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PLANNING

Strategic Planning - Policy Development - Program Development
Project Management Planning - Business Case Development
Implementation - Funding Proposals

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Operational (Phase I) and Comprehensive (Phase II) Reviews of Specialist Services, Telehealth and Medical Travel for the Baffin Region of Nunavut

HarbourFront Health Group recently performed an operational review of specialist services and medical travel for Qikiqtaaluk, geared to maximize efficiencies and minimize wait times for specialist care of the Baffin Region residents.  To determine resource allocations, organizational structure, operating procedures, processes, and controls, this project involved analysis of workflow processes through the current manual system, as well as the documents involved with case management, specialist services and medical travel.  Also, interviews of stakeholders and staff took place, all geared to provide recommendations to enhance the delivery of seamless, quality care.

Streamlining the current manual system will provide an effective framework for the future implementation of electronic health information management processes.  This review is aimed to ensure all participants are doing everything possible to guarantee optimal organizational structures exist and that processes for specialist services and medical transport are running most economically and efficiently to maximize desired results.  Additionally, the role and utilization of Telehealth services for specialty care, and any barriers to optimizing its use including scheduling and human resource issues shall form part of this review.

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HarbourFront Health Group developed a business case, project management plan and schematic architecture for a new web-based Health Human Resources e-Query/e-Reporting Tool. Analysis of current CIHI programs, database architecture and corporate e-Strategy and e-Reporting strategies were undertaken to ensure internal organizational alignment and optimal reporting capability. External market analysis, stakeholder relations were also assessed to determine maximal utility to provide national, high level information in supporting decision making and HHR program development across jurisdictions. A detailed Risk / Benefit Analysis, Project Management Plan and Architecture for the web-based tool with costing for development and implementation formed part of HFHG's input to this significant project.

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HFHG offered strategic planning services to DND Health Services (Directorate of Health Human Resources), as subject matter expert, and provided policy development and planning expertise to address critical HHR needs for health services. Environmental scanning and needs analysis were performed to assess current and future supply, demand and mobility of physician resources on a national basis. We also completed a competitive analysis for recruiting strategies. Cost and operational analysis of internal resource management models and large scale contracted civilian resources, was performed to optimize management of the current health professional cadre.

Analysis of undergraduate and post-graduate training opportunities and costing were conducted with all medical schools across Canada, in addition to the development of integration and recruitment strategies for graduates of foreign medical schools.

Administrative protocols were established for streamlined recruitment, including expeditious security clearance for physicians and medical students entering the CF at all career levels. Licensing requirements in a multi-jurisdictional environment were developed as part of the protocols, in addition to task-specific training requirements. Costing for all entry level plans and existing staff was conducted and advice provided in alignment with the environmental scan to develop compensation packages for CF Medical Officers. This included present value calculation of all compensation and pension plans as part of the offering. Employment contracts for CF physicians were analyzed in detail.

Following policy discussions in light of resource needs, supply/demand analysis and scenario modeling, HFHG provided the lead role with executive staff in formulating short and long range strategic plans to meet HHR needs. Recommendations were also given for clinical delivery models and career pathing to promote retention of current staff.

HFHG's consultative expertise in HHR strategic planning and policy development ensured optimal outcomes for resource needs projected over a ten year period. Elements of the report produced by HFHG have been adopted as a template for other strategic planning projects underway by this organization.

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