In this issue...
In the News
- Ontario Introduces Legislation to Further Improve Patient Access and Experience... Bill 210 - Patients First Act - Would Deliver on Action Plan for Health Care... Find out more
- Ontario Strengthening Access to End-of-Life Care...Province Announces Funding Increase to Hospices as Part of $75 Million Investment... Find out more
- Ontario Launches $222 Million First Nations Health Action Plan... Province Supporting Indigenous Health Care... Find out more
- Headwaters Health Care Centre breaks ground on exciting expansion and renovation... Read more
- Ontario Investing $358 Million in New Infrastructure at Etobicoke General Hospital... Read more
Healthy Change in Action
- Dr. Tamara Wallington appointed Central West LHIN Clinical Quality Lead
- Margaret Paan appointed as Director, Central West Palliative Care Network (CWPCN)
Build Integrated Networks of Care
- Helping Patients from Hospital to Home... as published in the May online edition of healthscape
Drive Quality & Value
- Health Links and Primary Care... Health Links update
- Telemedicine and Telehomecare... Update
- Mental Health and Addictions... Canadian Mental Health Association - Serving individuals with mental health disabilities requires ‘out of the box’ thinking
- Long-Term Care Renewal... Redeveloping Peel Manor
- Improve the Patient Experience... Ontario Cancer Statistics (OCS) 2016, Cancer Care Ontario's (CCO's) report on the changing burden of cancer in Ontario
- Enabling Technology Integration... ConnectingGTA (cGTA) update
- Aboriginal Services... Annual Provincial Aboriginal LHIN Network conference, setting priorities for the road ahead
- Population Health... Seniors Care: Changes to the Ontario Drug Benefit Program’s Seniors Co-Payment Program – Effective August 1, 2016
Dr. Tamara Wallington
Clinical Quality Lead, Central West LHIN
Following a competitive process, the Central West Local Health Integration Network (LHIN) and Health Quality Ontario (HQO) are pleased to announce Dr. Tamara Wallington as the successful candidate in the role of Central West LHIN Clinical Quality Lead.
In her new role, Dr. Wallington will have the opportunity to influence positive change that results in improved patient outcomes, experience of care and value for money. The ultimate goal will be to align the quality agenda while engaging Central West LHIN communities to build on and help accelerate existing efforts to promote a culture of quality.
Dr. Wallington will have a dual reporting relationship to Scott McLeod, CEO Central West LHIN, and the Chief, Clinical Quality at Health Quality Ontario (HQO). Through the establishment of Regional Quality Tables, the LHINs and HQO are collaborating to advance clinical quality in a coordinated and impactful way across the province, supporting improvement in ways that are meaningful to patients. Dr. Wallington will chair the Central West LHIN Regional Quality Table.
Trained in internal medicine, public health and preventive medicine, Dr. Wallington is a staff physician at William Osler Health System in the Department of Medicine, and Corporate Medical Director for Quality and Patient Safety.
In her role as Medical Director Quality and Patient Safety, Dr. Wallington has led quality improvement initiatives including the design of a standardized process for the development and evaluation of standardized clinical decision tools. This includes order sets, clinical protocols, pathways and medical directives to facilitate the delivery of high-quality, evidenced-based care and a corporate quality based procedure governance structure. Additionally, Dr. Wallington has led the roll out of a corporate electrocardiogram (ECG) management system, an integrated diagnostic and management process for the early detection and treatment of sepsis in the Emergency Department, as well as a corporate anticoagulation initiative.
Since the introduction of Quality Based Procedures (QBPs), Dr. Wallington has been the lead physician for the implementation of over twelve QBPs and is currently leading an initiative focused on Chronic Obstructive Pulmonary Disease (COPD) and the delivery of an integrated, collaborative care model in the community. This model is in partnership with William Osler Health System, the Central West CCAC and Telehomecare, Health Links and Central West Self-Management Programs to ensure a smooth transition between acute care and home, as well as care where and when needed by patients.
In addition, Dr. Wallington is faculty in the provincial Improving and Driving Excellence Across Sectors (IDEAS) training program, a province-wide initiative to enhance Ontario’s health system performance by increasing quality improvement, leadership and change management capacity across all health care sectors. (IDEAS was created and is delivered through a collaborative partnership among Institute of Health Policy, Management and Evaluation (IHPME) at the University of Toronto, Health Quality Ontario, Institute for Clinical Evaluative Sciences (ICES) and seven Ontario universities.)
