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The Central West LHIN is pleased to publish the October 2016 edition of  Working Together for Healthy Change, highlighting work, events and resident stories that support the LHIN's Integrated Health Services Plan (IHSP).

Highlights...
Regional partners are proud to announce the launch of "5-2-1-0 Healthy Communities Initiative", designed to promote better health and healthier outcomes by getting more people, more active, more often. Find out more...
You're Invited... Public tours of your new Peel Memorial Centre for Integrated Health and Wellness. Find out more...
Hospital-to-Home program recognized for its exceptional work in delivering high-quality health care for patients and families. Find out more...
It's flu season... are you prepared? Find out more...
Ontario has reintroduced the Patients First Act, 2016 that would, if passed, improve access to health care for patients and their  families.
Read more...  
Ontario is making hospital parking more affordable for thousands of patients, their loved ones and caregivers. Find out more...

In this issue... 

  In the News   Featured Articles
  • Regional partners are proud to announce the launch of "5-2-1-0 Healthy Communities Initiative", designed to promote better health and healthier outcomes by getting more people, more active, more often. Find out more...
  • Hospital-to-Home program recognized for its exceptional work in delivering high-quality health care for patients and families. Find out more...
  • Brampton’s new Peel Memorial outpatient hospital will bring a fresh, innovative approach to health care while focusing on the services the community needs most. Find out more...
  • Flu season is upon us... are you prepared? Find out more...
  Healthy Change in Action
  • Christine's Jouney... the impact of Brief Counseling in Rexdale 
  Build Integrated Networks of Care
  • Telemedicine / Telehomecare... an update
  Drive Quality & Value
  • Quality and Innovation
              The Central West LHIN Regional Quality Table... aligning provincial and local priorities
              Health Quality Ontario releases Measuring UP 2016
  • Enabling Technology Integration
             Updates on eConsult and Hospital Report Manager (ERM)  
 
  • Dementia Strategy
              Ministry of Health and Long-Term Care releases Developing Ontario’s Dementia Strategy:
              A Discussion Paper
 
IN THE NEWS 
FEATURED ARTICLES
5-2-1-0 HEALTHY COMMUNITIES INITIATIVE...
a prescription for change


Associated in large part with poor eating habits and physical inactivity, rates of diabetes in Peel Region are among the highest in the province and across the Greater Toronto Area (GTA).


At the current rate, it is expected that by 2027 one out of every six residents in Peel Region will have developed this chronic condition. The cost of treatment for diabetes in Peel Region is currently $700 million annually, a figure which is expected to surpass $1 billion by 2025. Direct costs for medication and supplies range from $1,000 to $15,000 annually, and life expectancy for people with Type-2 diabetes may be shortened by 5 to 10 years.

In particular, childhood obesity is a complex, multi-faceted issue requiring multi-sectoral partnerships to promote healthy living. Eighty percent of Peel children are not physically active each day of the week; eighty-three percent do not meet proper fruit and vegetable guidelines; and sixty-five percent do not meet adequate milk and alternative standards.

Video: Brampton's 5-2-1-0 Healthy Communities Initiative | Find out more...
Video: Upstream/Downstream... a 5-2-1-0 analogy | Find out more...
A problem this profound requires a prescription for change and support from an entire community. Together, Central West LHIN, City of Brampton, Region of Peel and Osler are forming a community alliance of local businesses, schools, health service providers, community partners and members to integrate a mandate of healthy eating and active living.  As a collective, the organization will encourage healthy options at congregation meals, implement menu labeling, enhance physical infrastructure and play areas, develop community gardens, establish active transportation infrastructure (e.g. bike racks) and collaborate with community organizations to deliver active programming.
Brampton's 5-2-1-0 Healthy Communities Initiative official launch | Photo Album...
Get Involved... become a Healthy Communities Champion!

