2017/18 – 2019/20 Service Plan
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Vancouver Island Health Authority 2017/18 – 2019/20 SERVICE PLAN February 6, 2018 For more information on the Vancouver Island Health Authority (Island Health) see Contact Information on page 18 or contact: ISLAND HEALTH 1952 Bay Street Victoria, British Columbia V8R 1J8 or visit our website at www.viha.ca Vancouver Island Health Authority Accountability Statement The Vancouver Island Health Authority 2017/18-2019/20 Service Plan was prepared under the Board’s direction in accordance with the Health Authorities Act and the Performance Reporting Principles for the British Columbia Public Sector. The plan is consistent with government’s strategic priorities and fiscal plan. The Board is accountable for the contents of the plan, including what has been included in the plan and how it has been reported. The Board is responsible for the validity and reliability of the information included in the plan. All significant assumptions, policy decisions, events and identified risks, as of December 22, 2017 have been considered in preparing the plan. The performance measures presented are consistent with the Taxpayer Accountability Principles and the Ministry of Health’s mandate and goals, and focus on aspects critical to the organization’s performance. The targets in this plan have been determined based on an assessment of the Vancouver Island Health Authority (Island Health) operating environment, forecast conditions, risk assessment and past performance. Sincerely, Leah Hollins Island Health Board Chair February 6, 2018 2017/18 – 2019/20 Service Plan 3 Vancouver Island Health Authority Table of Contents Accountability Statement ........................................................................................................................................................................................................................ 3 Organizational Overview ........................................................................................................................................................................................................................ 5 Strategic Direction and Context ................................................................................................................................................................................................... 6 Goals, Objectives, Strategies and Performance Measures ................................................................................................................. 7 Resource Summary ........................................................................................................................................................................................................................................... 15 Resource Summary Table .................................................................................................................................................................................................................. 15 Major Capital Projects ............................................................................................................................................................................................................................ 16 Significant IT Projects ............................................................................................................................................................................................................................ 17 Appendices ................................................................................................................................................................................................................................................................... 18 Appendix A: Health Authority Contact Information ................................................................................................................................. 18 2017/18 – 2019/20 Service Plan 4 Vancouver Island Health Authority Organizational Overview The Vancouver Island Health Authority (Island Health) is one of Island Health has… five regional health authorities established by the province of 1,900 physician partners British Columbia under the Health Authorities Act 2001. Island 21,233 health care professionals Health provides health care to over 780,000 people across a 6,000 volunteers & auxiliary widely varied geographic area of approximately 56,000 square providing 565,000 hours of service per year kilometres. This area includes Vancouver Island, the Gulf and Over 150 facilities Discovery Islands and part of the mainland opposite northern 1,555 acute care & rehab beds Vancouver Island. An important part of our mandate is to serve 6,426 residential care beds & people in all remote and isolated communities in our region, many assisted living units of which are accessible only by water or air. 1,110 mental health & substance Governance and Leadership use beds A ten-member, government-appointed Board of Directors (the Board) governs Island Health. The Board’s primary responsibility is to lead and manage the health authority to deliver high quality, responsive and effective health services as efficiently as possible. The Board also provides positive leadership to guide Island Health’s activities in support of the Government’s health system priorities and strategies in accordance with the Taxpayer Accountability Principles and direction provided through the Government’s annual Mandate Letter. More information on the role of the Board is available at www.viha.ca/about_viha/board_of_directors/. Working with the Board, and headed by our President and Chief Executive Officer (CEO), the Island Health Executive Leadership Team provides leadership in planning, delivering and evaluating health care services in Island Health in collaboration with the government. The Island Health Board and Executive Team are responsible for meeting the health needs of the population and patients in an effective and sustainable manner. (See http://www.viha.ca/about_viha/executive_team/). Created from the shared core beliefs of our staff, physicians, volunteers, Executive Leadership Team and Board of Directors, Island Health's vision, Excellent health and care for everyone, everywhere, every time and values of Courage, Aspire, Respect and Empathy guide us in providing the highest quality health care services to the populations we serve. Services We Provide We deliver many types of services for residents, clients and patients: public health, children and youth care, seniors ongoing care and wellness, residential and community care, primary health care, specialized short-term care at local hospitals and health centres, mental health and substance use services, and end-of-life care. We are able to meet virtually all health needs of people who live on Vancouver Island; only rarely must people seek services outside of Island Health for highly specialized needs. 2017/18 – 2019/20 Service Plan 5 Vancouver Island Health Authority Strategic Direction and Context Strategic Direction Setting Priorities for the B.C. Health System, and the Ministry’s series of policy papers, present the strategic vision for British Columbia’s health system and the strategic and operational priorities for the delivery of health services across the province. Island Health is committed to achieving the vision and priorities set out by government in the 2017/18 Island Health Mandate Letter with a focus on supporting the health and wellbeing of our residents, delivering responsive and effective health services, and ensuring the best value for money in accordance with the Taxpayer Accountability Principles. In alignment with government’s direction and in collaboration with many partners, Island Health is transforming the health system to better meet the needs of the people we serve. We are committed to improving care for key patient populations, ensuring the delivery of high quality and appropriate health services and pursuing innovative approaches to service delivery. The implementation of an integrated electronic health record through IHealth, and a commitment to exemplary patient experience will support us in delivering patient-centred care. Strategic Context Vancouver Island has a relatively healthy population. The average life expectancy, at 82 years, is among the highest in the world. The population of Island Health is expected to increase 23 per cent, to over 943,000, by 2041. Currently, 10 per cent of our population is 75 years or older, and this population is expected to more than double by 2041 to over 170,000 (18 per cent of the population). Meanwhile, 27 per cent of our workforce is 55 years or older, which has health human resource implications. There is also substantial variation in health status across communities, with a 6.2 year difference in life expectancy between the regions with the highest and lowest life expectancies. In our rural and remote areas and Aboriginal communities, people often experience increased barriers and poorer health status and have unique health needs and considerations. Within this context, we recognize the need to shift how we think about health care and health and wellness to better respond to the needs of our changing population. This includes working closely with community partners to improve access to care for our most vulnerable populations and to address the broader social conditions that influence health. By working with the First Nations Health Authority and other Aboriginal partners, Island Health will