Having worked as a leader and educator in quality improvement, Dr. Wallington is committed to working with colleagues in the Central West LHIN to foster healthy communities through the delivery of innovative, adaptable, collaborative, high-quality and patient centered models of care.
Please join the Central West LHIN and HQO in congratulating Dr. Wallington on her appointment to this important role.
Director, Central West Palliative Care Network (CWPCN)
The Central West LHIN is pleased to announce the appointment of Margaret Paan as Director, Central West Palliative Care Network (CWPCN) effective June 6, 2016.
A Registered Nurse by trade, Margaret is a passionate healthcare leader who joins the CWPCN from her current role as Director, Patient Care Services at the Central West Community Care Access Centre (CCAC), a role which she has held since arriving at the Central West CCAC in 2009. During this time, Margaret has been responsible for various portfolios including palliative and end-of -life care.
Margaret holds a Bachelor of Science in Nursing from Ryerson Polytechnic University, a Masters of Nursing Administration from the University of Toronto and has most recently completed the Central West Advanced Health System Leadership Program at the University of Toronto’s Rotman School of Management.
Among her many notable accomplishments, Margaret’s involvement in supporting the integration and development of Central West and Mississauga Halton CCAC Palliative Care Teams and services, helped to promote health equity and consistency of care for clients, families and broader communities at large. As Lead for the Central West Palliative Early Identification Project, Margaret helped to ensure palliative patients remained at the centre of care, identifying them early in their palliative journeys so as to improve their access to and coordination of care, as well as quality and length of life.
As an identified strategic priority within Integrated Health Service Plan 2016/19, it is an important time for palliative and end-of-life care in the Central West LHIN. Together with the CWPCN, the Central West LHIN looks forward to advancing the palliative and end-of-life agenda ; enhancing capacity for palliative services in the home and community – including the use of virtual technologies and meeting the diverse palliative care needs of the community.
Please join the Central West LHIN in congratulating Margaret on her appointment.
HEALTHY CHANGE IN ACTION
Helping Patients from Hospital to Home... (as published in the May online edition of healthscape)... When patients return home from the hospital, they sometimes need a little bit of extra support. The Central West Community Care Access Centre (CCAC), Headwaters Health Care Centre (Headwaters) and William Osler Health System (Osler) – as well as the Ontario Telemedicine Network (OTN) and the Central West Local Health Integration Network (LHIN) are working together to help support such patients.
Hospital to Home (H2H) is an innovative new model of care that is helping to improve clinical handoffs and information-sharing when patients leave hospital. This means that patients receive short-term nursing from the same care team after they return home. Right now, H2H is primarily supporting patients with urinary tract infections and cellulitis but will later expand to help those with more complex needs.
H2H launched at Brampton Civic Hospital in February after originally launching at Etobicoke General Hospital in December and then at Headwaters in January. Since the implementation of H2H, the current average hospital length of stay has decreased to approximately seven days, relative to nine days last year. As one of six integrated programs sponsored by the Ministry of Health and Long-Term Care's new bundled funding model, H2H is an excellent example of how different organizations from across the continuum of care can work together to improve access to care that truly benefits patients. And it's proving to be effective. Patients have 24/7 support and H2H staff are able to seamlessly access patients' health records. The use of OTN virtual technology has also strengthened the quality of care and overall communication among health care providers. Since the launch, H2H nurses have completed over 1400 visits in the community for approximately 240 patients.
Encouraged by the early results, Central West CCAC, Headwaters and Osler continue to work together to improve access to services and provide safe, quality care to the community.
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BUILD INTEGRATED NETWORKS OF CARE
Health Links and Primary Care
Health Links | With the recent recruitment of an Integrated Decision Support Consultant to support Central West Health Links, there is enhanced capacity to monitor outcomes related to Health Links. A recent report, completed in May reviewed the 6-month pre and post hospital utilization of 606 patients with care plans developed between April 1st and September 30th, 2015. A pre/post analysis of Inpatient (IP) and Emergency Department (ED) utilization was completed. Results show a decrease in IP utilization of 31%, while the average length of stay remained consistent at ten days. ED visits also dropped dramatically by 29%.
Telemedicine and Telehomecare
Telemedicine | In the Health Links environment, over 100 telemedicine events have occurred since its launch in March, and there is positive reception and adoption of the technology.
