CENTRAL COMMUNITY CARE ACCESS CENTRE
BACKGROUND INFORMATION DOCUMENT
RFP for Medical Equipment and Equipment-Related Supplies
August 2015
Table of Contents
Page
CCAC Vision & Mission 1
Background of CCAC 1
Central CCAC Main Office Sites 2
Central CCAC Nursing Clinic Sites 2
CCAC Mandate 3
Central CCAC’s Strategic Priorities, Goals and Objectives 3
Services Provided by CCAC 3
Central CCAC Volume Statistics 4
Central CCAC Patient Profile 4
Settings Where Services Are Delivered 5
CCAC Partners/Stakeholders 6
Central CCAC Patients by Age 8
Central CCAC Budget 8
Population & Demographics of Central LHIN Area 8
Key CCAC Statistics 9
Central CCAC Medical Equipment and Equipment Related Supplies 10
Attachment 1 – Boundary Map of Central LHIN/CCAC Area
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Background of the CCAC:
The Central Community Care Access Centre (CCAC) has a very diverse geography. Our
catchment area includes the northern section of Toronto, most of York Region and the
southern part of Simcoe County. Please refer to Attachment 1 for a map outlining the
geographic boundaries of Central CCAC.
Central CCAC is the largest of Ontario’s 14 CCACs in terms of population; however we
are the third smallest in terms of geographical size. Our population density is 40 times
greater than that of Ontario as a whole.
The Central CCAC’s population is broken down as follows: 40% in the city of Toronto,
17% in Markham, 14% in Vaughan and 11% in Richmond Hill and the remaining 18%
living throughout the remaining geography. Although the geography is primarily urban,
it does have a significant rural region in the north, which can represent challenges to
residents when accessing services.
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Of the roughly 1.8 million residents, Central CCAC provided service to over 82,500
people in the 2014-15 fiscal year or 36,500 patients on any given day. This service is
delivered through approximately 700 CCAC employees as well as through the staff of 23
contracted service provider agencies.
The changing needs of our patients require that we redefine patient-centred care.
Central CCAC service providers will be expected to work collaboratively with the CCAC
and other health care partners to develop innovative and effective models of service
delivery to meet the needs of patients in our geography.
Central CCAC Main Office Sites:
Newmarket Richmond Hill
1100 Gorham Street, Unit 1 9050 Yonge Street, Ste. 400
Newmarket, Ontario L3Y 8Y8 Richmond Hill, Ontario L4C 9S6
Phone: 905 895 1240 Phone: 905 763 9928
Sheppard
45 Sheppard Avenue East, Ste. 700
North York, Ontario M2N 5W9
Phone: 416 222 2241
Central CCAC Nursing Clinic Sites:
CCAC Clinic - Newmarket CCAC Clinic - Markham
York Medical Building Boxgrove Medical Arts Centre
#1 - 17215 Leslie Street #100 – 110 Copper Creek Drive
Newmarket, Ontario L3Y 8E4 Markham, Ontario L6B 0P9
CCAC Clinic – Vaughan CCAC Clinic - Alliston
Vaughan Health Campus of Care Stevenson Memorial Hospital
#121 - 9401 Jane Street Outpatient Dept – Room 213
Vaughan, Ontario L6A 4H7 200 Fletcher Crescent
Alliston, Ontario L9R 1W7
CCAC Clinic – Keele CCAC Clinic - Branson
Humber River Hospital North York General Hospital
E221 - 2175 Keele Street #224 - 555 Finch Avenue West
Toronto, Ontario M6M 3Z4 Toronto, Ontario M2R 1N5
CCAC Clinic – Fairview
Fairview Health Centre
5 Fairview Mall Drive, Suite 108B
Toronto, Ontario M5G 1Z8
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CCAC Mandate:
The Central CCAC is one of 14 CCACs that play an important role in Ontario’s health
system by coordinating quality in-home and community-based care for over 650,000
people each year. Services provided by the CCAC include nursing, personal support and
therapy services, as well as specialized services such as rapid response nursing, mental
health and addictions nurses in schools, palliative care and child and family services.
