian infant mortality rate equal to that of other residents of B.C.; continued improvement in Status Indian life expectancy.