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The Central West LHIN is pleased to publish the May 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...
Opportunities exist at the Central West LHIN, and with the Central West LHIN Board of Directors... Find out more
The Central West LHIN is pleased to present its new strategic plan... Integrated Health Service Plan (IHSP) 2016-2019.  Find out how the LHIN is Making Healthy Change Happen... Read more
Peel Memorial interior takes shape...
Read more
Capital campaign kicks-off for the new Peel Memorial... Read more

In this issue... 

  In the News
  • Redeveloping Faith Manor Nursing Home in Brampton...Ontario renovating more than 300 Long-Term Care homes to improve comfort and care
  • New Rapid Diagnostic and Breast Support Clinic opens at Osler... Innovative new clinic helps patients with breast cancer get diagnosed and start treatment sooner
  • Osler Foundation’s Holi Gala raises a record-breaking $277,000 for hospital redevelopment...Gala represents opportunity to make a positive and meaningful contribution to the health of local communities 
  Healthy Change in Action
  • The Central West LHIN Governance and Leadership Forum, Creating a Culture of High Performance... improving the patient experience improves the entire organization
  Build Integrated Networks of Care
  • A busy year ahead for Health Links
  • Expansion of Telemedicine to meet the needs of compelx patients continues
  • Seniors across the Central West LHIN benefiting from an array of Excercise and Falls Prevention Classes
  • Community investments resulting in appropriate use of Emergency Departments for mental health and addictions clients. 
  Drive Quality & Value   
  • Health Quality Ontario (HQO) launches Patient Engagement Tools and Resources hub 
 Connect & Inform
  • 2016/17 Joint Annual Action Plan seeks to improve access of local Francophone residents to quality health care services. 

  IN THE NEWS

 


Redeveloping Faith Manor Nursing Home in Brampton...Ontario Renovating More Than 300 Long-Term Care Homes to Improve Comfort and Care

Ontario is investing in long-term care homes to improve the quality of care and comfort of residents. Associate Minister of Health and Long-Term Care Dipika Damerla recently visited Brampton’s Faith Manor Nursing Home, where 120 resident spaces will be redeveloped as part of a brand new build. 

Through these enhancements, residents will benefit from:    
  • An environment that is comfortable, aesthetically pleasing and as home-like as possible with renewed interior design
  • Additional space for specialized programs like rehab and physiotherapy
  • More spacious rooms with a maximum of two residents per bedroom
  • Greater wheelchair access in bedrooms, bathrooms, showers and doorways
  • More air-conditioned areas
  • Accessible dining areas that provide a home-like atmosphere
  • More private work spaces for staff.
The Holland Christian Homes Site is a model for senior’s care that provides a vast array of programs, services and types of living. It represents the true definition of community, and the Central West LHIN is so very pleased that Faith Manor will continue to provide residents with high-quality, patient-centred care for generations to come.” - Maria Britto, Chair, Central West LHIN Board of Directors

Long-term care homes are places where adults can live and receive help with daily activities and access to 24-hour nursing and personal care. They provide more nursing and personal care than a retirement home or supportive housing.

Long-term care homes like Faith Manor are not just facilities – they are peoples’ homes. It is vital that they remain up-to-date to provide residents with secure, safe and comfortable surroundings.  The redevelopment of long-term care homes will also help create jobs in the Brampton area.” - Dipika Damerla, Associate Minister of Health and Long-Term Care

Ontario is making the largest investment in public infrastructure in the province’s history — about $160 billion over 12 years, which is supporting 110,000 jobs every year across the province, with projects such as roads, bridges, transit systems, schools and hospitals. In 2015, the province announced support for more than 325 projects that will keep people and goods moving, connect communities and improve quality of life.


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New Rapid Diagnostic and Breast Support Clinic opens at Osler... Innovative new clinic helps patients with breast cancer get diagnosed and start treatment sooner.

