BROC

K October-December2013

The Newsletter of Brock Community Health Centre

HEALTHHEALTHCONNECTIONSCONNECTIONS

Inside This Issue

Brock CHC Highlights 2

Durham North EastHealth Link 4

Health Accord 2014 5

Specialized GeriatricServices for Frail Seniors 6

Health Professionals Recruitment Tour 7

and more ...

continued on page 3

Ron Shore, above, provided a captivating and engaging presentation at the Healthy Rural Communities Conference. He spoke on “Stigma, Mental Health and Addictions in Rural Communities”.

Healthy Rural Communities Conference HeldOn October 4th, 2013, Brock very positive and informative Community Health Centre (Brock discussion on the increasingly CHC) and the Durham North important challenges to our Zone partners sponsored the community related to mental “Healthy Rural Communities: Join health and addictions.the Dialogue on Mental Health and Addictions” conference held Shirley Wheatley, Brock CHC’s in Cannington. Over 75 Board of Directors Chairperson, individuals from the public, health welcomed participants and and social service, educational, introduced Ron Shore who municipal and regional sectors provided an informative and participated in the lively event enthusiastic presentation on held at the Cannington Baptist “Stigma, Mental Health and Church. The forum resulted in a

Brock CHC Capital Project UpdateIn December 2013, Brock CHC three years. The submission was completed the requirements for transmitted to the Central East the Capital Project Stage 2 Local Health Integration Network Functional Program Submission (Central East LHIN) and to the for the organization’s new Ontario Ministry of Health and building to be constructed in Long-Term Care (MOHLTC). The Cannington in the next two to continued on page 3

Brock CHC HighlightsMulti-Sector Accountability considerable distance from ·The “Healthy Rural Agreement (M-SAA) for the Cannington.Communities” conference, held period 2014-17 between Brock on October 4th, 2013 at the CHC and the CE LHIN has been Cannington Baptist Church, in ·Brock CHC’s Diabetes Education initiated. The M-SAA must be collaboration with the Durham Program is one of 15 similar signed by the end of March 2014 North Zone Partners, was a very diabetes programs in the Central in order for funding to be successful event. Not only was East LHIN that, together, are provided to Brock CHC by the it attended by over 75 members developing a diabetes Central East LHIN. Important of the public, service providers, centralized intake protocol. The work related to the finalization of educators, health planners, Central East Community Access the M-SAA includes the following municipal and regional Centre (CE CCAC) is leading documents: CHC Requirements, representatives, and others, it this initiative.CHC Guidelines, and the CHC also provided exceptional Model of Health and Wellbeing. presentations and discussions

·Brock CHC’s Seniors and The Community Financial Policy on the topic of mental health and Community Health Worker, is currently being reviewed by addictions. The event was Jennifer Josephson, together the MOHLTC.followed by a BBQ at 39 with Tammy Rankin, Durham Cameron St. W., future site of Region’s Elder Abuse Advisor, the new Brock CHC. ·Brock CHC’s website has been and Sergeant John Keating,

redesigned consistent with the Durham Regional Police Service, new accessibility standards of ·The Brock CHC Capital Project presented in early October at the the province of Ontario.Stage 2 Submission was International Federation on

transmitted to the Central East Ageing in Istanbul Turkey. The LHIN on December 2nd, 2013 ·Brock CHC, in partnership with presentation was entitled “Break and to the MOHLTC on the City of Kawartha Lakes the Silence – Giving a Voice December 4th, 2013. The Family Health Team and Back to Abused Seniors Using Central East LHIN Board Kawartha North Family Health Assisted Communication Elder approved the submission at their Team, hosted three public Abuse Assessment”. The meeting on December 18th, consultation sessions on presentation represents some of 2013. The review of the Canada’s Health Accord 2014 in the best practice work submission by the MOHLTC is November and December. The undertaken by the Durham Elder expected to take place in early Accord defines the funding Abuse Network (DEAN).2014. arrangements between the

federal and provincial/territorial ·As part of Brock CHC’s Quality governments regarding health ·As required by the Local Health Improvement Program for care services for Canadians. Services Integration Act, Brock 2013/14, all programs have been The sessions were held in CHC completed the Community completing client surveys for the Fenelon Falls, Beaverton, and Accountability Planning past several months intended to Lindsay. Excellent comments, Submission (CAPS) by the obtain ratings from clients on the suggestions and experiences November 15th, 2013 deadline services received. Comments were discussed.and submitted it to the Central received are very positive.

