Solution Four: Build accountability at every level

Our transformed health system will be coordinated and equitable, with a shared understanding of expectations, roles, responsibilities, and success driving high performance. Transparency and openness will help Nova Scotians understand what’s happening and why decisions are being made.

Our progress on what we will do

Not Started

Work Underway

Work Ongoing

Complete

Establish a leadership development program with greater attention given to underrepresented groups, including Indigenous and African Nova Scotians. 

Status
Work Underway
Work Underway
The action has been initiated

Review and refresh long-term care funding and agreements. 

Status
Work Underway
Work Underway
The action has been initiated

Explore funding models that provide more choice for both individuals and caregivers, providing them with more opportunities to arrange their own services, while ensuring accountability for investments made. 

Status
Work Underway
Work Underway
The action has been initiated

Introduce a healthcare auditor as a new officer of the legislature to guide and support a culture of continuous improvement. 

Status
Work Underway
Work Underway
The action has been initiated

Review and modify the organizational structure of healthcare to reduce duplication and ensure it’s designed around patient needs and behaviours. 

Status
Work Underway
Work Underway
The action has been initiated

Improve governance in the continuing care system to reduce administration and confusion, and improve accountability. 

Status
Work Underway
Work Underway
The action has been initiated

Develop modern and flexible legislation and regulatory regime that supports a person-centred approach to service delivery in continuing care. 

Status
Work Underway
Work Underway
The action has been initiated

Review the current approach to case management to ensure a person-centred approach that maximizes flexibility for client in continuing care and their families. 

Status
Work Underway
Work Underway
The action has been initiated

Review existing workflows for opportunities to reduce the amount of time spent on paperwork. 

Status
Work Underway
Work Underway
The action has been initiated

Implement digital solutions to improve processes. 

Status
Work Underway
Work Underway
The action has been initiated

Continue to identify opportunities to reduce unnecessary administrative burden on physicians, staff, and patients. 

Status
Work Underway
Work Underway
The action has been initiated

Develop an Integrated Health Services Planning Framework that outlines program standards and standards for the delivery of health services. 

Status
Work Underway
Work Underway
The action has been initiated

Develop health system indicators to measure and report publicly on progress and performance of the health system. 

Status
Complete
Complete
The action is complete

Maintain performance agreements with the health authorities. 

Status
Complete
Complete
The action is complete

Use data to drive decisions and determine where improvement is needed. 

Status
Work Ongoing
Work Ongoing
Started and continues through 2022-26

Work with diverse communities to ensure access to culturally specific information. 

Status
Work Ongoing
Work Ongoing
Started and continues through 2022-26

Continue to integrate continuing-care programs with other areas of the health system to improve transitions and continuity of care. 

Status
Work Ongoing
Work Ongoing
Started and continues through 2022-26

Establish new ways of working with Tajikeimɨk to support Mi’kmaw-led health priorities and improved health outcomes for Mi’kmaq and other Indigenous groups. 

Status
Work Ongoing
Work Ongoing
Started and continues through 2022-26

Establish a health equity partnership including Department of Health and Wellness, NS Health, IWK, and other stakeholders to understand and address equity issues in the system. 

Status
Complete
Complete
The action is complete

Establish a Patient Navigation Program to support Indigenous patients, and equity-seeking and racialized patients, navigating the health system. 

Status
Work Underway
Work Underway
The action has been initiated

Improve the integration of mental health and addictions services across the health system, including primary healthcare and emergency departments. 

Status
Work Ongoing
Work Ongoing
Started and continues through 2022-26

Champion a three-digit mental health crisis phone line. 

Status
Work Underway
Work Underway
The action has been initiated

Conduct a full review of the formulary of drugs covered by Pharmacare programs to ensure the needs of Nova Scotians are met. 

Status
Complete
Complete
The action is complete