1. Aging at Home in the South West LHIN Invitational Elder Health Think Tank: Aging at Home: Getting There from Here November 19, 2008

2. Presentation overview The South West LHIN Aging at Home strategy implementation approach Status of year 1 initiatives Year 2 approach Approach for year 3 and beyond

3.  One of the largest LHINs – almost 22,000 km 2  North (Grey, Bruce)  Central (Huron, Perth)  South (Middlesex, London, Oxford, Elgin, Norfolk)  920,000 people (7.5% of the population of Ontario)  Many rural areas and small communities  Large urban population within the City of London  Large proportion of seniors  Small proportion of immigrants  5 First Nations communities  French Language Services designation About the South West

4. Our integration priorities Strengthening & Improving Primary Health Care Building Linkages Across the Continuum: Seniors and Adults with Complex Needs Preventing & Managing Chronic Illness Integration Priorities Enabling Priorities ACCESSQUALITYSUSTAINABILITY IMPLEMENTATION IMPERATIVES Transportation Promotion and Prevention Mobilizing Partnerships Evaluation, Research, Education & Knowledge Dissemination Standardization & Best Practice

5. South west LHIN allocation  South West LHIN receives $55M over 3 years  2008/09 – $7M  2009/10 – $17.4M (increase of $10.4M)  2010/11 – $30.7M (increase of $13.3M)  Anticipated Year 1 to be an opportunity for stabilization and enhancement of community-based services

6. Engaging our network  Priority Action Teams (3 Seniors & Adults with Complex Needs PATs informed the high level priority directions for year 1 Aging at Home  With the aid of LHIN facilitators, health service providers and community partners at each Area Provider Table (North, Central, South), coordinated the development of collaborative proposals to align to priority directions  Strategic Advisory Group, with input from Area Provider Tables, advised the LHIN of 2008/09 funding priorities aligned to priority directions

7. South West LHIN priority directions  Promoting wellness and healthy living  Supporting and caring for caregivers  Supporting those at risk of long-term care home placement and hospitalization

8. Decision criteria  Alignment with IHSP and Aging at Home directions  Consumer focus  Focus on population health  Evidence based  Promotes integration  Supports the health system  Supports sustainability  Demonstrates partnership

9. Year 1 initiatives 25 projects approved to move forward in 2008/09 – 2010/11  Approximately $4.8M (69%) support seniors at risk of LTC home placement and hospitalization (e.g., HAL, Safe at Home, Community Stroke Rehab, Supportive Housing, Adult Day Programs and Home help)  Approximately $1.2 M (17%) to promote wellness and healthy living (e.g., wellness programs, Immigrant and Francophone wraparound)  Approximately $1 M (14%) to support caregivers and improved infrastructure (e.g., information and respite services, transportation coordination)

10. Year 1 initiatives 25 projects approved in 2008/09  $4.8M (69%) support seniors at risk of LTC home placement and hospitalization (e.g., HAL, Safe at Home, Community Stroke Rehab, Supportive Housing, Adult Day Programs and Home help)  $1.2 M (17%) to promote wellness and healthy living (e.g., wellness programs, Immigrant and Francophone wraparound)  $1 M (14%) to support caregivers and improved infrastructure (e.g., information and respite services, transportation coordination)

11. Year 2 considerations  Review of proposals (57) not funded in year 1  PAT Recommendations completed identifying:  Range of services framework to support a continuum of services available in the South West  Support for common assessment, single and multiple points of access to information (no wrong door to service)  Examination of LHIN performance targets such as ALC and Mean wait time to LTCH placement  Alignment with Alternate Level of Care and ER Strategy

12. Year 2 – a focused approach  Planned expansions/ramp-up of year 1 projects  Funding for selected ALC projects (supported in 08/09 through LHIN ALC priority funding)  “Targeted” new projects based on PAT recommendations and review of proposals not funded in year 1  Proceeding with key processes to guide year 3 allocation approach  Balance of Care study  Data capture through InterRAI tool implementation  Blueprint project

13. Year 3 aging at home approach  Balance of Care Project and planning for a range of services along the continuum of care (implementation of PAT recommendations)  Monitor and evaluate impact of year 1 and if possible year 2 initiatives  Continuation of interim strategies to target priority areas and extend final investments in Aging at Home

14. Visit our website www.southwestlhin.on.ca  Kelly Gillis Senior Director Phone: 519 640 2564 kelly.gillis@lhins.on.ca  Julie Girard Planning and Integration Lead Phone: 519 640 2569 julie.girard@lhins.on.ca Contact information (aging at home)