Health, Seniors and Active Living

97 Pages·2016·15.59 MB·English

Manitoba By

Deputy it
Roem #0 agiltve Eulang ‘Whnpag, Mavtoba, Canada ROC OWE

June 23,2016

Iname Retroved]

Dear [Name Removed

Re: Your request for access to information under Part 2 of The Freedom of
Information and Protection of Privacy Act (FIPPA) [Our File Number 044-16)

(01 May 8, 2016 Manitoba Health, Seniors and Active Living recetved your “equest for
‘access to the following records:

All materials provider to the cuvrant Ministor cf Heath, Seniors and Active Living,
‘siace the most recent previncis! election, eluding sur rot limited to: advisory
‘and briafing notes, house books and holisa preperation moteriais related to tha
{ransitin of governonont.

Op Mey 17, the Information and Privacy Polley Seoretariat clarifed your request es
Follows

The trensilurt binier prepared by the depenlient and provided lo a new Minister
upon appointment thar describes the dopartment structure, responsiiltis,
pprionties and critical issues, as well as any advisory notes, briefing notes or other
Inalensts prowded to the munsler by Une dale of ihe access request

| arm pleased to inform you trat ycur request for access has been gramred in part and the
accessible information is attachad,

‘As required by subsection 7(2) of the Act, we have severed information that is excepted
from disclosure and have provided you with as much information as possible. The
severed information has seen icentifec with the applicable exceptions to disclosure
Urder Tha Fraaciom af Information and Protaction al Privacy Act, The exceptions cited
ara as follows

Bover

1g information
712) The fight af access to a record does nat extend to information that is
excepted from disclosure under Division 3 or 4 of this Part, but if that
information can reasonably be sevared fram the record, an applicant has a right
of access to the remainder of the record,
Page 208

Disclosure hamful to & third party's privacy
{Tit) The head of @ public body shall refuse to declose personal
informion to an applicant ifthe disclosure would te an unreasonable invasion
of a third pany’ privacy

Disclosures deemed to be 2n unreasonable invasion of privacy
12:2) A disclosure of personal information about a thi party is deemed fo
bbe an unreasonable invasion ofthe third party’ privacy if
fe:the personal information ralates to the thrd parlys emeloymert,
upatianal ar educational story

Pursuant to section 17(2)(@) of FIPPA, information velated to job titles and names is
directly relalee to an individual's emeloymert, and therefore aucess under FIFPA is
refused.

Determining unreasonable invasion of privacy
173} | determining under sussection (1) whether 2 disclosure of personal
information not cexcrited in subsection (2) would unreasonably invade a third
partys privacy, the nead of a public body shall conser all the relevant
fercumstances including, but not limited ta. whether
{iythe disclosure would be inconsistent with the purpose for which the
pparsonal information was obtained.
Personal information is defined under HMPA as “recorded information about an
identifiable individual. incucing the individual's home address, or home :elephone,
facsimile or e-mail number Disclosing this infermation to a third party would be
inconsistent with the purpese that it was orovided to the Department in accordance with
8. 173)() of FiPPA,

194) The head ef = public body shall refuse to disclose to an applicant
information that would reves tha substance of deliterations af Cabinet,
inelusing

(@) an agenda, minute ar other ‘ecord of the deliberstions oF decisions of
Casi,

{b) discussion papers, policy analyses, proposals, advice or similar briefing
material suemitad or prepared for submission lo Cabinet,

Treasury Beard is a Committee at Cabinet and some informetien inthe attached records
forms part of, or was taken directly from, submissions that ware prepared and submitted
for iis review. The disclosure of this information would reveel the supstance cf
deliberations of Cazinet. Accordingly, in compliance with s. 19(1)(3) and (b) exceptions
ta disclosure, this information must be refused.
Page 3 of §
Information provided by another government to depsrtmant or
government agency

2a(1) The head of a depariment or gevernmant agency shall refuse to
disclose information to an applicant f disclosure could reasonably be exoec:ed
{o reveal information provided, expicly or impliedly. In confidence by ary of he
Fallowrng or their agencies:

(a) the Govarnment of Canada;
(©) the goverimnt of another province or territary of Canada;

