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The Central West LHIN is pleased to publish the October edition of Working Together for Healthy Change, highlighting work, events and resident stories that support the LHIN's current Integrated Health Services Plan - IHSP 3.

In this issue...

Healthy Change in Action
Events and Meetings
Announcements & Appointments
Improve Access to Care
Streamlining Transitions & Navigation
Drive Quality & Value
Build on the Momentum

  HEALTHY CHANGE IN ACTION

Avalon Go-Getters step it up through restorative care 
 Avalon Care Centre residents Marion Bryant and Alexis Arts have become avid participants in the Orangeville home's restorative-care program. Marion has become more physically active, while Alexis is more engaged socially and participating in more activities at the home.  Click to Read More - Courtesy OLTCA Morning Report 

  EVENTS & MEETINGS


Minister Hoskins visits the Central West LHIN

Pictured with Minister Hoskins are members of the LHIN Board of Directors and Yvan Baker, MPP Etobicoke Centre (Left to Right) - Dr. Winston Isaac - Director, Pardeep Singh Nagra - Director, The Hon. John McDermid P.C. - Vice Chair, Maria Britto - Chair, Ken Topping - Director, Dr. Eric Hoskins - Minister of Health and Long-Term Care, Suzan Hall - Director, and Yvan Baker - MPP Etobicoke Centre.

The Central West LHIN was pleased to host Dr. Eric Hoskins, Minster of Health and Long-Term Care, for an insightful and informative discussion regarding the local health care system.

Highlights of the discussion included notable accomplishments in the Central West LHIN including the development of five Health Links across the LHIN's entire geographic area, the highest adoption rates in the province of electronic medical record systems by both primary care practitioners and specialist, and successful implementation of the Telehomecare program, all of which, have supported the delivery of high-quality, patient-centred care for residents across the LHIN. 

Also discussed were areas of opportunity and growth including home and community care reform, community capacity planning, continued capital investments, and improving funding equity to support needed quality services in this very rapidly growing LHIN.

Over 8,000 local LHIN residents engaged in 4th Telephone Town Hall
Hosted by the Central West Community Care Access Centre, Central West LHIN, Headwaters Health Care Centre, Region of Peel Health Services and William Osler Health System, upwards of 8,000 residents once again called in to take part in the fourth Telephone Town Hall.

Over 90% of participants indicated that the Telephone Town Hall proved to be a valuable use of their time.

Having substantially grown in popularity since first introduced, this latest Telephone Town Hall took place in early October. Residents were able to dialogue with senior leaders from each of the participating partners and become better informed about the role of each organization and how they work together to meet the health care needs of local residents. 

To inform future telephone town halls, participants were also able to provide feedback on a variety of topics. Notably, a majority of participants, the majority of which were 40 years of age and older, would like to engage in further discussions that relate to chronic disease and diabetes care as well as seniors care.

G2G & Senior Leadership Forum places focus on quality 
The Central West LHIN was pleased to welcome Dr. Joshua Tepper, President and CEO of Health Quality Ontario, as keynote speaker for its recent Governance-to-Governance & Senior Leadership Forum, with its focus on quality. 

“Quality improvement does not exist as an isolated silo or add on. It must be the foundation upon which all activities are built.” 

Dr. Tepper's strong messages regarding leadership, partnership and ultimately cultural change, resonated with the audience. They set the tone for the afternoon, as participants collectively set about discussing proposed system level aims. These system level aims will build upon and enhance the quality work which is already being carried out by Health Service Providers across the Central West LHIN.

Alignment between provincial and local initiatives is essential and, while there remains much work to be done in regard to continued quality improvement at the local level, participants indicated a strong commitment to ongoing collaboration in pursuit of common goals.

Materials presented at G2G & Leadership Forum on Quality can be found on the Central West LHIN's website: click here
  ANNOUNCEMENTS & APPOINTMENTS
Palliative Medical Leads Announced
The Central West Community Care Access Centre and Central West Palliative Care Network are pleased to welcome Dr. Michael Gagnon and Dr. Naheed Dosani as new Palliative Medical Leads.  

Dr. Gagnon brings a depth of medical and palliative experience to this leadership position.  As a Caledon-based family physician and Medical Director of the Bethell Hospice, Dr. Gagnon provides care in the focused fields of palliative care and family practice.  His clinical work spans over 10 years and includes acute care, community-based care, palliative care and residential hospice care. He is a facilitator for the interprofessional LEAP course (Learning Essential Approaches to Palliative and End of Life Care).
 
