a downloadable version to print - Diagnostic Services Of Manitoba

Results
that
Matter!
RESULTS THAT MATTER
ANNUAL REPORT
TO THE COMMUNITY 2011-12
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A Message From the CEO and
Board Chair
Strategic planning is our road map to the future
We are pleased to present Diagnostic Services of Manitoba’s (DSM) Annual Report to the Community
2011-2012. This Report provides a brief overview of our annual achievements and presents our financial
statements. 2011-2012 was an exciting year for our organization. With new leadership at the helm, the
organization realized that in order to provide sustainable public laboratory and diagnostic imaging services
to Manitobans, changes would have to occur to address stakeholder needs in healthcare delivery. One of
our greatest accomplishments this year was navigating through this period of change and charting a new
visionary focus for DSM.
An organization like DSM needs to know where it is going and how it is going to get there. Under the
direction of our new Board of Directors, senior management team and support of Manitoba Health, we
have charted out a strategic planning process to navigate our way. Like a GPS, a strategic plan is a road
map to our future. It gives direction and plots our path towards a common goal, complete with
measurable route markers to ensure we stay true to our course.
After evaluating our performance and how we fared on delivering the values and benefits promised to
our stakeholders, we asked ourselves: Where do we want to be as an organization in the next three years?
What are our priorities and expectations along the way? How do we go from here to there? For the past
year, the DSM Board of Directors and Senior Management worked diligently on creating a strategic plan
that will see DSM through the next three years (2012-2015).
Ultimately, our goal is to provide the best patient-centred care possible and to be accountable to you. We
know that results matter. They matter to you and your family; they matter to physicians and care
providers; and they matter to our regional and provincial organizations.
To meet our goal, we must keep evolving, which means being flexible when faced with challenges and
being open to new opportunities. This is a big commitment, one that requires the collaboration and
engagement of everyone we work with, from staff to patients, to our external partners, government and
educational institutions. We look forward to continuing to serve your laboratory and diagnostic imaging
needs at one of our more than 70 sites located across Manitoba.
Chief Executive Officer
Board Chair
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Unveiling Our New Vision,
Mission and Values
Our Vision, Mission and Values statements identify what we stand for and set a clear direction that
encourages a shared sense of purpose with understanding and heart.
As an organization, we want to provide the best possible customer service and earn a reputation as
Manitoba’s leader in medical laboratory and medical imaging services amongst all our clinical partners and
the public we serve.
With so many stakeholders to reassure and hold us accountable, it’s essential that DSM adopt a philosophy
of COLLABORATION with all our partners, patients, clients, and communities; physicians, health care
practitioners and providers; licensing and regulating agencies; educational institutions; Manitoba Health;
the Regional Health Authorities; CancerCare Manitoba; and our Board of Directors.
OUR VISION
TO CREATE A PATIENT-FIRST ENVIRONMENT THAT PROVIDES QUALITY LABORATORY AND
DIAGNOSTIC IMAGING SERVICES SUPPORTING THE HEALTH CARE NEEDS OF ALL MANITOBANS
OUR MISSION
WE WILL ASSUME A PROVINCIAL LEADERSHIP ROLE IN MEDICAL LABORATORY AND MEDICAL
IMAGING SERVICES FOR THE PROVINCE OF MANITOBA
OUR VALUES
WE ARE COMMITTED TO PATIENT-CENTRED CARE AND THE PROVISION OF INNOVATIVE AND
COLLABORATIVE DIAGNOSTIC SERVICES WITH INTEGRITY AND ACCOUNTABILITY
What do you think? We welcome your comments: Info@dsmanitoba.ca
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Strategic Themes and Principles
The following Strategic Themes and Principles will
guide our operational priorities and activities over
the course of the next three years.
Strategic Themes
1) Total Quality Management System
Ensuring that patient care and safety remain our
top priority.
2) Provincial Leadership
Assuming a collaborative and coordinated
provincial leadership role for medical laboratory
and diagnostic imaging services for Manitoba.
