2008 - 2009 ANNUAL REPORT to the MINISTER OF HEALTH Healthy People in Healthy Communities Vision “Healthy people in healthy communities.” Mission “Working together to provide quality health services and to promote and support healthy living in diverse communities.” Values n Accountability and Responsibility to sustain the future of our health care resources. n Respect, Compassion, and Dignity for all people, regardless of cultural, social and economic factors. n Trust and Integrity in everything we do. n Appropriate Access to Quality Health Services: the right service at the right time in the right place by the right provider. n Creativity and Innovation that support learning, partnerships and an ongoing commitment to progress. n Safe and supportive environment for all. Table of Contents Table of Contents Section Page Letter of Transmittal . 2 2 Who We Are . 3 3 Our Region . 2323 2008-2009 Performance Results . 3939 Future Outlook/Emerging Issues . 7474 Governance and Transparency . 7676 Payee List . 8080 Management Report . 9191 2008-2009 Financial Report . 9292 More Information (Appendices) . 118118 The Prairie North Health Region Annual Report is located on the Internet at: http://www.pnrha.ca and at http://www.health.gov.sk.ca/health-region-list Prairie North Health Region - 1 - 2008/2009 Annual Report Prairie North Health Region 1 2008/2009 Annual Report LetterLetter of of Transmittal Transmittal To: Honourable Don McMorris Minister of Health Dear Minister McMorris, Prairie North Regional Health Authority is pleased to provide you and the residents of our Health Region with our 2008-2009 Annual Report. This report provides the audited financial statements and outlines activities and accomplishments of Prairie North Health Region for the year ended March 31, 2009. The past year has been another of successes and challenges for our Health Region, as you will see in the pages that follow. Among those successes have been official opening of the Maidstone Health Complex, hosting of you and your Alberta counterpart at a joint meeting in Lloydminster in August, arrival of two contingents of Philippine nurses, introduction of the RIS-PACS digital system in our two regional hospitals, and receipt of additional financial support for service expansion in Lloydminster. We look forward to furthering our partnership with the Ministry in the year ahead to achieve a responsive, integrated and efficient health system that puts the patient first and enables people to achieve their best possible health. Respectfully submitted, Bonnie O’Grady Chairperson Prairie North Regional Health Authority Prairie North Health Region - 2 - 2008/2009 Annual Report Prairie North Health Region 2 2008/2009 Annual Report WhoWho WeWe AreAre Prairie North Regional Health Authority is one of 12 Saskatchewan RHAs established in 2002 with proclamation of The Regional Health Services Act. The RHA is the formal legal entity responsible for the planning, organization, delivery and evaluation of the health services it provides within the boundaries of Prairie North Health Region. The Authority generally refers to the governing Board, while the ‘Health Region’ describes our geographic area, along with the facilities, programs, and services provided in it by all of our staff, physicians, and partners. OurOur VisionVision,, Mission ,and and Values Values Prairie North’s original Vision, Mission and Values statements were established by the RHA in 2003. In 2006-2007, Prairie North reviewed and revised its Vision, Mission, and Value statements to reflect more of what we do in the provision of quality health services, and to recognize the diversity of the communities which comprise Prairie North. Prairie North RHA is guided in its decision-making, presentation and conduct by the legislation that governs us, and by our policies around governance, responsibility, conduct, communication, accessibility, planning, and reporting. Professionally, our managers, physicians, and staff are bound by the regulations, expectations, and requirements of their professions, including codes of conduct and ethics. Prairie North has in place specific policies and procedures dealing with health information protection, informed consent and financial management, and others that guide us in delivering the highest standards of care and service throughout our organization. The Region has in place an Ethics program that consists of a Regional Committee plus local committees for The Battlefords, Lloydminster, and Meadow Lake/Rural, and a Regional Research Ethics Review Board. Members include physicians, managers, frontline staff, and Board officials who – together – work to address ethical issues that arise through day-to-day operations or in relation to more strategic decision-making