The Healthy Communities Initiative is looking to develop strategies based on a wide range of perspectives and partnerships including those from educators, employers, local businesses, faith communities and other local leaders. 

Become actively engaged in an initiative that will...

  • make healthy diet and physical activity a norm in our communities
  • help leaders and participants understand the required community action, partnerships required to create more active communities
  • develop a local action plan to identify specific areas that will create opportunities for children and youth to be more active, more often in our communities
  • celebrate local successes in our communities.

Find out more information about Brampton's 5-2-1-0 Healthy Communities Initiative by visiting the Central West LHIN Website today! 

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HOSPITAL 2 HOME...  program named to Minister's Medal Honour Roll 2016

The Central West CCAC, Headwaters Health Care System and William Osler Health System Hospital 2 Home (H2H) program has been named to the 2016 Minister’s Medal Honour Roll. 
 

An innovative care model created with and inspired by patients, H2H supports patients requiring short-term nursing interventions, initially targeting those diagnosed with cellulitis and/or urinary tract infections. H2H consists of directly-hired nurses who are integrated into the acute care and community teams and equally accountable to all three health service providers, which allows for seamless access to hospital and community health records. Patients experience a smoother transition as there is no need to transfer care to a third party service provider upon hospital discharge which eliminates breakdowns in communication and potential medication errors. 

_________________________________________________

"This is truly an outstanding accomplishment and a deserving recognition of your combined efforts and commitment to placing patients first, improving the patient experience, transitions, and access to care for residents in the Central West LHIN." 

- Maria Britto, Chair, Central West LHIN Board of Directors

_________________________________________________

Since its implementation in November 2015, the H2H model has enrolled 318 hospital discharged patients with diagnosis of urinary tract infection (UTI) and/or skin infection (59 UTI and 259 skin infection/Cellulitis). These patients require short term nursing interventions in their homes or in the community. Early data suggests that this intervention is resulting in a decline in the average Length of Stay in hospitals and in the community, as compared to the pre-intervention period. The project team is currently working on strategies to improve patient enrollment to target levels.

The Minister’s Medal, to Honour Excellence in Health Quality and Safety, is a competitive, annual recognition program that celebrates the collaborative efforts of Ontario’s health care providers in improving care for Ontarians. This year marked the fourth year of the Minister’s Medal program.

 

Peel Memorial... a fresh, innovative approach to health care

Brampton’s new Peel Memorial outpatient hospital will focus on the services the community needs most, brought together in fresh new ways.

The emphasis will be on service accessibility, coordination and continuity, and a balanced approach to treating illness and injury while also supporting individual health and wellness. Below are just a few examples.

Helping vulnerable youth succeed
A new Transitional Aged Youth (TaY) program
– one of very few in this region – will support young people aged 16 to 24 years with severe mental health concerns who are moving from child to adult mental health services. Typically,
this transition happens at a very difficult time in a young person’s life, when they are struggling with school or work. The TaY team will work with the youth and their family and, in collaboration with community service providers, will plan the services and supports the young person needs to succeed.

Combining care for mother and newborn
After an uncomplicated birth, healthy mothers and babies will be able to have all the usual newborn blood work and screening postponed to the following day, so that they can leave hospital sooner and rest in their own home. The Mother and Baby Clinic, at Peel Memorial, will assess the new mother’s and infant’s well-being, order any diagnostic tests that are needed, provide health teaching on infant care and development, and offer lactation support for moms who need help with breastfeeding. The clinic’s focus is to provide comprehensive care and support to both the new mother and her baby in one convenient location.