We also help people of all ages understand and choose from a wide range of health,
community and social services, so they can live independently at home for as long as
possible. These options include adult day programs, retirement homes, assisted living
and supportive housing, and short- or long-term care.
The mandate as stated in the Community Care Access Corporation Act, 2001 is:
� To provide, directly or indirectly, health and related social services and supplies and
equipment for the care of persons.
� To provide, directly or indirectly, goods and services to assist relatives, friends and
others in the provision of care for such persons.
� To manage the admission of persons into long-term care homes (LTCH).
� To provide information to the public about community-based services, long-term
care homes, and related health and social services.
� To cooperate with other organizations that have similar objectives.
Central CCAC’s Strategic Priorities, Goals and Objectives:
At the heart of the Central CCAC Strategic Plan (2014-2017) are three priorities for
action over the next two years.
� Quality through Integrated Care
� Quality through Access to Care and Services
� Quality through Optimizing Patient Outcomes
Services Provided by the CCAC:
� Care Coordination
� Access to long-term care homes
� Information & Referral
� Nursing
� Personal Support
� Physiotherapy
� Occupational Therapy
� Speech-Language Pathology
� Social Work
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� Dietetics
� Medical Supplies
� Infusion Supplies and Equipment
� Medical Equipment
� Laboratory Services
� Access to Adult Day Programs
� Medication Management Support Services
Central CCAC Volume Statistics:
Service 2014-2015 2013-2014
Visits Visits
Nursing 688,025 642,027
Nursing Shift*, including hospice 318,109 287,735
Nursing in community clinics 93,051 67,391
Personal Support*, including hospice 3,428,549 2,999,082
Occupational Therapy 50,528 49,195
Physiotherapy 173,014 91,829
Speech Language Pathology 51,949 51,940
Social Work 1,670 1,453
Nutritional Counselling 4,882 4,642
*Personal Support and Shift Nursing Services are reported in Hours
Central CCAC Patient Profile:
Central CCAC serves an increasing number of patients with complex, chronic health
conditions. Over 73% of patients have very high or high need compared to 56% just five
years ago.
Patients’ expectations are also changing. They are better informed, and expect their
values, culture, beliefs and personal circumstances to be understood and respected
when it comes to decisions about their care. Evidence shows that patients who are
engaged in their care have better outcomes and a more positive experience with the
health system.
At the same time, public sector organizations, particularly in health care, are expected
to improve patient outcomes by delivering quality care while demonstrating value for
the taxpayer.
Patients, care partners, researchers and policy experts all agree that better planning and
coordinated care is required for complex patients as they shift from receiving care in the
hospital to the community. Helping patients to transition to different care settings, such
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as, from hospital to home, mobilizing health, community, and support services through
integrated, individualized care plans and accessing the right services for patients – this is
where the CCAC comes in.
Central CCAC’s commitment is that patients and caregivers will be an integral part of
their health care plan – even when we are not able to meet all of their expectations.
They will know who to call at the Central CCAC about their care plan and services, what
to expect, and be informed about the benefits and risks of different choices.
Central CCAC uses a common provincial assessment tool to determine the needs of
adult patients. Service plans are then developed to meet the identified needs. The table
below sets out some of the primary characteristics of the various patient populations.
Population Average
Age
Average
Length of
Stay (days)
# Patients
on Service
per Month
% of Total
Resources
Complex – Adult 78 474 2,870 25.5%
Complex – Child 7 278 256 4.3%
Chronic – Adult 79 395 9,587 36.5%
Chronic – Child 8 371 715 3.7%
Community
Independence
75 293 39,552 9.4%
Short Stay – Acute 60 54 2,520 6.8%
Short Stay
Rehabilitation
75 62 1,713 1.9%
Short Stay – Oncology 59 131 548 1.4%
Not Identified 63 61 206 0.6%
Home First 81 53 255 3.9%
School 8 513 4,593 6.0%
Settings Where Services are delivered:
Health and support services for patients are delivered in the community. Settings
include but are not limited to:
� The patient’s residence, whether a permanent or temporary home, and may include
a group home, retirement home, rest home, or home for special care
� Long-term care homes
� Community settings where the patient may need assistance from the service
provider in carrying out their day-to-day activities, e.g., shopping centres, medical
offices, recreation centres, workplace (occasionally). Also, the CCAC will provide the
required services in settings where community support agencies offer their services
and programs.
