Environmental Scan - Government of Nova Scotia

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4 THE PROJECTPhysician Resource PlanningAn Environmental Scan4.1 SponsorThe Department of Health and Wellness (Department of Health and Wellness) is the project sponsor on behalfof the Government of the Province of Nova Scotia.4.2 Purpose/DeliverablesThe primary project objective is to deliver a quality, expertly led, and collaboratively developed, ten-yearphysician resource plan (the 'Deliverable') for the Province of Nova Scotia and the population it serves for theprograms it delivers.The Department of Health and Wellness expectations for the Deliverable are that it be evidence-based andforecast an appropriate, affordable, equitable, detailed description of need for the physician workforce for thecoming ten years (2012-2021).The Consultant will design, deliver, and recommend a quality, expertly led and advised, collaborativelydeveloped, ten-year physician resource plan (PRP) to the project sponsor. Four sequentially delivered reportswill comprise the Deliverables. The reports are:1. PROJECT CHARTER including mandate, scope, deliverables, committee(s) terms of reference, and projectplan.2. ENVIRONMENTAL SCAN of physician resources, utilization, and related issues in Nova Scotia. TheEnvironmental Scan also provides an assessment of current and emerging physician resource planningmethodologies in Canada and internationally (i.e. United Kingdom, Australia, and United States ofAmerica) along with an assessment of their applicability to the province. The Environmental Scandocuments, and is informed by, key findings from extensive interviews of provincial stakeholderssupplemented by stakeholder submissions. The report recommends an optimal approach to creating ahigh quality provincial physician resource plan.3. TEN-YEAR PRP FINAL REPORT including ten-year forecasts (scenarios) based upon the agreed optimaldetailed methodology design with final recommendations on methodology, determinants, forecasts,implications, and requisite next steps.4.3 StakeholdersThe primary project stakeholders include:• Department of Health and Wellness• District Health Authorities and IWK Health Centre• Dalhousie Faculty of Medicine• Doctors Nova Scotia• College of Physicians and Surgeons of Nova ScotiaIn addition there are many other stakeholders across the health professions, including the College ofRegistered Nurses of Nova Scotia and other health professions as identified in the project initiation phase.30 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
4.4 ConsultantPhysician Resource PlanningAn Environmental ScanSocial Sector Metrics Inc. (SSM Inc.) and Health Intelligence Inc. (HII) have been contracted by the Sponsor todesign and deliver a Physician Resource Plan (PRP) for Nova Scotia. The Consultant team is represented by Mr.Nicholas Tait, CMA, MSA of SSM Inc. (Project Manager) and Dr. David Peachey of HII (Project SeniorConsultant). The Consultant will conduct itself at all times in accordance with its Code of Ethics (Appendix C).4.5 Project ManagementThe Project Advisory Committee mandate is to provide expert advice to the Consultant on the design anddevelopment of a Physician Resource Plan (PRP) for the province and, at project conclusion, to provide theProject Sponsor with an informed opinion on the Consultant-designed and delivered PRP. See Appendix formembership.The Project Leader, on behalf of the Sponsor, is Ms. Carmelle d'Entremont, Executive Director, Department ofHealth and Wellness Health System Workforce.The Project Manager on behalf of the Consultant is Mr. Nicholas Tait, BMgt, CMA, MSA, SSM Inc. [Tel: (403)208-3223, ntait@socialmetrics.net]. The Project Senior Consultant is Dr. David Peachey, Health Intelligence Inc.A Technical Working Group (TWG) supports the PAC and Consultants in their work. The purpose of the TWG isto assist the Consultant, as required, in the achievement of the project mandate for a provincial ten-yearphysician resource plan and to communicate, as required, with the Project Advisory Committee. The scope ofwork of the TWG includes provision of expert technical advice to the Consultant by providing input andfeedback on PRP methodology, assisting in the identification and collection of provincial data, and providinginput and feedback on drafts of each project deliverable.4.6 BackgroundThe Department of Health and Wellness requires a Deliverable that is robust and that sufficiently andeffectively addresses the key determinants of physician resource planning.A PRP requires consideration of many determinants. Examples of determinants impacting the need forphysicians are contemplated under the following subheadings:• Population−Population growth, age, gender, distribution, culture, fertility, death rate, in/out migration(permanent and seasonal), and socio-economic status (i.e., family income, employment, education)• Disease morbidity, incidence, prevalence, and mortality rates• Access to services• Target time to assessment, to diagnosis, and to treatment for defined services−Services delivered locally, regionally, provincially, and out-of-province• Clinical Programs• Factors impacting service sustainability (e.g., on-call intensity/frequency and maintenance ofcompetency with an appropriate caseload.)−−Evidence-based technology innovationsMajor facility capital projects31 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
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Environmental Scan - Government of Nova Scotia

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