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The Central West LHIN is pleased to publish the April 2015 edition of  Working Together for Healthy Change, highlighting work, events and resident stories that support the LHIN's Integrated Health Services Plan - IHSP 3.

Minister of Health and Long-Term Care makes exciting announcement at Etobicoke General Hospital ... Read more.
Governance & Senior Leadership Forum places spotlight on palliative and end-of-Life care... Read more
In this issue ... 

   In the News
  • Minister of Health and Long-Term Makes Exciting Announcement at Etobicoke General Hospital
  • Investing in Local Mental Health and Addictions Services Across Central West LHIN Communities
  • Connecting Seniors in the Central West Local Health Integration Network (LHIN) with the Care They Need to Live Independently
  • Turning 100!
  • All's Well in Caledon | New Health and Wellness Program Provides Option for 65+
   Events
  • Governance & Senior Leadership Forum | Health Service Professionals Gather to Place Spotlight on Palliative and End-of-Life Care 
   Improve Access to Care
  • Mental Health & Addictions
   Streamline Transitions & Navigation
  • Health Links - Update
  • Telemedicine/Telehomecare - Update
   Build on the Momentum
  • Aboriginal Health
  • Palliative Care
  • Ontario Special Needs Strategy

    In the News

Minister of Health and Long-Term Makes Exciting Announcement at Etobicoke General Hospital

The Honourable Eric Hoskins, Minister of Health and Long-Term Care recently visited Etobicoke General Hospital and announced government support for a new satellite dialysis centre that will enable patients in North Etobicoke to receive dialysis services closer to home.
 
“This new satellite dialysis centre will help to ease a significant burden for patients suffering with kidney disease who will soon be able to access services closer to home", said Dr. Eric Hoskins, Minister of Health and Long-Term Care. “Today’s announcement demonstrates our government’s commitment to putting patients first, connecting them with quality services in the community.”
 
Yvan Baker, MPP Etobicoke-Centre and Peter Milczyn, MPP Etobicoke-Lakeshore were also on hand for the announcement, as was an Etobicoke patient, Robert Johnstone, who currently travels to Brampton Civic Hospital three days per week for his dialysis treatment. Mr. Johnstone spoke during the announcement to share his story and express his appreciation for this new centre – which will significantly reduce his travel time for treatment, relieving stress on his family.
Minister of Health and Long-Term Care speaks with Robert Johnstone and his wife while visiting
Etobicoke General Hospital.
Currently, a significant number of patients in the community served by Etobicoke General have to travel outside of the Central West Local Health Integration Network (LHIN) to receive dialysis treatment.
 
“Our government’s support for a new satellite dialysis centre will help ensure patients in Etobicoke continue to receive the kidney care they need closer to home,” said Shafiq Qaadri, MPP for Etobicoke North. “William Osler Health System is an important part of our community, and this investment will help improve its dialysis programs.”
 
William Osler Health System had more than 72,000 patient visits last year through its regional centre at Brampton Civic Hospital. With growing need for dialysis services in Etobicoke, the new satellite dialysis centre will help to improve the patient experience and support Osler’s vision of providing patient-centred health care without boundaries.
 
“As the only full-service community hospital in north Etobicoke, Etobicoke General has touched the lives of generations since opening in 1972 and its community relies on the high quality, patient’s first approach to care that its dedicated team provides to those who come through its doors each and every day,” said Maria Britto, Chair, Central West LHIN Board of Directors. “The satellite dialysis centre aligns with
Ontario’s Action Plan for Health Care - “Patient’s First”  by providing local residents with care closer to home.”
 
The new dialysis centre will include 36 stations and will provide vital pre-dialysis treatment and haemodialysis for patients, along with home dialysis training. It will be located in the Ancillary Services Building of the Etobicoke General Hospital site, which will house a number of outpatient programs/services. 
 
“Osler’s new satellite dialysis centre will offer treatment closer to home for our renal patients and greater access to the services this community needs most,” said Matthew Anderson, President and CEO, William Osler Health System. “This investment is vital to Osler and serves to create fundamental stepping stones that allow us to press forward with our exciting transformation.” 


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Investing in Local Mental Health and Addictions Services 
Across Central West LHIN Communities 

The Central West LHIN is investing in local mental health and addictions services across the LHIN, providing care closer to home for those who are experiencing mental health and addictions challenges. Ontario is also creating a province-wide registry of mental health beds to connect those experiencing a mental health crisis with the closest available bed.
 
