2. Huron Perth Healthcare Alliance Town Hall Meetings April 29 th, May 3 rd, 4 th and 5 th, 2010

3. Tonight’s Discussion Provide information about: Provide information about: –Our Healthcare Reality –VISION 2013 –Our planning process, including community engagement activities Answer your questions Answer your questions

4. A Few Initial Observations 1.Everyone Here Tonight –General Public –HPHA Has the Same Goal….

5. ….To Have Access to the Safest, Highest Quality Healthcare Possible NOW, and into the FUTURE

6. 2.The People Involved in Making Decisions about Our Healthcare Are Just Like You… -We live locally -We and our families depend on the local healthcare system -We are very proud of our communities and want them to flourish -We try our best to do what is best

8. 3.While we view healthcare as local, in reality healthcare is regional, provincial, national and international in nature

9. Our Healthcare Reality Government of Ontario Government of Ontario Local Health Integration Networks Local Health Integration Networks Health Service Providers Health Service Providers Primary Care Primary Care Public Health Public Health Municipalities Municipalities 9

10. So Why Are We Even Considering Adjustments to How We Provide Care? - Because the healthcare WORLD we operate in is evolving and we NEED to keep pace - IDEALLY, we NEED to stay ahead

11. So How Is It Evolving? Healthcare Professionals are Very Different Today Healthcare Professionals are Very Different Today Technology is ever evolving Technology is ever evolving Safety and Quality Standards are evolving Safety and Quality Standards are evolving Funding models are evolving Funding models are evolving

12. Ontario Population Pyramid, 2006 (%) Source: Statistics Canadawww.footwork.com 12

13. So What Are We Trying to Accomplish? We want to ensure that our people are able to use their skills to the fullest We want to ensure that our people are able to use their skills to the fullest We want to ensure we are using all of our facilities appropriately We want to ensure we are using all of our facilities appropriately We want to create more consistent groupings of patients at sites to help with recruitment and retention We want to create more consistent groupings of patients at sites to help with recruitment and retention

14. We want to improve access to medical and surgical beds We want to improve access to medical and surgical beds We want to continue to reduce wait times in areas such as cancer surgery We want to continue to reduce wait times in areas such as cancer surgery We want to continue to reduce wait times in ER by fostering better overall use of the ERs through the creation of a true ER system of care We want to continue to reduce wait times in ER by fostering better overall use of the ERs through the creation of a true ER system of care

15. We want to help improve access to Family Health Care We want to help improve access to Family Health Care We want to pursue new services such as MRI and Child and Adolescent Mental Health Beds We want to pursue new services such as MRI and Child and Adolescent Mental Health Beds

16. So…What Changes are We Talking About? Beds Beds –Beds at all sites –Increase Bed Numbers in Clinton, St. Marys and Seaforth –Strengthen Medical and Surgical Bed Access in Stratford –Relocate Rehabilitation Beds to Accommodate increased Medical and Surgical beds in Stratford

19. Emergency Departments Maintain 4 Emergency Departments operating as an emergency care “system” Maintain 4 Emergency Departments operating as an emergency care “system” Assess St. Marys ED hours against demand, human resource availability and proximity Assess St. Marys ED hours against demand, human resource availability and proximity Assess Clinton or Seaforth ED hours in conjunction with Local Health Integration Network Emergency Department Human Resources Study Assess Clinton or Seaforth ED hours in conjunction with Local Health Integration Network Emergency Department Human Resources Study

20. Immediate15 Minutes 30 Minutes 60 Minutes120 MinutesTotal 7am – 7pm832,45910,82522,2144,41839,999 7pm – 7am551,4505,0017,18183314,520 Unscheduled ER by Triage Level HPHA 08/09 20

21. Service alignment with beds Service alignment with beds Centres of Specialty Centres of Specialty –Increase volumes in selected services Repatriation opportunities Repatriation opportunities New service identification New service identification –Child and Adolescent Mental Health –MRI Maintain Employment Levels Maintain Employment Levels

22. What Are We Hearing? We have heard and will hear from hundreds of people – formally and informally, through: We have heard and will hear from hundreds of people – formally and informally, through: –Workshops – summer 2009 –Survey – summer 2009 –Telephone Survey – fall 2009 –4 Town Halls – April/May 2010 –2 Community Talks – May 2010 –Ongoing staff engagement –Presentations

23. Great care is consistently received at all four sites Great care is consistently received at all four sites Staff are appreciated Staff are appreciated People intuitively understand the need for change People intuitively understand the need for change Concerns about: Concerns about: –Transportation –Access to Emergency Services –Viability of four sites under new model –Communication and Input

24. A Few Key Requirements in Making Decisions Physician Support – Physician leaders need to be comfortable with the new model Physician Support – Physician leaders need to be comfortable with the new model Model has to support an environment that will be more appealing for recruitment and retention of healthcare professionals Model has to support an environment that will be more appealing for recruitment and retention of healthcare professionals Staff to have option to move with the service/practice should services be relocated Staff to have option to move with the service/practice should services be relocated

25. What Will We be Doing Next? Assess outcomes of community engagement Assess outcomes of community engagement Develop recommendations based on current and future realities and feedback received Develop recommendations based on current and future realities and feedback received Board to consider in June 2010 Board to consider in June 2010 Present plan to the SW LHIN Present plan to the SW LHIN Develop implementation plan Develop implementation plan Ongoing Communication and Engagement

26. Questions and Thoughts? Happy to take your questions and hear your thoughts phone: 519-272-8202 email: andrew.williams@hpha.ca 26