East Local Health Integration Network (Central East LHIN). ·Brock CHC’s Primary Health ·Planning for the Durham North The CAPS outlines the expected Care Program continues to East Health Link continues planning, service delivery and accept new clients from Brock intensely. The business case for funding assumptions for the Township and surrounding the Health Link is expected to be 2014-2017 period. areas. Priority is being given to submitted to the MOHLTC in

individuals and families who do early 2014.not have a current primary health ·With the completion of the care provider or who have a CAPS, the protocol for the Ron Ballantyneprimary care provider at negotiation and signing of a Executive Director

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Brock CHC Capital Project Updatecontinued from page 1

submission was completed in be approximately 20,000 sq. ft. followed by Stage 4 (working compliance with the MOHLTC- with a projected cost of $7.2 m. drawings, contract documentation, LHIN Joint Review Framework for The estimated completion date is tenders, cost estimates), and Early Capital Planning Stages 2016/17. Stage 5 (construction, requirements. commissioning, substantial

completion, occupancy). Once Stage 2 is approved, the MOHLTC approval is required at Brock CHC’s Stage 2 Functional project will proceed to Stage 3 each stage.Program Submission was (preliminary design development),

prepared in collaboration with the project’s principal consultant, Lett Architects Inc. The cost consultants for the project are CRSP and the infection prevention and control consultants are IPAC Consulting.

In 2008, Brock CHC received MOHLTC approval for the planning stages of a capital project including approval to purchase land for the future new building for the organization’s programs and services. Land at 39 Cameron St. W. in Cannington was purchased by Brock CHC in August 2008. MOHLTC approval was received to demolish the building and complete the necessary remediation. This phase of the capital project was completed in fall 2011.

In September 2011, the MOHLTC confirmed that the Stage 1 Proposal stage of the Brock CHC Capital Project was complete. At the same time, the Minister of Health and Long-Term Care provided approval to proceed to Stage 2 and the MOHLTC confirmed that a capital grant of up to $10,703,300 was available for the project.

Based on the Stage 2 Program Submission, the expected size of the new Brock CHC building will

Healthy Rural Communities Conference Held (cont’d from page 1)

Addictions in Rural and Manager of the Communities”. A panel Peterborough Drug Strategy. discussion, entitled “Doing What Works”, followed with Following the program, Brock comments by: Paul Atkinson, CHC hosted a barbecue lunch Family Counsellor, Family at the site of the future new Services Durham; Bob Heeney, Brock CHC building at 39 Professional Practice Leader, Cameron St. W., Cannington.Ontario Shores Centre for Mental Health Sciences; Paul The Durham North Zone McGary, Mental Health and Partnership is an alliance Pine Centre, Lakeridge Health; between Brock CHC, and Scott Logan, Durham Community Care Durham, Regional Police Service Mental VON and the Regional Health Outreach Team. Municipality of Durham. The

Partnership was formed as a A key highlight of the program result of decisions made by the was the personal perspective Central East Local Health by Scott Gibson who spoke on Integration Network (Central his challenges with mental East LHIN) in February and health and substance use. March 2013 pertaining to the Also compelling and refreshing Community Health Services was the presentation by Tim Integration (Durham Cluster) Farquharson, Deputy Chief of that took place during 2012. Police, the The Durham North Zone Peterborough/Lakefield Partnership was formalized in Community Police Service and June 2013 and a strategic and Kerri Kightley, Five County operational plan was finalized Opiate Overdose Coordinator in July 2013.