“We have all been touched by mental health and addiction challenges - whether through a friend, a co-worker, a family member or our own experience,” said Dr. Eric Hoskins, Minister of Health and Long-Term Care. “By continuing to invest in community services, we’re helping to connect people with the support they need closer to home through settings that are more culturally appropriate and personal. These investments will improve the lives of people experiencing mental illness and addictions challenges - and the families that help care for them.” 
 
In 2014-15 and 2015-16, the Central West LHIN will invest a total $3.7 million in high priority services that will provide a robust spectrum of initiatives including case management, supports within housing, crisis services, community treatment-substance abuse, social rehabilitation / recreation, early psychosis intervention, family initiatives and community treatment disorders.
 
“Continued investment in mental health and addictions services is both relevant and appropriate for residents across the Central West LHIN,” said, Maria Britto, Chair, Central West LHIN Board of Directors. “Together, with Health Service Providers and community partners, we continuously work to place patients first, by ensuring local residents have access to the right care, at the right time and in the right place, and by helping them to maintain a good quality of life while enjoying the comfort and security of living in their own homes for as long as possible.”
 
The next phase of 
Ontario’s Comprehensive Mental Health and Addictions Strategy includes $138 million over three years for community agencies to support improvements to mental health and addictions services, through Local Health Integration Networks.
 
“Investing in local mental health and addictions agencies will improve the lives of local residents and families across the Central West LHIN, making it easier for them to access local services early and when they need it most, ” said MPP Amrit Mangat, Mississauga-South Brampton.

Supporting mental health and addictions services closer to home is part of
Ontario’s Action Plan for Health Care - “Patient’s First”. It is also part of the government's four-part plan to build Ontario up by investing in people's talents and skills, building new public infrastructure like roads and transit, creating a dynamic, supportive environment where business thrives, and building a secure savings plan so everyone can afford to retire.

For more information:
 Backgrounder


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Connecting Seniors in the Central West Local Health Integration Network (LHIN) with the Care They Need to Live Independently

the Central West LHIN is helping more seniors maintain their strength and recover from illness or injury so they can continue to live more independently.
 
“Providing seniors with more support to recover after an injury or being in hospital will allow them to return home and stay out of the hospital,” said Dr. Eric Hoskins, Minister of Health and Long-Term Care. “This investment is another way Ontario is taking action to improve health outcomes for seniors, helping them to lead healthy, independent lives for as long as possible.”
 
The Central West LHIN is investing $1.4 million to help seniors with complex medical conditions who have experienced a recent loss of strength or mobility. This is part of a $40 million province-wide investment that will enhance rehabilitative services and programs including: 
  • Comprehensive risk assessment programs in the community 
  • Hospital day programs and outpatient and community clinic services
  • Access to short-stay hospital rehabilitation programs
  • Supports for seniors in their home and community after a stay in hospital.
These services will help frail seniors who are at a high risk of losing their ability to live on their own as a result of an injury or prolonged hospital stay. The increased supports will help them regain the physical strength and conditioning necessary to return home and live independently. 
 
“Appropriate, relevant and focused these investments provide access to programs and services that support the "Patient’s First" philosophy,” said Maria Britto, Chair, Central West LHIN Baord of Directors. “By enabling seniors to regain the physical strength and conditioning needed to return from hospital, they are able to and live independently from the comfort and security of their own homes for as long as possible.”
 
This investment will also help support families and caregivers, help seniors avoid emergency department visits, and reduce the need for hospital admissions or placement in long-term care homes.
 
Improving health outcomes for seniors is part of the government's plan to build a better Ontario through its
 Action Plan for Health Care - "Patient's First", which is providing patients with faster access to the right care, better home and community care, the information they need to stay healthy and a health care system that’s sustainable for generations to come.
 
“Investing in services that help frail seniors continue to live in the comfort and dignity of their homes is important to ensuring they can enjoy their golden years,” said MPP Amrit Mangat, Mississauga-South Brampton.  “It is also a practical and cost effective way to invest in our health-care system and to improve patient health outcomes.”


For more information: Backgrounder

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    Healthy Change in Action

Turning 100!
The Central West Community Care Access Centre (CCAC) recently celebrated a milestone with the implementation of its 100th exercise and falls prevention class for seniors in the Central West LHIN.
 
Supported by the Central West LHIN, as part of a Ministry of Health and Long-Term Care initiative to increase access to physiotherapy, the exercise and falls prevention program is 116 classes strong and offers innovative programming to hundreds of seniors across our community.
 
