1 / 24

Home Care Program Long Term Care Strategy

Home Care Program Long Term Care Strategy. Linda Dando October 8, 2008. Current Community Support Options Home Care Program. Home Care Comprehensive, well established program Supports living in the community versus institutionalization Demand continues to rise

teigra
Download Presentation

Home Care Program Long Term Care Strategy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Home Care Program Long Term Care Strategy Linda Dando October 8, 2008

  2. Current Community Support Options Home Care Program Home Care • Comprehensive, well established program • Supports living in the community versus institutionalization • Demand continues to rise • Costs are generally less than equivalent level of service in PCH • Relies on input from family and informal system

  3. Home Care Support Services to Seniors Supportive Living Continuum Independent Living Supports to Seniors in Group Living Expanded Supportive Housing Specialized Supports Personal Care Home

  4. Home Care Program • Established in 1974 • Mission: To ensure the provision of effective, reliable and responsive home health care services to Manitobans to support independent living To ensure the coordination of admission to care facilities when living in the community is not a viable alternative

  5. Home Care Program Program Today • Responsible for providing supports and services to the elderly and or infirm to remain safely and independently at home • Based in • community sites • hospital sites • specialty program sites • Across lifespan

  6. Philosophy • Individuals/families are responsible for their own health • The role of home care is to support services available from the families, community and other resources • All Manitobans should have equal access to home care • Home care is an integral partner in regional community development

  7. Home Care Program Objectives: • To assess for Home Care eligibility and facilitate safe discharge of clients to community. • To work with the community to reduce the frequency of preventable re-admissions. • To coordinate/facilitate care and services for clients in Specialty Programs. • To access the appropriate community resources in a manner that is cost effective

  8. Eligibility • Resident of Manitoba • Functioning in activities essential to independent living is compromised/has declined • Support from family, caregivers and others is not sufficient to maintain the client at home • The provision of services will: support the client safely in their own home, maintain or prevent deterioration, enable family caregivers to maintain their role in supporting client at home, • Care services required are not available elsewhere (family, community, other programs/supports)

  9. Home Care Program • Services: Personal care, Nursing, Light housekeeping assistance, Respite, Counseling, Assessment for long term care / specialty services, Co-ordination of service plans and Referral to other agencies. • Key Activities: Intake, Assessment, Care Planning, Service Coordination and Delivery, After Hours Response, Case Management, Referral, Health Information, Education and Community Development

  10. Home Care Coordination • Community Coordinated – managed by Case Coordinator based in community area and Direct Service staff are from community area team • Nursing Coordinated – managed by Nursing. Only Direct Service Staff is visiting RN or LPN. Nursing Resource Coordinator and visiting nurses are from community area team. • Specialty Coordinated – managed by centrally located Case Coordinator. All Direct Service Staff are provided by the community area team.

  11. How is Service Delivered? • WRHA Direct Service Employees • Back Up Agencies • Self / Family Managed Care • Special Contracts • Service Purchase Agreements • Target Populations with Special Needs

  12. Special Programs • Provincial Ostomy & Home Nutrition Programs, Community IV, Nursing Clinics, Self/Family Managed Care, Complex Needs, Palliative, Respiratory, Dialysis, Stroke and Children’s Specialty Programs • Who is eligible? Each program has specific eligibility criteria

  13. Principles of the Referral Process • Single entry system • Streamlined consultation process • Timely contact with client, family and community • Timely completions of all necessary assessments • Timely and safe discharge / transition

  14. Home Care is a Voluntary Service • Clients and families can refuse to accept care and care plans • Care plans are developed with consideration to client level of risk • Clients and families are made aware of the risks to the clients if they choose not to participate in a care plan

  15. Staff Roles • Direct Service Staff – Nurses, Health Care Aides, Home Support Workers • Case Coordinators and Resource Coordinators • Allied Health Staff – OT and PT • Team Managers and Community Area Directors

  16. Home Care Program • Direct Service Staff • Approx. 2000 Home • Care Attendants • Approx. 450 Home • Support Workers • Approx. 400 Nurses

  17. Recent Accomplishments • Implementation Workload Review Recommendations: effective staffing, technology enhancement and improved processes • Establishment of best practice teams to facilitate development of expertise at the direct service level (Nursing) • Manitoba Home Nutrition Program – increased demand; reviewed processes; operational changes implemented • Development of community options for target populations (Chronic Ventilator / ABI)

  18. Recent Accomplishments • Expansion of the Home IV program and transition of staff from St. Boniface Hospital to Home Care Program in progress • Integration of Children’s Services – partnership between Children’s Special Services, Home Care & Child Health • Self / Family Managed Care Satisfaction Survey – 91% of respondents (97 clients) were satisfied with the overall service • Collaboration with Centre on Aging to establish entry criteria for Community Housing Options based on MDS HC data • Permanent EFT Project • Care Giver Strategy

  19. Areas for Development Self Care / Autonomy • Community Based Care • Partnerships • Expanding the Home Care Team • Allied Health • Use of Health Information • (MDS, HC and Procura) to • promote evidence based service • delivery, accountability and • direct program planning

  20. Program Issues • Balance competing demands from acute and long term to develop programs that are a cheaper alternative to their services while not eroding the valuable services presently provided by Home Care in the community • Increasing expectations from the public that Home Care will be able to provide the resources for service delivery plans that are increasingly more complex and comprehensive in order to support individuals with complex care needs remaining in the community • Challenged to ensure that programs / sites/ community areas continue to work together to promote development of best outcomes and service delivery options for clients rather than preserving program boundaries or compliance with program criteria over creative solutions • Better utilization of data to promote translation of knowledge between researchers, service providers and government into evidence informed policies and services

  21. Financial Issues • The top financial pressure for the Home Care program is related to Direct Service Staff costs. The volume increase for HCA is consistent with previous projections at 2% while the increase in nursing volume is mainly attributed to increasing demands for nursing respite in complex care situations. • Major volume increase has incurred within the Self & Family Managed Care Program which is reflective of the complex needs of the clients managed by that program and the desire of clients to have more autonomy in planning their own care.

  22. Human Resources Issues • Shortage of DSS especially HCA’s resulting in disruption in service, increased use of back-up agency and overtime • Workload Pressures – combination of complex service delivery plans and staff experience and skills that have not kept pace with client expectations and programs changes

  23. New Developments / Trends • Complexity of Service Delivery Plans – special contracts, target populations i.e. ABI, chronic ventilators, challenging behaviors • Post Acute Home Care – increase supports during convalescence following hospital stay • Care Giver Support • Different service delivery models i.e. clinics, partnering with external agencies, expanding Self/Family Managed Care Program • Expanding Home Care Team to include Allied Health

  24. Anticipated Changes • Increased pressure from acute care to develop community options due to LOS • Shortage of DSS and increasing dependence on back-up agencies and creative new partnerships • Change in philosophy to promote self care where appropriate • Greater dependence on family caregivers • Complexity of service delivery plans

More Related