An innovative new clinic at Osler will help patients with breast cancer get diagnosed and start treatment sooner.
 
The new Rapid Diagnostic and Breast Support Clinic, which has launched at Brampton Civic and Etobicoke General hospitals, expands on existing oncology and breast programs by bringing together clinicians from Osler's surgery, oncology, diagnostic imaging and pathology teams. Patients also have access to a Nurse Navigator, who can help guide them through the clinic and their treatment plans.
 
Together, this multidisciplinary team will reduce wait times by streamlining the diagnostics and treatment processes, and will continue to provide care to patients screened at Osler so they don't need to seek treatment elsewhere. The goal is to reduce the wait time from mammogram to surgery to 30 days, from the provincial average of 64 days.
 
Should patients want to explore other treatment avenues, Osler will also provide them with predictable wait times for oncology referrals to other options across the health care system.
 
The clinic is operated in partnership with Cancer Care Ontario (CCO) and is the first program of this kind in Ontario.


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Osler Foundation’s Holi Gala raises a record-breaking $277,000 for hospital redevelopment...Gala represents opportunity to make a positive and meaningful contribution to the health of local communities 

William Osler Health System (Osler) Foundation recently celebrated its third annual Holi Gala – Festival of Colours at the Embassy Grand Convention Centre in Brampton.
 
The annual gala — touted by some as the year’s biggest party — was headlined by singer and actor, Harbhajan Mann who dazzled the crowd of 800 with some of his biggest hits.
 
“We are incredibly proud of our community’s support of our hospital and very grateful to Loblaw for presenting this year’s sold out Holi Gala,” said Ken Mayhew, President and CEO, Osler Foundation. “Each year, the bar is raised higher and higher thanks to the tremendous generosity of so many caring people in our community.”
 
The event raised over $277,000, a total that was matched by Orlando Corporation’s $15 Million Matching Challenge, resulting in a $554,000 contribution to Osler’s redevelopment initiatives at Brampton Civic Hospital, Etobicoke General Hospital, and the new Peel Memorial Centre for Integrated Health and Wellness.
 
“The celebration of spring through Holi Gala is a perfect opportunity to recognize the significant renewal happening at Osler’s three sites,” said Dr. Gurjit Bajwa, Co-Chair of the Holi Gala, along with Dr. Vandana Ahluwalia. “We couldn’t be more proud to be part of this amazing organization, raising funds to ensure we have the space and equipment we need to provide the best health care."
 
Recognizing the collaborative environment that is required to build healthy communities, Osler’s “Holi Gala – The Festival of Colours” was presented by Loblaw Companies Limited (lead sponsor), TD Bank, Cable Control, CIBC, Pharmasave, RBC, Scotiabank and In & Out Car Wash and Detailing Centre. Rogers Television lent generous support to the event’s media needs. The event was also supported by a number of generous sponsors, including table sponsors, tickets purchasers, cash donors, gift-in-kind donors, silent auction donors and bidders.

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  HEALTHY CHANGE IN ACTION



The Central West LHIN Governance and Leadership Forum... Creating a culture of high performance... Improving the patient experience improves the entire organization

The Central West LHIN was pleased to host over one hundred health care professionals at its latest Governance and Leadership Forum, focused on creating cultures of high performance, both within individual organizations and as a local health care system. Specific focus was placed on the impact patient experience has on the overall organization and system. 

Having emerged as an important health care priority, provincially and in the Central West LHIN organizations are striving to improve the patient experience. But what does this mean in a contemporary healthcare setting. 

