SHA Annual Report 2019-20 1 • Our Commitment to Transparency and Accountability Through a Strong Relationship with News Media Outlets
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ANNUAL REPORT TO THE LEGISLATURE 2019-2020 Healthy People, Healthy Saskatchewan saskhealthauthority.ca Table of Contents Healthy People, Healthy Saskatchewan Letter of Transmittal 1 Vision, Mission, Values 3 Governance System 4 Key Activities of the Fiscal Year 6 Management Report 10 Financial Overview 11 Auditor’s Report and 2019-20 Financial Statements 15 Appendices Appendix A: Organizational Structure 57 Appendix B: Executive Leadership Team Overview 58 Appendix C: Unions 59 Appendix D: Funded Organizations 60 Appendix E: Payee Disclosure List 64 Letter of Transmittal Healthy People, Healthy Saskatchewan Dear Minister Reiter: The Saskatchewan Health Authority (SHA) is pleased to provide you and the residents of our province with the SHA’s Annual Report to the Legislature 2019-2020. The annual report is a legislated requirement which demonstrates the SHA’s commitment to transparency and accountability. This year’s report includes the approved audited financial statements for the year ending March 31, 2020. Due to the demands on the health system caused by the COVID-19 pandemic, this report is an abbreviated one compared to previous years. A key accomplishment for our organization was to achieve accredited status following the first phase of the accreditation survey process, which took place Nov. 24-29, 2019. Achieving accreditation indicates we have met a nationally accepted standard of quality and safety. Participating in the process ensures our ongoing commitment to a culture of continuous improvement. The SHA continues to enhance health care for all Saskatchewan residents by focusing on the following four general areas: • Connected care for the people of Saskatchewan; • Delivering safe and high quality health care; • Establishing physicians as leaders in the health care system; and • Improving system-wide co-ordination and alignment of services. More information on these areas of focus is outlined in the Ministry of Health Plan for 2019-20. By working toward these goals, we are aligning and integrating health services to ensure people receive high quality, timely health care, regardless of where they live in Saskatchewan. Our commitment to a philosophy of patient and family centred care underpins our activities and is the foundation for our values of safety, accountability, respect, collaboration and compassion. Our commitment to accountability and transparency is demonstrated through: • The SHA Board of Directors meetings, which holds quarterly meetings open to the public; • The SHA website, www.saskhealthauthority.ca, which includes news articles, reports and other publications, as well as archived news releases. This website garners more than two million page views per year; • Social media (Facebook, Twitter) channels, which have attracted 30,000 followers – more than the combined total of all channels of the province’s former regional health authorities; SHA Annual Report 2019-20 1 • Our commitment to transparency and accountability through a strong relationship with news media outlets. Our organization responds to more than 1,300 media requests per year on a wide variety of topics; and • Daily internal communications with our approximately 40,000 health care workers and more than 2,600 physicians. The progress achieved in 2019-20 is due to the dedication and commitment of staff and physicians of the SHA and our many partners, including the people we serve. We are profoundly grateful for the fortitude, determination and professionalism of all those involved in the response to the COVID-19 pandemic. Although the full impact of the pandemic on the health system will be unknown for some time, what has become clear is that as an amalgamated authority we are in a better position to manage and co-ordinate services through a time of great uncertainty. Respectfully submitted, R.W. (Dick) Carter, Chairperson Saskatchewan Health Authority Board of Directors SHA Annual Report 2019-20 2 Vision, Mission, Values and Philosophy of Care VISION Healthy People, Healthy Saskatchewan MISSION We work together to improve our health and well-being. Every day. For everyone. VALUES SAFETY: Be aware. Commit to physical, psychological, social, cultural and environmental safety. Every day. For everyone. ACCOUNTABILITY: Be responsible. Own each action and decision. Be transparent and have courage to speak up. RESPECT: Be kind. Honour diversity with dignity and empathy. Value each person as an individual. COLLABORATION: Be better together. Include and acknowledge the contributions of employees, physicians, patients, families and partners. COMPASSION: Be caring. Practice empathy. Listen actively to understand each other’s experiences. Our