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RHD Cost Sharing Review Update

2010 UBCM Convention

Presented by RHD Cost Review Working Group

September 27, 2010

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RHD COST SHARING REVIEW UPDATE

Background 2008 report reviewed status of implementation of

recommendations of the 2003 RHD Cost Sharing Review

Working group established in June 2009 and composed of UBCM, RHD, MoHS and HA representatives

Presented update at 2009 Convention in Vancouver Updates and reports posted on UBCM Healthy

Communities Committee webpage

2010-09-27

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Committee Work on Recommendations (Sept 2009 – Sept 2010)

Recommendation 1: Capital Planning Horizon

Recommendation 5: Educational Materials on P3s

RHD COST SHARING REVIEW

UPDATE

2010-09-27

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Capital Planning Horizons

Ministry is striving to develop a regular capital planning and funding cycle that works for: Health authorities Regional Hospital Districts Ministry of Health Services

Capital planning cycle is influenced by: Government’s capital planning cycle Availability of provincial capital funding Availability of RHD capital funding

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Capital Planning Horizons Since 2008:

3 year capital plan MoHS and HAs are aware of capital requirements for

health infrastructure Economic downturn has impacted capital funding

resources which in turn, impacts capital funding supply Availability of provincial capital funding impacts the

timing of projects which impacts when RHDs will be asked for capital funding Impacts when RHDs can provide capital funding

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Capital Planning Horizons 2010 and onwards:

MoHS is developing a medium-term capital plan 4 year plan and forecast funding for up to 6 years Intended to be a rolling plan (year-upon-year) New provincial funding unlikely to be confirmed until

late 2010/early 2011 Provincial capital budget cycle continues to be a

challenge coordinating with RHD budget cycle MoHS will inform HA’s of available capital funding for

future years as soon as possible – and in turn, RHD’s can be advised.

2010-09-27

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Public Private Partnerships

2010-09-27

See separate presentation

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No. Recommendation Status

1 Develop long range capital plans Ongoing

2 Define fixed funding amounts (RHD,HA) Working Group reviewing draft

3 Develop draft capital plans (HA) Moved to 2010/2011 workplan

4 Update/confirm definition of capital Being assessed through Capital Assessment Management Framework review, Office of Comptroller General

5 Develop P3 educational materials Nearing Completion

6 Clarify principles & mechanisms to improve communication (MoHS, RHD, HA)

Moved to 2010/2011 workplan

7 Develop process to ensure regular meetings between HAs + RHDs

Moved to 2010/2011 workplan

8 Schedule semi-annual meetings btw RHD + HAs Moved to 2010/2011 workplan

9 Define mechanisms for ad hoc updates Moved to 2010/2011 workplan

10 Share templates + tools to improve communication

Moved to 2010/2011 workplan

11 Update legislation to reflect new definition of capital

Pending outcome of Recommendation #4

12 MoHS to lead implementation Ongoing

13 UBCM to monitor implementation progress Ongoing

Work Plan Update

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RHD COST SHARING REVIEW UPDATE Work Plan for Next 12 Months

Completions of Recommendations 1 and 5 Updating Recommendations 4 and 11 pending

outcome of CAMF review by Govt Continuing to work on Recommendations 2, 6, 7,

8, 9, and 10

2010-09-27

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RHD COST SHARING REVIEW UPDATE Other Issues for Future Consideration

Health services capital funding in Metro Vancouver RD Taxation variation from RHD-to-RHD Affordability of funding 40% share in some RHDs Sharing of capital projects in RHDs with large First

Nation populations Clarity regarding role and mandate of Ministry of

Finance in capital planning and oversight Long term role of RHDs in health capital funding

2010-09-27

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Comments and Questions?

For updates and reports:

http://www.ubcm.ca/EN/main/resolutions/policy-areas/healthy-communities.html

RHD COST SHARING REVIEW UPDATE

2010-09-27