"Patient-centred care, patient engagement, and improving the patient experience are not new concepts.  What is new, is that we are learning how the time-tested basics of engaging... respecting... understanding... and caring for our patients can also be critical ingredients in the success and sustainability of complex, contemporary health systems. Organizations that are improving the patient experience are also making strides in other critical areas such as quality, safety, efficiency, productivity, and financial results." - Back to the Future, by Mitch Hagins and Bonnie Chochrane, Studer Group Canada

To reinforce the positve impact patient experience has on an entire organization, Mitch Hagins and Bonnie Cochrane of Studer Group Canada, introduced the Evidence-Based Framework, an improvement model that helps health care organizations to build high-performing, sustainable cultures; promote accountability; foster innovation; and deliver high-quality patient experiences and outcomes over time.

Leveraging the benefits of knowledge exchange, participants them shared their strategies and approaches to improving their organizations across five critical areas - the 5 pillars - including People, Service Quality, Clinical Quality, Efficiency and Growth. 

This important feedback will be captured in a summary report that will be shared with all participates, to the end that they have a resource from which to draw upon to leverage collective strategies and approaches of their peers, as they seek to further develop cultures of high performance in their individual organizations and as local health care system.


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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 of Working Together for Healthy Change.

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  BUILD INTEGRATED NETWORKS OF CARE

A busy year ahead for Health Links | Health Link Leads and co-Leads are ready for the busy year ahead. Priorities for this fiscal year include...
  • Working collaboratively across all Health Links to onboard all seven Resource Coordinators, ensuring that they are consistently and appropriately embedded in all five Health Links.  The outcome of this will be the ability to integrate into primary care settings and ‘find’ complex patients and overtime translate those into completed care plans.
  • LHIN staff and the Leads are working in partnership with decision support staff from William Osler Health System (Osler), Headwaters Health Care Centre (HHCC) and Central West CCAC to integrate a shared Decision Support staff resource.  This resource will be able to implement an outcomes dashboard for Health Links as well as determine a work plan for other measurements and outcomes across Health Links.
  • LHIN staff are leading an evaluation of the project management function that is led by the Secretariat.  The evaluation will provide advice to the Steering Committee on where there are opportunities to enhance the role and bring greater communications and support across all five Health Links.
LHIN staff also recently participated in a Chronic Disease Prevention and Management (CDPM) visioning session for Peel Memorial.  As the vision for the program continues to evolve, Osler is specifically focused on aligning this program with Health Links and Primary Care Renewal. Early program design discussions have focused on the enhancement of the relationship with primary care for those with complex chronic diseases through enhanced communications and the opportunity to apply technology innovations.

Expansion of Telemedicine to meet the needs of compelx patients continues | Implementation and integration of the Telemedicine program into Health Links environment continues with 75 professionals, i.e. case managers and navigators, provisioned with OTN (Ontario Telemedicine Network) capabilities.  The technology is being tested with Health Links patients and providers to ensure increased access and ease to connect to virtual case conferencing. The goal is to test this mode of communication with 35 Health Links patients before increasing scaled implementation. 

Funded community providers have submitted Telemedicine plans to the Central West LHIN indicating how virtual care will be integrated into service provision. These plans are currently being reviewed and will be utilized to support and further implement the LHIN’s Telemedicine strategic objectives.
 
The Regional Telehomecare (THC) program has enrolled 1,728 patients into the program and continues to have positive sustained results for the patient and healthcare system. The In-Patient (IP) visit rate dropped from 1.92 episodes/patient before THC enrollment to 0.46 episodes/patient after THC discharge (the post-discharge IP rate is about 75% lower than the before enrollment period). The Average Length of Stay (LOS) decreased, on average, by more than a day post-discharge, and finally, the Emergency Department (ED) visit rate dropped significantly from 3.10 visits/patient before enrollment, to 0.91 visits/patient after THC discharge.

The Central West LHIN is currently working with the OTN to integrate a health equity lens to the program to improve access to vulnerable and marginalized populations in the LHIN.


Seniors across the Central West LHIN benefiting from an array of Excercise and Falls Prevention Classes | The Central West CCAC has successfully implemented 149 Exercise and Falls Prevention classes across the Central West LHIN.  The Central West CCAC is now assessing and enrolling seniors in these free, publicly-funded classes that are now fully operational.

