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

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

LHIN Overview

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 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 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

What Do LHINs Do?

W ho 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.

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

$1.7 billion in healthcare spending (excluding physician payments, drug benefits, public health) 9Hospitals + 1 specialty mental health hospital 1Cancer Centre 68Long-Term Care Homes 1Community Care Access Centre 25Mental Health Services 8Community Health Centres 48Community Support Services 6Substance Abuse Programs 17Supportive Housing Services A snapshot of Central East LHIN funding

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 Integration: In simple language…

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

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

Priority Setting and Decision Making in the CE LHIN Establishes the long-term goal of the CE LHIN Organization Sets overall strategic directions for the CE LHIN organization and the entire Central East LHIN Sets health system priorities for change, common enablers, objectives, action planning and performance monitoring framework Includes CE LHIN planning partnerships, decision making tools, and expectations for planning and integration proposals Project Management Methodology and Health Service Improvement Pre-Proposal (HSIP) Vision Strategic Directions Integrated Health Service Plan Framework for Community Engagement & Local Health Planning Business Solutions

Community Engagement

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

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

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.

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

Our First Priority Projects

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

Project Management: Disciplined and Effective Planning

Aging at Home Strategy

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

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.

Community Support Services: Year 1 CHARTERS & RELATED PROJECTS 3 Charters & Related Projects $200,000 EMERGENCY RESPONSE SYSTEMS: 1 Initiative - Haliburton $10,900 HOME AT LAST: 1 LHIN-wide initiative with several locations $501,642 SENSORY (hearing and vision): 2 Initiatives $201,200 TRANSPORTATION: 3 Initiatives - Haliburton, Durham, Scarborough $92,700 COMMUNITY PALLIATIVE CARE: 1 Initiative – Scarborough $250,000 MEAL ON WHEELS; WHEELS TO MEALS: 6 Initiatives - Haliburton, Durham, Scarborough $162,700 HEALTH PROMOTION (WELLNESS) EDUCATION: 2 Initiatives – Scarborough, Peterborough $120,000 DEMENTIA: First Link 1 Initiative - LHIN-wide $205,000 Base = $986,342 One-Time = $757,800 CSS Total = $1,744,142

Caregiver Support and Well Being: Year 1 CHARTERS 1 Charter- $100,000 IN-HOME RESPITE: 5 Initiatives – several LHIN zones $299,200 ADULT DAY PROGRAM: 9 Initiatives – several LHIN zones $585,275 EDUCATION & TRAINING: 1 Initiative - Scarborough $100,000 Base = $731,975 One-Time = $352,500 CS Total = $1,084,475

Supportive Housing: Year 1 CHARTER 1 Charter – $100,000 SUPPORTIVE HOUSING: 5 Initiatives – well spread across the LHIN $1,915,450 Base = $1,815,000 One-Time = $200,450 SH Total = $2,015,450

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

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. – My Pagewww.centraleastlhin.on.ca