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Orientation to Northern Health March 14, 2019 March 14, 2019 Outline HD-1 HD-1 Orientation to Northern Health March 14, 2019 March 14, 2019 Outline HD-1 NH Overview – Governance and Organizational Structure – Partnerships BC – Capital Planning Processes Major Project Development Process Procurement Capital Project Operations Capital Project Financial Tracking – NE Operations March 14, 2019 HD-1 Northern Health Demographics: One of five geographic Health Authorities Population: 289,974 Area: 592,116 sq km 2015 population of seniors 65+: 40,646 and is projected to grow to 72,454 in 2030 March 14, 2019 Northern Health Mandate HD-1 Legislation: – Health Authorities Act – Hospitals Act – Public Health Act – School Act – Community Care and Assisted Living Act Annual Mandate Letter – Government’s mandate to the Health Authority Boards outlining government’s priorities for the health system Annual Service Plan and Budget Management Plan – reflect government priorities for the health system Demographic and Health Status data and analysis Community Health Profiles Community consultation processes March 14, 2019 HD-1 Northern Health Highlights Acute Care - 599 acute care beds – 1 regional hospital – 17 community hospitals – 9 diagnostic and treatment/community health centres 14 Long Term Care facilities: 1,106 beds – 13 long term care facilities and 10 acute care facilities providing long term care – 2 private long term care facilities (Prince George) – Assisted living facilities in 15 communities – MH&SU tertiary care units in Dawson Creek, Terrace, and Prince George Primary and Community Care/Services – Primary care services linked to interprofessional teams 4 Divisions of Family Practice with Hazelton linked to the provincial rural division – Specialized Mental Health & Substance Use services – Specialized services for the frail elderly and those living with complex chronic conditions – Public and Population Health – 10 community oncology clinics and 1 Regional Cancer Clinic (BC Cancer Agency/PHSA) March 14, 2019 Health of the Population HD-1 Source: BC Vital Statistics VISTA Data Warehouse: Previous 5 Years Mortality: UCOD CS- 358. For: 2010,2011,2012,2013 and 2014. Accessed; February 2017. - The population has a poorer health status and a higher burden of illness - After adjusting for age, annual deaths occur at a rate 28% greater than the provincial average - Community Health Profiles available on the Community Health Information Portal: http://chip.northernhealth.ca/CommunityHealthInformationPortal/OtherTopics/HowHealthyAreWe.aspx March 14, 2019 HD-1 Community Profile Criteria Community Profile Population Criteria Catchment Population Criteria Urban 50,000+ 100,000+ Rural Centre – Large Referral Base 10,000 to 50,000 20,000 to 100,000 Rural Centre – Smaller Referral 4,000 to 10,000 6,000 to 20,000 Base 1,000 to 4,000 Small Rural Centre Isolation and breadth of 2,000 to 8,000 catchment as significant factor Rural Community: 1,000 to 3,000 2,000 to 5,000 Less Isolated Relatively close proximity to larger centre 500 to1,500 2,000 More Isolated Distant from larger centre Catchment Community < 500 NA March 14, 2019 First Nations Communities HD-1 • 17% of population is Indigenous • 35.6% of the BC First Nations population resides in the north • 54 First Nations communities, 9 Tribal Councils, • 17 distinct linguistic groups March 14, 2019 HD-1 Tripartite Agreement The Northern Partnership Accord was signed in 2012 between the First Nations Health Council: Northern Regional Caucus, the First Nations Health Authority (FNHA) and Northern Health (NH). This partnership is committed to ‘improving the health outcomes of First Nations residing in the northern region.’ Flowing from this formal partnership is the Northern First Nations Health Partnership Committee (NFNHPC) and the Northern First Nations Health and Wellness Plan – Priorities: Cultural Safety Primary Care Mental Wellness Population Health Maternal and Child Health March 14, 2019 HD-1 Commitment to Cultural Safety and Cultural Humility: July 2015 March 14, 2019 HD-1 Other Provincial Relationships Provincial Health Services Authority (PHSA) – Provincial Clinical Policy – e.g. Cardiac Services BC, Renal Services BC, Child Health BC, Perinatal Services BC, BC Centre for Disease Control – Provincial Clinical Service Delivery - e.g. BC Cancer, BC Emergency Health Services (Ambulance Service and Patient Transfer Network), Laboratory Agency – Provincial Commercial Services – Procurement & Supply Chain, Accounts Payable, Desktop Management Services, Kamloops Data Centre, Health Emergency Management (emergency preparedness and response) – Provincial Digital Health Health Employers Association of BC (HEABC) – Bargaining agent for the employer Labour Relations – Community Bargaining