Aging At Home …

Accessible Home Care Services Within Walden

North East Local Health Integration Network (NE LHIN)Terry Tilleczek, Senior Director, Planning and Integration

April 25, 2009

Health and wellness

for all.

Santé etmieuxêtrepour tous.

Wii-mino-bimaadiziiyang

kino

Outline

• Background on the NE LHIN

• Current Priorities

• Aging at Home Strategy• Overview• Manitoulin-Sudbury

• Services in Walden

LHINs – History

• 14 LHINs established by Province of Ontario in 2006 under the Local Health System Integration Act.

• Full funding authority transferred from the Ministry of Health and Long-Term Care (MOHLTC) to the LHINs on April 1, 2007.

• $1.2 billion transferred to the NE LHIN.

The NE LHIN is responsible to:

• Plan, integrate and fund local health services;

• Lead the transformation of the local health care system;

• Work closely with health service providers, consumers and their families to integrate health care practices into a model that works for the people of North East Ontario.

The NE LHIN Region …

• More than 560,000 people

• Approximately 400,000 square kilometers

• Culturally diverse: • 24% Francophone• 10% Aboriginal, First Nation

and Métis

Seven Planning Areas

• Algoma

• Cochrane

• James Bay & Hudson Bay Coasts

• Manitoulin-Sudbury

• Nipissing

• Parry Sound

• Timiskaming

James andHudson Bay Coasts (1302)

Algoma (1301)

Cochrane (1307)

Manitoulin-Sudbury (1305)

Nipissing(1303)

Timiskaming(1306)

South West

LHIN Boundaries (Version 11)

Sub-LHIN Boundaries (Version 7.1)

0 160 32080

kms

Sub-LHIN Planning Areas

North East LHIN

NorthWestLHIN

Roles within the Health System

• 10-year strategic plan & provincial priorities• Standards & directives• Ministry-LHIN accountability agreements• Funding models & LHIN funding envelope

Ministry of Health & Long-Term CareProvincial Standards, Policy, and Strategic Direction

Local Health Integration Networks (LHINs)Local P lanning, Accountability, Funding & Allocation

Service ProvidersDelivery of Services & Programs

• Integrated Health Services Plan (3-year plan)• LHIN-provider accountability agreements• Integration directions• Service planning, funding & allocation

NE LHIN Health Service Providers

• 26 General Hospitals• 1 Specialty Mental Health Facility• 1 Community Care Access Centre• 76 Community Support Services• Close to 75 Community Mental Health,

Addiction & Problem Gambling Services• 45 Long-Term Care Homes• 5 Community Health Centres

NE LHIN Vision & Mission

Vision:Health and Wellness for All

Mission:Create a system that is innovative, sustainable and accountable

Audit Committee* Governance Committee*

French Language Health Planning Entities*

Executive Committee

Local Aboriginal Health Planning Entities*

Health Professionals Advisory Committee*

NE LHIN NE LHIN Chief Executive OfficerChief Executive OfficerHeath Human Resources e-Health

Wait Times

Parry Sound NipissingManitoulin& Sudbury

Algoma Timiskaming CochraneJames &

Hudson Bay Coasts

Project or Task Specific Tables as Required(Time Limited) * Legislated Board

Committees

Health System CEO RoundtablesHealth System CEO Roundtables

Chronic Disease Prevention Management

NE LHINNE LHINBoard of DirectorsBoard of Directors

Integrated Health Service Plan (IHSP) Seven Priorities

• Aboriginal Health Services

• Chronic Disease Prevention Management

• Information and Communication Technology

• French Language Health Services

• Health Human Resource Needs

• Primary Care Reform

• Wait Times

IHSP Refresh• Strategic Plan for the region• Required by legislation• Developing next 3 year Integrated Health Services

Plan• Due end of November 2009• Community engagement through:

• Web page

• Focus groups

• Existing committees and structures

• Visit our web page

Some Current NE LHIN PrioritiesAlternate Level of Care (ALC)

