Visioning Session on Seniors and Geriatric Services (Sample Presentation Slide Deck) Date Time

1. Visioning Session on Seniors and Geriatric Services (Sample Presentation Slide Deck) Date Time Venue

2. Session Outline • Welcome and Introductions • Where are we today? • Our LHIN • Our Hospital • Impetus for Change • Best Practices • Where do we want to be in 3 years? • Next Steps

3. Purpose of the Session To create the hospital’s ‘vision’ for achieving excellence in services for seniors, including specialized geriatric services

4. Relevant Hospital Strategic Goals/Priorities

5. Where are we today? Our LHIN Our Hospital

6. Our LHIN’s IHSP Priorities

7. Status of Planning for Seniors in Our LHIN

8. Serving Seniors at our Hospital –Current State • List current programs that specifically target seniors • List any committees/task forces/working groups that are specifically focused on seniors issues

9. Impetus for Change

10. Seniors in Our LHIN • Insert bar graph showing current and projected seniors population in the LHIN • A stacked bar graph can be used to illustrate the different age cohorts within the seniors population (i.e. 65-74, 75-84, 85+)

11. Seniors account for 63% of all acute inpatient days and 43% of all provincial health expenditures in Ontario

12. Quality Concerns for Seniors in Acute Hospitals • 2-fold risk for adverse events and surgical complications • 50% of all nosocomial infection • 15-20% will develop hospital acquired delirium • Longer lengths of stay • High rates of re-admission • Loss of the capacity for independent living • More costly care (see next slide).

13. Ontario Case Costing Data, 2005/06

14. Ontario Case Costing Data, 2005/06

15. Best Practices

16. Health Care Services for Seniors Specialized Geriatric Services

17. What are Specialized Geriatric Services?

18. Benefits of Specialized Geriatric Services • Decreased acute readmissions • Reduced rate of emergency department admission • Decreased length of stay • Improved survival • Improved functional status

19. Best Practices in Specialized Geriatric Services • Outreach • Outpatient Geriatric Clinics • Geriatric Day Hospitals • Acute Geriatric Units • Geriatric Rehabilitation Units (GRU) • Geriatric Assessment And Treatment Units (GATU) • Internal Consultation Teams • Psychogeriatric Services • Geriatric Emergency Management .

20. Best Practices in Senior Friendly Hospitals • Processes of Care • Emotional and Behavioural Environment • Ethics in Clinical Care and Research • Organizational Support • Physical Environment

21. Where do we want to be in 3 years?

22. Small Group Discussion (15 minutes) Group #1: Hospital Role What should role should we play in seniors and geriatric services in our LHIN?What should we offer? Examples of strategic choices: Please pick someone to provide a 5 minute synopsis of your discussion Status Quo Transformational Change Contributor/Partner Leader Generalists Centre of Excellence Narrow Scope Broad Scope

23. Small Group Discussion (15 minutes) Group #2: Organizational Fit How can services for seniors and the geriatric population best be organized relative to other programs at our hospital? Examples of strategic choices: Please pick someone to provide a 5 minute synopsis of your discussion Separate Integrated Ad hoc Coordinated

24. Small Group Reports

25. This is where you are going This is where you are today • Program Design • Implementation Plan • Organizational Change

27. Next Steps

28. Next Steps – Developing the Business Case Distribute Scorecard Questionnaire: • What are the most important criteria for a successful business case for moving forward with our vision for seniors and geriatric services?

29. Next Steps – Timelines for Deliverables