The need for transformation in health care administration : Report on the administrative component of the Saskatchewan Patient First Review

In partnership with you and the Ministry of Health staff, we have worked hard to answer the longstanding question related to whether the health care system is ‘over-’ or ‘under-managed’ and offer solutions that adhere to the government’s ‘commitment to action to improve the system’. [...] Given the objective of the Administrative Review was to ascertain current levels and determine optimal levels of administrative support for the system, this review has examined the question of whether the current health system is ‘over’ or ‘under’ managed, and has identified change opportunities that reflect four key value drivers: patient focus, workforce focus, system focus and overall feasibili [...] Implicit in the recommendations in this report, Provincial and RHAs leaders must avoid the false notion that the Saskatchewan health sector is too unique, different or constrained to adopt innovative and creative solutions seen in the broader public sector, other health jurisdictions and the private sector. [...] The future reduced costs can be used as an offset to the required investment to support the change and, in time, can be re-allocated to the patients and communities of Saskatchewan. [...] However, given the budget limitations, and the belief that findings from the review would be applicable to all sectors, the focus was the acute domain with the agreement to share the acute findings with the remaining sectors to explore alignment and relevance.