• Sudbury ALC Steering Group (10 priorities)• North Bay Task Force • SSM Task Force • Timmins Task Force

• Senior’s Housing Study

• Aging at Home – Year 3

• ER/ALC Performance Management (Stocktake Report)

Some Current NE LHIN Priorities

• Integration Strategy

• Multi-Sectoral Accountability Agreements (M-SAA)

• Surgery Optimization

• Chronic Disease Prevention Management• Diabetes Strategy• Diabetes Registry

• Health Human Resource Needs

Some Current NE LHIN Priorities

• Wait Times Advisory Panel

• Addictions and Mental Health

• FLO Collaborative Spread Strategy

Aging at Home - Overview

• A critical Strategy to achieve the NE LHIN’s vision.

• Announced in September 2007.• Over 3 years … new ongoing funding of $330

million provincially … $19 million for the North East.

• By year in the North East …• 2008/09 – $4.4M• 2009/10 – $6.4M • 2010/11 – $8.2M

Aging at Home – Initial Goals 2007• Ensuring that seniors’ homes support them.• Supportive social environments.• Senior-centered care that is easy to access.• Identifying innovative solutions to keep seniors healthy.

Aging at Home – 2009• Maintaining seniors in their homes but must also be used

to address Alternate Level of Care (ALC) pressures.

Supporting Aging at Home

• Literature Review – Opportunities, Innovations, & Best Practices (January 2008)

• Innovations Exchange Sessions (February 2008)

• Seniors’ Survey (February 2008)• Seniors Engagement Sessions &

Evaluation Project – (March 2008)• Seniors Health Summit (March 2008)• Aboriginal/FirstNation/Metis/Elder/ Seniors Engagement (March 2008)

Aging at Home Strategy2009/10

• NE LHIN released A@H documents for Year 2 (August 2008)

• Total 2009/10 allocation $6.37 million• Local planning areas asked to develop

proposals that address a move towards integrated service delivery

• Priority focus will be to align A@H strategy with ALC investments

Aging at Home in Manitoulin-Sudbury

• To date, over $2M allocated or soon to be allocated for …• Transportation• Home maintenance and support• Alzheimer respite and caregiver support• Enhanced supportive housing• Falls prevention• ALC “Wrap Around” Program• Development of a Regional Geriatric Program

Aging at Home – Services for Walden and Area

• North East CCAC (310-CCAC)• Information and Referral• Case Management• Professional In-Home Services• Coordination of Non-Professional In-Home Supports

(for people receiving professional services)• Long-Term Care Placement

Aging at Home – Services for Walden and Area

• Community Supports (available in the CGS) such as …• Meals on Wheels• Transportation (Red Cross)• Alzheimer Society (e.g. caregiver respite and support)• Home Support / Home Maintenance (Red Cross,

VON)• Adult Day Care (VON)

Aging at Home – Services for Walden and Area

• Walden Home Support – Program Status• Program ceased in early 2009• Funds were protected for Walden and area• Process to investigate local needs nearly completed –

was undertaken to make sure the funds are used to meet priority needs

• Services to restart through the VON within weeks• More information to come through local marketing

and service awareness activities as part of the re-launch

Stay Informed, Get involved…

• Subscribe to receive:• NE LHIN e-Bulletin (weekly or bi-weekly e-mail)• NE LHIN News (quarterly newsletter)

• Submit story/article ideas.

• Visit our website often at www.nelhin.ca

• Attend a NE LHIN Board meeting, summit, forum.

• Request a NE LHIN presentation by contacting our office.

QUESTIONS??

Contact Us …

North East Local Health Integration Network

555 Oak Street East, Third FloorNorth Bay, ON P1B 8E3

Phone: 1-866-906-5446 or (705) 840-2872E-mail: northeast@lhins.on.caWebsite: www.nelhin.on.ca

Thank you. Merci. Meegwetch.

Health and

wellnessfor all.

Santé etmieux-êtrepour tous.

Wii-mino-bimaadiziiyang

kino