Post on 19-Dec-2015
transcript
Agenda• Central East LHIN Overview
• Community Engagement: What We have Done
• The Integrated Health Service Plan (IHSP)
• Aging at Home Strategy
• How to Get Involved
Ontario’s LHINs manage approx $21 Billion in Health Care Expenditures
LHIN
• Public and Private Hospitals• Long-Term Care Homes• CCAC• Community Mental Health and
Addictions• Community Health Centres• Community Support Service
Agencies e.g. Meals on Wheels
LHIN
• Public and Private Hospitals• Long-Term Care Homes• CCAC• Community Mental Health and
Addictions• Community Health Centres• Community Support Service
Agencies e.g. Meals on Wheels
Provincial:
• OHIP & Doctors• Family Health Teams • Other Practitioners• Provincial Drug Programs• Trillium GoL / organ donations• Ontario Drug Benefit• Public Health• Private Labs• Ambulance Services • Independent Health Facilities• Provincial Networks / Programs
Provincial:
• OHIP & Doctors• Family Health Teams • Other Practitioners• Provincial Drug Programs• Trillium GoL / organ donations• Ontario Drug Benefit• Public Health• Private Labs• Ambulance Services • Independent Health Facilities• Provincial Networks / Programs
What Do LHINs Do?
Patient Centred Integration &
Service Coordination
Community Engagement
Local HealthSystemPlanning
Funding & Allocation
Accountability& Performance
Monitoring
Who is the Central East LHIN?
The LHIN Organization• A Board of 9 and staff of
20!
The LHIN:• The community of over 180
health service providers, patients, residents & stakeholders in the region.
Where is the Central East LHIN?• Vast Geography
• Large Population – Nearly 1.5 million people
• Current Spending – Over $1.7 Billion
• Broad Diversity – Language– Culture– Geography
$1.7 billion in healthcare spending (excluding physician
payments, drug benefits, public health)
Figure 1: 2007/2008 selected LHIN health care expenditures
65%19%
5%11%
Hospitals $1,096,741,000
Long-Term Care Homes $330,487,202
CCAC $181,221,610
CTCs & Other Community Programs $92,025,660
• 9 Hospitals + 1 specialty mental health hospital
• 1 Cancer Centre• 68 Long-Term Care Homes• 1 Community Care Access Centre• 25 Mental Health Services• 8 Community Health Centres• 48 Community Support Services• 6 Substance Abuse Programs• 17 Supportive Housing Services
A snapshot of Central East LHIN funding
• Health system experienced as a coordinated system: People will get the right treatment at the right time by the right provider
• Seamless flow of information that supports patient care
• A system that begins with primary care providers with an equal focus on prevention and health maintenance
• Create timely access to quality services by aligning people, processes and resources
• Elimination of wasteful and time consuming duplication
• Involvement of patients, residents, family and informal caregivers
Integration: In simple language…
How Do We Do It?
Transformation of our health care system cannot be achieved through a singular
focus on “structure” or hierarchic
“control”
Success depends on our ability to engage new relationships
and models of thinking, as well as our ability to build, leverage
and align local capacity for planning, engagement and
service coordination in local health communities.
Control Partnership
Funding and Accountability• People have the right to expect accountability from their
governments– To that end, Central East LHIN has entered into an
accountability agreement with MoHLTC. That sets out the mutual understandings and performance obligations of both parties in the period from April 1, 2007 to March 31, 2010
• The public also have the right to expect that their health service providers will be accountable for the quality of services they provide– To that end, part of CE LHIN mandate is to negotiate
Service Accountability Agreements (SAAs) with health service providers
Priority Setting and Decision Making in the CE LHIN
Establishes the long-term goal of the CE LHIN Organization
Sets overall strategic directions for the CE LHIN organization
and the entire Central East LHIN
Sets health system priorities for change, common enablers,
objectives, action planning and performance monitoring
framework
Includes CE LHIN planning partnerships,
decision making tools, and expectations for
planning and integration proposals
Project Management Methodology and
Health Service Improvement Pre-Proposal (HSIP)
Vision
Strategic Directions
Integrated HealthService Plan
Framework for Community Engagement & Local Health
Planning
Business Solutions
Engagement: What We Have done
Priority Networks– Mental Health and Addictions – Seamless Care for Seniors– Chronic Disease Prevention and
Management
Enabler Task Groups– Primary Care Working Group– Emergency Department Task Group– Rehabilitation Task Group– Alternate Level of Care Task Group– EHealth Steering Committee
Engagement: What We Have Done
9 Planning Areas, each with its own local advisory
teams or Collaboratives
Peterborough Collaborative(County and City) Membership includes:
Community Services / Hospital Services / Physician / Citizens
The Integrated Health Service Plan (IHSP)
• Provides a snapshot of the CE LHIN region population profile, including health status & access to health services
• Sets out health care Priorities for Change as identified through extensive community engagement and analysis.