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� Publicly and privately-funded schools
� CCAC clinic locations
� Central CCAC provides services to residents on Georgina Island, Snake Island, and Fox
Island. Access to the islands is provided by Island Transportation (either ferry,
airboat or ice road access)
CCAC Partners/Stakeholders:
There are 10 hospitals located within Central CCAC’s catchment area:
� Don Mills Surgical Unit
� North York General (including the Branson site)
� Humber River Hospital (including Finch, Church & Keele St sites)
� Markham Stouffville Hospital
� Shouldice Hospital Limited
� Southlake Regional Health Centre
� Mackenzie Richmond Hill Hospital
� Stevenson Memorial Hospital
� St. John’s Rehab
� St. Joseph’s Morrow Park Infirmary & Private Hospital
There are 46 long-term care homes in Central CCAC’s catchment area. The CCAC
provides care coordination services to assist people with their short stay respite,
convalescent care and long-term care placement needs. The CCAC also provides short-
term nursing and speech language pathology services to eligible patients in long-term
care homes.
Central CCAC has service agreements with the following organizations:
� 1to1 Rehab Inc.
� Bayshore Home Health
� Calea Ltd.
� Cancare Health Services Inc.
� CBI Health Group
� Circle of Home Care Services
� Closing the Gap Healthcare Group
� Hill House Hospice
� Lifelabs
� Matthews House Hospice
� Medigas
� Nursing & Homemakers Inc.
� Ontario Medical Supply Inc.
� Paramed Home Health Care
� Preferred Health Care Services Inc.
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� Prohome Health Services Inc.
� Regional Nursing Services
� Revera Health Services
� Saint Elizabeth Health Care
� Shoppers Home Health Care
� Spectrum Health Care
� The Speech Clinic
� SRT Med-Staff
� VHA Home Healthcare and VHA Rehab Solutions
� VON Canada
� We Care Health Services Inc.
There are approximately 105 private schools and 8 publicly-funded school boards in the
Central CCAC catchment area.
The CCAC works closely with and is actively involved in cooperative/partnership
initiatives with many of the community support agencies that provide services
throughout the Central region.
The CCAC collaborates with many stakeholders, such as the Ministry of Health and Long-
Term Care, the Central Local Health Integration Network (LHIN), local hospitals and
other local health system partners such as community support agencies, to meet health
system priorities. Central CCAC is committed to working with all system partners to
maximize the resources that are available within the health and community support
system. It is essential to build capacity of all health care service providers in order to
meet the needs of the aging population as well as the complexity of their care.
Central CCAC is committed to supporting the Central LHIN in the development and
implementation of strategies that will help seniors stay healthier and to live
independently at home and in their community.
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Central CCAC Patients by Age:
Central CCAC Budget:
The 2015-2016 budget for Central CCAC is approximately $267 million. Central CCAC is
challenged by the increasing number of patients as well as the complexity of their care
needs.
Population and Demographics of Central LHIN Area:
The Central region has the largest proportion of immigrants (48 per cent of residents)
among the LHINs, and the second highest visible minority population (42 per cent of
residents). We have the highest proportion of residents (4.5 per cent) who report no
knowledge of either official language.
In 2006, just over half of the LHIN’s population reported English as their mother tongue
(the lowest rate among the LHINs) and only 1.2 per cent included French as their mother
tongue (the second lowest percentage in Ontario). We also have the lowest number (0.4
per cent) of Aboriginal/First Nations people.
