Strengthening our System

Right Care. Right Time. Right Place.
 

Strengthening our System

Healthcare is the most important - and the most expensive - service provided by the Government of Manitoba. Numerous studies of Manitoba's health system have concluded that Manitoba's system is overly complex and, in many cases, acts as a barrier to effective and efficient delivery of services.

Regional health authorities were created in 1997 to better manage health care services closer to the patient. The number and types of health care providers needed to provide care have changed over time - but the health care system has not modernized in response.

Between 2003 and 2016, health care funding rose by 97 per cent. These significant increases in health care funding have not resulted in significantly improved health outcomes, and Manitoba remains at or near the bottom of national rankings in a number of categories.

Today, we have eight independent health delivery organizations - the five regional health authorities, Diagnostic Services Manitoba (DSM), CancerCare Manitoba (CCMB) and Addictions Foundation of Manitoba (AFM). Each of these organizations plans health services in relative isolation from one another, leading to duplicate services and inefficient service delivery while acting as an impediment to the development and implementation of a clinical services plan for all Manitobans.




Manitoba Health System Current State


Chart Showing Manitoba Health System Current State

Chart Showing Manitoba Health System Current State (pdf)




Transformation Leadership Team

A Transformation Leadership Team has been established, including representatives from across the health system. The team is prioritizing transformation initiatives and making recommendations on governance and policy development. Members have been carefully selected to ensure robust links to both rural and urban health organizations, as well as to strengthen system knowledge across preventive, clinical and business health domains. The team's membership may evolve as the transformation progresses and as a governance model is finalized.

Membership as of November 30, 2017

Karen Herd, Deputy Minister of Health (Chair and Transformation Sponsor)

Olivia Baldwin-Valainis, Director, Transformation Management, Priorities & Planning Secretariat, Government of Manitoba

Bernadette Preun, ADM, Provincial Policy and Programs, MHSAL

Beth Beaupre, ADM, Health Workforce Secretariat, MHSAL

Avis Gray, ADM, Active Living, Indigenous Relations, Population and Public Health, MHSAL

Dan Skwarchuk, ADM and CFO, Administration and Finance, MHSAL

Dr. Brock Wright, CEO and President, Shared Health

Réal Cloutier, Interim President and CEO, WRHA

Jane Curtis, CEO, Southern Health - Santé Sud

Brian Schoonbaert, Vice President, Finance and Information Service, Prairie Mountain Health

Glenn McLennan, Vice President and CFO, WRHA

Marion Ellis (IERHA) - Vice President and CNO, Interlake-Eastern RHA

Lanette Siragusa, Provincial Lead, Clinical and Preventive Services Planning and Oversight

Perry Poulsen, Chief Information Officer, Manitoba eHealth, WRHA

Lorraine Larocque, Director of Public Health, NRHA




Manitoba Health, Seniors and Active Living Transformation Program Charter


The Manitoba Health, Seniors and Active Living Transformation Program has been established to guide the thoughtful planning and phased implementation of broad health-system changes aimed at improving the quality, accessibility and efficiency of health-care services across Manitoba.

This charter defines the transformation program to form a baseline for ongoing management and assessment of overall success. The charter identifies the high-level scope of the program, including its role and mandate.

The charter will ensure there is a sound foundation for governance of the transformation program, define the program's scope and structure and ensure all stakeholders have a common understanding of role and responsibilities program's key leaders, projects, outcomes and results.

Transformation Program Charter (pdf)




Blueprinting and Road-Mapping


Numerous studies of Manitoba's health system, including The Provincial Clinical and Preventive Services Planning for Manitoba report (also known as the Peachey Report), the Health Sustainability and Innovation Review undertaken by KPMG and the findings of the Wait Times Reduction Task Force have concluded that Manitoba's system is overly complex and, in many cases, acts as a barrier to effective and efficient delivery of services.

The Transformation Leadership Team is in the process of developing a Transformation Blueprint and Program Roadmap that will provide the department and the broader health system with a clear and consistent view of where our health system is heading and how we will get there as part of the overall health system transformation journey.

The transformation blueprint (the `what') is a description of the health system's destination i.e. the "target state" of the health system when the transformation is well advanced. The completed blueprint will guide the transformation journey by providing a clear outline of the target state for all provincial health organizations. It will describe the role of each organization, the functions it performs in the target state, and the way each organization interacts with each other to achieve a more aligned and responsive health system for Manitobans.

The program roadmap (the `how') is a description of the projects and activities required to get our health system from its "current state" (where we are now) to the "target state" (where we want to be) and ensure a successful transformation.

Once complete, the program roadmap will include identification of individual projects, program‐wide activities, resource needs and a staging strategy that will help to guide the overall transformation journey. The transformation blueprint is currently in its final stages of development. Work on the program roadmap will begin shortly and will outline how and when transformation‐related activities will unfold.




In rural Manitoba, many emergency departments and acute care services have been closed, or are shared with neighbouring communities because resources are stretched too thinly across the province. A 2013 review of the province's emergency medical services system recommended the development of more integrated, responsive, reliable and sustainable services, but implementation stalled as a result of the complex nature of the health system.

The Provincial Clinical and Preventive Services Planning for Manitoba report (also known as the Peachey Report) and the Health Sustainability and Innovation Review undertaken by KPMG both note that while Manitoba's government is responsible for overseeing the provincial health care system, the province has never developed a provincial clinical services plan.

This is something that is in existence in many other jurisdictions and is essential to supporting effective health human resource planning, capital equipment investments, construction planning and other initiatives that should be coordinated province-wide.

Now is the time to align how health-care services meet the needs of Manitobans. These transformative changes will strengthen health care in Manitoba and build a sustainable system for the future.