The class structure across the LHIN varies based on the frailty of seniors with some classes focusing on patients with Chronic Obstructive Pulmonary Disease (COPD) and some on Stroke patients.  


The Central West CCAC continues to work with the Central West LHIN and system partners (i.e. City of Brampton) and Health Service Providers (HSPs) to increase referrals and engage seniors. During this fiscal year the LHIN will continue to explore innovative ways to increase accessibility and attendance via telemedicine. In addition, a social determinants of health lens will be integrated to maximize seniors’ social engagement and education through cross sector partnerships and collaborations. Anyone interested in publicly funded exercise and falls prevention classes should  call the Central West CCAC to register.Once registered, they will be connected to the most appropriate class and location.

Community investments resulting in appropriate use of Emergency Departments for mental health and addictions clients | Data shows that repeat Emergency Department (ED) visits within 30 days for mental health have improved over the last year, with a downward trend from Q2 14-15 to Q2 15-16 (the most recent quarter for which there is performance data).  Repeat visit rate for Q2 15-16 is 14.1% compared to the provincial target of 16.3% and provincial performance of 20.43%. 

Through reporting from Crisis Services and the short-term emergency diversion (InSTED) programs, there appears to be a correlation between these targeted community-based investments and the improvement in mental health repeat visits.  For instance, Crisis Services are better identifying the need for a hospital visit through more comprehensive assessments.  More of the clients recommended by Crisis Services for an emergency department visit are triaged as requiring acute care and are admitted, showing that the need for an ED visit was appropriately assessed and the visit was necessary.  InSTED has also reported that clients identify a self-reported 60% reduction in repeat visits for mental health following engagement.

 
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   DRIVE QUALITY & VALUE

Health Quality Ontario (HQO) launches Patient Engagement Tools and Resources hub |  HQO has launched a Patient Engagement Tools and Resources hub on their website for health care professionals as well as patients, families and caregivers.

As provincial advisor on the quality of health care, HQO plays a role in facilitating patient engagement throughout all aspects of the health system. Working with patients, families and health providers, it gathers and develops tools and resources to support engagement efforts. 

These resources are intended to encourage, enable and empower all Ontarians to participate in their care, and to help teach and facilitate engagement between patients and health care providers. To visit the hub click here... 

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  CONNECT & INFORM

2016/17 Joint Annual Action Plan seeks to improve access of local Francophone residents to quality health care services The Central West, Mississauga Halton and Toronto Central LHINs, in collaboration with Reflet Salvéo, have released the 2016/17 Joint Annual Action Plan designed to improve the access of local Francophone residents to quality health care services. This plan places an emphasis on four priorities:
  • Active offer is essential to FLS successful implementation within the healthcare system in order to reduce barriers encountered by Francophone patients when accessing different services.
  • Mental health is one of the Ministry of Health and Long-Term Care’s key priorities, which is shared by the Francophone community. Mental health and addiction issues can stem from immigration status and process, different ethnocultural taboos, feelings of isolation or the lack of knowledge regarding services available in French. It is vital to take appropriate measure to ensure newcomers have access to appropriate mental health resources and services.
  • The concept of equity in health care service delivery is currently being given great attention. Multiple reports on health care service inequity faced by vulnerable segments of the population have led the government to make equity one of its core priorities. The Ministry of Health and Long Term care wants everyone to have fair access to proper professional health care services without any discrimination based on age, origin, sexual orientation. Through this goal, we intend to ensure the Francophone community is included (especially LGBTQIA people and seniors, as particularly vulnerable groups).
  • System transformations within Ontario’s Health Care system will continue and likely accelerate. It is therefore crucial to integrate the francophone lens from the start and at every step of the way as changes are introduced. Nonetheless, it remains important not to forget that the base for effective French language service delivery lies on identifying Francophones within the system.
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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 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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