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Implementation of the Aging at Home Strategy

Implementation of the Aging at Home Strategy. Update MOHLTC Ministry Management Committee and LHIN CEOs Joint Meeting December 5, 2007. Susan Paetkau, Co-Chair Aging at Home Working Group Director, Health Program Policy and Standards Branch Health System Strategy Division.

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Implementation of the Aging at Home Strategy

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  1. Implementation of the Aging at Home Strategy Update MOHLTC Ministry Management Committee and LHIN CEOs Joint Meeting December 5, 2007 Susan Paetkau, Co-Chair Aging at Home Working Group Director, Health Program Policy and Standards Branch Health System Strategy Division Laura Pisko-Bezruchko, Co-Chair Aging at Home Working Group Senior Director, Planning, Integration & Community Engagement Toronto Central Local Health Integration Network

  2. Agenda • LHIN – Ministry Working Group Deliverables • Working Group Progress • Implementation Work Plan • Planning • Innovation • Accountability • Communications • Next Steps • Appendices • LHIN Role • Ministry Role Aging at Home

  3. LHIN – Ministry Working Group Mandate: LHIN-led planning and implementation of a client-centred and integrated service strategy based on principles and goals of Aging at Home Strategy Key Deliverables: • Implementation plan with key milestones and timelines • Develop planning approach aligned with Integrated Health Service Plan/Annual Service Plan process and share planning tools/resources • Enable innovation by developing criteria, sharing innovative service approaches and engaging “grassroots” providers • Accountability through an evaluation plan and performance measures aligned with Ministry-LHIN Accountability Agreement • Joint ministry/LHIN communications to reach seniors and their caregivers, and providers of health and community services Aging at Home

  4. Implementation Work Plan • Local/provincial engagement with Ongoing seniors, service providers and experts • LHIN Directional Plans completed October 31, 2007 • Summary of LHIN Directional Plans December 2007 and MOHLTC feedback on legislative, regulatory and policy enablers • LHIN 2008/09 Detailed Service Plans February 29, 2008 • Innovation Exchange March 2008 • LHIN 2009/10 Annual Service Plan August 31, 2008 Aging at Home

  5. Planning Approach • Definition of “seniors” developed “The Aging at Home Strategy is targeted to seniors who are dealing with age-related health conditions or age-related disabilities. Consideration should also be given to services, programs and supports that allow family, friends and neighbours to continue caring for seniors in the community” • Provincial legislative/regulatory/policy barriers and options identified • Review of provincial associations’ reports and literature • Directional plan from LHINs completed • Detailed Service Plan underway Aging at Home

  6. LHIN Directional Plans – Common Themes • Increase public awareness and information • Increase supply of services • Facilitate easier access to appropriate care and services • Transportation • Supportive Housing • End-of-life care at home and in residential hospices • Specialized geriatric care • Assistive devices • Caregiver supports (e.g., respite; adult day programs) Aging at Home

  7. LHIN Directional Plans – Common Themes Cont’d • Increase integration and coordination of services • Support innovative solutions to health care system delivery • Enhance health promotion strategies designed to keep seniors healthy, active and socially engaged • Support health systems sustainability (reduce pressure/demand on hospitals, CCACs and LTCHs) through strategic LHIN investments • Address health human resource issues – staff and volunteer recruitment, training and retention Aging at Home

  8. Innovation • Definition of innovation developed: “Introduction of services, programs, service providers, or methods of service delivery that are new, unusual, or in other ways different from those previously used” • Intent is to use innovation in an integrated service system to help seniors live at home or in their own communities with dignity and independence • Examples of innovation: • Modification of existing program/service for new type of client, or provide service in new way; • Introduction of proven program/service from another jurisdiction or discipline; • Developed common criteria for innovation proposals • Plan for local/provincial innovation exchange (hub and spoke model) Aging at Home

  9. LHIN Directional Plans – Approaches • Health promotion/disease prevention (e.g., self-management, increasing physical activity) • Support transformation and integration of health services (e.g., linkages with primary care) • Integrate/collaborate with non-health services in the community • Local community economic development • Innovative funding models; linkages with other funders/providers; shifting emphasis to community Aging at Home

  10. Communications • Local outreach ramping up throughLHIN websites ;Community engagement forums; Requests for HSIPs; local media activity • External “provincial”/LHIN communication plan and materials developed • Public website (with presentation, questions & answers, and e-bulletin) • November 2nd – forums held with provincial senior organizations and provincial provider associations • Conferences/AGMs – OCSA, OHA/OACCAC • Meetings upon request – OCSSC, VON Canada Aging at Home

  11. Accountability • Ministry initially proposed: • Percent of ALC days in hospital • Rate of ED visits by seniors that could be managed elsewhere • Median wait time to LTC home placement from hospital and community • Satisfaction amongst seniors with the range of services available to them • Task group with key informants developed to established evaluation plan and performance indicators • Looking at 75 indicators proposed by LHINs and available data sources Aging at Home

  12. Next Steps • Steering Committee to meet and provide guidance to Working Group • Consideration of dedicated LHIN project management resources • Expedite Aging at Home e-bulletin, further develop communications plan • Plan Innovation Exchange • Dialogue with experts Aging at Home

  13. Appendix ALHIN Role LHINs will lead the planning and implementation of the strategy, based on community needs by: • Identifying the amount of community-based supports needed in each LHIN area to achieve an integrated system of community-based services that enables seniors to live safely at home with dignity and independence • Planning and identifying required Aging at Home services for implementation beginning April 1, 2008 within each LHIN allocation • Implementing LHIN-identified Aging at Home services beginning in 2008-09 through to 2010-11 • Reviewing the effects of implementing the previousyear’s services in light of the upcoming year’s planning process Aging at Home

  14. Appendix BMOHLTC Role • Provide overall policy direction • Review legislative and policy barriers, and undertake activities to remove these barriers • Enable implementation of the plans and consider suggestions to support implementation • Establish internal ministry working group and inter-ministry consensus building for the Aging at Home Strategy Aging at Home

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