Dr. Dosani recently completed his Conjoint Palliative Medicine Fellowship at the University of Toronto and is working as a palliative care physician for the William Osler Health System.  He is a member of the Inner City Health Associates in Toronto, providing care to homeless and marginally housed individuals through an initiative called PEACH (Palliative Education and Care for the Homeless).
 
Together, Dr.’s Gagnon and Dasani will serve as members of the Central West Palliative Care Network, sharing the role to provide medical hospice palliative care expertise and knowledge in the development and implementation of the Central West palliative care service delivery system.  They will participate in ongoing engagement with primary care physicians and specialists in advancing palliative care evidence-based best practices. Dr. Gagnon and Dr. Dosani will work closely with the CW CCAC’s clinical nurse specialists, nurse practitioners, palliative care coordinators and other “virtual team” health care providers in the Central West community.

Reflet Salvéo appoints new Executive Director

Reflet Salvéo’s Board of Directors is pleased to announce the appointment of Gilles Marchildon as Executive Director. 

Gilles Marchildon was Executive Director of the community health organization Action positive VIH/SIDA for four years. In the past, he also worked with the Canadian HIV / AIDS Legal Network, the World University Service of Canada and Egale Canada, where he was Executive Director from 2003 to 2006. A graduate in political science from the University of Ottawa, Gilles Marchildon is the current president of ACFO-Toronto, the city’s association of francophone communities and co-president of the City of Toronto’s French-Language Committee.

Reflet Salvéo engages diverse francophone communities in Central West, Central Toronto and Mississauga Halton to ensure the planning of health services in French that meet their needs. It offers recommendations to the LHIN and works with them to develop services.  For more information on Reflet Salvéo please click here.

  IMPROVE ACCESS TO CARE

Chronic Disease Prevention and Management

Diabetes - At 12% of the total population, the Central West LHIN has the third highest prevalence rate of diabetes in Ontario. Since 2010, the prevalence of diabetes has risen by 20% percent and, both incidence and prevalence rates are substantially higher than provincial averages. As a result, the Central West LHIN's Chronic Disease Prevention and Management (CDPM) team continue to educate and inform both residents and health care practitioners alike.

In September, family physicians and allied health care professionals attended Diabetes and the Eye: Management from the Front Lines. This education session provided an increased understanding of eye diseases, treatments and referral processes based on the importance of retinal examinations for all patients with diabetes. 

Also in September, allied health care professionals attended Diabetes Education Techniques for Teaching Adults Living with Vision Loss. In partnership with the Canadian National Institute for the Blind (CNIB), this education session provided participants with increased knowledge, skill and confidence when teaching diabetes self-management to adults who are blind or partially sighted. Also provided, thorough the CNIB was important access to care information regarding community services and supports for this patient population.

For more information on diabetes education programs in the Central West LHIN please visit the LHIN’s website by clicking here.

Chronic Obstructive Pulmonary Disease (COPD) - The Wise Elephant Family Health Team has been selected as one of three pilot sites in the province for the Value Demonstrating Initiative (VDI) on Chronic Obstructive Pulmonary Disease (COPD). This joint initiative, between the Ministry of Health and Long Term Care and Ontario Lung Association, is aimed at standardizing COPD management best practices in primary care. This project will, in part, seek to build upon the LHIN's Telehomecare program, where eligible residents with Chronic Obstructive Pulmonary Disease (COPD) are able to better self-manage their care with the support of technology placed in their home. The successful results of this program demonstrate the ability of patients to better manage their own conditions within their communities, thereby avoiding and preventing unnecessary use of hospital services. 

Services for Seniors

The Central West LHIN continues to invest in and build upon the types of programs and services that enable seniors to stay active, remain healthy, live independently and remain in their homes longer. 

Meanwhile, the LHIN’s Decision Support team introduced a working draft of a Services for Seniors Scorecard, to the LHIN’s Services for Seniors Core Action Group (CAG), which contains 20 meaningful performance indicators designed to support high-quality, evidence-based care.  Moving forward, feedback received from the Seniors CAG will be used to refine these important indicators.

  STREAMLINE TRANSITIONS & SYSTEM NAVIGATION

Bolton-Caledon Health Link - The Central West LHIN has received formal approval for the development of the Bolton-Caledon Health Link.  Implementation will be led by Headwaters Health Care Centre and Caledon Community Services with the expectation that the recently formed Family Health Organization in Bolton will play a critical role in championing the role of primary care.
 