Association – Facilities Bargaining Association – Health Sciences Professionals Bargaining Association – Nurses Bargaining Association Doctors of BC Professional Colleges Memorandum of Understanding with Interior Health – Meditech Business Platform BC Patient Safety & Quality Council (BPSQC) Patient Care Quality Review Board (PCQRB) – governed by provincial legislation – Patient Care Quality Office (PCQO) March 14, 2019 Northern Regional Hospital DistrictsHD-1 Northern Rockies Regional Municipality/Northern Rockies Regional Hospital District Peace River Regional Hospital District Fraser Fort George Regional Hospital District Cariboo Chilcotin Regional Hospital District Stuart Nechako Regional Hospital District North West Regional Hospital District March 14, 2019 Northern Health Foundations HD-1 Spirit of the North Fort Nelson Hospital Foundation Fort St. John Hospital Foundation Dawson Creek Hospital Foundation Chetwynd General Hospital Foundation Tumbler Ridge Health Centre Foundation Bulkley Valley Healthcare and Hospital Foundation REM Lee Hospital Foundation Wrinch Memorial Foundation Kitimat General Hospital Foundation North Coast Health Improvement Society Hospital Auxiliaries present in most communities across the region March 14, 2019 Governance – Northern Health BoardHD-1 Northern Health Medical Advisory Board Committee Governance & Internal Audit Performance, Management Planning & Audit & Finance Relations Priorities Committee Committee Committee President & Chief Executive Officer March 14, 2019 NH Organizational StructureHD-1 Ministry of Health NH Board of Directors Northwest NH Executive Team Senior Leadership Team Corporate NH Capital Planning Committee Capital (CPC) Planning Northern Interior North East HSDA North West HSDA HSDA Capital Planning Capital Planning Capital Planning Working Group Working Group Working Group (CPWG) (CPWG) (CPWG) RHDs and Funding Partners March 14, 2019 Northeast (NE) HSDA HD-1 Senior Leadership Team Angela De Smit Dr. Jong Kim Dr. Becky Temple Chief Operating Officer, NE Medical Health NE Medical Director NE HSDA Officer Sherry Fraser Health Services Administrators Executive Assistant Joanne Cozac Kendra Kiss HSA, North Peace HSA, South Peace Specialized Services Peter Martin Annette Weger Tracy McLellan HSA, Chetwynd & HSA, Fort Nelson Tumbler Ridge Director of Specialized Services, NE March 14, 2019 Northeast (NE) Physician HD-1 Leadership March 14, 2019 HD-1 Northeast HSDA Highlights Acute Care - 110 acute care beds – 4 community hospitals – 2 diagnostic and treatment/community health centres Long Term Care facilities: 253 beds – 2 long term care facilities and 2 acute care facilities providing long term care – Assisted living facilities in 3 communities – MH&SU tertiary care unit located in Dawson Creek Primary and Community Care/Services – Primary care services linked to interprofessional teams 1 Division of Family Practice for North Peace and 1 newly created Division of Family Practice for South Peace – Specialized Mental Health & Substance Use services – Specialized services for the frail elderly and those living with complex chronic conditions – Public and Population Health – 2 community oncology clinics March 14, 2019 HD-1 March 14, 2019 Key Elements HD-1 Centred on the person and family including cultural safety Care plan that follows the patient across the system and over time Embedded within a healthy community Interprofessional team Team includes Primary Care Nurse/s relationship with Primary Care provider/s Community specialty services linked to Specialist physicians Clear pathways to specialists and specialty services March 14, 2019 Capital Projects HD-1 Project Year of Implementation Status Business Plan under preparation DCDH Hospital Redevelopment 2018-2020 Project out to tender DCDH Medical Device Reprocessing Renovation Construction documents under 2018-2020 preparation Fort St. John Medical Clinic 3rd Pod 2019/20 Planning DCDH OR Cooling Replacement Proposed DCDH 2nd Floor Tub Room Renovation Proposed Chetwynd Seclusion Room Proposed DCDH Pharmacy Oncology Renovation Proposed Fort St. John Hospital Parking Lot Proposed Fort St. John Medical Clinic Parking Lot Proposed Tumbler Ridge Facility Redevelopment Proposed Residential Care Beds March 14, 2019 Major Equipment HD-1 Project Year of Implementation Status 2018/19 Complete Fort St. John X-Ray - Rad Rex Room 2019 Received Fort St. John Ultrasound 2019/20 Planning Chetwynd X-Ray Replacement 2019/20 Planning Fort St. John SPECT CT Proposed Fort St. John Anesthetic Machines Proposed DCDH Anesthetic Machine Hudson's Hope X-Ray Proposed Proposed DCDH Automated Medication Dispensing Cabinet DCDH Phone System Proposed Proposed Tumbler Ridge & Hudson's Hope Phone Systems March 14, 2019 Peace River RHD Capital
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