1. Regional Hospital District Cost Sharing Review Honourable Colin Hansen Minister of Health Services UBCM September 24, 2003

2. Regional Hospital District Cost Sharing Review What is the appropriate role for RHDs in capital planning and contribution decisions? What is required to implement the appropriate role? What is required to simplify the processes and address the concerns? What are the capital process concerns of the RHDs, Health Authorities, and the Ministry?

3. Regional Hospital District Cost Sharing Review Issues Overview  Accountability  Definition of Capital  Process  Structural

4. Regional Hospital District Cost Sharing Review Guiding Principles

5. Regional Hospital District Cost Sharing Review Strategic Objectives

6. Regional Hospital District Cost Sharing Review Recommended Approach  Standardized capital planning process  Preliminary implementation strategy  Definitions of capital

7. Regional Hospital District Cost Sharing Review Recommended Approach  Standardized capital planning process  Preliminary implementation strategy  Definitions of capital

8. Regional Hospital District Cost Sharing Review Recommended Approach  Preliminary implementation strategy  Definitions of capital  Standardized capital planning process

9. Regional Hospital District Cost Sharing Review Recommended Approach  Preliminary implementation strategy  Definitions of capital  Standardized capital planning process Roles and responsibilities Improving communications Planning timeline

10. Regional Hospital District Cost Sharing Review P l a n n i n g T i m e l i n e Q3Q4Q2Q4Q3Q1Q2Q1 Joint Planning Meeting Provincial Budget RHD 5 Yr. Plan RHD Annual Budget – inform HA of contributions HA Finalizes 5 Yr. Capital Plan and Budget HA Reports back to RHD Joint Planning Meeting Provincial Budget RHD 5 Yr. Plan RHD Annual Budget – inform HA of contributions Mid-year Update Meeting HA Finalizes 5 Yr. Capital Plan and Budget Mid-year Update Meeting HA Reports back to RHD

11. Regional Hospital District Cost Sharing Review Recommended Approach  Preliminary implementation strategy  Definitions of capital  Standardized capital planning process

12. Regional Hospital District Cost Sharing Review Standardization Local Flexibility Summary