Outreach - The Central West LHIN continues to conduct physican engagement activities in the Brampton and Area and Bramalea and Area Health Links. To date these events have focused on those Family Health Group practices associated with patient populations that would benefit from Health Links. Meanwhile, engagement with Central West LHIN physicians continues through the LHIN’s Primary Care Network with Family Health Groups having been visited with offices that serve the Brampton, Bramalea and North Etobicoke-Malton-West-Woodbridge Health Link areas.  These sessions continue to spark good dialogue and request for further communication. Physicians are also being asked to participate in the Primary Care Network.
Telemedicine / Telehomecare
The Central West LHIN’s Regional Telehomecare program has currently enrolled a total of 1014 patients in the program, surpassing the program’s two year target of 1000. 

Telehomecare currently focuses on supporting those with Chronic Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) and is in the process of piloting this program with those with diabetes as a comorbidity.  The program has yielded sustained results with respect to reduced emergency department visits of 40% and reduced inpatient admissions by 49% for this cohort of patients.

Enabling Technologies

Physician Electronic Medical Record (EMR) - The Central West LHIN continues to have the highest Physician Electronic Medical Record (EMR) adoption rate in the province for Family Practice Physicians at 89% and the highest rate of adoption in the province for specialists at 58%. Provincial adoption rates are 74% and 28% respectively. This is an extremely valuable accomplishment that enables greater sharing of information electronically across Health Service Providers. Implementation of a physician EMR enables physicians to access the Ontario Lab Information System (OLIS) which will reduce the number of repeat lab tests for the patient. An EMR also allows the physician to participate in the receipt of patient reports electronically from participating hospitals through the Hospital Report Manager (HRM) application.

ConnectingGTA (cGTA) - ConnectingGTA, Central Ontario’s Electronic Health Record (EHR), is now live. The long-awaited Limited Production Release (LPR) of cGTA is here and was kicked off in July by the LPR Pilot sites, St. Michael’s Hospital and William Osler Health Center. A select group of clinicians from these pilot facilities will provide invaluable feedback as they explore and benefit from what cGTA has to offer them.  Providing a central hub for patient health information such as discharge summaries, community referrals and lab results, cGTA provides critical data to support the delivery of timely care. This milestone is critical to enhancing patient care for 6.75 million patients in the region and establishes the foundation that can be leveraged to deliver an EHR for Ontario.

Ontario Lab Information System (OLIS) – OLIS is a cornerstone information system that connects hospitals, community laboratories, public health laboratories and practitioners to facilitate the secure electronic exchange of laboratory test orders and results. Patient Benefits include:
  • fewer gaps in information as patients move between hospital, practitioner’s office, home care and long-term care settings
  • effective integration and monitoring of laboratory history and treatment progress to support chronic disease management
  • reduced number of unnecessary laboratory tests due to greater availability and sharing of information
  • more timely and broader access to laboratory test results by practitioners.
In the Central West LHIN, 287 physicians with eligible Electronic Medical Records (EMRs) are viewing OLIS data and 350 additional physicians are completing the activities required to view their patient lab data in OLIS.

Integrated Assessment Record (IAR) – Central West LHIN Health Service Providers (HSPs) are at 100% complete for implementation of the IAR. Providers include the Central West CCAC, 11 Community Support Service Providers, 7 Mental Health Service Providers and, 23 Long Term Care Homes. The IAR allows client assessments to move with the client from one Health Service Provider to another. It allows participating Health Service Providers to upload and view the information from consenting clients. This enables Health Service Providers to collaborate in order to effectively plan and deliver care. The tool also streamlines patient information so there is less duplication and faster access to services.

  DRIVE QUALITY & VALUE


Personal Support Worker (PSW) Workforce Stabilization Strategy - The Central West LHIN continues to work with the Ministry of Health and Long Term Care (MOHLTC) and eligible LHIN Health Service Providers (HSPs) in regard ongoing implementation of the PSW Workforce Stabilization Strategy. A three year strategy, the PSW Workforce Stabilization Strategy is part of the government’s strategy to build a high-quality PSW workforce with the capacity to meet Ontario’s growing demand for home and community-based services. Based on HSP reported PSW hours from 2013/14, the Central West LHIN received up to $2.67M in base funding for 2014-15 to support this initiative, which has since been distributed. 
  BUILD ON THE MOMENTUM

Aboriginal Health - The Central West LHIN partnered with the Métis Nation of Ontario, the Credit River Métis Council and the Mississauga Halton LHIN to hold two successful community engagement activities including the Métis Medicine Walk in September, at the Crawford Lake Conservation Area, and the Sisters in Spirit Vigil in October at Gage Park in Brampton. 

Together, making healthy change happen!

Copyright © 2014, Central West Local Health Integration Network, All rights reserved. 
Our mailing address is: centralwest@lhins.on.ca