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Durham North East Health LinkIn August 2013, the Central East Health Links were initiated by the The initial Health Link in the Local Health Integration Network Ontario Ministry of Health and Central East LHIN was established (Central East LHIN) announced Long-Term Care in 2012 and each in Peterborough. It is currently one that additional Health Links would of Ontario’s 14 LHINs were asked of 37 Health Links in Ontario. be established beginning in to develop at least one Health Link. These Health Links are focusing September 2013 with the Durham They are intended to focus on on key health conditions, such as: North East Health Link. A webinar improving the provision of heart failure; chronic obstructive information session was held on coordinated community health care pulmonary disease; myocardial September 20th, 2013 for health to individuals who have complex infarction; stroke; hip fracture; service provider organizations health problems and are at high cancer; end of life; pneumonia and serving the eastern and northern risk. These individuals compose urinary tract infections.areas of the Municipality of 5% of the population in Ontario Durham Region and each was and account for 66% of the health Brock CHC and other health asked to consider submitting an care spending. service providers in the north east “expression of interest”. area of Durham have submitted

“expressions of interest” pertaining to the Durham North East Health Link and the Central East LHIN announced in early October 2013 that there is sufficient support to proceed with the formation of the Durham North East Health Link. Based on this decision, Brock CHC has committed to this voluntary new model of clinical integration in which health service providers agree to partner and coordinate integrated care plans for health care clients. It is understood that Health Link integrations focus on clinical coordination and service delivery coordination and does not pertain to governance. The key principles related to the Durham North East Health Link commitment are:

·Put the person at the centre of planning and care delivery with strong mechanisms for client voices to be heard;

·Leverage existing service delivery organizations and leverage current capacity and best practices;

·Include representation across sectors with joint accountability for attainment of results; and

·Be committed to continuous quality improvement and evaluation.

Brock CHC’s

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Dementia Cure by 2025At a G8 Conference held recently in London England, the health ministers vowed to find a cure or treatment for dementia by 2025. The ministers noted that little spending is currently devoted to dementia research and drug trials compared to other illnesses. Their commitment is, in part, in response to this reality and, in part, in response to the growing incidence of dementia as the population in all eight countries ages rapidly.

Dementia currently affects more than 35 million people worldwide and the number is expected to double every two decades. In Canada, 1.4 million people are expected to have some form of dementia by 2031.

Source: adapted from CMHA Ontario news release, 2013

Central East LHINFunding AllocationsThe following chart illustrates the amount of funding provided by the Central East Local Health Integration Network to each health sector as of June 2013:

Health SectorFunding Allocation

as of June 30th, 2013($ millions)

Hospitals $1,329 m

Community Care Access Centre 235.8 m

Supportive Housing 13.8 m

Long Term Care Homes 416.9 m

Acquired Brain Injury 1.5 m

Community Support Services 34.6 m

Community Mental Health 48.8 m

Addiction Programs 12.3 m

Community Health Centres 28.1 m

Total $2,121.4 m

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Health Accord 2014Brock Community Health Centre, negotiation on what portion of public administration; universal together with the City of Kawartha health care funding would be access; comprehensive coverage; Lakes Family Health Team and shared by the federal and the accessibility without extra charges Kawartha North Family Health provincial/territorial governments. or discrimination; and portability. Team, hosted a series of public When medicare was established in consultations in late 2013 on the Canada, the health care cost Some of the concerns that have Health Accord, set to expire on sharing formula was 50% federal surfaced focus on: the potential March 31st, 2014. The and 50% provincial/territorial. The erosion of national standards; consultations will be held in federal government’s portion of inequity in the availability of health Fenelon Falls, Beaverton and funding has changed over time and services amongst provinces/ Lindsay. presently sits at 20%. territories; increase in the “for-

profit” sector in the health delivery; As Canadians, we take great pride In December 2011, rather than increased frequency of user fees in our publicly funded health care agreeing to negotiate a new Health and extra billings; lack of system, its history, and the values it Accord starting in 2014, the federal investment in the community care stands for. For the period 2004 to government announced that the sector; lack of enforcement of the 2014, the federal and current level of funding by the Canada Health Act; increasing provincial/territorial governments in federal government will continue costs of prescription and seniors Canada entered into a formal until 2017 at which point the federal care; potential cuts in medicare; agreement, referred to as the health care transfer will be tied to and more. Health Accord. As defined in 2004, economic growth, but not lower the Health Accord: than 3% annually. The change will As the expiration of the 2014