Disclosure harmful to relations between Manitoba and othe

24CtL The head of a public sody may refuse tc cisclasa infarmation to an
Applicart if aisclosure could reasonably ba expacted to harm relations hehveen
the Government of Manvioba or » government agency and any of the following
or their agencies.

taythe Goverment of Canada:

Ip) the government of another province or territory of Canada;

governments

Clause 20 (1)(a) ard (b} applies to information provided either explicitly or implicitly in
‘confidence a2 disclosure may hinder future information sharing and Clause 211 1.ta} and
{h) epics to information, that if disclosed, could impede collaborative work between
Manitata Health, Seniors and Active Living and the governments of the rther provinces
and terrtories in Canada, Oiaclasure of confidential information could also lead to loss of
ttust wih these greups. With respect to the governments of the other pravinces and
terntories in Senada, on the originating documents that this information would have been
fobtained from itis stipulated that this information is confidential. As such, disclosure
would haim relations with the gavernments of the other provinces and territories in
‘Canada as there is no agreement to disclose.

Advice to a public body

2311] The read of a publ body may refuse to disclose information to an
applicant f disclosure could ressonably be expected to reveal

{a) advice, opinions. prepesals, recommendations, analyses or policy cptiors
‘eveloped by or Tor the public body or a ministe*

(ci positions, plans, provedures, criteria or structions developed for the
purpose of contractual or other neyolialinns by of on sehalf of the
Goverment of Manitoba or tne aublic tocy, or considerations that relate
to those negotiations;

(@) plane relating to the management of personnel ar the adminisiration of
fre public oody that have not yet been impernerted,

(f) information, induding the proposed plans, policies of prejacts of a puble
ody, the disclosure of whish could reasonably be expected to result in
disclosure of a pending policy ar budgetary decision.

Clause 23(")(a) has been applied in order to preserve the processes necessary for
effective decision-making, Tiesa provssses include the provision of advies, opinions,
propasals, analyses, and recommendations lu lhe Mirister.
Page 4015

‘clause 23/1)(6) has been applied to information, that. if disclosed would revel the
substance of currant negotiations, Please note that the Department does nat nave any
Concems dissiesing tre fact that collective baigaining negotiations are in progress
‘Accordingly, this information remairs in the documerts.

Clause 2311)(0) has been applied ta information, that, f disclosed. would reveal plans
related to management of personnel that has not yet Deen implemerted andl a6 such is
hot public information. Accordingly, until such time as this information 1s made public.
‘we must refuse access,

Clause 23/1) has been apple to proposed plans that have nat yet been finalized and
put into operation. The recommendations and analysis contaned therein are wider
Tevew. Ae these olans have rot yet been anpraved, providing information at ths point in
time covld resut in dieclosure of pending paliy decisions

In each case that wa sited the ¢ 28 excaptions we first corsidered whether the
infomation in question earre within sn cxccotion to the exception to disclosure under s
232) (inearing i would be discleeable). Wa concluded that the formation dic net
‘come within « 25(2). We then, in each case, considered whether we should exercise Our
tdigcretion in favour of waiving the exception te dsclosure. In each case we concluded
‘tat on its face the exoapticn applied and that there were no factors which caused us te
think ve ought to waive the exception,

Disclosurs harmful to economic and other Interests of a public body

281) The head of a publ body may refuse to cisclose information to an
applicant if disclosure could reasonably te expected to harm the economic of
financial interests or negatiating postion of a public body cr the Govemmert of
‘Manitoba, including the folowing nifommation:

(ct informatinn the disclosure of which could reasonably be expected to
(result in finan loss 1,
iy ntertere vath or crejudice contractual or ether negotiations cf,
_a public body or the Government of Manitoba
‘The Department is currently involved in negotiating an agreement with a third party.
Disclosure of infomation at tis time could reasonably be expected to negatively impact,
interfare with and prejudice negotiations resulting in a potential financial loss,

In the interest of the Mantoba Govemment's commitment to openness and
transarency, this response latter along with the rasponsve records will be made
available on our proactive disclosure website. Ary personal of other conriderial
information belonging tn yous or a thitd party wil be removed pricr to disclosure,

Subsection 59/1) of The Freedom of Information and Pmtection of Privacy Act provides
that you may make a complaint about this decisor to the Mantooa Omburisnan | You
have 80 daye from the receipt of this letter to make 3 complairt on the prescribed form
te

Manitobs Ombudsman

750» 500 Portage Avenue
‘Winnipeg MB RSC ox1
982-9130
1-800-868-0831
Page 5 of §

If you Fave any questions corcem ng ‘nie matter. please contest the departments
‘Access and Privacy Coordmatar, Michel Hubtala a! [phone].