Philosophy of Care conveys our vision, values, beliefs and goals and defines our purpose and direction to staff, physicians, patients and families. Our commitment to a philosophy of patient and family centred care is at the heart of everything we do and is the foundation for our values. This philosophy of care is, in essence, our culture: who we are, the shared purpose that brings us all together and how our patients and families experience care every day. Through meaningful engagement and co-creating mutually beneficial partnerships among employees, physicians, patients, families, clients and residents, together we ensure a seamless health system that supports Healthy People, Healthy Saskatchewan. SHA Annual Report 2019-20 3 Governance System Healthy People, Healthy Saskatchewan The SHA is governed by the SHA Board of Directors. The Board consists of 10 voting members, appointed to three-year terms by the Lieutenant Governor in Council. The Board is accountable to the minister of health to achieve the goals and objectives of the SHA, ensuring effective planning, delivery and evaluation of all health care programs, on behalf of the residents of Saskatchewan. The Board recognizes the paramount importance of patients and families as key in the delivery of the health-care services provided by the SHA. The Board incorporates the patient experience into its work to inform the strategic direction for the SHA. The SHA governance system is outlined in The Provincial Health Authority Act and The Provincial Health Authority Administration Regulations supported by the initial General Bylaws of the SHA, and further detailed in the Governance Charter, updated and approved on Feb. 26, 2020. The Governance Charter reflects the provincial legislation, direction, philosophy and principles governing the SHA – a large, complex, high profile and accountable public sector organization. It describes in detail the Board’s accountabilities to, and relationships with, key stakeholders and the chief executive officer (CEO) inclusive of the CEO’s authority and expectations. The governance philosophy is guided by the following principles: • The Board provides strategic direction and leadership. • The Board adheres to the highest ethical and legal standards in the conduct of its business. • The Board makes decisions on the best available evidence. • The Board’s approach to governance is open: receptive to information that will enable the Board’s work, responsive to the expectations of the public and transparent regarding the decisions that are made. • Members are to act in the best interests of the Board as a whole. • The relationship between the Board and the CEO is based upon trust, collaboration and clear understanding of roles and responsibilities of the Board and the CEO. The Governance Charter also outlines the Board’s structures and governance processes whereby strategic goals are set, key relationships are maintained, assets of the organization are safeguarded and quality care is supported in accordance with best practices, service excellence and national performance standards such as those of Accreditation Canada. The Board fulfills its governance role and responsibilities through the following committees of the Board chaired by Board members, recommended by the Board chairperson and formally appointed by the Board: • Governance and Human Resources Committee; • Quality and Safety Committee; • Audit, Finance and Risk Committee; • Board Practitioner Hearing Committee; and • Practitioner Liaison Committee. SHA Annual Report 2019-20 4 The SHA has also established an internal audit function that supports the SHA to accomplish its objectives by bringing a systematic and disciplined approach to evaluate and improve its operations. The chief audit officer (CAO) does this by providing insight and advice to help drive improvements in governance, risk management and control processes, balanced with assurance on key risk mitigations and controls through the completion of audit work. The CAO reports functionally to the Board, with a dotted line to the CEO for day-to-day administrative matters to maintain the CAO’s independence and objectivity. SHA Board Members by Location R.W. (Dick) Carter, Chairperson, Regina (1) Grant Kook, Vice-Chairperson, Saskatoon (2) Brenda Abrametz, Prince Albert (3) Marilyn Charlton, Weyburn (4) Judy Davis, Regina (5) Robert Pletch, Regina (6) Dr. Preston Smith, Saskatoon (7) Rosalena Smith, Pinehouse Lake (8) Dr. Janet Tootoosis, North Battleford (9) Tom Zurowski, Saskatoon (10) SHA Annual Report 2019-20 5 Key Activities of the Fiscal Year Healthy People, Healthy Saskatchewan April • The SHA welcomes a new physician to Porcupine Plain. • The Turning Point Program based in Yorkton begins offering comprehensive testing for sexually transmitted infections and blood-borne infections. • The SHA evacuates the Biggar