Strategic Planning at Sunnybrook

1. Strategic Planning at Sunnybrook • Creating a sustainable future for the organization and those we serve

2. Chapter Six Funding

3. next Maintaining Our Commitment to High Quality Patient Care Adequate funding is critical to ensure that we can continue our commitment to caring for patients and their families when it matters most. Our staff work hard to maintain our levels of efficiency and continue to improve the financial health of the hospital, despite high demand for services. Sunnybrook has finished the last seven years without a deficit.

4. next How is the hospital funded? HBAM uses a number of considerations, like historical service volumes, expected population growth and health care access patterns in a specific region, to predict how many services each hospital should be providing each year and the cost for each service. Health Based Allocation Model, or HBAM, is a relatively new funding model in Ontario. • service volumes Number/cost of services • population growth HBAM • health acccess care patterns

5. next Quality Based Procedures Quality-based procedures are groups of services for specific types of patients that require similar care. Hospitals are reimbursed for the types and quantities of patients they treat, using ‘prices’ based on efficiency and best practices that are adjusted for each procedure.

6. next What are examples of Quality Based Procedures? In April 2012, the Ontario Ministry of Health and Long Term Care introduced the first four Quality Based Procedures: • Hip replacement • Knee replacement • Dialysis and other treatments for chronic kidney disease • Cataract surgery

7. next How is Sunnybrook doing? Sunnybrook also has one of the lowest administrative costs, at 8.4 per cent, among Toronto teaching hospitals. The funding models are still quite new, but preliminary results released in March 2013 show that Sunnybrook continues to be performing very well in its peer group of large teaching hospitals.