Tetley Reads the Tea Leaves:
Government Directions &
Enablers for our Members
Presentation to Member Boards
October 2014
Outline
• Part I: What we are Hearing from Government
• Part II: Enablers for Strong Member Centres
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The Premier’s commitments
Primary Care Guarantee
• Ensure everyone has PC
provider by 2018
o Focus on rural, northern and
growing communities
o Improve retention &
recruitment of PHC teams
o Allocated $20M to the
Guarantee
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The Premier’s commitments
Culture of Health & Wellness
• Appointed an Associate
Minister for LTC & Wellness
o Develop a strategy on wellness
o Healthy Kids Strategy
• Develop Community Hubs
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Minister of Health and LTC
Mandate Letter:
3 priority goals:
 Right care, right time, right place
 Efficient and transparent system
 Healthier lifestyles for Ontarians
3 priority areas:
 Putting patients at the center
 Moving forward on
accountability/transparency
 Collaborate on shared
responsibilities across gov’t
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Lead on Mental Health and
Addictions
• Next phase of Mental Health & Addictions Strategy
will focus on adults
• Announcement expected in November
• $16M over 3 years announced for Supportive
Housing so far
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Other Mandate Letters
• Long Term Care and Wellness
– LTC facilities
– Health and wellness: healthy kids; smoke free Ontario
– Health and Wellness Strategy
• Francophone Affairs
– Enhance health related services in French
• Aboriginal Affairs
– Urban Aboriginal Action Plan
• Community and Social Services
– Drive transformation of social assistance
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Other Mandate Letters
• Poverty Reduction
–
–
–
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Reduce child poverty
Employment and income security
Plan to end homelessness
Use evidence-based social policy
• Children and Youth
– Lead Aboriginal and Youth Strategy
– Youth Suicide Prevention Initiative
• Housing and Municipal Affairs
– Expand supportive housing for MH&A
– Set housing need metrics with goal to end homelessness
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Insights to Minister Hoskins
• Medical Tourism
• Pharmacare
• Transparency re inspections
and investigations for clinics
• Move from specialty clinics to
ambulatory care
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New Deputy Minister’s vision for
Ontario health care system
• A fully integrated and cost
effective system.
• By 2019 Ontario will have the
highest quality and most cost
effective health system, as
measured against international
performance metrics.
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What else is happening?
Rural Health Strategy
• Community Health Ontario (CHO) develop a Rural
Health Strategy Paper
• Participated in OMA/OHA process
– “Rural Health Hubs Framework for Ontario” paper is being
released by end of October
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What’s missing from our
perspective:
• Commitment to address persistent health disparities
and inequities
• Explicit recognition of the determinants of health
• No plan for population health
• No vision and strategy for primary health care
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MOHLTC must take action
ENABLERS FOR STRONG
MEMBER CENTRES
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1. Compensation
Goal: To address serious retention/recruitment issues, compensation
packages must be funded equitably and competitively relative to other
providers in the health system.
• Includes benefits (pension) and wages
• Strategy for all Staff
AOHC actions:
• Advocacy work at political level with AFHTO, NPAO
• Supporting members to hold MPP meetings, with webinar and
lobby materials.
• For more information: http://www.screencast.com/t/4cAH9yPP2bP
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Minister on Retention and
Recruitment
…..Primary
care faces challenges – “including
recruitment and retention of staff” … “this
is very much front of mind for me
… You need the flexibility to grow and
change with your communities.
….I value the work you do and I know it’s not
easy
….I know gov’t has a bigger role to play with
you …. To make sure you have resources and
talent to do this work.
AFHTO Conference, Oct 15 2014
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2. Capital
Goal: To enable integrated programs and services, community
capital policies and processes must be changed so that
allocations of funding enable building specifications that match
program and service needs and targets for growth, and progress
in a timely manner.
• MOHLTC has agreed that there is a misalignment with capital
policies and MOHLTC integration vision.
AOHC actions:
• Advocacy with MOHLTC staff and political staff
• For assistance: leah.stephenson@aohc.org
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3. Base Funding Increases
Goal: To support increased costs for operations and increased
programs and services mandated by the MOHLTC and the LHINs,
the Ministry must increase base funding including allocation for
information management related expenses.
• LHINs are not approving across board base funding increases
• Current 5-6% community fund going to community support
AOHC Actions:
• Focus in 2014-15 = IM/IT
• Please complete survey
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4. Right Mix of Providers
Goal: To ensure our Model of Health and Wellbeing can employ
the most appropriate mix of providers, policy changes must be
made so administrators have increased flexibility for hiring the
right mix of providers to match community and regional needs.
What AOHC is doing:
• Need to develop strategy with members.
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5. Rostering to the Centre
Goal: To strengthen interprofessional teams, prevent
complex and time-consuming administrative challenges,
improve the accuracy of provincial databases and avoid
double-counting, all insured and non-insured clients must
be rostered to the Centre, not a provider.
What AOHC is doing:
• CHC & AHAC ED Network strongly endorsed a position on “no
rostering to the provider” at Oct meeting.
• Working group of AHACs, CHCs, CFHTs and NPLCs will be
established
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Enablers where AOHC members must
reconfirm our commitment
Information Management Strategy V2
• To continue to connect to system
Costing methodology
• So we understand value, cost and appropriateness of our
services and impact on health outcomes
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QUESTIONS
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