processes. PNHRPNHR SStratetrategicgic PlanPlan 20072007 -- 2010 2010 Prairie North Health Region’s Strategic Plan was created and approved by the Board in 2006-07. In June 2008, PNRHA Board members, senior managers, regional directors, and medical staff officials began a review of the plan in the context of 2008-09 priorities and emphasis on “Pursuing Quality and Accelerating Excellence”. With Board terms about to expire and new Board appointments pending, revision of the Strategic Plan was held in abeyance for consideration by the new PNRHA Board. New Board members were appointed in February 2009, hence Prairie North Health Region continued to function under its existing Strategic Plan for the remainder of 2008-09. Work developing a new Strategic Plan is to begin early in the 2009-10 operating year. Prairie North Health Region 3 2008/2009 Annual Report Prairie North Health Region - 3 - 2008/2009 Annual Report Prairie North Health Region Strategic Plan 2007 - 2010 Strategic Direction – Goal 1: Improved Access to Quality Health Services PNHR Objectives: Provide responsive, coordinated primary health care Improve chronic disease management Reduce wait times for surgical procedures Reduce wait times for diagnostic services Improve emergency medical care Improve hospital, specialized services and long-term care Improve service delivery across the continuum of care Provide quality maternal/child services Strengthen mental health and addiction services Strategic Direction – Goal 2: Effective Health Promotion and Disease Prevention PNHR Objectives: Improve promotion of health and disease prevention Improve the health of northern and Aboriginal communities Strategic Direction – Goal 3: Retain, Recruit and Train Health Providers PNHR Objectives: Improve utilization and availability of health human resources Develop Prairie North Health Region into a learning organization Develop representative work places Create healthier, more effective work places Strategic Direction – Goal 4: A Sustainable, Efficient, Accountable and Quality Health System PNHR Objectives: Ensure quality, effective health care Ensure appropriate governance, accountability and management for the health sector and sustain publicly funded and publicly administered health care Communicate appropriately and effectively with all internal and external stakeholders Make Continuous Quality Improvement integral throughout the organization Ensure patient safety is a critical focus in all health services programming The Strategic Plan serves as one of the two key measures on which PNHR’S Annual Report is based, providing the Minister of Health and our stakeholders with an overview of the Region’s strategic and operational performance for the past fiscal year. The other measure is the Accountability Document between the RHA and Saskatchewan Health. An Accountability Document is created annually for each Health Region and sets out the organizational, program and service expectations of each individual RHA. Each Health Region’s Annual Report is intended to clearly describe the extent to which the RHA has made progress, and the extent to which the Region has complied with the Accountability Document. Prairie North Health Region - 4 - 2008/2009 Annual Report Prairie North Health Region 4 2008/2009 Annual Report Organizational / Administrative Structure Organizational / Administrative Structure Prairie North Health Region is proud of its strong, consistent and visionary leadership, from the RHA Board and Senior Management Team, through its Directors and Managers, Chiefs of Staff, physicians and staff members across the organization. PNHR has been fortunate to have retained the services of the same Chief Executive Officer and two of its senior managers since the Region’s inception in 2002. As CEO, David Fan has directed the organization for the past seven years with the support of Vice President of Corporate Services Irene Denis and Vice President of Finance/Information Technologies Jerry Keller who have also been with the Region for the past seven years. Glennys Uzelman joined the Senior Management Team in 2003 as Vice President of Primary Health Services. Vice President of Development and Operations Lionel Chabot and Vice President of Integrated Health Services Barb Jiricka have been with Prairie North since 2006. Vice President of Medical Services Dr. R. Bruce Murray joined the PNHR Senior Management Team in November 2007. Prairie North Health Region Senior Management Team As of March 31, 2009 Dr. R. Bruce Murray Glennys Uzelman VP Medical Services VP Primary Health Services David Fan Chief Executive Officer Lionel Chabot Jerry Keller VP Development & VP Finance/Information Operations Technologies Irene Denis Barbara Jiricka VP Corporate Services VP Integrated Health