3) Information Management
Discerning the most effective, timely and secure
ways to communicate information both internally
to staff and externally to patients, physicians and
other stakeholders.
4) Provincial Optimization & Innovation
By thinking outside the box, DSM will look for new
and improved ways to deliver diagnostic services in
Manitoba.
Strategic Principles
1) QUALITY is the foundation of our strategic
principles – quality of people, quality of service,
quality of systems and quality of care.
2) EDUCATION & RESEARCH are vital to a quality
foundation.
3) SUSTAINABILITY - In order to support a
sustainable health care system, the pillars of DSM’s
diagnostic system must be strong and balanced,
efficient, effective and accessible.
Pillars:
• EFFICIENT (in both productivity and cost)
• EFFECTIVE (providing the right services)
• ACCESSIBLE (available where most appropriate)
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Our Annual Highlights
Corporate:
• Jim Slater appointed new CEO effective
October 2011.
• New 2012-2015 Strategic Plan developed.
Finance Department:
• Strengthened our financial reporting process
and implemented new policies and procedures
to include quarterly reporting requirements to
monitor actual and forecast costs.
Operations Department:
• DSM realized savings of over $2.2 million by
changing how we approach materials
management.
• State-of-the-art CT Scanners in The Pas and
Selkirk – not only allow for improved imaging,
but will also provide the most advanced dose
reduction techniques in the country.
• Provincial Hematology and Rural Chemistry
equipment replacement.
Committed to Working with You
DSM introduced a new Client Services unit
responsible for supporting clients and health
care providers. The unit will investigate
complaints, follow-up on requests and
engage patients and other key stakeholders
to improve the services provided by DSM.
For a more comprehensive review of DSM’s
Annual Achievements, please review the
Annual Report to the Minister of Health
2011-2012 located on our website at:
dsmanitoba.ca
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dsmanitoba.ca
PATHOLOGISTS:
“Leaving New Zealand and
moving 10000+ miles away
was a career and life dream
come true.
My work is now focused on the things
I am passionate about. I am proud to
be part of highly trained and multidisciplinary
team of Pathologists, who
are recognized for developing innovative
programs & delivering the results that
matter – every day.”
Dr. Charles Musuka MBChB, FRCPC, FRCPath
Hematopathologist, Assistant Professor,
Medical Director of Transfusion Medicine
PATHOLOGISTS:
“As a Pathologist, you
can work anywhere,
but few places offer better
opportunities to new grads than
DSM in Manitoba. I was drawn
to this career because of the
impact of research on clinical
medicine and the intimate
relationship between disease
and prevention. Right from the
start, I played a pivotal role
in the health of my community.
I was immersed in interesting
and varied cases, and working
with medically and culturally
diverse teams of clinicians, to
diagnose and recommend
treatment outcomes for a wide
range of patients from babies
to adults.”
Dr. Belinda Lategan MBChB, FRCPC
Administration Department:
• Recruited 10 medical staff for a net gain of five
and filled long standing and chronic shortages.
• Increased staff training opportunities to
enhance skill development and competencies.
• Developed new internal/external
communications approaches to better
communicate with and strengthen relationships
with staff, physicians and key external
partners.
Quality Department:
• Remained very active in its ongoing quality
assurance activities at Saint Boniface General
Hospital and Health Sciences Centre sites to
maintain CAP Accreditation earned in February
2011.
• Continued to aggressively pursue Manitoba
Quality Assurance Program Accreditation for
laboratory and diagnostic imaging at all other
sites.
dsmanitoba.ca
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Meet Our Board of Directors
DSM operates under the direction of a Board of
Directors, which in turn is accountable to the
Minister of Health. The Board plans and makes
decisions based on established strategic plans, and
together with our Chief Executive Officer, reviews
the measurable benchmarks in place to monitor
our organization’s performance.
