Manitoba Health

Provincial Health System Performance Dashboard


Manitoba Health is transforming the delivery of health care services to improve access to consistent, reliable health care across the province. As Manitoba's health system transformation moves forward, goals have been set to improve outcomes for Manitobans and the long-term sustainability of the system, as well as support informed-decision making and enhanced accountability.

This dashboard is a tool Manitobans can use to access trends about the health system’s performance and better understand how the health system is moving towards results.

Three Focus Areas

Manitoba Health Performance Dashboard

Goals

Measuring success will help the health system evaluate performance against results. To achieve government’s provincial priorities and improve outcomes for Manitobans, the health system dashboard will focuses on three key areas:

  • Improving Access
  • Improving the Health Service Experience
  • Improving Health System Sustainability

Manitoba’s health system is evolving, from one focused on care primarily delivered in acute care facilities to care that is focused on supporting prevention, better management of chronic disease and care that is available at home or in the community, enabling our province’s population to age well, with dignity, at home.

The dashboard will evolve as the system does, ensuring quality indicators are reflecting how the system works together to meet the needs of Manitobans.

Initial indicators included in the dashboard may appear to be focused on hospitals and the acute sector. However, they are interpreted more broadly, as high-level, “whole-system” goals that reflect the success of the provincial system in meeting the needs of Manitobans across the full continuum of care. For example, while emergency department wait times reflect the experience of the patients who present for care, they are impacted by the population’s access to primary care, the quality and access to care in other parts of the health system, and the effectiveness of health promotion/injury prevention activities, etc.

Objectives

In each of the three focus areas, Manitoba clinical experts and health system leaders have identified a provincial view of success. Each goal has objectives established both to identify the current quality indicators and to identify what must be done well to improve the health system.

  • Improving Access
    • reducing emergency department wait times to below the national average
  • Improving the Health Service Experience
    • improving the inpatient hospital experience as measured through patient engagement initiatives
  • Improving Health System Sustainability
    • containing the overall growth of health system expenditures while redirecting investments to priority areas of patient care

Additional objectives will be added over time.



1. Improving Access

Target

  • reducing emergency department wait times to the Canadian level (at April 1, 2021) of 4.1 hours by March 31, 2022

This measure tracks the maximum amount of time that nine out of 10 patients waited to see a provider in an emergency department (ED)/urgent care centre (UCC).

This measure is a key indicator of timely access to essential health services, which helps ensure appropriate patient care and promote positive health outcomes. This represents the maximum time the majority of patients will wait to begin receiving treatment. This is the time period where the patient is most likely to experience pain and discomfort, or even leave the ED/UCC without receiving medical care. This indicator also reflects access to services provided in other sectors, such as public health, primary care or home care, which also affect ED/UCC wait times.

A lower value for this measure is preferred, as this indicates a shorter amount of time for the typical ED/UCC patient to see a provider.  

The following ED/UCC sites are included in this measure:

  • Interlake-Eastern Regional Health Authority: Selkirk
  • Northern Regional Health Authority: Thompson, Flin Flon, The Pas
  • Prairie Mountain Health: Dauphin, Brandon
  • Southern Health - Sante Sud: Portage la Prairie, Bethesda (Steinbach), Boundary Trails (Morden/Winkler)
  • Winnipeg Regional Health Authority:  Health Sciences Centre (HSC) Adult Emergency, HSC Children’s Hospital Emergency, Grace General Hospital, St. Boniface General Hospital, Concordia Hospital, Seven Oaks General Hospital, Victoria Hospital

This measure is affected to varying degrees by a number of different factors, including patient volumes, urgency of health needs, diagnostic testing completion and turnaround times and the number of patients waiting for hospital admission.

Update and Reporting Frequency: Monthly



2. Improving the Health Service Experience


Target

  • 72 per cent of participants who rated their overall hospital experience as 9 or 10 out of 10 on the Canadian Patient Experience Survey - Inpatient Care (CPES-IC).

This measure tracks how people respond to the Canadian Patient Experiences Survey on inpatient care about the care they received during a hospital visit. In this survey, zero is an overall very poor experience and 10 is an overall very good experience.

Improved patient experience ratings often accompany improved quality of care, equitable access and patient outcomes. Improving the patient experience, and identifying opportunities for learning and sharing that can improve patient outcomes, are central areas of focus for health systems around the world. Including in Manitoba. Higher ratings are desired.

This measure helps service delivery organizations (SDOs) and hospitals assess a patient’s experiences with care, inform the delivery of patient-centred care and support quality improvement initiatives.

Update and Reporting Frequency: Quarterly

NOTE: There is an expected six-month delay in data for this measure. This is due to factors such as:

  • the random selection of patients to take part in the survey;
  • the time it takes for the survey to be completed and returned;
  • data entry timelines; and
  • volume of responses.


3. Improving Health System Sustainability


Target

  • Maintain the growth of 2021/22 Manitoba health system expenditures to within 1.4 per cent of 2020/21

Manitoba has experienced growth in per-capita health system costs that has outpaced that of most other Canadian jurisdictions, without an observed improvement in the overall quality of care or patient outcomes. Maintaining the overall health system expenditure growth at a more sustainable level, while ensure investments are directed to priority areas of care, will ensure the long-term sustainability of the health system and the measurable improvement of quality indicators.

This measure has been identified as an important indicator of overall provincial health system affordability and long-term sustainability. It provides an indication of where total health system expenditures are likely to be at year end.

Actual results for this measure are only known after year-end accounting and reviews are complete.

Values lower than the target indicate an overall improvement in Manitoba health system costs.

Update and Reporting Frequency: Monthly



Provincial Health System Performance Dashboard