The classes are coordinated by the CCAC and complement the organization’s in-home physiotherapy services, which provide one-on-one care for patients who require more intensive treatment.
 
“Our model is unique in that it allows patients to receive seamless care, regardless of their physiotherapy needs,” notes Kimberley Floyd, director of patient care services at the Central West CCAC. 
 
“While in-home physiotherapy benefits frailer seniors and those returning home from the hospital, community classes combine physical activity with falls prevention education and a social environment.  As participants experience changes in their health – for example, due to increased strength, an injury or a hospital stay – they can seamlessly transition to the option that best meets their evolving needs.”
 
Multiple levels of classes are available, from “sit fit” classes, for which participants remain seated, to intermediate and higher intensity sessions.  Classes are offered in a wide variety of settings, including community health centres and retirement homes; to meet the diverse needs of our community, some classes are offered in Punjabi and Hindi.
 
During the registration process, participants are assessed by a physiotherapist to ensure they attend the most appropriate class for their needs. They also speak to a CCAC care coordinator, who reviews their needs from a more holistic perspective and connects them with any other community services and supports they may require.
 
“We’ve had excellent feedback,” Floyd notes, “and we continue to expand classes across the Central West LHIN.  With service provider partners, we are currently designing specialized classes for stroke survivors and for seniors living with mental health issues and chronic obstructive pulmonary disease (COPD).   The possibilities are endless.”
 
Through the LHIN’s support, exercise and falls prevention classes are available free of charge to all seniors in the community.  For more information, call 1-888-733-1177, ext. 7744.


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All's Well in Caledon | New Health and Wellness Program Provides Option for 65+

With support from the Central West LHIN, Caledon Community Services has launched a new health and wellness program for those 65+ that is great for your health.

Every Thursday at the Exchange is dedicated to Caledon seniors. The program boasts a variety of activities that enhance physical, mental and nutritional health. There are inter-generational activities, music, movement, art, food fellowship and lots and lots of fun. Enjoy an activity you love or try something new. 


For more information please contact Ankie Lamers at 905.584.2300 (x273) or alamers@ccs4u.org

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    Events

Health Service Professionals Gather to Place Spotlight on Palliative and End-of-Life Care
 
______________________________________________ 
 
“At some time, in some way, we will all face the end of life. And most of us share a common hope:
that when death comes to us or a loved one, it will be peaceful and free of pain.
We hope to face death surrounded by those we love, feeling safe, comfortable and cared for.”

 
Living Lessons®
The GlaxoSmithKline Foundation and
The Canadian palliative Care Association
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With its focus on palliative and end-of-life care, the Central West LHIN is pleased to have hosted over 180 health service professionals from across the province at the most recent Governance and Senior Leadership session. 
 
This important session successfully advanced the palliative and end-of-life conversation. It also provided those in attendance with an opportunity to gain further understanding of joint Pledge which, when in place, will act as a commitment to coordinating care in such a way as to allows Health Service Providers from across the Central West LHIN to do so much more collectively than as separate individual organizations.
 
Grounded in a Patient’s First philosophy, participants began their evening reminded of the positive impacts associated with palliative care in the home, as told from the perspectives of 
Brad and Robin Conklin (video).
Keynote speaker Dr. Denise Marshall, Palliative Care Provincial Lead at Cancer Care Ontario, provided valuable insights into the current state of palliative and end-of-life care provincially, while setting the context for outlining the elements of a joint Pledge and the meaningful group discussions that followed.
 
Participants from across the health care continuum actively engaged in dialogue on how to enhance, action, advance and measure the success of the Pledge
 
“If we are to truly change the system for the better, the Pledge comes with the collective responsibility of accountability and ownership,” said Maria Britto, Chair - Central West LHIN Board of Directors. “I am confident there exists a strong commitment from across the Central West LHIN to continue this journey together, understanding that now is the time for us to seize a great opportunity… to take bold steps together… to really make a difference.”


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Correction Notice : The February issue of Working Together for Healthy Change, incorrectly identified Adam Feldman as the MPP for Etobicoke-Lakeshore. Peter Milczyn is the MPP for Etobicoke-Lakeshore and was pleased to co-host the Government and Community Services Fair with Yvan Baker, MPP Etobicoke-Centre, at Cloverdale Mall. 