also include some variation in how Health Accord nears, members of ·reaffirmed the commitment of the transfer will be calculated for the public are encouraged to Canada’s federal, provincial and each province/territory, based on participate in the consultations that territorial leaders to the Canada economic performance. are occurring across the country. A Health Act;

positive and constructive public ·established strategies and goals As a result of the above discussion on achieving a to address wait times, home announcements, there is growing sustainable Canadian health care care, prescription medications, concern that some of the system, something that is vitally and primary care;fundamental principles embedded important to all Canadians, is ·defined other health care goals; in the Canada Health Act will be encouraged. Your voice is and eroded. These principles are: important.·stipulated an increase of 6% in

health care funding each year.

Over the ten year term of the Health Accord there has been significant focus on national health care standards and consistency in the level and types of services at the provincial/territorial level. By most accounts, this has prevented individual provincial/territorial health care standards from varying substantially, thus forestalling the emergence of significant inequity across the country.

Since the inception of medicare in Canada in the 1960s, there has always been tension and active

Dementia Cure by 2025At a G8 Conference held population in all eight countries recently in London England, the ages rapidly.health ministers vowed to find a cure or treatment for dementia Dementia currently affects more by 2025. The ministers noted than 35 million people worldwide that little spending is currently and the number is expected to devoted to dementia research double every two decades. In and drug trials compared to Canada, 1.4 million people are other illnesses. Their expected to have some form of commitment is, in part, in dementia by 2031. response to this reality and, in part, in response to the growing Source: adapted from CMHA Ontario

news release, 2013.incidence of dementia as the

October-December 2013

Brock CHC’s

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Focus on Specialized Geriatric Servicesfor Frail SeniorsThe Central East Regional needs of frail seniors and the enrollment in home-based care Specialized Geriatric Services creation of regional programs to and communication programs for (CE RSGS) has begun respond to those needs. The frail seniors and their caregivers. implementing their new three-year goals are to increase the number

Source: adapted from CE Regional strategic plan focused on of geriatric specialists, increase Specialized Geriatric Services, 2013.providing frail seniors with the provider participation in screening

best health experience through and assessments, and increase coordinated systems of care, including specialized health care and mental health services, tailored to their needs. CE RSGS was formed by the Central East LHIN to improve the organization, coordination and governance of specialized geriatric services for all frail seniors in the areas covered by the LHIN. Three strategic priorities include:

Improving the Care Experience: This is about making sure patients and families have access to specialized geriatric services with smooth transitions, tailored to individual needs, and founded on partnerships with other providers. The goals are to improve access to care and the care experience, increase the comprehensiveness of care, and improve caregiver services.

Fostering Excellence: This is about making sure heath care providers have the knowledge and tools to deliver high quality care and continue to improve performance. Anticipated improvements will focus on leading practices, system monitoring and system performance.

Increasing Awareness: The intent is to increase awareness of the

Expanding Physiotherapyfor SeniorsOver recent months, significant exercise and fall prevention physiotherapy service reform classes. The intent of these has been underway across changes is to improve the Ontario. Largely as a result of availability of these services decisions made by the and to improve access for provincial government to no seniors. As well, the changes longer fund physiotherapy are being implemented to services through OHIP after curtail the significant growth in August 1, 2013, Local Health OHIP funded physiotherapy Integration Networks (LHINs) services since 2005. For have been working hard to example, the utilization of OHIP effect a successful transition to funded physiotherapy in long-different public funding models. term care homes increased by The transition impacts exercise 130% and in-home and fall prevention classes, physiotherapy services physiotherapy services in long- utilization increased 600% term care, clinic-based during the 2005 to 2011 period.physiotherapy, physiotherapy provided by CCAC, and It is anticipated that the physiotherapy in primary care changes will focus on: more settings. effectively match physiotherapy

services with the needs of On April18, 2013 the Ministry of individuals in long-term care Health and Long Term Care homes; make physiotherapy announced that more than services more widely available 200,000 additional seniors and across Ontario; and provide clients across the province will access to exercise and falls benefit from improved access prevention classes in to high-quality physiotherapy, community settings.