Sincerely
“Pres Wed

Karen Herd

‘Aczase & Privacy Oicer

M. Huntela
sarlaatr, Heuitry Lisng ara Seniors

Manitoba Health, Healthy Living and Seniors (MHHLS)
Minietatial Briefing
April 20, 20°6

Proposed briefing schedule

1, Initial Overview of Degarirrent and Provincial System {MinisteriDM)
‘Complete financial briefing including 2016/16 act.al results and 2018/17 estimates
3nd firanial praasuras, Az wel, 2 prospective five-year financial plan that
bighlights Some of the key commitments and firancial oressures.

Health Sysiem Performance and Sustainability Plan, including:

+ Clinical and Prevervative Service Plan;

“ AB Meat ay

suswad

4. Personal Identification Card Project with Maniteba Public insurance
25uytay

WRHA Emergency Depaitmen¥Patient Flow (W/RIA would lead this briefing}
Seniors Uare
+ Community Services for Seniors (including grant turded agencies)
+ Continuing Care Blueprint
+ Supaortive Housing and potental for collaborat on with Dept af Housing
© Persona Gare “ome Standards
+ Persona’ Care Home Captal Plan
7. Home Care, including OAG Audit and Home Care Leadership Team
8. Addictions {Inclucing Fentany Task Force}
a

Mertal Health (including Pravincial Child and Youth Mer:al Heath strateay)
ee 2

1 axcnancs)
2. Legislation not yet proviaimied and pending regulations. and Reguated Healt1
Protessions Act (RHPA), including panel 07 Nurse Reserved Avis
+3, Pharmacate and other Drug Programs inciuding
fi aed 2
x 2acnnta :
+ Addition of Drugs to the Formulary
25012. a
+ New Pharmacare Benefit Year and Annua Ceductible Incr
Pharmacare benefit year started 2n Apri 1, 2016

se - Ihe 2018/17

re ey) a
14, Selkirk Mental Neath Cantre

18. Dalyss

was consent 58 Gab rat condsnce ab defnad m eussactinn 13171 The Ersevom of tarmation rad

rst en Bunny act
an tees Heain, Heatiny Ling and Seniors 2

16 EMS/EMS Review
17 Physician Recruitment ang Retention
18. MB as Lead Province an the Can Blood Services file
19. Cacham Provinciallab, 221.96
20. Health Eyuity and Population Heaith
‘© Chef Provincial Public Health Officer's Report on the Heatltn Status of
Manitobans
+ Health In All Polines
«importance of a Prevention Agenda as a key lo fiscal sustairabiity
21. Rrlefings releted to seme of she Key auits (internal and OAG audits) camele:ed anc
underway.
22. Proteetion far Persons in Care Act /PPCAV/ole of the Protection for Persons in
‘Care Office (PPCOW Adult Abuse Registry Act
23, Cagital Briefing including

(3)

234

24, STBB! Strategy (inctuding Syphilis, HIV)

25.- zlaer 3

28, Indigengus Health

27. Improving :he Primary Care System

28. Disaster Marageent — Incident Management Structure and Potential Summer
\Vfidland Fires

28, Health Sector Labour Relations - Bargaining Status Qverv ow c

32, Overview of key planning processes used wth and exernal to MHHLS

31. Information Management, Analytics, and Business Inleliyence ard hew these
functions can be olanned and fostered in a more provincial context.