Providing one-stop, seamless care for seniors
Peel Memorial will offer a one-stop health service for seniors that focuses on maintaining good health, independence, and quality of life. Included are: 
  • Geriatric assessment clinics to identify which services and supports seniors need to stay healthy;
  • Clinics for memory issues, Parkinson’s disease, osteoporosis, falls, incontinence, and stroke rehabilitation;
  • Short-term rehabilitation for seniors with complex conditions;
  • Coaching for patients and families on coping with Alzheimer’s and dementia; and
  • Outreach teams that visit frail seniors in their home or long-term care facility to help them stay healthy.  
You’re invited... Public Tours!
Enjoy a ‘sneak peek’ tour of Peel Memorial anytime between 10 a.m. – 2 p.m. on: 
  • Saturday, November 19
  • Sunday, November 20
  • Saturday, December 3
  • Sunday, December 4
Peel Memorial is located at 20 Lynch Street, Brampton... Peel Memorial Map and Directions.

We look forward to seeing you there!


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It's FLU SEASON... are you prepared? 

As the flu season is upon us Central West LHIN residents are reminded to get their flu shots, the best form of protection against the influenza virus. 


The free flu vaccine is available for all LHIN residents at their health care providers' offices, participating public health units and at community and workplace flu immunization clinics.  It is also available from trained pharmacists at approximately 2,500 pharmacies across Ontario for anyone five years of age and older.

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Central West LHIN CEO Scott McLeod, receives flu vaccine from Dr. Naveed Mohammad, Central West Emergency Department LHIN Lead
_________________________________________________

For more information about influenza and the flu vaccine please visit: 
Ministry of Health and Long-Term Care
Headwaters Health Care Centre
Region of Peel – Health Services
William Osler Health System

The Holiday Surge | As the holiday season approaches, when local health care providers are often not available, the volume of patients visiting local Emergency Departments can increase substantially. This affects emergency and acute care services at both William Osler Health System and Headwaters Health Care Centre, as well as support services of the Central West Community Care Access Centre (CCAC) and other community service providers.
 
Local health care providers have been encouraged to develop plans for access and coverage of their individual practices, and of those Family Health Groups, Organizations and/or Teams they may be part of, during the holiday period.
 
Speak with your local health care provider today about what plans they have in place for you to access services during the holidays.


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  HEALTHY CHANGE IN ACTION

CHRISTINE's JOURNEY... the impact of Brief Counseling in Rexdale 

*With thanks form CMHA Peel Branch

Soon after starting our counselling services in Rexdale, Christine walked into our office at the Rexdale Community Health Centre.
Christine came into our program requesting assistance with severe anxiety and panic attacks which had taken over her life. She had isolated herself from friends and family, keeping her mental health struggles and unemployment status a secret from the family.
 
Having lost her job as a result of her mental health break down, Christine was in desperate need of work to be able to make ends meet. She was unable to pay her share of the rent with her roommate, and was falling behind on her bills.
 
Christine needed help to get her life back on track. She began counselling with our Rexdale team, receiving support from Bianca and Titi. They empowered her with coping strategies and techniques to better manage her anxiety and panic attacks. They then helped her with employment by setting her up with the YMCA for resume critiques and mock interview sessions.
 
After several months working with our team, Christine felt strong enough to disclose her illness to her family. She was surprised and greatly relieved by the tremendous support she received from her loved ones.
 
Today, Christine has better control over her anxiety, with almost no episodes of panic attacks. She has a great family support network and she is now employed and in better financial health.
 
She is currently working on her long term goal of becoming a writer.


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Share Your Story! 
Are you and/or your organization making healthy change happen doing something exceptional to place the needs of people and patients first? Share your story today (click here), and look for it to appear in an upcoming edition. 
  BUILD INTEGRATED NETWORKS OF CARE
Telemedicine / Telehomecare

Update | The Central West LHIN is working on integrating the use of telemedicine solutions to improve access to chronic disease interventions and supports, while simultaneously placing a continued focus on increasing access to mental health and addictions services through the utilization of technology in the Health Links environment.

With an eye to increased awareness and adoption among Health Service Providers (HSPs), it is the goal of the Central West LHIN to ensure all HSPs offer telemedicine, where appropriate, as a meaningful option for residents requiring health care services.  Of note, the Central West LHIN’s Regional Telehomecare (THC) program has currently enrolled 2,031 patients and continues to be integrated with overall telemedicine strategies and offerings. 
 
