Aging at Home …Getting There From Here

Elder Health Think TankNovember 19 2008

Presentation by:Lynn Huizer Planning and Integration Consultant

Year 1Assessing Community Needs

• North Simcoe Muskoka is unique in the development of a provider/consumer based project team

• Project team members were selected for system knowledge and sector knowledge

• Engaged and leveraged connections, partnerships, and networks

• Built on connections to grassroots

Project Team

Challenges • Keeping the project team focused on the system

• Different knowledge levels about the system and services

• Consumer voice- was it the right one?

Successes• Creation of the Project team is

community engagement

• LHIN Champions created through the process

• Increased Commitment and Buy-in to NSM LHIN

• Increased Commitment and Buy–in to a vision for seniors health care

Enhanced Home Support was identified as having the greatest impact on improving the health and independence of seniors

The project team identified the following funding parameters:

• Home support (40%)• Supportive living environments

(20%)• Primary care (20%)• System navigation (20%)

Focus of NSM LHIN Aging at Home

Areas of Focus for Selected Proposals

Home SupportBest practice Meals on Wheels

Mobile Day Away

Home at Last

Primary Care Intensive Case Management

Tele -Home Care

System NavigationIntegrated Geriatric System

Supportive Living Environments

24 hour supportive living

Supportive Housing

Areas of Focus for Selected Proposals

Assistive Devices

Mobility Clinic

Coordinated Access to Assistive Devices

Diversity

Aboriginal Community

Deaf, deafened and hard of hearing communities

Non-traditional service providers

• An advisory body of key stakeholders

• To provide guidance to the NSM LHIN on developing an comprehensive, sustainable, integrated system of health care for seniors across North Simcoe Muskoka

Seniors Health Regional Action Group

Year 2Assessing Community Needs

Building on Year 1

• Safety & Injury Prevention: To reduce adverse events for seniors in their homes by focusing on falls

• Supportive Living: To ensure seniors’ and their caregivers’ residential needs are met and that support services and socialization opportunities are made available by providing a person with innovative and enhanced community supports

• Integrated Health Service Plan (IHSP): To support the Aging at Home mandate and contribute to the reduction of Emergency Department (ED) Wait Times and Alternative Level of Care (ALC days.

Developed Evaluation Criteria

• To evaluate our Year 2 Submissions to get the system outcomes we desired

• NSM LHIN planning principles • Year One Vision• Year 2 Strategic Directions • MOHLTC Strategic Priorities

RFP Process

Expert Panel advised on Evaluation Criteria

• NSM LHIN ED Lead• 3 Representation from the Seniors Health

Regional Action Group• 1 Representation from the Alternative

Level of Care Steering Committee• LHIN staff member (other than the Aging

at Home Lead) • Representative from Housing sector• Project Director for the Integrated

Geriatric System

Expert Panel

• Received 25 submissions

• A Review process is underway

• Anticipating continued high quality, seniors centred, community based services that will keep seniors healthy and active in their own homes and will support an integrated system of care for our seniors

Next Steps

Old age is like everything else. To make a success of it, you’ve got to start young.

- Theodore Roosevelt