In accordance with the BC Hospital Act and health authority bylaws, the Board of Directors of the Provincial Health Services Authority (PHSA) is accountable to the Minister of Health for ensuring PHSA provides high quality, safe patient care and maintains an effective medical staff organization to oversee all medical activities. In support of this mandate, the PHSA Chief Executive Officer (CEO) has commissioned a review to determine a preferred PHSA medical organization that will:
- enable improved quality of patient care provided by PHSA through effective monitoring by the Board of Directors, Senior Executive Team (SET) and medical leadership;
- support PHSA’s unique provincial role and expanded mandate of ensuring a coordinated provincial network of high-quality health care programs and services, while ensuring programs can meet their respective mandates and the needs of the populations served; and
- advance PHSA’s medical and academic perspectives within the broader BC health system.
The Bethany Management review team assessed the current organization structures, developed proposed changes for the medical leadership structures and identified implementation strategies, critical success factors and an evaluation framework. Throughout the review, the team received significant support and direction from the Physicians Governance and Leadership Advisory Group (PGLAG) through periodic reviews of the team’s findings, observations and recommendations.
Interviews and group meetings with leaders in medical and clinical administrative roles have identified a number of strengths in the current medical organization, including dedicated medical leaders committed to fulfilling their roles and serving their programs, a commitment to improved patient care, and a willingness by medical leaders to have greater involvement in PHSA’s planning and decision-making processes. Identified areas for improvement include the need for coordinated medical leadership, most appropriate distribution of medical affairs functions, medical support for the Board’s oversight role, and stronger external representation of PHSA medical/clinical interests.
The recommended medical organization has been developed taking into consideration PHSA’s mandate, vision and values as well as identified areas for improvement in the current medical administrative structure. The review has recognized that an effective PHSA medical organization needs to be able to support:
- coordinated, seamless care for patient populations
- a shared PHSA-wide culture characterized by respect, caring and trust
- active medical leadership engagement in planning and decision-making processes
- respect for unique program identities and service delivery areas
- clarity regarding accountability and authority to act
- collaborative working relationships between medical leaders and administration
- fiscal responsibility
- two-way communication and dialogue
Recommended changes to the medical organization have been mapped to two thematic areas: strengthened medical advisory structures and coordinated medical administrative leadership.
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