Among the Board’s responsibilities is overseeing
the realization of our health plan, the proper
allocation of funds and our compliance with
provincial legislation. To assist in achieving these
goals, the Board created the following
committees:
• Quality and Patient Safety
• Finance and Audit
• Governance
• Executive
On April 7, 2011, the Board of DSM underwent a
major change in its governance structure; board
membership was reduced from 19 to 11 members
to maximize the skills and expertise from key
clinical, scientific, operational and personnel areas
to provide strong and strategic leadership as DSM
moves into a new phase of operations.
Mr. Milton Sussman (Chair), Deputy Minister
of Health
Dr. Hussam Azzam, Chief of Staff and
Vice-President Medical, Burntwood RHA
Ms. Pat Cockburn, Vice-President Programs
& Standards, Assiniboine RHA
Ms. Jean Cox, Assistant Deputy Minister of
Regional Programs and Services
Dr. Dhali Dhaliwal, President & Chief
Executive Officer, CancerCare Manitoba
Mr. Paul Kochan, Vice-President and Chief
Financial Officer, Winnipeg Regional Health
Authority (WRHA)
Mr. Lee Manning, Executive Director,
Manitoba Association of Health Care
Professionals
Mr. Martin Montanti, Vice-President of
Corporate Services, Central RHA
Ms. Shelley Neel, Staff Representative,
Manitoba Government Employees Union
Dr. Paul Van Caeseele, Director, Cadham
Provincial Laboratory
Dr. Brock Wright, Senior Vice-President
Clinical and Chief Medical Officer, WRHA
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Major Activities and Decisions of the Board of Directors:
• Selection of new CEO.
• Affirm DSM’s provincial leadership role in diagnostic services in Manitoba.
• Articulate and reinforce a new organizational philosophy of collaboration with all stakeholders
including the RHAs and other diagnostic service providers across Manitoba.
• Refresh and revitalize the organization’s Mission, Vision, and Values reflecting its provincial leadership
role.
• Initiate a strategic planning process based on the above.
• Recommend a global funding model for DSM to replace the existing billing model with the RHAs.
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About DSM
DSM is proud to be the leading provider of public
laboratory and diagnostic imaging services across
Manitoba. Vital tests are conducted everyday and
DSM provides “results that matter” - results that
play a very important role in diagnosing patient
concerns, so physicians can determine the best
course of treatment for their patients.
DSM’s corporate office is located in Winnipeg.
Corporate staff are responsible for the day-to-day
operations of the entire organization. Along with
the Corporate Office, more than 70 laboratory and
diagnostic imaging sites are located across our
province. These sites work hand in hand with
Regional Health Authorities and other key partner
organizations to deliver frontline health care to
patients.
For a complete list of DSM sites, please visit our
website at: dsmanitoba.ca/patients/sites.html
Discipline Teams:
Diagnostic Discipline Teams provide expertise in all
of DSM’s testing disciplines, guiding service delivery
based on best practice, research and emerging trends
and technology. As well as driving quality,
standardization and continuous improvements
initiatives, the Discipline Teams are a provincial
resource for all DSM sites across Manitoba, ensuring
standard of excellence. They are:
• Biochemistry & Genetics
• Clinical Microbiology
• Diagnostic Imaging
• Hematology
• Immunology
• Transfusion Medicine
• Pathology
Congratulations
Each year, DSM hosts a competition and
awards operating grants to physicians who
are committed to innovation and research
excellence. This year’s awards go to:
Dr. Philippe Lagacé-Wiens - Detection of
verotoxin producing Escherichia coli from
stool specimens by polymerase chain
reaction.
Dr. Davinder Jassal - CHIRP (Cardiac
hemodynamic imaging and remodeling in
pregnancy)
Dr. Sadeesh Srinathan - NT-ProBNP as a
predictor of atrial fibrillation in patients
undergoing thoracic surgery
Dr. Shadreck Mzengeza - Development of
CB2 receptor imaging biomarkers as
predictors of risk and progressive disease in
Multiple Sclerosis.
RHA Liaisons:
DSM works closely with its Regional Health
Authority partners through designated liaisons,
and participates in various provincial groups.
