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Resource Summary

Resource Summary Table

Core Business Area 2007/08
Operating Expenses ($000)
Services Delivered by Partners
Regional Health Sector Funding 8,051,048 8,622,812 9,126,781 9,773,490
Medical Services Plan 3,053,331 3,189,540 3,394,569 3,503,720
PharmaCare 1,018,385 1,016,170 1,055,394 1,104,914
Debt Service Costs 174,000 194,100 213,400 230,200
Amortization of Prepaid Capital Advances 200,000 235,600 258,800 265,200
Health Benefit Operations 29,025 29,633 29,867 30,445
Services Delivered by Ministry
Emergency and Health Services 277,293 298,004 314,331 336,481
Vital Statistics 7,390 7,643 7,873 7,875
Recoveries from Health Special Account
Recoveries from Health Special Account (147,250) (147,250) (147,250) (147,250)
Health Special Account 147,250 147,250 147,250 147,250
Executive and Support Services 149,645 171,235 181,420 185,686
Total 12,960,117 13,764,737 14,582,435 15,438,011
Full-time Equivalents (Direct FTEs)
Emergency and Health Services 2,846.0 3,174.0 3,277.0 3,387.0
Vital Statistics 84.0 88.0 88.0 88.0
Executive and Support Services 766.0 816.0 846.0 881.0
Total 3,696.0 4,078.0 4,211.0 4,356.0
Capital Plan ($000)
Health Care Facilities 401,000 427,190 380,821 380,000
Total 401,000 427,190 380,821 380,000
Ministry Capital Expenditures ($000)
Emergency and Health Services 10,162 8,460 8,460 8,460
Vital Statistics 430 430 430 430
Executive and Support Services 38,109 8,334 8,334 8,334
Total 48,701 17,224 17,224 17,224

1   These amounts have been restated for comparative purposes only, to be consistent with the Schedule A of the 2008/09 Estimates.

Health Authorities Included in the Provincial Reporting Entity

As required under the Budget Transparency and Accountability Act, British Columbia’s six health authorities are included in the government reporting entity. The health authorities have been primary service delivery organizations for the public health sector for several years and many of the performance measures and targets included in the Ministry’s service plan are related to services delivered by the health authorities. The majority of the health authorities’ revenue and a substantial portion of the funding for capital acquisitions are provided by the Province in the form of grants from ministry budgets.

Description 2007/08
Health Authorities and Hospital Societies — Combined Income Statement ($M)
Total Revenue1 9,467 9,883 10,413 10,981
Total Expense2 9,506 9,883 10,413 10,981
Net Results3,4 (39) 0 0 0

1   Revenue: Includes Provincial revenue from the Ministry of Health, plus revenues from the federal government, co-payments (which are client contributions for accommodation in care facilities), fees and licences and other revenues.
2   Expenses: Provides for a range of health care services, including primary care and public health programs, acute care and tertiary services, mental health services, home care and home support, and assisted living and residential care.
3   2007/08 Net Results: The forecast deficit of $39 million is made up of $21 million deficit from Vancouver Coastal Health Authority and $18 million deficit from hospital societies.
4   The 2007/08 forecast is based on third quarter information provided by the health authorities.

Major Capital Projects

Capital investment ensures the province’s health infrastructure is maintained and expanded to meet our growing population and its need for health services.

The health sector invests in health facilities, such as hospitals, clinics and residential and complex care buildings. Capital investment is also made in medical equipment, including CT scanners, MRIs, laboratory systems and surgical equipment. In addition, investment in information technology and information management systems improve service quality and efficiency, and increase access to services, particularly in rural areas.

The province’s six health authorities and the Ministry collaborate on financial and infrastructure planning to ensure capital investments in the health system are strategic and cost-effective. Recognizing the significant cost and long lifespan of most capital investments — both in acquisition and use — the Ministry and health authorities prepare three year capital plans annually, aligned with other health sector planning. This planning horizon enables the Ministry to better anticipate future demand for health services, resulting from a growing and aging population and medical and technological innovations, and to plan and prioritize long-term capital investments.

Health sector projects include establishing 5,000 net new residential care, assisted living and supportive housing beds throughout the province, hospital expansions in Surrey, Salmon Arm, Kelowna, Vernon, Sechelt, Victoria and Maple Ridge and completing the new Abbotsford Regional Hospital and Cancer Centre, expanding B.C.’s medical school, and continuing to invest in medical and diagnostic equipment such as MRIs and CT Scanners, as well as in information management technology to support health service delivery and B.C.’s eHealth strategy.

Major capital projects currently underway include:

  • Replacing the Matsqui-Sumas-Abbotsford hospital with a new, 300-bed Abbotsford Regional Hospital and Cancer Centre to serve the Fraser Valley. The new hospital will provide enhanced programs and services, including a new cancer centre, to meet the health needs of Fraser Valley residents over the next 30 years. The $475 million project will be finished in 2008. Reference link.
  • A new Outpatient Hospital in Surrey. In order to make room for expansion of inpatient services at Surrey Memorial Hospital, a new Outpatient Hospital must be constructed to relocate existing Surrey Memorial Hospital outpatient services. This facility will provide additional space for the expected future volume of outpatient, diagnostic and treatment services, and include a primary care clinic. The estimated $198 million project is planned to complete in 2010. Reference link.
  • The Kelowna/Vernon Hospitals Project consisting of a new Ambulatory Care Centre and Emergency Department at Kelowna General Hospital and a new Diagnostic and Treatment Building at Vernon Jubilee Hospital. The estimated $290 million project is planned to complete in 2010.

    The new Ambulatory Care Centre and Emergency Department at Kelowna General Hospital includes constructing a new building at Kelowna General Hospital to accommodate ambulatory/outpatient services in a single location and free up space within the existing building to quadruple the size of the emergency department. The project is expected to decrease congestion in the emergency department, increase surgical capacity and improve patient flow throughout the hospital. The building will also accommodate medical school facilities for the UBC Okanagan program and include two shelled floors for future inpatient bed capacity.

    The new Diagnostic and Treatment Building at Vernon Jubilee Hospital includes constructing a new facility to consolidate the majority of diagnostic and treatment services including emergency, ambulatory care, operating rooms and intensive care. The project is expected to decrease congestion in the emergency department and expand the capacity of current diagnostic and treatment programs. Reference link.

  • A new Patient Care Centre at the Royal Jubilee Hospital in Victoria. The renewal of inpatient accommodation at Royal Jubilee Hospital will improve patient care, increase safety and efficiency for nurses, physicians and other health care professionals and reduce infection levels. The 500-bed facility will be elder friendly with a design to provide patient-centred, best practice care for the elderly. This new and modern facility will help attract and retain health care professionals and improve education opportunities through better teaching and research facilities. The estimated $309 million project is planned to complete in 2010. Reference link.
  • The replacement of the existing Regional Hospital in Fort St. John. The new hospital will be the centre for health care delivery to First Nations people and remote communities in North-Eastern B.C. and will provide a range of health services that take advantage of telecommunication and tele-health applications, reducing the need for patients to travel to receive care. The 55 bed facility will address wait times and ER congestion, and will provide access to modern ambulatory care. It will include emergency, diagnostic, treatment and patient care services and it will provide for expansion of health care services. The hospital will also be the centre for the Northern Medical Program in North-Eastern B.C.

    The project also includes a new 123 bed residential complex care building co-located with the hospital, generating operational efficiencies and opportunities to share health human resources that are scarce in the region. The total project cost is estimated at $268 million and is planned to complete in 2011.

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