“Aging at Home” in the Central West LHIN Elder Health Coalition November 19, 2008

Central West LHIN’s Strategic Directions Enhanced Integration - better coordinated and better linked services Increased Capacity - adequate level of the right kinds of services and supports Improved Access - timelier, easier access to high quality, client-centered services

2007 population of 65 years +78,583 of province’s seniors 4.4% 12 th in province 2010 population of 65 years +89,612 of province’s seniors 4.6% 12 th in province Growth from 2007 to ,023 5 th in province Percent growth 2007 to % 1 st in province Central West LHIN’s Seniors

Building Aging at Home Invest $21 M in new funding over next 3 years … establishing the local Directional Plan Nine Focus Groups (talking to diverse groups of seniors) Seven Public Forums (one in French) Aging At Home Symposium (Paul Williams, Mark Nowaczynski - innovation and integration) … and the local Detailed Plan Three Public Validation Forums Over 1000 people engaged Services for Seniors Core Action Group

Directional Plan Increase capacity to relieve pressures Address priorities identified through community engagement Support target population (at risk of institutionalization) Put in context of IHSP and Ministry priorities Monitor and evaluate impact

Year 1 Service Clusters Congregate Dining Adult Day Programs Home Maintenance / Home-Making Seniors multi-resource centre Day program for seniors and care-giver Volunteer training centre Supportive Housing Transportation Tele-chek

Year 1 Service Clusters Specialty Programs Nurse Practitioners in LTC facilities “Home-at-Last” across LHIN Physician home-visiting Social, recreational, and health educational programs Seniors helping Seniors Wellness / Equity South Asian wellness, volunteer program South Asian Adult Day Service Expand Ethno-cultural Seniors Centre

Year 1 - Learnings We’re on a learning curve Still lots to do Look at Year 1 processes Review initiatives funded by all LHINs Look at Year 1 initiatives moving forward

Central West LHIN Year 2 Aging at Home Determine gaps (geography and services) after Year 1 Targeted Year 2 investments Invite “geo-clusters” to develop Year 2 initiatives Business cases received, reviewed, and categorized into “direct / immediate” impact on ER/ALC, “diversion” away from ER/ALC use, or “prevent” ER/ALC use We’re setting the stage for Year 3

Year 2 - Direct / Immediate – 1 st look Direct / Immediate (50% of Year 2 funding) - $2 M Regional Specialized Geriatric Services Transitional Short-Stay Beds Palliative Care Beds “Bridging You Home” Program

Year 2 - Diversion – 1 st look Diversion (35% of Year 2 funding) - $1.4 M Seniors Community Mental Health Year 1 Supporting Living Expansion Respite Services Tele-Health Monitoring

Year 2 – Preventive – 1 st look Preventive (15% of Year 2 funding) - $480,000 Somali Seniors Adult Day Program Bathing Program PSW Escort – Transportation Year 1 Adult Day Programs Expansions

Year 2 – Learnings, so far Lots of diversion and prevention initiatives Need for unbundling Need to finalize costs and service levels Difficult to fund new start, high-cost proposals, notably supportive housing LHIN needs to work with group of providers to develop “direct / immediate” initiatives Always keep an eye on Integrated Health Services Plan and Health System Plan It’s about seniors and their health!

Central West Local Health Integration Network 8 Nelson Street West, Suite 300 Brampton, ON 6X 4J It’s about you and your health!