1. Toronto Central LHIN Strategic Plan 1 Driving system improvements to achieve better outcomes for people and communities

2. 2 TC LHIN’s Progress Time Sizing the problem –Disease prevalence –Population profile –Provider and community perspectives on issues Aligning, integrating services to improve access / initiating LHIN-level Excellent Care for All initiatives / beginning culture shift / beginning to optimize internal capacity IHSP 1 IHSP -2 TC LHIN Progress Driving Excellent Care for All / changing system culture / driving system sustainability / optimizing internal capacity TC LHIN Strategic Plan We are here

3. Indicators Strategies Improve Access to and Efficiency of Services ER/ALC Mental Health and Addictions Diabetes Value and Affordability Lead Provincial and Cross-LHIN System Improvement Optimize Internal Capacity Drive Excellent Care for All Quality Equity System Capacity and Planning Indicators for TC LHIN- led provincial initiatives including: Senior Friendly Hospital Resource Matching and Referral Indicators for Integrated Health Services Plan – 2 priorities Indicators for: Business Intelligence Knowledge management Business continuity Customer database LHIN Shared Services and LHIN Collaborative System and sector indicators for: Quality Equity System Capacity Goal People have more and easier access to services across the system; services are more efficient and sustainable Organizational Capacity is Optimized Every person receives quality care Who We Serve Aim TC LHIN Strategy 2011/12 - 2013/14 – At a Glance Drive sustainable system improvements to achieve better outcomes for people and communities 3 Patient/Client/Caregiver The Health System Our People Our Communities

4. The Singular Goal of Excellent Care for All To re-orient the health care system around people and communities 4

5. Indicators Strategies Drive Excellent Care for All Quality Engage communities to select indicators, by system and sector, and determine priorities and actions. Equity Engage communities to set priorities, indicators and actions. System Planning and Capacity Improve quality, equity and sustainability by: driving system integration and efficiency influencing health and community services integration and efficiency # of HSPs adopt quality indicators Reduction in % ALC days for long-stay Reduce 30-day readmissions Decreased hospital length of stays % reduction in costs related integration Every person receives quality care 5

6. Quality – Initial Deliverables Select Quality indicators consistent with Ontario Health Quality Council that TC LHIN can drive Break down indicators by sector Include indicators in accountability agreements Drive implementation of key LHIN Quality initiatives i.e., Seniors Friendly Hospital Identify new high priority LHIN-level Quality initiatives and implement Caregiver support? 6

7. Equity – Initial Deliverables Establish Equity indicators for system, by sector Include indicators and obligations in Accountability Agreements, starting with hospitals Select priority Equity initiatives for TC LHIN and implement 7

8. 8 Q1 Deliverables Excellent Care for All Vent, MHA, rehab/CCC patients transitioned Begin demonstrating impact of Integrated Care for Seniors project; create plan to incorporate Home Bound Primary Care for Frail Seniors Stakeholder engagement Engage HSPs; health professionals; consumers via existing group to develop quality indicators, initiatives. Equity expert forum and targeted engagement to select indicators and initiatives, plan engagement. Broad and targeted consumer engagement to select/develop quality, equity indicators and priorities HSP Leadership Forum to identify cross-sector process improvement priorities Engage non-health sectors about process improvement, system capacity opportunities Q4 Deliverables Excellent Care for All Quality indicators in 12/13 accountability agreements for all sectors Stakeholder engagement HSP Leadership Forum to advance cross-sector process improvement priorities. Engage HSPs regarding inclusion of quality indicators in accountability agreements. Engage non-health sectors on process improvement ; system capacity opportunities. Q3 Deliverables Excellent Care for All Set sector specific quality and equity indicators Hospital-specific equity indicator in H-SAAs Begin implementation of new LHIN-level quality and equity initiatives Q2 Deliverables Excellent Care for All Quality system and equity indicators selected Hospital-specific equity indicator in H-SAA Hospitals begin to implement Senior Friendly Hospital improvements Implement models for all long- stay ALC priorities Implement quality and equity indicators HSP process improvement initiatives and opportunities Stakeholder engagement Engage HSPs; health professionals; consumers to set sector-specific quality indicators Engage HSPs regarding inclusion of quality indicators in accountability agreements Engage non-health sectors on process improvement; system capacity opportunities. Stakeholder engagement Engage HSPs; health professionals; consumers via existing structures to confirm system-level quality indicators, implement plans for new system initiatives. Engage non-health sectors on process improvement ; system capacity opportunities. Broad and targeted consumer engagement on system -level quality and equity actions. Excellent Care for All - Draft High Level Development Plan