The proportion of the population considered “low-income” is the second highest in
Ontario, at almost 18 per cent. Among children, poverty rates are even higher in some
parts of our LHIN. In Markham-Unionville, 22.5 per cent of children live in poverty; in
Richmond Hill, the rate is nearly 20 per cent.
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Central
LHIN Ontario
Total Population (2011) 1,768,550 13,372,996
Population Aged 65+ 12.5% 14.2%
Population Aged 75+ 5.8% 6.6%
Population English Mother Tongue 51.5% 69.8%
Population French Mother Tongue 1.2% 4.4%
Population with no knowledge of either official language 4.5% 2.2%
Population Immigrants 48% 28.3%
Population Visible Minority 42.1% 22.8%
Population Aboriginal Identity 0.4% 2%
Population Completed Post-Secondary Education, aged 25-64 66.6% 61.4%
Population Living in Low Income 17.7% 14.7%
Key CCAC Statistics:
2015-2016 Budget $286 million
Number of Employees 700
Number of patients served in 2014-15 82,587
Number of patients on service on any given day 36,437
Largest Referral Source within Central LHIN in
2014-2015 Humber River Hospital
Largest Referral Source Outside Central LHIN in
2014-2015 Sunnybrook Health Sciences Centre
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Central CCAC Medical Equipment and Equipment-Related Supplies:
It is important for CCAC service providers to have a detailed description of all the
products along with a picture showing exactly what each product looks like. The
successful respondents will be required to provide Central CCAC with an electronic copy
of a picture catalogue which can be shared with our contracted service providers. These
medical equipment picture catalogues provide service providers with a valuable
resource and decreases the number of product errors and repeat deliveries.
The estimated number of deliveries in the first agreement year by delivery type as
outlined in the delivery price form is provided using Central CCAC historical and recent
data, service delivery request patterns throughout the Central CCAC geography,
consultation with other CCACs, and data from the current Central CCAC vendors.
The table below is a summary of the total number of units ordered, rental days and the
average time that each item was in the home for the top 10 most utilized Medical
Equipment rentals in the 2014-15 fiscal year at Central CCAC.
10 Most Rented Items
Number of
Units
Ordered
Number of
Rental Days
Average
Length of
Stay(Days)
Electric Hospital Bed 1,554 44,448 29
Partial Bed Rails – for Hospital Bed 1,139 27,971 25
Commode – Stationary unpadded 959 17,578 18
Therapeutic Surface - Advanced Pressure
Relief 358 16,349 46
Overbed Table 438 12,341 28
Full Bed Rails – for Hospital Bed 285 12,277 43
Walker – wheels – 5” regular pair 415 10,689 26
Therapeutic Surface – Basic Pressure
Relief 445 10,578 24
Bed Helper 248 9,292 38
Therapeutic Surface – Intermediate
Pressure Relief 316 8,783 28
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The table below is a summary of the number of CCAC owned units, including the current
number of units for each item as well as the total number of orders in the 2014-15 fiscal
year.
Central CCAC Owned Equipment Inventory
Item Number of
Owned Units
Total Number
of Annual
Orders
Therapeutic Surface - Atmosair 9000 40 132
Therapeutic Surface - First Step Select - Air Rail 23 72
Therapeutic Surface - First Step Select - Excel 2 12
Therapeutic Surface - Pressure Guard 1 1
Therapeutic Surface - RIK 1 4
Therapeutic Surface - Therakair Visio 23 42
Hospital Bed - Electric Low Bed w/ Foam Mattress 102 200
Hospital Bed - Electric Hospital Bed w/ Foam
Mattress 42 84
Hospital Bed - Bariatric Bed Frame 2 1
Falls Prevention Floor Mat 20 50
Sit-to-Stand Life Sling - Size XS 5 1
Sit-to-Stand Life Sling - Size SM 5 1
Sit-to-Stand Life Sling - Size MD 5 1
Sit-to-Stand Life Sling - Size LG 5 1
Sit-to-Stand Life Sling - Size XL 5 1
Sit-to-Stand Life Sling - Size XXL 5 1
Sit-to-Stand Lift 5 1
30" Wheelchair 2 1