Transcript WRHA Vendor Presentation

WRHA Supply Chain Forum
Presentation
November 21, 2012
Opening Remarks – Réal Cloutier
Vision, Mission and Values
Vision
•
Healthy people. Vibrant communities. Care for all.
Mission
•
•
To coordinate and deliver safe and caring services
that promote health and well-being.
Values
•
•
•
•
We value:
Dignity as a reflection of the self-worth of every person
Care as an unwavering expectation of every person
Respect as a measure of the importance of every person.
Commitments
Commitment
• We are committed to:
• Innovation that fosters improved care, health, and
well-being
• Excellence as a standard of our care and service
• Stewardship of our resources, knowledge and care.
WRHA Strategic Directions – 2011 to
2016
•
•
•
•
•
•
Enhance Patient Experience
Improve Quality and Integration
Foster Public Engagement
Support a Positive Work Environment
Advance Research and Education
Build Sustainability
Future orientation
• Continued specialization of hospitals
• More care to support care in the community as an
alternative to institutional models
• Aging in place strategies
• Increased emphasis on technology
• Patient and public engagement strategies
• Increased focus on innovation and outcomes
• Stronger focus on population health issues
WRHA as a Public Agency
• Regional Health Authority defines the role and
responsibilities of the WRHA and other RHAs
• Primary responsibility is the administration
and coordination of health care
• Agency of the Provincial Government
• Board of Directors
• Minister of Health
RHAs
• WRHA is one of 5 RHAs in Manitoba
• Consolidation process related to combining
RHAs continues
– Interlake – Eastern
– Northern
– Southern
– Western
– WRHA (includes Churchill)
• Administrative efficiency target
Multiple Accountabilities
•
•
•
•
WRHA Board of Directors
Minister of Health
Manitoba Health
Government of Manitoba and various
departments
• Office of the auditor general
• Quasi judicial offices like the ombudsmen’s office
and the Human Rights Commission
• Legislative Requirements
Why are people interested in the
WRHA
• We spend $2.4 billion on health care in Winnipeg
• This represents about 20% of the provincial
budget
• We employ about 27,000 people
• We care for many people from within and outside
the region
• Its hard for anyone to say that they have not used
or know someone who has used our health care
system in the past year
What does this make us?
• The WRHA has an important role in terms of
addressing the health needs of people who
depend on us. It also has a strong role in
shaping the health care delivery system and
influencing policies and approaches to
improving the health and well being of our
population……however it also makes us a …..
What does this make us?
Pressures
• Freedom of information requests (about 300
per year and growing)
• Media
• Political
• Complaints to external parties / organizations
• Compliance with Inter-provincial trade rules
• Local development
Pressures
• Compliance with Government and Internal
policies (e.g. industry relations, interprovincial trade rules, etc.)
• Funding
• Ensuring that purported innovations do not
put patients at risk
• WRHA owns and operates a number of
facilities in the region and has contracts with
other organizations for the remaining services
History Lesson
• Media story in 2009 regarding WRHA
contracting process – Brown envelopes
• Allegations that WRHA had poor procurement
practices – WFP “What’s in the envelop”
• OAG investigates the matter and identifies a
few issues to address around the process.
There were no findings that supported the
original allegations
Outcome
• Tighter process around tendering
• Reinforcement on policy-Value Adds are not
accepted by WRHA
• Stringent industry relations policy
• Strict conflict of interest policy
• Low risk tolerance
What vendors need to Know
• WRHA employees and physicians are required
to adhere to our policies
• Price and quality are important
• Establishing common standards and
approaches is not easy in health care
• When you say your product is innovative and
will save money, we tend to examine this
more broadly so that we don’t pass on cost to
parts of the system.
What vendors need to Know
• As a Government Related Entity, we have to
follow the same rules as Government
• We cannot put patients at risk by trialing
products that have not been fully assessed or
approved for use
• Our capital budgets are tight so we can’t
afford to purchase products that don’t live up
to expectations
What vendors need to know
• You have to make your case as part of the
process – end runs generally don’t build
sustained relationships
• While business relationships are important,
products and services must demonstrate a
value
What vendors need to know
• R and D is important in health care
• Evaluation standards are high in health care
• We are working to improve our capacity in
research and links with outside organizations
• Research is generally funded outside of
insured health services
• It is always challenging to transfer research
evidence to changes in practice – this is a
reality in many industries
Questions