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The Health Professionals about the communities and the organizations exhibited at one Recruitment Tour (HPRT) for opportunities available, but also or more stops on the tour.2013, sponsored by the resources available from

Source: HealthForceOntario, 2013 HealthForceOntario, stopped at HealthForceOntario. The all seven of the academic health following are the “numbers” from science centres in Ontario, during the 2013 HPRT Tour:the September to November period this year. Brock ·758 attendees;Community Health Centre was ·67% were medical students or one of close to 100 exhibitors on residents;the tour from communities across ·216 health care positions were Ontario where there is a need for featured on the tour;health professionals. ·5,513 visitors connected to the

HPRT micro site on The student health professionals healthforceontario.ca; andwho attended learned not only ·99 communities and

Health Professionals Recruitment Tour2013

Health CareExpendituresin CanadaThe following information about health care expenditures in Canada may be of interest to you:

�Total health care expenditures in Canada were forecast to be $191.6 billion in 2010, up from $171.8 billion in 2008.

�Per capital health care expenditures in Canada were forecast to be $5,614 in 2010, up from $5,154 in 2008. This represents a 8.7% growth rate over the two year period.

�Total health expenditure in Canada was forecast to be 11.7% of gross domestic product (GDP) in 2010, up from 10.7% in 2008.

Source: National Health Expenditure Trends, 1975 to 2010, Canadian Institute for Health Information.

Admiring ELSQ Art: Jeannette Millar, President of the East Lake Simcoe Quilters (ELSQ), and Ron Ballantyne, Executive Director of Brock CHC, admire a hand-made quilt crafted and donated by ESLQ members. Over 50 hand crafted items of all sizes and types were donated by ELSQ for individuals and families in need across Brock Township.

Contact UsPrimary Health Care Program:

64 Cameron Street EastCannington, Ontario L0E 1E0

Telephone: 705-432-3388Fax: 705-432-3389

Community Development and Health Promotion/Administration:

720 Simcoe StreetBeaverton, OntarioL0K 1A0

Telephone: 705-432-3322Fax: 705-426-4215

Website:

www.brockchc.ca

Upcoming Events

Diabetes Education Program:

20 Cameron Street WestCannington, Ontario L0E 1E0

Telephone: 705-432-2446Fax: 705-432-3039

Brock Geriatric Assessment Clinic:

720 Simcoe StreetBeaverton, Ontario L0K 1A0

Telephone: 705-426-2175Fax: 705-426-4215

Community Basketball and VolleyballWednesday evenings at Brock H.S.Please call 705-432-3322 for times and to register.

Drumming for Health Community ProgramRotating throughout Brock. Please call705-432-3322 for dates and locations.

Guided MeditationFridays from 10-11 am (January 3 - March 7)Cannington Curling Club 705-432-3322

Indoor WalkingWednesdays from 6-8 pm at Brock HSMondays, Wednesdays and Fridays at 9:30 am at

Fisher’s Independent

Kids in the KitchenRotating throughout Brock. Please call705-432-3322 for dates and locations.

Line Dancing - OngoingMondays at Cannington Legion from 10 am - noonThursdays at Beaverton Legion from 10 am - noonPlease call 705-432-3322 to confirm dates.

Liver Health and Hepatitis C ClinicsHosted by Oshawa Community Health CentreThird Tuesday of each MonthClinic from 10 am - 2 pm; Drop in lunch 11:30 a.m - 12:30 pm; Peer Support 12:30 - 1 pmBeaverton Town HallPlease call 1-855-808-6242 for more information.

Rejuvenating YogaWednesdays, Jan. 22 - March 26 from 10-11 amBeaverton LegionPlease call 705-432-3322 to register.

ZumbaThursdays at 6 pm beginning January 9 (10 wks)

Sunderland Arena (upstairs)Fridays at 5:30 pm beginning January 24 (10 wks)

Cannington Arena (upstairs)Please call 705-432-3322 to register.

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