Goal 3: A Sustainable, Affordable Health
Care System
A planned, efficient, affordable and accountable public health
system, with governors, providers and patients taking responsibility
for the provision and use of these services. |
| Objective 1: Better planning and management
of the health care system. |
Strategies:
• Develop a comprehensive long-term health plan that
includes: Human Resources Strategy; Hospital Facilities Plan;
an Intermediate and Long-Term Care Facilities Plan; a Medical
Machinery and Equipment Plan; an Information Technology Plan;
a Rural and Remote Health Initiative; and an Electronic Health
Record (EHR). |
Underway |
|
• Review the Medical Services Commission structure
and recommend new structures as appropriate.
|
Underway |
The Directional Plan for a Sustainable Public Health Care System
currently under development, will be the overarching framework
for all planning activities in the Ministry of Health Planning.
While the Picture of Health outlined the future direction for
the health system, the Directional Plan will detail how that direction
will be achieved from a policy and organizational perspective,
based on an analytic review of best practices, evidence and experiences
from other jurisdictions.
In 2002/03 the ministry completed the analytical foundations
for the long-term directional plan for a sustainable, public health
care system, including: an industry analysis with national and
international comparisons of BC's system, and expert panel sessions
to gather input and advice from provincial, national, and international
experts on major issues facing BC. In 2003/04 the ministry will
build on these foundations to complete the comprehensive long-term
directional plan.
| Goal 3: A Sustainable, Affordable Health
Care System A planned, efficient, affordable and accountable
public health system, with governors, providers and patients
taking responsibility for the provision and use of these services.
|
| Objective 2: A health system accountable
at every level. |
Strategies:
• Establish a comprehensive accountability and performance
management strategy for health authorities and other providers.
|
Completed |
With the release of the Health Indicator report "How healthy
are we?" (available on the Ministry of Health Planning Website)
in September 2002, British Columbians for the first time had comprehensive
information on how our public health care system compares to those
of the other provinces and territories. This report builds
on the 2000 agreement by Canada's Premiers and Prime Minister
to report consistently across the country on how our health care
system is performing. The report provides information on
everything from life expectancy and infant mortality to surgery
wait times and teen smoking. The provincial government is making
innovative changes to health care in British Columbia to put patients
first and to build a more sustainable, effective health care system.
Reports like this one demonstrate the government's commitment
to transparency and accountability in reporting on the state of
BC's health care system and assist in illustrating the strengths
and weaknesses of the health system, what needs improvement, and
what's working well.
Goal 3: A Sustainable,
Affordable Health Care System
A planned, efficient, affordable and accountable public health
system, with governors, providers, and patients taking responsibility
for the provision and use of these services. |
| Objective 3: Reduce the burden of cost
on the public system. |
Strategies:
• Develop common methodologies for costing and monitoring
the economic impact of diseases. |
Underway |
|
• Within the framework of the Canada Health Act
(CHA), develop a regulatory framework to support private
sector involvement in capital financing, selected areas
of service delivery and in the implementation of information
technology services.
|
Completed |
|
• Explore options for increased patient-participation
in non-CHA services (i.e. user fees and co-payments based
on ability to pay) that improve the utilization of services
and allow services to be improved.
|
Completed |
|
• Participate in multi-lateral and bi-lateral negotiations
to restore full federal funding to the provinces, and identify
and pursue opportunities for collaboration with other provinces
and the federal government in pharmaceuticals, health human
resources, home and community care and information technology.
|
Ongoing |
| Performance Measures |
| Measure |
2002/03 Target |
2002/03 Actual |
Comments |
| Development of common methodologies for costing and monitoring. |
Develop methodologies. |
Completed |
This year the ministry developed a common methodology
to monitor and track costs and applied this to diabetes and
congestive heart failure in the form of business cases and
report card templates. |
| Establishment of a regulatory framework to ensure appropriate
utilization of the private sector in the provision of health
care. |
Policy framework completed. |
Completed |
The ministries examined practice across the
country and completed the Patient Services Delivery Policy
Framework. This sets out the parameters for health authorities
to contract with private clinics to provide clinical services,
while complying with the Canada Health Act and other
relevant provincial legislation, and ensuring quality, cost-effectiveness,
and accountability requirements are met. |
| Percentage of the population appropriately insured for prescription
drug costs. |
Increase toward 100%. |
Underway |
This year saw the introduction of Fair PharmaCare,
designed to provide more equitable access to financial assistance
for prescription costs and medical supplies on the basis on
need.
Note: Starting in 2003/04, this indicator will be moved
to the Ministry of Health Services to reflect the transition
of Fair PharmaCare from a planning activity to an ongoing
service.
|
