Health Plan Business Plan

Transcription

1 Health Plan and Business Plan Better Quality, Better Outcmes, Better Value

2 The Path Frward Alberta Health Services Health Plan and Budget Plan represents the beginning f significant transfrmatin in the health system in Alberta. Our initiatives fall under seven key wrk streams: Deliver innvative service mdels fr high-needs ppulatins. Strengthen cmmunity and primary care delivery. Advance adptin f evidence-based practices. Implement new funding mdels and revenue initiatives. Optimize service delivery and facilities. Drive prductivity imprvements. Cntain csts. 2

3 Reasns fr Transfrmatin Alberta s health system must address several significant challenges t meet the needs f tday and tmrrw. Alberta s ppulatin cntinues t grw at a cmpund annual rate f 2.2 per cent, adding abut 750,000 peple in the past 10 years. Our emergency department visits increased 4.5 per cent in By 2031, ne in five Albertans will be a senir. A substantial number f Albertans with cmplex and/r chrnic cnditins d nt have ready access t cmmunity-based services they need t help them take an active rle in their health. Alberta has the secnd highest, age-adjusted spending per persn in Canada but ur health utcmes are nt significantly better than the Canadian average and, in sme areas, are wrse. 3

4 Respnding t Albertans AHS is engaged in an nging dialgue with Albertans. We hear frm Albertans in many ways, including: cud Thrugh ur 12 Health Advisry Cuncils and ur Patient Family Advisry Grup. By meeting Albertans where they live and having face-t-face cnversatins at ur Reprt t the Cmmunity events, twn hall meetings, infrmatin sessins, and ther gatherings. Albertans tell us they want AHS t: Simplify the health system. Fcus n lcal leadership and lcal decisin-making. Spend health dllars n what matters mst t Albertans. 4

5 Strategic Directins AHS and Alberta Health is taking a triple aim apprach t meet Albertans needs and t imprve health care. Bringing apprpriate care t yur cmmunity. Build a strng, integrated cmmunity and primary health care fundatin t deliver apprpriate, accessible and seamless care. Partnering fr better utcmes. Engage Albertans as partners in their wn care. Expand the use f best practices thrugh partnerships with health prviders, academic institutins, physicians and thers. Achieving health system sustainability. Build a sustainable, patient-centred health system that is driven by utcmes and prvides greater value fr each health dllar. 5

6 The BIG Picture In the mnths and years ahead, AHS will: Spend new dllars n grwth. Increase spending in areas f increasing demand. Identify cst-savings and put thse savings where they will have greater impact n the health f all Albertans. Optimize the efficiency f ur wrkfrce and facilities. 6

7 Budget: Ttal Revenues $13,355 millin, an increase f 4.9 per cent, r $626 millin. Revenue surces as a percentage f ttal revenue (figures in millins f dllars) 7

8 Budget: Ttal Expenses $13,355 millin, an increase f 4.9 per cent, r $618 millin. This represents an average daily spend f $37 millin t supprt the health system in Alberta. Expense surces as a percentage f ttal revenue (figures in millins f dllars) 8

9 Mre Dllars fr Pririty Areas Emergency and utpatient care: 6.4 per cent increase Cmmunity-based care: 9.9 per cent increase * Inpatient t acute nursing services: 4.6 per cent increase ** * includes supprtive living, palliative and hspice care; cmmunity prgrams; primary care netwrks, and cmmunity mental health. ** includes medical, surgical and intensive care; bstetrics; pediatrics, and mental health. Expenses by financial directive (figures in millins f dllars) 9

10 New Investments in $257 millin fr cmpensatin and nn-cmpensatin requirements t cntinue current peratins $245 millin t supprt strategic investments. Strategic Clinical Netwrks Additinal NICU spaces at Alberta Children s Hspital Opening f Red Deer Cancer Facility Relcatin f air ambulance services in Edmntn $126 millin t supprt Suth Health Campus and Kaye Edmntn Clinic. $22 millin t supprt primary care netwrks. 10

11 Capital Investments in Capital budget fr is $410 millin. Key investments include: Facility enhancements and upgrades. Equipment purchases and replacements in areas such as diagnstic imaging, cancer care and ambulances. Infrmatin technlgy investments, including the prvincial Clinical Infrmatin System. Investments in capital assets (figures in millins f dllars) 11

12 Cst Drivers Alberta s registered nurse and licensed practical nurse salaries are secnd highest in the cuntry. Alberta has largest vlume f physicians per persn, and highest vlume f physician services per persn, in the cuntry. Alberta has mre acute care beds per adjusted capita than the natinal average. Alberta has mre acute hspital stays than the natinal average. 12

13 Cst Drivers Alberta spends mre per adjusted capita than the natinal average fr hspitals and physicians. Alberta has mre emergency department (ED) visits per adjusted capita than Ontari (the nly ther prvince reprting this data fr all sites). Alberta has a higher prprtin f ED cases in the lwest acuity levels i.e. mst ED visitrs culd get apprpriate care in the cmmunity. 13

14 Cntaining Csts Expand primary care and cmmunity care ptins thrughut the prvince. Patients will get apprpriate p care in the right place; demand n hspitals reduced. Abut 3,000 new cntinuing care beds have been added since 2010, as AHS aims t add abut 5,300 beds by AHS is wrking with Alberta Health t increase the number f Family Care Clinics (FCCs) acrss the prvince. There are currently three FCCs in Alberta: in Edmntn, Calgary and Slave Lake. FCCs ffer extended hurs, and an pprtunity t access a multi-disciplinary primary care health team that can take care f mst everyday health needs. 14

15 Cntaining Csts Reduce administrative csts by $10 millin in and by y$ $35 millin ver three years. Limit hiring s abslute number f AHS staff des nt increase in Reduce utilizatin f cntracted services fr nn-clinical activities. Increase number f full-time staff t reduce high csts and unpredictability assciated with vertime. 15

16 Cst Savings AHS will identify $220 millin in cst-savings and redirect thse dllars where they will have a greater impact. The number f surgical beds will be reduced at sme facilities ver the summer when elective surgical activity usually slws dwn. Sme acute care and transitin beds ccupied by individuals awaiting placement in cntinuing care may be clsed when the individual is transferred int the cmmunity. Sme underused d prgrams and services that t dn t fall under AHS pririty it areas may be scaled back r eliminated. 16

17 Cnclusin The Health Plan and Business Plan is based n what health care services Albertans have tld us are imprtant t them. The path ahead will have challenges but AHS will emerge better psitined t meet the health needs f Albertans tday and in the years ahead. 17