In areas of acute mental health, telemedicine has been integrated into psychiatry services provided by William Osler Health System to Headwaters Health Care Centre’s Emergency Department, preventing unnecessary patient transfers from Orangeville to Brampton. Telemedicine has become an effective tool in Child and Adolescent Mental Health services by enhancing the continuum of care across multiple sectors. In areas of community mental health, virtual care has been well integrated into addiction treatment, especially among methadone-prescribing physicians and the Central West LHIN Narcotics Strategy multi-disciplinary outreach team. Community mental health providers are utilizing telemedicine to increase access to psychiatry services and psycho-educational group therapy. Overall, the Mental Health and Addictions therapeutic area of care currently represents 92% of all telemedicine activity within the Central West LHIN. LHIN staff continue to review organizational telemedicine plans submitted by community Health Service Providers (HSPs) and are working to close the gap in understanding virtual care solutions.
The LHIN, in partnership with health service providers and the Ontario Telemedicine Network (OTN), will continue to implement and integrate telemedicine solutions in the areas of Health Links, Palliative Care, Mental Health and Addictions and, starting this fiscal year, virtual care will be integrating into areas of Chronic Disease Prevention and Management.
Telehomecare | The Regional Telehomecare (THC) program has enrolled 1,840 patients into the program, and currently 246 patients are being monitored. Provincially, Ontario’s THC program for Congestive Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) has demonstrated consistent outcomes with greater than 50% reductions in hospital Emergency Department and Inpatient visits for over 9,000 patients. Locally, the regional program continues to build on the integration of THC in Assisted Living settings and will expand this reach over the next fiscal year.
Mental Health and Addictions
Canadian Mental Health Association - Serving individuals with mental health disabilities requires ‘out of the box’ thinking | Many people know some way to accommodate an individual living with a physical disability but would you know how to accommodate someone living with a mental health disability?
Think Outside the Box is a one-of-a-kind, free online resource designed to help employers, businesses, human resources professionals, landlords, the service industry, and anyone else looking to learn more about mental health accessibility and disability accommodation.
Created by Canadian Mental Health Association (CMHA), Ontario, Think Outside the Box offers real-life stories of individuals living with a mental health disability and how schools, employers and government have accommodated them. The resource also offers nine tips that can positively impact both the person with the disability and the organization that serves or employs them.
“When we think about disabilities, we often only think about visible physical disabilities. People are familiar with the importance of ramps and wider doorways but they may not know where to start when it comes to accommodating a person living with a mental health disability. This resource will help tremendously,” said Camille Quenneville, CEO of CMHA Ontario.
Mandi Buckner is a workplace consultant specializing in mental health. She works with individuals who are off work due to a mental health challenge and also educates employers and employees on mental health recovery, communication and accommodation strategies. She’s also a person with lived experience having left a 27-year career in the financial industry after experiencing depression in the workplace.
“The problem with understanding mental health accessibility is that there aren’t enough resources available to the public. Think Outside the Box is a tool that employees or their employers can equally benefit from to help people return to work in a meaningful and productive manner,” said Buckner.
People living with mental health and addictions disabilities have rights protected under the Ontario Human Rights Code (the Code). Today’s launch coincides with the anniversary of the Code, which took effect on June 15, 1962.
“We need to understand the lived experience of people with mental health disabilities and we need to apply this understanding in innovative ways so that people with mental health disabilities don’t face barriers, can be included, can contribute, and can thrive,” said Renu Mandhane, Chief Commissioner of the Ontario Human Rights Commission.
“The Commission is proud to have been one of many partners of this important project, that shares what’s working, and inspires us all to consider what is possible.”
- In any given year, one in five people in Canada experiences a mental health problem or illness.
- Mental health problems and illnesses are rated one of the top three drivers of both short- and long-term disability claims by more than 80 per cent of Canadian employers.
- Mental health problems and illnesses account for more than $6 billion in lost productivity costs due to absenteeism and presenteeism.
Long-Term Care Renewal
Redeveloping Peel Manor | The Region of Peel is moving forward with plans for the redevelopment of the Peel Manor site. Regional staff have shared their desire to introduce a PACE model (Program of All-inclusive Care for the Elderly) to the site, which will incorporate the rebuilt Long-Term Care (LTC) home along with other services for seniors such as assisted living, adult day programs, meals on wheels and congregate dining among others.
DRIVE QUALITY & VALUE
Improve the Patient Experience
Cancer Care Ontario Releases Ontario Cancer Statics 2016 | Cancer Care Ontario (CCO) is pleased to announce the release of Ontario Cancer Statistics (OCS) 2016, a report which describes the changing burden of cancer in Ontario.