   DRIVE QUALITY & VALUE

Quality and Innovation

The Central West LHIN Regional Quality Table... aligning provincial and local priorities 


The inaugural meeting of the Central West LHIN Regional Quality Table (RQT) was held on October 4th, 2016 with membership reflective of primary care, acute care, community care, community support services, Peel Public Health and the Central West LHIN.  In addition, Dr. Jeffrey Turnbull, Chief, Clinical Quality at Health Quality Ontario (HQO), was in attendance to share background information regarding the development of Regional Quality Tables and their evolution to date.

The key focus of all Regional Quality Tables is to align provincial and regional/local priorities to advance the quality agenda.  The RQT is chaired by Dr. Tamara Wallington, the Central West Clinical Quality Lead, and this meeting brought the total number of established LHIN tables up to five, with more ready to launch across other LHINs in the next several weeks. 

At this first meeting, an overview of quality within the Central West LHIN was provided with an emphasis on various data points to tell a story about the populations we serve, showcase areas of success, and  identify opportunities for improvement. Through this information, the membership will develop a work plan outlining priorities for the next year.


Health Quality Ontario (HQO) Releases
Measuring UP 2016

Measuring Up 2016 marks the 10-year anniversary of Health Quality Ontario’s yearly report on how the system is performing and the health of those living in Ontario.

This year’s report is our broadest portrayal of quality health care to date and demonstrates areas where the system can better focus its efforts. The goal of Measuring Up is to provide transparent data in order to drive accountability and improvement.

To read the full report, visit www.hqontario.ca/measuringup2016.


Enabling Technology Integration

eConsult | The Central West LHIN is actively collaborating with OntarioMD to expand access of eConsult to LHIN physicians. eConsult allows primary care physicians to seek consultative support from specialists through OTN technology; technology which supports two-way secure communication between providers to discuss clinical issues and determine if a referral is required.

Hospital Report Manager (HRM) | HRM is an application that enables primary care providers and specialists, with eligible Electronic Medical Record (ERM) systems, to receive patient reports electronically from participating hospitals. HRM electronically delivers Medical Record reports such as a Discharge Summary and transcribed Diagnostic Imaging (excluding image) reports from hospitals directly into the patients’ charts in the clinicians’ ERM.  There are currently 330 physicians in the Central West LHIN receiving hospital reports electronically into their ERM, and an additional 118 physicians completing activities required to go–live with HRM.


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  Demonstrate System Leadership

Dementia Strategy

Ministry of Health and Long-Term Care (MOHLTC) Releases "Developing Ontario's Dementia Strategy" |
Ontario is committed to putting patients at the centre of our health care system. One of the ways government is working to put patients first is by ensuring they have access to the right information and the high quality supports they need to live well.

Developing Ontario’s Dementia Strategy: A Discussion Paper is a critical step in the government’s work to develop a comprehensive strategy to address the needs of Ontarians with dementia and their care partners. We are committed to ensuring the right supports are in place to help them on their journey, while also making sure they are treated with the dignity and respect they deserve.

Through this discussion paper, the government hopes to create a conversation that will help inform the next steps in the development of its strategy to ensure the needs of patients, their families and their care partners are met. 

Resources:   Top
Together, making healthy change happen!
 
The Central West Local Health Integration Network (LHIN) plans, funds, integrates and monitors local health care services for the communities of Brampton, Caledon, Dufferin County, Malton, north Etobicoke and west Woodbridge. For more information on the Central West LHIN please contact Tom Miller, Director Communications and Community Engagement – tom.miller@lhins.on.ca - or visit www.centralwestlhin.on.ca.

Our email address is: centralwest@lhins.on.ca

Copyright © 2016, Central West Local Health Integration Network, All rights reserved. 






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