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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
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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
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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
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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
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42 Interventions that interface with primary care
Annual Business Plan 42 Interventions that interface with primary care Technology Engagement Service Enhancements Quality improvement
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Coming Up…. Integrated Health Service Plan 2016-19
Person-centred Areas of Focus aligned to provincial priorities & local needs Engagement
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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
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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
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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
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State of Primary Care “system”
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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
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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
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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
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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
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Champlain Health Links
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Collaboration with C.T. Lamont Centre Researchers
Quarterly Meetings with LHIN senior Staff TRANSFORM IMPACT CHAP eConsult PC Congress
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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
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