ANNUAL REPORT TO THE LEGISLATURE 2018-2019 Healthy People, Healthy Saskatchewan saskhealthauthority.ca Table of Contents Healthy People, Healthy Saskatchewan Letter of Transmittal 1 Message from the CEO 2 Introduction 3 Vision, Mission, Values 5 Roles and Responsibilities 6 Governance Structure 7 SHA Strategic Priorities 9 Management Report 30 Financial Overview 31 Auditor’s Report and 2018-19 Consolidated Financial Statements 35 Appendices Appendix A: Organizational Structure 79 Appendix B: Saskatchewan Health Authority Board 80 Appendix C: Executive Leadership Team Overview 81 Appendix D: Key SHA Dates 82 Appendix E: List of Facilities 84 Appendix F: Funded Organizations 92 Appendix G: Union Partners 96 Appendix H: Payee Disclosure List 97 SHA Annual Report 2018-19 1 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 2018-2019. The annual report is a legislated requirement, presenting the SHA’s activities, results and approved audited financial statements for the fiscal year ending March 31, 2019. Performance information provided in this report reflects the SHA’s progress towards achieving the strategic priorities outlined in the Ministry of Health Plan for 2018-19 and the Saskatchewan Health Authority’s 2018-19 Business Plan. The annual report demonstrates the SHA’s commitment to transparency, accountability and public reporting of performance. This year’s publication documents our first full year as a single health authority. As one organization, we are focused on better serving the needs of Saskatchewan people by aligning and integrating health services across the province to ensure patients receive high quality, timely health care, regardless of where they live in the province. The progress achieved in 2018-19 is due to the dedication and commitment of staff and physicians of the SHA and our many partners, including the patients and families we serve and the direction they provided to enhance patient- and family-centred care. Respectfully submitted, R.W. (Dick) Carter, Chairperson Saskatchewan Health Authority Board of Directors SHA Annual Report 2018-19 1 In 2018-19, our Board of Directors formally endorsed a philosophy of patient- and family-centred care as the central foundation for our values as an organization. This philosophy is central to everything we do and critical to the transformation of our health care system in the years ahead. As one province-wide organization, we have combined the strengths of our health care providers across Saskatchewan and we are moving forward, creating a health care system that is better, safer, smarter, and more co-ordinated for the people we serve. As a result, we are better positioned now than ever before to ensure the people of Saskatchewan receive high quality, timely health care, regardless of where they live. We know we still have a long way to go. To achieve our vision of Healthy People, Healthy Saskatchewan, we are focused on improving team-based care in the community and reducing reliance on acute care, supporting a Messageculture that advances fromcontinuous improvement,the CEO cultural awareness, patient and staff safety, establishing physicians as leaders in the health-care system and improving system-wide alignment of services. Healthy People, Healthy Saskatchewan Advancing these priorities will strengthen health care delivery in Saskatchewan. However, we know the true key to transformation is combining the resourcefulness of our physicians and staff with the voices of the people we In 2018-19, our Board of Directors formally endorsed a philosophy of patient- and family-centred care as the serve.central foundationThe result forwill our be values healthier as an organization.people and healthierThis philosophy communities is central to ineverything every corner we do ofand Saskatchewan. critical to the transformation of our health care system in the years ahead. On behalf of our Board of Directors and our Executive Leadership Team, we look forward to continuing to work withAs one the province-wide people of organization,Saskatchewan we andhave ourcombined health the care strengths teams of toour achievehealth care our providers vision ofacross Healthy People, Healthy Saskatchewan.Saskatchewan and we are moving forward, creating a health care system that is better, safer, smarter, and more co-ordinated for the people we serve. As a result, we are better positioned now than ever before to ensure the people of Saskatchewan receive high quality, timely health care, regardless of where they live. We know we still have a long way to go. To achieve our vision of Healthy People, Healthy Saskatchewan, we are focused on improving team-based care in the community and reducing reliance on acute care, supporting a culture that advances continuous improvement, cultural awareness, patient and staff safety, establishing physicians as leaders in the health-care system and improving system-wide alignment of services. Advancing these priorities will strengthen health care delivery in Saskatchewan. However, we know the true key to transformation is combining the resourcefulness of our physicians and staff with the voices of the people we serve. The result will be healthier people and healthier communities in every corner of Saskatchewan. On behalf of our Board of Directors and our Executive Leadership Team, we look forward to continuing to work with the people of Saskatchewan and our health care teams to achieve our vision of Healthy People, Healthy Saskatchewan. ScottScott LivingstoneW. Livingstone Chief Executive Executive Officer Officer (CEO) (CEO) Saskatchewan Health Health Authority Authority SHA Annual Report 2018-19 2 Introduction HealthyHealthy People, People, Healthy Healthy Saskatchewan. Saskatchewan The Saskatchewan Health Authority (SHA) is responsible for the delivery of high quality and timely health care for all the people across the province. Through transformation in 2017 we became the province’s biggest employer, with approximately 40,000 employees and 2,700 physicians serving the people of Saskatchewan. The SHA works in the spirit of truth and reconciliation. We recognize that our places of work and facilities lie on the traditional territory of the First Nations and Métis people, which includes treaties 2, 4, 5, 6, 8 and 10. We acknowledge and recognize the history of the First Nations and Métis people who have come before us as this history is important to our future and our efforts to close the gap in health outcomes between Indigenous and non-Indigenous peoples. The SHA is working toward building a patient- and family-centred health system and services that are sustainable into the future. We will do this by building accountability, quality, stewardship and commitment into everything we do, at every level of the organization, and ensuring key foundational structures are in place to support our patients, clients, residents and families. This past year, after extensive consultation and engagement with more than 5,000 key stakeholders and health system partners, the SHA Board of Directors approved the five core values of safety, accountability, respect, collaboration and compassion and a commitment to a philosophy of patient- and family-centred care. Our values and philosophy of care are at the heart of everything we stand for – they inspire, empower and guide how we work together with patients, clients, families and each other. The SHA continues to work to meet the varied and complex needs of Saskatchewan residents. The organization’s focus is on enhancing service delivery through the integration of team-based community and primary health care through the development of Health Networks. Providing care for those with chronic diseases in their homes and in the community will better meet their health care needs outside of acute care facilities. The SHA’s Annual Report to the Legislature 2018-2019 provides an overview of the SHA’s activities and performance results for the fiscal year ending March 31, 2019. SHA Annual Report 2018-19 3 The SHA is committed to achieving the goals outlined in the SHA’s business plan, which align with the goals and direction of the Ministry of Health. The business plan charts the SHA’s direction, guides decision-making and outlines where the SHA will focus activities in the fiscal year to achieve ongoing success. SHA Annual Report 2018-19 4 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. Healthy People, Healthy Saskatchewan. 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