1. Champlain LHIN Collaboration
with
C.T. Lamont Primary Health Care Research Centre
Karen Patzer
C.T. Lamont Primary HealthCare Research Centre Retreat
April 16, 2015

2. Respect, Trust, Openness, Integrity, Accountability
Champlain LHIN
Integrated Health Service Plan
for a Person-Centred Regional Health Care System
Vision:
Healthy people and healthy communities supported by a quality, accessible health system
Mission:
Building a coordinated, integrated and accountable health system for people where and when they need it
Values:
Respect, Trust, Openness, Integrity, Accountability

3. Champlain LHIN and CT Lamont Primary HealthCare Research Centre
Common interest to use evidence-based knowledge to:
support improvements in primary health care throughout the Champlain region, and
contribute to achieving Champlain Integrated Health Service Plan key results

4. Statement of Relationship Commitments
C.T. Lamont Primary Care Research Centre
Provide access to primary care research content and local data
Contribute to evidence-base to support LHIN primary care planning
Conduct evidence reviews
Build capacity in primary care research and quality improvement
Champlain LHIN
Inform the development of relevant research
Offer in-kind support
Promote linkages
Share information & findings

5. 42 Interventions that interface with primary care
Annual Business Plan 42
Interventions that interface with primary care
Technology
Engagement
Service Enhancements
Quality improvement

9. Coming Up…. Integrated Health Service Plan 2016-19
Person-centred
Areas of Focus aligned to provincial priorities & local needs
Engagement

10. Summary Continue to build and use evidence…..
Inform regional planning & priority setting
Understand evidence to support decision making
Communicate & coordinate efforts
Link with existing LHIN Primary care committees & networks
Keep research relevant to local needs and priorities

11. Primary Care Update Vision for a Future State of an
Efficient, Patient-centred health system
Dr. Jacques Lemelin
C.T. Lamont Research Centre
April 17, 2015

12. Road Map Current State Primary Care within the LHIN
Overview of Champlain Primary Care Engagement
Requests for Primary Care
Linkages with Researchers
Future state: Integrated Health Care System

13. State of Primary Care “system”

14. Primary Care in the LHIN
Reviewing primary care related activities for better alignment
Working toward a primary care strategy
Engaging primary care providers
Supporting projects involving primary care
Setting up communication tools & mechanisms
Advising the Ministry on human health resource needs across the region
Monitoring health system performance metrics

15. Primary Care Physician LHIN Lead Role
Acts a champion, educator and strategic communicator between the primary care sector and the LHIH
Facilitates PC integration as a “health sector” so PC has a voice.
Assists in integrating primary care provider priority activities and objectives with LHIN objectives
Chairs Primary Care Advisory Committee

16. Primary Care Engagement Challenges
Incomplete Primary Care Physician database
Need good data for health human resource analysis
Communications
Primary care accountability outside of the LHIN (except for CHCs)
Lack of provincial or local strategy for primary care
Research challenges
Time lag between policy development and research cycles
Aligning research themes with policy needs

17. Opportunities for Primary Care Involvement – Examples of Requests
Health Links
Mental Health & Addictions Strategy
Seniors Strategy – Dementia Clinics, Falls Prevention
Chronic disease prevention (public health) & management
Primary care needs from CCAC (home & community care)
Transitions of Care – Medically Complex Patients Projects
cNEO (Connecting Northern and Eastern Ontario)
eConsult
Planning – capital & health human resources
Education events - University of Ottawa, Faculty of Medicine, Office of Continuing Professional Development
Quality Improvement
Research

18. Champlain Health Links

20. Collaboration with C.T. Lamont Centre Researchers
Quarterly Meetings with LHIN senior Staff
TRANSFORM
IMPACT
CHAP
eConsult
PC Congress

21. Future State: Efficient Patient-Centred Care
Champlain Health Care System
Diagnostics & Testing
PC as an effective health sector means improved:
System efficiency through better integration
Access
Patient experience & outcomes
Cost efficiency; and
Fewer ED visits and re- admissions
Specialists
Reduced avoidable visits
Emergency Department
Reduced avoidable readmissions
Efficient communications between hospital and PCP including:
PCP notified when patient is admitted
PCP gets discharge summary, treatment plan, and scheduled 7- day follow up appointment
Primary Care Provider (PCP)
Belongs to Primary Care Network (PCN)
Hospital
eConsultation
Improved patient care through access to specialists
Community Support Services
Includes PCP having access to info on all related supports and services, like:
Mental Health & Addictions Services
Adult Day Programs
Chronic Disease Support & Self Management
Friendly Visits
Meals on Wheels
Non-Urgent Transportation
Respite Care, etc.
Rapid Referral Clinic & Health Care Connect
Reduced number of unattached patients from Clinic and PCN collaboration
In Home Care (CCAC)
Increased access to and awareness of CCAC range of services
Created by Dr. Jacques Lemelin & Linda Ramsey, Champlain LHIN