“Collaboration and engagement are essential for
DSM to fulfill its provincial role in diagnostic
services.” - Jim Slater, CEO
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Committed to Transparency
REPORT OF THE INDEPENDENT AUDITORS’ ON THE SUMMARIZED FINANCIAL
STATEMENTS
To the Member of
Diagnostic Services of Manitoba Inc.
The accompanying summarized financial statements, which comprise the statement of operations for the
year ended March 31, 2012 and the statement of financial position as at March 31, 2012, are derived from
the audited financial statements of the Diagnostic Services of Manitoba Inc. [“DSM”]. We expressed an
unmodified audit opinion on those financial statements in our report dated June 14, 2012.
The summarized financial statements do not contain all the disclosures required by Canadian generally
accepted accounting principles. Reading the summarized financial statements, therefore, is not a
substitute for reading the audited financial statements of DSM.
Management’s responsibility for the summarized financial statements
Management is responsible for the preparation of the summarized financial statements.
Auditors’ responsibility
Our responsibility is to express an opinion on the summarized financial statements based on our
procedures, which were conducted in accordance with Canadian Auditing Standards 810, “Engagements to
Report on Summary Financial Statements”.
Opinion
In our opinion, the summarized financial statements derived from the audited financial statements of the
Diagnostic Services of Manitoba Inc. as at and for the year ended March 31, 2012 are a fair summary of
those financial statements.
Winnipeg, Canada,
June 14, 2012.
Chartered Accountants
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STATEMENT OF OPERATIONS
[Expressed in thousands of dollars]
Year ended March 31
2012 2011
$ $
REVENUE
Manitoba Health operating income 24,969 21,624
Recoveries from Regional Health Authorities 108,658 103,994
Revenue from non-resident out-patient services 142 93
Other recoveries 122 94
Recognition of deferred contributions
Capital - amortization 8,073 6,880
Expenses 217 261
Westman Lab deficit recoverable from Manitoba Health 515 1,204
142,696 134,150
EXPENSES
Direct operating
Salaries and benefits 117,719 112,463
Equipment 5,289 4,734
Rent and utilities 4,773 4,686
Lab and diagnostic supplies 4,060 3,425
Printer, paper and office supplies 779 711
Travel 491 530
Staff training and development 246 302
Recruitment 247 289
External consulting 172 150
Insurance 138 136
Telephone 123 134
Interest 159 129
Legal and audit 181 112
Grants 47 59
Meetings 28 20
Miscellaneous 62 18
Communications 7 —
134,521 127,898
Amortization of capital assets 8,140 7,075
142,661 134,973
Excess of revenue over expenses
(expenses over revenue) for the year 35 (823)
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STATEMENT OF FINANCIAL POSITION
[Expressed in thousands of dollars]
As at March 31
2012 2011
$ $
ASSETS
Current
Cash and cash equivalents 4,109 1,028
Accounts receivable 15,105 17,280
Prepaid expenses 533 1,157
Vacation pay recoverable from
Manitoba Health 619 619
Regional Health Authorities of Manitoba 903 637
Total current assets 21,269 20,721
Capital assets, net 49,149 79,241
Pre-retirement benefits recoverable 12,238 11,953
82,656 111,915
LIABILITIES AND NET ASSETS
Current
Bank indebtedness — 2,905
Accounts payable and accrued liabilities 10,429 8,548
Current portion of obligations under capital lease 405 451
Accrued vacation pay 7,935 7,324
Total current liabilities 18,769 19,228
Accrued pre-retirement benefits 12,897 12,674
Obligations under capital lease 647 961
Deferred contributions 50,103 78,847
Total liabilities 82,416 111,710
Commitments
Net assets 240 205
82,656 111,915
Signed on behalf of the Board:
Milton Sussman, Board Chair
Paul Kochan, Treasurer
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Delivering the results that matter
to patients every day.
Corporate Office
1502 - 155 Carlton St.
Winnipeg, MB R3C 3H8
Phone: (204) 926-8005
Toll-Free: (866) 320-8796
Email: contact@dsmanitoba.ca
Website: dsmanitoba.ca
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