Strategic Issues 2017-2020
The following strategic issues are included in Central Health's Strategic Plan for 2017-2020:
Person and Family-Centred Care
Accreditation Canada has defined person- and family-centred care (PFCC) as an approach that guides all aspects of planning, delivering and evaluating health care services. Accreditation Canada has adopted four values that are fundamental to this approach which are integrated into the evidence-based standards followed by Central Health: dignity and respect, information sharing, partnership and participation, and collaboration. The focus of PFCC is always on creating and nurturing mutually beneficial partnerships amongst clients, families, physicians, and staff.
To achieve this approach to health care at Central Health, a PFCC Strategy is being developed by a steering committee working to chart the path forward. In 2016, an extensive assessment of the current state was carried out by engaging staff, physicians, clients, families, and community members in focus groups throughout the region. In total, 11 key indicators of PFCC were assessed with the analysis providing a baseline and identifying gaps and focus areas for improvement. At Central Health, moving forward, a PFCC approach will shape all interactions, guidelines, policies, programs and space design to improve client experiences while engaging staff throughout the organization.
Better Value through Improvement
Creating better value through improvement, while providing quality care, continues to be a focus for Central Health. Given the fiscal reality, it is imperative that the organization focus on value and continue to lower costs to ensure sustainability, while pursuing better outcomes. The guiding principles set forth in "The Way Forward: A Vision for Sustainability and Growth in Newfoundland and Labrador" informed the selection of this strategic issue. At Central Health, to achieve better value through improvement, ‘we will do better with less', ‘we will collaborate,' and ‘we will challenge ourselves.'
Better health for the population is a focus in the pursuit of Central Health's vision of ‘healthy people and healthy communities'. Central Health will use a collaborative method of strategy deployment to focus efforts in areas that have the potential to positively affect health outcomes for the population of the region. Improving the health of the population by focusing on primary health care, healthy living, chronic disease prevention and management, and mental health and addictions will be priorities, given the health status of the population and the priorities identified.
The Newfoundland and Labrador Primary Health Care Framework lays out a vision where individuals, families, and communities are supported and empowered to achieve optimal health and well-being within a sustainable system. Central Health's plan will focus on expanding primary health care initiatives in priority areas throughout the region to enable the continuation of primary health care reform.
Central Health is committed to providing better care for individuals through a focus on enhancing community supports and capacity, improving access to services, and making improvements in acute care bed management. In partnership with community members, Central Health has developed a Healthy Aging Strategy and continued implementation will see a focus on building supportive communities, enhancing health and well-being, and recognition of older persons in the region. Enhancing community supports and capacity is necessary such that older persons throughout the region can remain at home as long as possible, allowing them to progress into other care options as their needs change.
Central Health will work with the Department of Health and Community Services to implement recommendations from the Provincial Home Support Program Review, which is focused on supporting eligible individuals to live in their homes and remain independent. Efforts will also be required to reduce the number of patients who remain in acute care once they are medically discharged and no longer require this level of care. Better care for clients with Congestive Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) is also expected to reduce admissions and length of stay, thus improving overall bed management and improving patient outcomes.