• Establishes short and long term goals for the local health system.
The Integrated Health Service Plan:Creating Alignment ofHealth Care Strategy, Innovation and Resources to Improve Quality and Access
Our First Priority ProjectsSeamless Care for Seniors• Geriatric Emergency Management (GEM)• Supportive Housing • Community Support Services Review• Caregiver Supports and Well Being• Rural Transportation • Home at Last (HAL)
Mental Health and Addictions• Early Intervention for Youth Strategy with
Mental Health and/or Addiction Needs• Addictions Environmental Scan • Disordered Eating
Chronic Disease Prevention and Management
• Stroke System for Central East • Chronic Kidney Disease and End Stage
Renal Disease System • Self Management Training for
Consumers/Caregivers • Diabetes Clinical Practices Rollout
Primary Care• Timely Discharge Information System
Demonstration Project
Other• Culture, Diversity and Equity • Rehabilitation • Project Management Office • Hospital Clinical Services Planning
Provincial AAH Strategy: Recap
$702M over 3 years to be invested in communityservices to enable seniors to age at home with dignityand independence.
• First-Year Planning for LHINs $3,000,000• Assistive Devices Program Funding $40,000,000• Provincial Priorities
$66,000,000• Allocations to LHINs
$593,000,000
Process: Values and Objectives Respect the extensive, inclusive community
engagement that is a cornerstone of the LHIN.
Respect that the LHIN is moving forward with implementation of its IHSP, having already established Seamless Care for Seniors as a priority.
Recognize the opportunity that the funding represents in moving forward a number of specific priority projects embedded in the IHSP as well as providing some impetus to system change.
Community Support Services: Year 1CHARTERS & RELATED PROJECTS
3 Charters & Related Projects
$200,000
EMERGENCY RESPONSE SYSTEMS:
1 Initiative - Haliburton
$10,900
HOME AT LAST:
1 LHIN-wide initiative with several locations
$501,642
SENSORY (hearing and vision):
2 Initiatives
$201,200
TRANSPORTATION:
3 Initiatives - Haliburton, Durham, Scarborough
$92,700
COMMUNITY PALLIATIVE CARE:
1 Initiative – Scarborough
$250,000
MEAL ON WHEELS; WHEELS TO MEALS:
6 Initiatives - Haliburton, Durham, Scarborough
$162,700
HEALTH PROMOTION (WELLNESS) EDUCATION:
2 Initiatives – Scarborough, Peterborough
$120,000
DEMENTIA: First Link
1 Initiative - LHIN-wide
$205,000
Base = $986,342
One-Time = $757,800
CSS Total = $1,744,142
Caregiver Support and Well Being: Year 1
CHARTERS
1 Charter-
$100,000
IN-HOME RESPITE:
5 Initiatives – several LHIN zones
$299,200
ADULT DAY PROGRAM:
9 Initiatives – several LHIN zones
$585,275
EDUCATION & TRAINING:
1 Initiative - Scarborough
$100,000
Base = $731,975
One-Time = $352,500
CS Total = $1,084,475
Supportive Housing: Year 1
CHARTER
1 Charter –
$100,000
SUPPORTIVE HOUSING:
5 Initiatives – well spread across the LHIN
$1,915,450
Base = $1,815,000
One-Time = $200,450
SH Total = $2,015,450
Aging at Home: Next Steps
• Process Year 1 allocations: May – June 08
• Design Year 2 process: May – June 08
– Specialized Geriatric Services
– Falls Prevention
• Draft Year 2 Recommendations – Sept. 08
• Finalize for LHIN Board – October 08
How Can You Get Involved?• Join the Seamless Care for Seniors Network and attend
our June Symposium – be a part of the solution building.• Nominate a member of the Regional Family Council to
be a member of the Caregiver Support and Well Being Project Team.
• Help facilitate the coming together of leadership of LTC Homes in the LHIN.
• Let Kate know if there is any interest in being involved in Specialized Geriatric Services and Falls Prevention work.
• www.centraleastlhin.on.ca – My Page