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Central East LHIN

2013-2016

Integrated Health Service Plan

November 28, 2012

What is the Integrated Health

Service Plan?

• Three-year strategic plan and local road map to better health, better care and better value-for-money for the residents and health service providers in the Central East region

• Identifies areas for focused improvement, and outlines strategic aims for achievement

• Developed to align the activities and accountability agreements of local health service providers as described in the Local Health System Integration Act, 2006

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Common LHIN Environmental Scan

For the first time, readers are able to understand the status of many important health system attributes and directly compare them. For the first time, LHINs have established a one-stop resource for key health system and population information for the province of Ontario. This is a valuable resource to LHINs and health service providers – and once again shows the value of LHINs working together.

The Environmental Scan was prepared for use by all LHINs as a key resource for each LHIN’s third Integrated Health Service Plan (IHSP). This Scan provides an overview of a number of key characteristics of local populations, services, utilization, and health impacts.

2013-16 Strategy Map

2013-2016 Central East LHIN Integrated Health Service Plan

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Context to Community First

Sustainable health care requires

• improved coordination of hospital and community services;

• Attention to quality and safety at every part of the patient’s journey, especially transitions;

• Services that prevent or shorten costly hospital stays; and

• Focus on value-for-money for all services provided

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Home

Hospital

Home

2013-2016 Priority Areas and Strategic Aims

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2013-2016 Integrated Health Service Plan – Seniors Aim

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What did our communities say…

• over 90% agreement with Seniors Aim

• “need to help community agencies who are dealing with simple activities of day to day living with supporting additional people at home. put any additional resources into supported housing for this Seniors population and the other support services that help people stay in their own homes”

Achieving our Seniors Aim

2013-2016 Integrated Health Service Plan – Vascular Aim

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What did our communities say….

• Over 82% agreement with Vascular Aim

• “Totally agree that the Vascular services need to be streamlined. Preferably in one spot (clinic where specialist, nursing and dietary and physio will do follow up and prevention strategy) Now there is often too much hanging around in waiting rooms etc. and pt. are numb from sitting there and don't take in what is said to them.”

Achieving our Vascular Aim

2013-2016 Integrated Health Service Plan – MH&A Aim

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What did our communities say….

• Over 80% agreement with Mental Health and Addictions Aim

• “Individuals need to live successfully in the community. Hospital stays, emergency visits make up only a fraction of their lives. Recovery is a journey. Individuals diagnosed with a mental illness need all the same supports as someone with medical needs i.e., a home, family, friends, money for food/social, a job or meaningful activity but most of all they need to not be judged or stigmatized or feel that they are less of a person. The illness should not define the person. Opportunities to transition people from hospital to home is key. Institutions for long stay teaches learned dependency. Having individuals making decisions about their care is key to their success. I support the Mental Health and Addictions Aim.”

Achieving our Mental Health

& Addictions Aim

2013-2016 Integrated Health Service Plan – Palliative Care Aim

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What did our communities say…

• Over 76% agreement with Palliative Aim

• “Being at home is more humane especially when surrounded by loved ones.” “Dying at home has dignity and respect, which makes dying easier.” “ Familiar surroundings help in the comfort of dying individuals. Visitors are also more comfortable coming and going at home, they do not feel (or made to feel) like they are disturbing others like it can be in a hospital setting.”

Achieving our Palliative Aim

Priorities, Strategic Aims and their Common Themes

Supporting the Strategic Aims are a set of common themes

• Enhancing Access to Primary Care

• Access and Wait Times

• System Design and Integration

• Capacity Planning & Funding Reform

• Transitions in Care & Electronic Health Records

• Quality and Safety

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Our Plan is Aligned with Province and Ontario’s LHINs

Ontario’s Action Plan LHIN-Wide System Imperatives Our 2013-16 IHSP

Keeping Ontario

Healthy

• Keeping Ontario Healthy • Strategic Aims

Faster Access and a

Stronger Link to Family

Health Care

• Strengthening and Enhancing

Access to Primary Care

• Enhancing Access to Primary

Care

• Strategic Aims

The Right Care, at the

Right Time, in the Right

Place

• Implementing Evidence

Based Practices to Drive

Safety

• Enhancing Coordination and

Transitions in Care

• Holding the Gains

• Quality and Safety

• Transitions in Care & Electronic Health Records

• Access and Wait Times • System Design and Integration • Capacity Planning & Funding

Reform • Strategic Aims

COMMUNITY ENGAGEMENT

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2013-2016 Integrated Health Service Plan

Community Engagement to Solicit Public Feedback

We have already initiated the Community Engagement Process to support the work done to date:

• Engaged our stakeholder tables to help inform the development of our proposed strategic aims

– Central East LHIN Vascular Health Coalition

– Central East LHIN Palliative Care Network

– Central East Mental Health and Additions Network

– Central East Regional Specialized Geriatric Services Entity

• Initiated a web-based public survey to hear directly about peoples’ experiences in health care and what they thought should be improved

• Engaged tables of francophones, seniors groups and others within the Central East LHIN on the priority areas

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Main Engagement Activities Public:

• August 2012: Patient Experience Survey – web-based, media stories, social media, shared through stakeholder communications – 54 responses, led to development of four experience stories – common themes included access, quality, communications, need for services in the home

• Information bulletin to Boards of Trade/Chambers of Commerce

• DRAFT IHSP deck – French and English – on the website

• Engagement with Francophone, Aboriginal Stakeholders, Seniors Groups

• October 2012: Second Survey to confirm that aims resonate with our communities – 85 responses – common themes included educating communities on what’s available, hospitals focusing on acute and services provided so people can stay in their own homes, partnerships between providers

Physician Engagement

• Summer/Fall 2012: “Doc Talks”, Ontario Medical Association – Medical Society Meetings. Presentation to Cardiologists.

Health Service Providers: Board AGMs. Retreats. Local Planning Tables.

Local Government: Presentations to all local/regional municipal councils. Shared with MPPs

Next Steps

• Submission to Ministry of Health and Long-Term Care on November 30th

• Preparation for publication, including translation

• Final public Release in January 2013

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