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    Improving Access to Care

Mental Health & Addictions
 
"24.7 Crisis Support Peel | On March 16th, 2015 the Canadian Mental Health Association (CMHA) Peel Branch launched both the mobile crisis and police shifts of the newly redeveloped crisis services called 24.7 Crisis Support Peel. GTA LHINs’ Mental Health & Addictions Leads are in the process of scoping a planning process that will address a recommendation from the City of Toronto Mobile Crisis Intervention Team (MCIT) Steering Committee Report. The recommendation is to develop a strategy for a comprehensive and coordinated crisis response system which includes North Etobicoke/Rexdale.

Children's Mental Health | Three of four Lead Agencies for children’s mental health transformation serving Central West LHIN residents have been named: Peel - Peel Children's Centre, Toronto - East Metro Youth Services, and York - Kinark Child and Family Services. The Lead Agency for Dufferin County will be named by the Ministry of Children and Youth Services by the end of 2015. The Central West LHIN will continue to be engaged in the process with Peel Children’s Centre as it fulfills its mandate in the next year to develop a community mental health plan for children and youth. The transformation in child and youth mental health services is known as Moving on Mental Health.

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    Streamlining Transitions & Navigation
 
Health Links - Update

Early evidence suggests Health Links are working in the Central West LHIN. 

Health Links are teams of local health providers who offer patients with complex conditions better coordinated care through the development of care plans that meet the specific needs of the patient to improve transitions among health care providers.




The above graph represents early indications form Headwaters Health Care Centre inpatient and emergency department utilization by Dufferin and Area Health Link patients between April 2014 and February 2015. The data represents the early experience of 151 patients from Dufferin and Area Health Link with individualized coordinated care plans. A “before and after” analysis indicates that total patient discharges were reduced by 42% and emergency department visits reduced by 29% for this group of patients.

 
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Telemedicine/Telehomecare - Update

The Central West LHIN’s Regional Telehomecare program has currently enrolled a total of 1,200 patients in the program and has achieved 96% of its April 2015 target of enrolling 1,250 patients.

The Telehomecare  program enables patients with Chronic Heart Failure (CHF) and/or Chronic Obstructive Pulmonary Disease (COPD), and  who have visited the hospital multiple times to self-manage their chronic conditions from the comfort of their own homes or local communities. 



The above graph, representing data for both Headwaters Health Care Centre and William Osler Health System, shows the notable decrease in both inpatient episodes and emergency department visits during and after implementation of Telehomcare. For this patient group, the program continues to reduce emergency department visits by 40% and reduced inpatient admissions by 49%.


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    Build on the Momentum
 
Aboriginal Health 

Métis Nation of Ontario Health Summit | The Central West LHIN CEO and Aboriginal Health Consultant participated in the inaugural Métis Nation of Ontario Health Summit. The summit presented the results of Métis health studies completed by the Institute for Clinical Evaluative Studies and brought together the MOHLTC, LHINs and providers from across the province.
 
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Palliative Care 

LEAP health professional education program | A two-day health professional education program in palliative care was offered on March 6th and 7th. Entitled LEAP, the program was delivered in Orangeville and was another sell out with 23 health professionals, including 12 physicians, attending. Funded by Cancer Care Ontario, the program follows similar programs previously delivered through the Central West Palliative Care Network.

 
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Ontario Special Needs Strategy 

Looking to build a new way of delivering services to children and youth with special needs and their families, the Ontario’s Special Needs Strategy is led by four Ministries including Children and Youth Services (MCYS), Community and Social Services (MCSS), Education (EDU) and Health and Long-Term Care (MOHLTC). The goal is to connect children and youth to the services they need as early as possible, and improve the service experience of families in three key areas:
  • a new standard developmental screen for preschool children
  • coordinated family-centred service planning for children and youth with multiple and/or complex needs
  • an integrated approach to the delivery of rehabilitation services (speech-language therapy, occupational therapy and physiotherapy).
Thirty-four planning tables, comprised of local providers that serve children with special needs, are convening across the province with the expectation of submitting proposals on a new model of care that is more accessible for families. The planning tables are currently in the process of engaging with families to gather perspectives on what is working well and the gaps in the system that require improvement.

The Central West LHIN is currently involved in the development of the local Special Needs Strategy for Peel and Dufferin and is connecting with the Toronto Central and Central LHINs to ensure awareness of development in the Vaughan and Etobicoke service areas.


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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 your 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 © 2015, Central West Local Health Integration Network, All rights reserved.