32, Mecical Claims System Stabilization and Sustainment

33, Ancllary Programs, includ ng Manitoba Orthotists and Prosthetists Association
IMCPA)

His dosurart 2.8 Canrat canfizerca ss defined in slssacton 1:19! ha Feenacem ra oa

srotectan at Pavey det
Manicba Feath Heatly Lig and Sencors 3

Organization

1. Bepartment responsibilities
Responsibie for ersuring that quality, timely, appropriate, and cost effective health
services ave available for Manitcbans. The role is two-part ~ stewardship and dizeot
selivery,

MHHLS fas a stewa'dship role to ensure that service providers such as RHAs,
CancerCare, Diagnostic Services, Addictions Fourdation, and aver 100 service delivery
organizations (primanly nop-profts) ara accountable to provde igh auality services at a
"sasonable cost to the ‘axpayers of Manitaba. The role ia accomplished through
‘esource allocation, provine al legislation, regulations, poly, and per‘ormiance reporting
of results

MHHLS alsa directly delivers a ruinber of programs and services, including
Pharnacare, Selkirk Mental Heaith Centra, Cadham Provincial Laboratory, Liffigh,
linrae provineial nursing stations, and maraging insured benefits claims paymants for
residents of Maniteba.

2. Organizational structure

Karen Herd, Deputy Minister
Ma Herd has boon Deputy Minister of Health, Healthy Living and Seniors since 2013.
She haa warked in the provincial health sector since 1998, rom “998 to 2005, Ms
Herd was with the Winnigeg Regional Health Authority (VWRHA) and its predecessor
‘arganizations - the Wintipeg Hospital Authonty and the Winaipeg Community and Long
Teim Care Authority. During this time, she worked in Finance as Controlter and later as
Administrative D rector for the WRHA Surgery Program. Ms Hecd jained Nanitoba
Heelth in 2005 as Executive Diractor of Finance, and moved irta progressively more
‘saniar rola, including Assistant Deputy Min ster and Associate Deputy Minister.

Prior to work in the health sector, Ms Herd worked it the Provincial Governement from
1992 to 1993, starting Fer cwil service career with Internal Audit in Manitoba Education
and Training. Ms. 4erd worked as a Chartered Accountant in arivate industry before
ef move to the puolic service

Ma Herd holds a Bacrelor of Commerce (Honours) degras from the University of
Manitoba. and has been a Chartered Accountant for more than 25 years. She has
taugnt Finance for Non-Financial Managers in the Management Developrrent for
‘Women Program at the Universiy of Manttona and the “lealtn Services Finance course
at Red River College. Karen's area of academic interest is board governance. She is a
mamner af tne Insttuta af Carpovate Jirectors (ICD), comsleting the No=For-Provit
govemance ccurse ir 2013 and completing “he ICD’s Director Ecucation Pragram,
leading to her CO.0 designation in fell of 2015.

‘Thi vscunant 9a Gab nat confearee a8 catirag in subsetion 12{7! of Poo Hndor at wormanan ana

Pratocnan of Povacy 2
Maniota tealtn earny Ling and Sen ors

Beth Beaupre, Assistant Deputy Mi
Health Workforce Secrotariat Division
Pring to maving into this role in Apri, 2072, ‘ollowing a faur year appointmert as Director
of Hurran Resources for the Health Scionces Centra, Ms Beaupre was the Executive
Director of a Joint Operaling Oivision fer the Winnipeg Regional Ieaith Authority and
the University of Manitoba. A lawyer by profess on, following 10 years in private:
practice, Ms Beaupre was Genera Counsel for Winnipeg Crild and Family Services,
followed by an apcaintment as In-House Counsel for the Winnipeg Regional Heath
Authertty. During this time, Ms Resupré was seconded to Manitoba Heaith as Executive
Director of the former Health Labour Relations Branch, Health Workforce Division to
‘ead contract negotiations between the government of Manroba and the former
Manitoba Medical Association.

Jean Cox. Assistant Deputy Minister
Regional Policy & Programs (RPP} Division

‘Ms Cox has been with the cepartment sirce Saptemoer 2001 in increasingly
responsible portals from Personal Care Home Standards and Licensing, Diractor of
‘Nat Tine Task Force, and Executive Diractor of Rural & Nortiern Regional Support
Ms Gax’s current role involves drect leadership interface wih the ve regional heath
authorities, CancerCare Manitoba, and Diagnostic Services Manitoba on matters of
program and poly far the areas includea in the RPP por‘. Ms Cox's division at
Mantoha Heath, Healthy Living and Seniors includes Emergency Medical Services
Office of Disaster Management: Oifice of the Chief Provincial Psychiatrst Acute,
Tertiary & Specially Care; Cancer & Diagnostic Care: and Continuing Cara. Ms Cox's
a memaer of the Depuly Ministers Healin System Performance and Sustainability
Advisory Commitee, a board member of Diaynuslc Services Mantcba and a former
board memoer ofthe Canadian Patient Safety institute

