LHIN Priority Projects & Aging at Home Strategy

1. LHIN Priority Projects & Aging at Home Strategy Kate Reed Senior Integration Consultant May 2008

2. 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

3. LHIN Overview

4. 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 • 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

5. What Do LHINs Do?

6. 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.

7. Vast Geography Large Population Nearly 1.5 million people Current Spending Over $1.7 Billion Broad Diversity Language Culture Geography Where is the Central East LHIN?

8. A snapshot of Central East LHIN funding • 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 $1.7 billion in healthcare spending (excluding physician payments, drug benefits, public health)

9. Integration: In simple language… • 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

10. How Do We Do It? 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 Transformation of our health care system cannot be achieved through a singular focus on “structure” or hierarchic “control”

11. 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

12. Priority Setting and Decision Making in the CE LHIN

14. Community Engagement

15. 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

16. 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

17. The Integrated Health Service Plan (IHSP)

18. 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.

19. The Integrated Health Service Plan:Creating Alignment ofHealth Care Strategy, Innovation and Resources to Improve Quality and Access

20. Our First Priority Projects

21. Seamless 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 Our First Priority Projects

22. Project Management:Disciplined and EffectivePlanning

23. Aging at Home Strategy

24. Provincial AAH Strategy: Recap $702M over 3 years to be invested in community services to enable seniors to age at home with dignity and 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

25. 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.

26. Community Support Services: Year 1

27. Caregiver Support and Well Being: Year 1

28. Supportive Housing: Year 1

29. 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

30. 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