Keewatin Yatthé Regional Health Authority
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Keewatin Yatthé Regional Health Authority 2015- 16 Annual Report Cover photo “Bear Approaching” Green Lake This report is available in electronic format (PDF) online at www.kyrha.ca Keewatin Yatthé Regional Health Authority Box 40, Buffalo Narrows, Saskatchewan S0M 0J0 Toll Free 1-866-274-8506 • Local (306) 235-2220 • Fax (306) 235-4604 www.kyrha.ca 2 Keewatin Yatthé Regional Health Authority 2015 - 16 Annual Report Wholistic Health of Keewatin Yatthé Health Region Residents 3 TABLE OF CONTENTS Letter of Transmittal .............................................. 5 Healthy People, Healthy Communities ...................8 Introduction ........................................................... 6 Provincial Health Regions Map ..............................9 Population by Age Group ......................................11 Alignment with Strategic Direction Population Pyramid ..............................................11 Alignment ............................................................... 8 Occupied Private Dwelling Characteristics ...........11 Strategic Direction and Goals ................................ 9 Patient Safety Occurrences ..................................15 Factors ................................................................. 11 KYRHA Facilities Map ..........................................17 KYRHA Home-Care Coverage Map .....................19 KYRHA Overview Service Utilization .................................................30 Organizational Changes ...................................... 14 Patient Safety .......................................................15 Accreditation ........................................................ 16 Programs and Core Services ............................. 17 Key Partnerships Population Health Unit ......................................20 Prairie North IT .................................................22 Northern Medical Services ...............................22 Health-Care Organizations ...............................22 Governance ......................................................... 23 Progress in 2015 - 16 High-Level View ................................................... 26 Falls ..................................................................... 28 Inappropriate Behaviour ...................................... 28 Primary Health Care ............................................ 29 Financial Information Report of Management ........................................32 2015-16 Financial Overview ............................... 33 Financial Statements .......................................... 35 Appendices KYRHA Organizational Chart .............................. 66 Payee Disclosure List ...........................................67 Charts, Graphs and Maps Strategic Deployment ............................................ 8 4 LETTER OF TRANSMITTAL To: Honourable Dustin Duncan Minister of Health Dear Minister Duncan, The Keewatin Yatthé Regional Health Authority (KYRHA) is pleased to provide you and the residents of our northwest Saskatchewan health region with the 2015-16 Annual Report. In addition to outlining activities and accomplishments of the Region for the year ended March 31, 2016, this report provides the audited financial statements for the same period. Included in KYRHA’s progress during the last fiscal year were the effects of adding Radiology Information System - Picture Archiving and Communications System (RIS-PACS). The addition of RIS- PACS reduced the wait time of receiving diagnostic imaging results from 15 to 21 days to 24 to 48 hours. This has greatly reformed the timely diagnostic decisions and management of patients without delay. Our Region continues to use Lean tools to make incremental improvement in care delivery by improving efficiencies and facilitating patient flow. Additionally, the organization certified one Lean leader and adopted the hoshin of decreasing inappropriate behaviour midway through the year. As well, KYRHA met the follow-up requirements set out in Accreditation Canada’s June 2015 Supplementary Survey, recording unblemished results in four separate areas. While more details regarding KYRHA’s Accreditation successes are outlined in the “Accreditation” section of this annual report, the latest results demonstrate our organization’s commitment to meeting national standards in health care. We are positioned well for the full-site visit in May 2017. In terms of challenges, KYRHA faced evacuation due to forest fires, a major shooting incident, multiple outbreaks toward year-end, staffing shortages in Acute Care, a loss of out-of-scope managers and a decrease in staff immunization. While we continue to address the impact of the aforementioned events, both in terms of personnel and finances, we appreciate all the help and support extended to our organization and the communities that we serve. Likewise, we acknowledge the impact that said events had on the communities in our Region and remained steadfast in our delivery of safe, quality care during those difficult times. Respectfully submitted, Tina Rasmussen Chairperson 5 INTRODUCTION HIS ANNUAL REPORT presents the Keewatin Yatthé Regional Health TAuthority’s activities and results for the fiscal year ending March 31, 2016. The 2015-16 Annual Report provides an opportunity to assess accomplishments, results, lessons learned and a chance to identify how to build on past successes for the benefit of the people of the Keewatin Yatthé Health Region. The health authority is solely responsible for preparation of the report, from the gathering and analysis of information through to the design and layout of pages. As a result, we are confident in the reliability of the information included within the report. Regional breakthrough initiatives in support of provincial hoshins, along with the reduction of sick time and wage-driven premiums, are core performance areas in which the RHA seeks improvement and make up the selection rationale for the critical aspects of performance on which to focus. Data is available from regionally designed measurements and metrics. 6 ALIGNMENT WITH STRATEGIC DIRECTION 7 ALIGNMENT The Keewatin Yatthé Regional Health Authority’s mandate, mission and principles are aligned to support the regional and provincial directions of better health, better care, better value, better teams. 8 STRATEGIC DIRECTION AND GOALS ROVIDING FOR REGIONAL residents living in communities Acting as One Pscattered across northwest Saskatchewan, the Keewatin for Yatthé Regional Health Authority (KYRHA) administers a patient- Better Health, oriented health-care delivery system focused on wholistic health Better Care, and well-being. Better Teams Mandate and Better Value Within a context of accountability to the Creator, KYRHA’s mandate is drawn from: Athabasca • Legislation: Relevant federal and provincial acts and statutes; • Ministry of Health: Policies and procedures; • Community: Priority issues defined by community; • Partnerships: Developed and maintained by the Mamawetan regional health authority. Churchill River Mission Wholistic Health of Keewatin Yatthé Health Region Residents Wholistic health is: Prairie Prince North Albert : Individual, family, community, region Parkland Kelsey • Inclusive Trail and the world at large; • Balanced: Physical, mental, emotional and spiritual wellness; Saskatoon • Shared: Personal health is tied to family / community health Heartland Sunrise – as community / family health is tied to personal health; : Individuals make better health decisions for Regina • Responsible Qu’Appelle Five themselves and their families, and participate more Cypress Hills fully in community; Sun Country • Focused: Improvement of health and wellness for all; • Unified: Only one option – Working together. Saskatchewan Health Regions Principles Adults ― supported by extended family and local community ― are responsible for their own health. To assist individuals, families and communities develop the knowledge, skills, abilities and resources to carry out this responsibility, KYRHA will act in accordance with the following principles: • Show respect as a foundation for working together; • Focus on healthy communities by emphasizing factors that build healthy individuals and families; • Focus on healing in our own lives and in the lives of individuals, families and communities; • Recognize in our programs, services and activities that spiritual healing is a significant compo- nent of wholistic healing, and support individual and family approaches to spiritual healing; • Strive to create an attitude of responsibility and self-reliance in our people, our families and our communities; 9 • Support, strengthen and build upon skills, • Accountability: Take ownership in achieving knowledge and energy of board, staff and desired results; the people of the Region so that we can work • Empathy and compassion: Practise non- together towards our full health potential; judgmental listening and support that reflects • Build on strengths, transform weaknesses caring and sensitivity in interactions with and not violate our potential; colleagues, patients, stakeholders and resi- • Strive to meet the needs of people in our dents; decisions, programs and activities; • Honesty and trust: Be straightforward, open • Encourage and support healing initiatives of and truthful. Take responsibility for one’s ac- our people, families and local communities; tions. • Support community caring and traditional strengths in programs and activities; Community Priorities • Utilize the skills, talents