Ms Cox has a Master cf Business Administration from the University of Manitoba with. a
specialty in Heath Administra‘ion

Avie Gray, Assistant Deputy Minister
Public Health & Primary Health Care (PHPHC) Division

ls Gray has an extensive career working In the public sector n the ress of population
health. health and sccial se-vice delivery, In her current positon as ADM PHPHC, ste
has responsibilty for maternal and child realth, orimary health care, and public reatth,
including communiceb'e disease contral, surveillance and aoidemiaicgy. As wel
PHPEC incudes tne Intergavernmertal Strategic Relations branch, which is focused ar
collaboration wth Tirst Nations, Métis, Inu, federal, srovincal and terrtenal
governments.

‘Ms Gray has held 2 nuinber of other feadership aositions in contnuing care, home care
and primary heath care, She was instrumental n leading a committee of multi-sectoral
professiona’s that daveloped a ruman "esouree strategy that resulted m the
impiomertation of midwifery services in the province, irctuding a payment rrodel for
midhsives a pian far nidvifery service delivery, and education that emphasized novthamn

subsacien 191*tof The Foseann af formating sna

This socurrant # 8 Caginat cant
‘tantobe Heats, Heathy Log and Somers

and Indigencus pricrites, Ms Gray has also worked in a large comoration where she
Specialized in government relazons. in addition, during her career she has servec a3
Soncultant 10 specialized in strategic planring, citizen engagement, and experting
knowieage services,

Hs Gray has a degree in Home Econumics fran the University of Manitoba. Har rural
background, and experiance warsing in northern, rural and urban areas of Manitobs has
fraviced a daep understand ng of the scope and oceacth ct heath care service detivery,
ne the necessity for prov ncial policy and standards development and quality
‘asurance programm ng.

Semadette Preun, Assistant Osputy Minister
Provincial Policy and Programs (PPP) Olvision

Hg Preun has been in her current portfolio snce February 2011. Her current portfoiio
includes oversight of ravincial Drug Programs/Pharmacare Capital Planning,
information and Communications Technology ‘including oversight of eHeaith),
Corporate Servieas (Proteetion for 2ersans in Care Arancn, French Language Services,
Manitoba Heaith Appeals Branch, Mental Health Review Board, Web Servires}, Selkirk
‘Mental Healih Centre and Cadham Provincial Laboratory {public health lab). Curing this
tenure, sho also provided sx months coverage of the P.ibile Health and Primary Health
Gate Division. Prior to Provincia Policy and Programs she was appontad Assistant
Deputy Minister of Regionat Programs and Services (2008),

is Preun begen her carear with the Provincial Governmentin 2001 in MHHLS' Capital
Planniny Branch, anc was appointed the Director cf Emergency Medical Services (land
‘and air ambulances) in 2003. In 2007, she was asced to cover the Corporate and
Provincial Pragram Sueport Division. Prior fo sominny to work with the Provincial
Government. Ms Preun warked primaniy in nealth care delivery in ve comnmunity and
ospital setting, in non- and for-profit organizations in Manifaba and Ontano, and also
served as a planner in the District Health Council system in Ontaria. She is trained as
‘an Occupational Therapist and completed @ Masters in Business Administration in
1996. She is 2 LCAN executive green bait and has been educated and worked in
eroject management,

Dan Skwarchuk, Assistant Deputy Minister & Chief Financial Officer
Administration & Finance Division

Mr, Skwarchuk is respansible for the overall financial maragement and strategic
fnancial cevelopmant for MHHLS. Critical furctions include financial maragement,
Fnancial analysis, comptrallarshp, et’ategic planning, health information management
‘and analytics. accountability, and risk management. Mr. Skwerchuk has worked in
healthcare for 23 yezrs in variaus capacites with MHHLS. the Winniceg Regional
Health Authorty and the St. Boniface General Hospital, He nas also parluivated at
Jovernane levels of community bgards of Community Health Centres and the Finance
‘nd Audit Committee af the Board of Diagnostic Services of Maritoba (DSM). Fram
{me 0 time ne lso teaches ana guest lectures for tre Red River College's Health

his covunnent ie a Das net covidence at dafined i aubsecrion 11 of The Fee cf Information