1. Rehabilitation in a Patient-Centred Care System
RSI Research Day
MAY 2017

2. Overview Evolving patient-centred health care
Clinical, policy and legislative considerations for rehabilitation services
The Patient Ombudsman and patient engagement

3. ? Evolving Patient-Centred Care Rehabilitation is a critical enabler
Disease-focused
Reactive
Provider-driven
Patients are by-standers
Patient-focused
Proactive
Focused on promoting wellness
Patients are active participants ?
How to get there
Rehabilitation is a critical enabler

4. Clinical Considerations Policy Considerations
Use of Technology
eHealth
Telehealth
Telehomecare
Enhanced Access to Rehab
Physiotherapy, occupational therapy, speech-language therapy
Policy Considerations
Rehabilitation and Complex Continuing Care Expert Panel (2010)
Auditor General of Ontario report on Rehab in Hospitals (2013)
Rehab Care Alliance (2013)
Physiotherapy Reform (2013)
Legislative Considerations
Excellent Care for All Act, 2010
Public Sector and MPP Accountability and Transparency Act, 2014
Patients First Act, 2016

5. History of the Patient Ombudsman
2010
Excellent Care for All Act
2014
Bill 8, the Public Sector and MPP Accountability and Transparency Act amends the Excellent Care for All Act to create the role of the Patient Ombudsman 
December 2015
Christine Elliott appointed
as first Patient Ombudsman
Spring 2016
Consultations across Ontario
July 2016
The Patient Ombudsman’s office opens
May 2017
Almost 1,500 complaints received

6. Listening to Ontarians’ needs
Sioux Lookout
Dryden
Sudbury
Thunder Bay
Sault Ste. Marie
North Bay
Ottawa
4 in-person sessions; over 600 respondents to online survey
Penetanguishene
Orillia
Collingwood
Oshawa
Toronto
Diverse ages, abilities and backgrounds
Mississauga
Niagara
Hamilton
Many identified as patients, healthcare professionals, caregivers, patient/family advocates
London
Chatham

7. community care access centres
A Conduit for the Patient Voice
Ontarians expect the Patient Ombudsman to bring the patient voice to the attention of policy and decision-makers
Who we oversee
630
long-term care homes
146
public hospitals 14
community care access centres

8. A Conduit for the Patient Voice
Ontarians expect the Patient Ombudsman to bring the patient voice to the attention of policy and decision-makers.
Health sector organizations
Aspirational Role of Patient Ombudsman
Patient Voice
Cautiously optimistic
Spotlight on the issues
Full of hope for positive change
Traditional health care colour
Credible
Trustworthy
Vibrant
Action-Oriented
Fresh – a new perspective

9. Vision
To be a trusted champion for fairness and to influence positive change in Ontario’s health care system.
Mission
We facilitate resolutions and investigate complaints involving health sector organizations, without taking sides, and make recommendations to improve experiences for all Ontarians.

10. Respectful Trustworthy Empathetic Fair We are
Our Vision, Mission and Values statements were informed by insights from Ontarians who let us know what they expect from us.

11. Resolving complaints, fairly

12. Communication
How to be inclusive and achieve meaningful dialogue with patients?

13. Coordination
How can we work together to bridge gaps in health care?

14. Access to Care
Where are the gateways?

15. Rehabilitation in a Patient-Centred Care System
Questions?