Hamilton Health Sciences STRATEGIC PLAN. Patients PLAN AT A GLANCE People. Sustainability. Research, Innovation & Learning

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Patients Hamilton Health Sciences STRATEGIC PLAN PLAN AT A GLANCE 2016-2017 Research, Innovation & Learning

Hamilton Health Sciences STRATEGIC PLAN PLAN AT A GLANCE 2016-2017 Rob MacIsaac President and CEO Hamilton Health Sciences We re working in a rapidly changing healthcare environment. In order to navigate that change and achieve our vision of Best Care for All, Hamilton Health Sciences needs a clear and focused strategic plan. We developed this strategic plan to be our North Star. It will help guide our decisions about how we invest our time and resources, and it is based on input from our staff, physicians and community partners. Our strategic plan focuses on four goals: Our strategic plan helps us focus on what is most important for us to achieve together. Patients Research, Innovation & Learning These four goals are compass points of our plan. Each goal has three drivers to direct our attention and energy. There are also a series of initiatives outlining the work we will do to meet our drivers this year. This strategic plan will help us move forward with confidence, together. 1 HAMILTON HEALTH SCIENCES STRATEGIC PLAN

Our goal is to provide an excellent patient and family experience every time. Patients Drivers Always deliver compassionate care that respects the needs and values of our patients and their families Continuously refine our care delivery to raise quality, improve safety and enhance value Ensure seamless and timely transitions in a welcoming environment for HHS patients Patients Patient and family experience QIP QIP Calendar Year 2015 1 Year (16-17) 3 Year (18-19) 80.3% 82.50% 85% Emergency wait time for admitted patients QIP QIP Calendar Year 27.5 hours 26.5 hours Top half of Peer Group Medication Reconciliation Upon Admission QIP Target of 19 units 70% 80% Target of 19 units 80% Target of ALL inpatient units Key Indicators of Success (16/17) (FYTD15/16) (FY16/17) Patient rating for service excellence 91.6% 93.0% CHF Readmission QIP 18.1% 17.2% COPD Readmission QIP 17.3% 16.4% Strategic Initiatives Ongoing Patient & Family Experience Initiative Population Health: Integrated Funding Model (IFM)/ Integrated Care Coordination (ICC) Initiative HealthLinks Med Reconciliation roll out Ongoing patient flow initiatives HAMILTON HEALTH SCIENCES STRATEGIC PLAN 2

Our goal is to engage, empower and enable our people to deliver on our mission. Drivers Ensure a healthy and safe workplace Develop and support our people Cultivate empowered decision making and collaboration Staff & Physician Engagement 2014 survey results Staff 69% Physician 56% 1 Year (16-17) 3 Year (18-19) Not Available in 16-17 # CQI active units 2 8 40 Lost Time Injuries Drive to Zero QIP 1.49 1.34 1.08 5% improvement on 2014 Staff 72.4% Physician 58.8% Key Indicators of Success (16/17) (FY16/17) Sick Time 4.4% 4.0% Injury Measure Rate: All Reported Claims to WSIB (work related injury/illness) Staff & Physician Engagement Pulse Surveys 7.04 6.69 5% improvement 2014 survey results Staff 69% Physician 56% 2% improvement on baseline Staff 70.4% Physician 57.1% Strategic Initiatives Continue roll out of CQIMS Ongoing improvements with staff based on Engagement survey responses Physician Hospital Partnership Committee Centre for Development Sick Time Reduction Strategy (Pilot & PDSA) Implement Kronos (ATLAS) and HRIS 3 HAMILTON HEALTH SCIENCES STRATEGIC PLAN

Our goal is to meet the healthcare needs of the communities we serve now and in the future. Drivers Partner with our community to ensure the right care is being delivered in the right place at the right time Transform our practices and processes to improve performance Optimize our revenue streams Acute Cost per Weighted Case $6,055 (Based on internal estimate, MOH final numbers expected in Fall.) ALC Rate QIP 12.6% QIP Calendar Year 2015 1 Year (16-17) 3 Year (18-19) $5,995 Top quartile Peer Group 12.0% 10.79% Directional target for 17/18 Acute Length of Stay (Acute Census LOS) 6.6 days 6.6 days Maintain at or below Expected LOS Key Indicators of Success (16/17) (FY16/17) Contribution to Capital $12.9 $20.0 Working Capital (Current Ratio Fund 1) 0.44 0.48 Hospital Operations Results $35.8M $30.0M Operational Revenue (Non MOH and CCO Revenue) $147.7M $144.6M Strategic Initiatives Complete OHF and submit to MOH Master Planning Population Health: Population Segmentation ALC Initiatives Continue to pursue community and strategic partners Partner with BAHT in Business Development Office Create Project Management Office Review HHS brand / market position Supply Chain Transformation HAMILTON HEALTH SCIENCES STRATEGIC PLAN 4

Our goal is to lead in research, innovation and learning for the benefit of our community and the world. Drivers Align research efforts to address HHS priorities Research, Innovation & Learning Foster a culture of evidence informed care Create excellent learning environments with our academic partners Research, Innovation & Learning Student Learner Satisfaction Research Grants due in June 2016 $169 M 2011/12 1 Year (16-17) 3 Year (18-19) TBD TBD $169 M $169 M EMRAM Stage 6 Journey 3.48 3.48 TBD Key Indicators of Success (16/17) New HIREB Approvals Publications in selected journals Adherence to evidence-based QBPs Pneumonia 909 Calendar 2015 (FY16/17) 954 42 44 69.7% 75% Strategic Initiatives IT / HIS Strategic Plan to achieve stage 6 Launch the Centre for Implementation Science and a regional Hamilton Health Study Target key practices in select QBPs to establish baseline performance and increase adherence. Begin spreading to other QBPs Action Plan to improve student learner satisfaction/ experience in collaboration with McMaster University and Mohawk College 5 HAMILTON HEALTH SCIENCES STRATEGIC PLAN

Patients Patient and family experience Emergency wait time for admitted patients Medication Reconciliation Upon Admission Acute Cost per Weighted Case ALC Rate Acute Length of Stay (Acute Census LOS) Hamilton Health Sciences Best Care For All Staff & Physician Engagement # CQI active units Lost Time Injuries Drive to Zero Research, Innovation & Learning Student learner satisfaction Research Grants EMRAM Stage 6 Journey FY16/17 HAMILTON HEALTH SCIENCES STRATEGIC PLAN 6

STRATEGIC PLAN AT A GLANCE 2016-2017