Rebalancing a health system through commissioning (Manitoba, Canada)
Manitoba Health & Seniors Care
Manitoba Health & Seniors Care is responsible for the healthcare of over 1.3 million people who live in a largely rural area of over 250,000 square miles.
The health system is a complex landscape of urban and remote rural communities and there are significant health inequities, particularly within indigenous communities.
The health system overspends on a year-on-year basis and its outcomes are poor by comparison with other Canadian provinces and international benchmarks
Manitoba Health & Seniors Care appointed Rebbeck to develop a Commissioning and Accountability Model that would support a rebalancing of the Manitoban health system so that more care with better outcomes is delivered in more convenient and lower cost settings closer to home.
Commissioning is in its infancy in Manitoba. The challenge was to create a model that improved strategic and operational planning, system performance, financial management, citizen engagement and information management whilst building capacity and capability in core commissioning concepts.
The project was progressed at the height of the COVID-19 pandemic and the challenge was also to deliver a complex and multi-facetted change management program through creative use of video conferencing and remote engagement techniques.
The impact of our work
The new Commissioning and Accountability Model was developed over a four-month period and carries the confidence of the Provincial Government, the Regional Health Authorities, wider Service Delivery Organisations and the citizens of Manitoba.
International best practice approaches were introduced, tested and refined to deliver a model and implementation program that can rebalance the system and advance the quadruple aims of healthcare across the Province.