"This report will enable us and our partners to create a sustainable healthcare system for patients to continue to receive high quality care" – Michael Sherar, President and CEO, CCO
Reporting on more than 30 years of data from the Ontario Cancer Registry, OCS 2016 provides a clear picture of cancer in this province, focusing on the incidence, mortality, relative survival and prevalence of the disease. The report was created to support decision-makers, the public health community, healthcare providers, researchers and others in planning, investigating, measuring and monitoring population-based cancer control efforts.
Some key statistics include:
On the CCO Website you will find a PDF report available for download, PowerPoint slides containing figures from the report, as well as an info-graphic with key statistical highlights.
OCS 2016 is the flagship report of Cancer Care Ontario’s Surveillance and Ontario Cancer Registry department and will be published every two years going forward.
Enabling Technology Integration
ConnectingGTA (cGTA) – As the first of three regional integration hubs being created in Ontario, ConnectingGTA supports eHealth Ontario’s clinical priorities and accelerates the delivery of electronic health records by integrating electronic patient data from across Central, Central East, Central West, Mississauga Halton, Toronto Central, and North Simcoe Muskoka LHINs. The cGTA solution houses hospital reports including:
- One in two Ontarians will develop cancer in their lifetime and one in four will die from it;
- Approximately 85,648 new cases of cancer are expected to be diagnosed in Ontario in 2016, which is almost triple the number of cases that were diagnosed in 1981 (29,649 cases), largely attributed to an aging population and population growth;
- Mortality rates are declining and survival for nearly all cancer types is increasing;
- Five-year relative survival for all cancers combined in Ontario is 63 per cent;
- There are now more people living in Ontario with a diagnosis of cancer than there were 20 years ago – an estimated 362,557 people as of January 1, 2013 (or about 2.7 per cent of the population).
Forty-eight Early Adopter sites are now live with over 41,000 enrolled users. William Osler Health System is an early adopter site and has enrolled over 4,700 users. The number of users who actively engage with cGTA increases every week. Headwaters Health Care Centre HCC is in the first rollout of the expansion phase. They are currently contributing data to the cGTA data repository and are on target to be able to view data from all participating sites by August 2016. In addition to hospital activity, two Family Health Teams (FHTs) - Queen Square and Wise Elephant - the Region of Peel, Central West CCAC and Kipling Acres currently have access to view data using cGTA. Eight additional Central West LHIN health service providers are also included in the cGTA expansion phase and are targeted to go-live with viewing this fiscal year.
- visit information
- ED reports
- Discharge Summaries
- Medication Profiles
- Allergy Information
- Consult reports along with CCAC information including visit info, referral info, service info, assessments, diagnostic imaging reports and lab results
CONNECT & INFORM
The Annual Provincial Aboriginal LHIN Network conference took place in Grand Bend and Kettle Point First Nation from May 17th to 19th. Priorities for the Aboriginal LHINs leads network for 2015-16 include:
Four sub-groups were created to build action items for each of the priority areas. The Aboriginal Health Consultant was tasked to lead the Indigenous Cultural Competency and education sub-group.
- Indigenous Cultural Competency and education;
- building community partnerships; and
- access to primary care and population health.
Demonstrate System Leadership
Seniors Care | Changes to the Ontario Drug Benefit Program’s Seniors Co-Payment Program – Effective August 1, 2016... The Ontario government is making changes to the Ontario Drug Benefit (ODB) Program that will allow more than 170,000 seniors to be eligible for cheaper drugs this year alone. Starting August 1, 2016, the government will change the income thresholds required to qualify for the low-income seniors benefit, called the Seniors Co-Payment Program. You might be eligible to enroll in the Seniors Co-Payment Program if you are:
- A single senior with an income of less than or equal to $19,300; or
- A senior couple with a combined income of less than or equal to $32,300
Seniors enrolled in the Seniors Co-Payment Program pay no annual deductible and a co-payment of up to $2 for each prescription. As a result, they will save approximately $130 on average per year in out-of-pocket drug costs.
How to Apply for the Seniors Co-Payment Program...
Complete a Co-payment Application for Seniors form and send it to the Ministry of Health and Long-Term Care. There are four ways for seniors to access an application for the Seniors Co-Payment Program:
- At most Ontario pharmacies and all MPP Offices
- Online at ... Co-payment Application for Seniors
- Call the Seniors Co-Payment Program at: -888-405-0405 or 416-503-4586 in Toronto
- Call ServiceOntario Infoline at: 1-866-532-3161; or 416-314-5518 in Toronto, outside Toronto TTY 1-800-387-5559 or in Toronto, TTY 416-327-4282