Performance Reporting — Continued

Goal 1: High Quality Patient-Centred Care Patients receive appropriate, effective, quality care at the right time in the right setting and health services are planned, managed and delivered around the needs of the patient.
Objective 1: Sound planning, policy and legislative framework for the health care system, based on need.
Strategies: • Use information on population health needs and status in planning of patient care.				Ongoing
• Develop recommendations for an appropriate governance model for licensing functions.				Underway
• Develop a framework for the delivery of provincial programs.				Completed
• Establish health service framework to identify and communicate government expectations and standards in a number of key areas, including all health services regulated through provincial legislation.				Completed
Strategic Highlight: With the establishment of a Leadership Council, senior staff from both ministries and health authority CEOs have an opportunity to meet monthly and plan for the coherent delivery of patient services within a provincial framework. The creation of a Performance Measurement and Improvement Division within the Ministry of Health Services helps to streamline communications and strengthen reporting relationships.
Performance Measures
Measure	2002/03 Target	2002/03 Actual	Comments
Long-term plans for the health sector completed for specified areas.	Health Human Resource Plan design and consultations completed.	Completed	For the past two decades, BC has been overly reliant on other jurisdictions to provide trained health professionals. It is moving to address the significant health human resource gaps that have emerged as a result. Particular attention is being paid to training professionals in rural and remote areas of the province, based on evidence that shows providers who train in these areas will often continue to practice there. BC is also supporting initiatives — such as the innovative College of Health Disciplines at UBC — that encourage health providers to work as a team to ensure British Columbians get the care they need.

Key Achievements: Health Human Resource Strategies

The ability to provide sustainable, high quality care is dependent on our ability to plan effectively as a province and as a nation to ensure necessary resources are in place. BC took a leadership role on several human resource planning initiatives this year, including:

• Organizing the first Western Health and Education Forum for government planners to begin coordinating planning and training initiatives and developing approaches that encourage young people — including aboriginal youth — to enter the health professions.
• Co-leading the federal/provincial/territorial Advisory Committee on Health Delivery and Health Human Resources, which is working to develop cross-country approaches to health human resource planning.
• Chairing the BC Health Human Resources Advisory Committee (HHRAC) that includes representatives from post-secondary institutions, unions, professional associations, health authorities and government ministries, aimed at improving the availability and distribution of health care providers.
• Partnering with health authorities, the Ministry of Advanced Education, the Faculty of Medicine at the University of British Columbia, the University of Victoria, and the University of Northern British Columbia to plan the expansion of the Medical School.
• Establishing the BC Academic Health Council to enhance the collaboration between universities and health care institutions.
• And developing the Provider Registry — an information system for western Canada which uniquely identifies doctors, nurses, and pharmacists and which is a key element in the development of an electronic patient record.

Goal 1: High Quality Patient-Centred Care Patients receive appropriate, effective, quality care at the right time in the right setting and health services are planned, managed, and delivered around the needs of the patient.
Objective 2: Clearly defined provincial standards for equitable and timely access to health care services.
Strategies: • Develop provincial standards of access for selected services (i.e. primary care and chronic care).				Underway
Performance Measures
Measure	2002/03 Target	2002/03 Actual	Comments
Access standards developed for selected services.	1) Select priority services for access standard development. 2) Complete consultation with relevant stakeholders.	1) Completed 2) Underway	Provincial access standards for three levels of acute care — emergency, inpatient services, specialty care and residential care — implemented and available on the ministry's Web site. Provincial Health Services Authority currently working with health authorities and the ministry to develop standards and best practices to improve access to and use of hospital emergency services and surgical/procedural services.

Key Achievement: Primary Health Care Renewal

Consistent with the goal of quality care provided in the appropriate setting, Primary Care Renewal initiatives are being aligned with overall health system redesign plans. In 2002/03, British Columbia received a $74 million funding commitment over four years from the federal government to support improvements in patient access to primary care or "first point of contact" care with the health system. Recognizing the diversity of needs around the province, BC has taken a health authority-led, flexible approach to reform. Health authorities have engaged with their primary care provider communities to complete their planning, and in 2003/04 will be moving forward with a wide array of initiatives to enhance access, integrate services across sectors, and relieve pressure on acute and emergency room services.

Goal 1: High Quality Patient-Centred Care Patients receive appropriate, effective, quality care at the right time in the right setting and health services are planned, managed and delivered around the needs of the patient.
Objective 3: Clearly defined provincial standards for quality health care delivery.
Strategies: • Develop a quality assurance policy for regulated health professions.	Underway
• Develop provincial quality standards for selected services.	Underway
Strategic Highlights: This year the ministry worked with the Ministry of Children and Family Development, Children's and Women's Health Centre and Sunnyhill Hospital, plus a stakeholder advisory group, to develop a coordinated approach to the provision of high quality, evidence-based assessments for children with autism — the first step in mobilizing a network of skilled providers to provide assistance to children with autism and their families in their own communities.

Performance Measures
Measure	2002/03 Target	2002/03 Actual	Comments
Quality standards developed for selected services.	1) Select priority services for standard development. 2) Complete consultation with relevant stakeholders.	1) Completed 2) Completed	Based on the availability of strong data, and reflecting the critical importance of these services for British Columbians, the ministry has selected cardiac and cancer care as the initial services for quality standards development. This work will be done in collaboration with partners such as the Provincial Health Services Authority and the BC Cancer Agency, and involve ongoing consultation with key stakeholders. Additional quality standards have been developed for mental health (anxiety strategy) and home and community care (best practice guidelines for palliative care).

Goal 1: High Quality Patient-Centred Care Patients receive appropriate, effective, quality care at the right time in the right setting and health services are planned, managed and delivered around the needs of the patient.
Objective 4: Inclusion of patient and public perspectives in health planning and policy development.
Strategies: • Identify mechanisms to determine patient and public perspectives and satisfaction.				Underway
Performance Measures
Measure	2002/03 Target	2002/03 Actual	Comments
Mechanisms established to determine patient satisfaction.	Complete development of mechanisms for measuring patient satisfaction.	Completed	Recognizing the importance of having comparable data, the ministry worked with colleagues across the country to develop an evidence-based methodology to assess public perspectives and patient satisfaction. Testing and validation of the survey instrument is now in progress.