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The Central West LHIN is pleased to publish the April 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...
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... click here

From hospital to home, Behavioural Support Transition Nurses are making a difference... "Mr. Abercrombies" story. Read more

Osler reaches important milestone in Etobicoke General Hospital expansion and renewal project... Read more

In this issue... 

  In the News
  • Osler reaches important milestone in Etobicoke General Hospital expansion and renewal project... Etobicoke Healthcare Partnership selected as preferred bid team
  • Ontario Reports Results on More Investments and Better Access to Health Care... Government Reports First Year Progress on Patient’s First Action Plan
  • Province Strengthens End-Of-Life Care With $75 Million Investment... Ontario Developing Comprehensive Strategy on Palliative and End-Of-Life Care
  • Ontario Taking Further Steps to Protect People from Second-Hand Smoke and Vapour... Strengthening Ontario’s Smoking and Vaping Legislation
  Healthy Change in Action
  • From Hospital to Home, Behavioural Support Transition Nurses are making a difference
  Build Integrated Networks of Care
  • Mapping Seniors Services in Peel
  • Resource Coordinators Enable Expansion of Health Links
  • Taking The Next Step... Central West LHIN Hosts "Transition" Discussion for Local Physicians
  Drive Quality & Value   
  • Update | Central West LHIN Telehomecare Program
  • Pay for Results (P4R) Reduces Emergency Department Length of Stays
 Connect & Inform
  • Reflet Slavéo provides Francophone lens to Patients First discussion paper 
 Demonstrate System Leadership
  • Advancing education in the prevention and self-management of diabetes
  • Central West LHIN Health Equity Charter Moving Forward  

  IN THE NEWS

 





Osler reaches important milestone in Etobicoke General Hospital expansion and renewal project... Etobicoke Healthcare Partnership selected as preferred bid team

William Osler Health System (Osler) is one step closer to breaking ground on a new, four-storey wing at Etobicoke General Hospital, with Etobicoke Healthcare Partnership (EHP) having been named the first choice of short-listed teams to design, build, finance and maintain the new wing. EHP is one of three short-listed teams bidding on the project and was chosen as the ‘preferred proponent’ after an extensive evaluation process led by Infrastructure Ontario (IO).

“This is a monumental step forward in our journey toward the revitalization of Osler’s Etobicoke General Hospital,” said John Davies, Chair, William Osler Health System Board of Directors. “With today’s announcement, we are moving even closer to the completion of a new, state-of-the-art wing that will help expand access to programs and services – like emergency and women’s and children’s care – that are needed most by this growing community.”

Over the next two months, Osler will work with IO to finalize contract details with EHP. These details will include the cost of the contract and project timelines. Construction on the new wing is expected to begin shortly after the contract is finalized.  
Read more...

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Ontario Reports Results on More Investments and Better Access to Health Care
... Government reports first-year progress on Patient’s First action plan

In its Patients First: Action Plan Progress Report released today, the province outlined the investments in health care that are giving patients better and faster access to high-quality health care services today while building a sustainable system that will be there for patients in the future.  

“Ontario is committed to a health care system that truly puts patients first. This year’s progress report demonstrates that we are continuing to make investments in and are improving the performance of our health care system. That means faster access for patients today and a system that will be there for patients and caregivers when they need it in the future.”  - Dr. Eric Hoskins, Minister of Health and Long-Term Care

Since introducing the Action Plan for Health Care in February 2015, results have included:

Improving access:
Connecting services:
Informing people and patients:
Protecting patients and the health care system:
  • Selecting Ontario's first-ever Patient Ombudsman after an online consultation in which nearly 1,000 Ontarians identified the skills, experience and personality traits that the Patient Ombudsman should have. Christine Elliott was announced in this role December 2015.
  • Funding a nasal spray flu vaccine to better protect children and youth against the flu.
  • Introducing the Health Information Protection Act, to protect the personal health information of patients by strengthening reporting requirements for privacy breaches and doubling fines for offences.
Improving the patient experience is part of the government's plan to build a better Ontario through its Patients First: Action Plan for Health Care, 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.

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Province Strengthens End-Of-Life Care With $75 Million Investment... Ontario developing comprehensive strategy on palliative and end-of-life care

As part of the 2016 Budget, Ontario is proposing to invest an additional $75 million over three years to provide patients with more options and access to palliative and end-of-life care. This investment would improve community-based hospice and palliative care services including:

  • Supporting up to 20 new hospices across Ontario and increasing the funding for existing facilities
  • Increasing supports for caregivers that will help families and loved ones support palliative patients at home and in the community
  • Promoting advance care planning so that families and health care providers understand patients' wishes for end-of-life care
  • Establishing the Ontario Palliative Care Network, a new body to advance patient-centred care and develop provincial standards to strengthen services.

The province is also partnering with Hospice Palliative Care Ontario to provide training and support to new hospice volunteers each year. A new online training system will give volunteers throughout Ontario better access to standardized training and tools, which will be especially beneficial for rural and remote communities.

Ontario is also releasing the Palliative and End-of-Life Care Provincial Roundtable Report, which compiles feedback from recent consultations led by John Fraser, Parliamentary Assistant to the Minister of Health and Long-Term Care. The consultations included 16 roundtables with more than 325 stakeholders across the province, including patients, families, doctors, nurses and health system leaders. The Roundtable Report will help Ontario develop a comprehensive strategy on palliative and end-of-life care, which will focus on supporting families and caregivers, and ensuring access to coordinated quality care where patients want it.

“Ensuring that patients and families across the province have access to compassionate and high-quality palliative care is critical at this very important and challenging time of their lives. Our goal is to build on Ontario’s strong network of providers and volunteers who make an enormous difference to the palliative care patients receive.” - John Fraser, Parliamentary Assistant to the Minister of Health and Long-Term Care

Improving palliative care is part of the government's plan to build a better Ontario through its Patients First: Action Plan for Health Care, 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.It is also part of Ontario's Patients First: Roadmap to Strengthen Home and Community Care, which is the government's plan to improve and expand home and community care over the next three years.

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Ontario Taking Further Steps to Protect People from Second-Hand Smoke and Vapour
... Strengthening Ontario’s smoking and vaping legislation

Ontario is proposing to strengthen its smoking laws to better protect people from second-hand smoke, whether from a tobacco product or medical marijuana. The province is also proposing changes to regulate the use, sale, display and promotion of electronic cigarettes.

These proposed changes come on the 10th anniversary of the Smoke-Free Ontario Strategy, which has helped lower health risks to non-smokers in Ontario. Children are more vulnerable to the harmful effects of second-hand smoke exposure. Studies show that young people are less likely to become regular smokers when living in areas with strong tobacco control regulations when compared to areas where regulations are weaker.

“It is important to ensure that Ontarians are protected from second-hand smoke and from the potential dangers of e-cigarettes. That is why we are proposing these changes and we look forward to the upcoming consultations with our stakeholders.” - Dipika Damerla, Associate Minister of Health and Long-Term Care

To strengthen its smoking laws, Ontario will propose amendments today to the Smoke-Free Ontario Act and its regulation, as well as to the regulation under the Electronic Cigarettes Act, 2015, that if passed, would:

  • Prohibit the use of e-cigarettes and the smoking and vaping of medical marijuana in all enclosed public places, enclosed workplaces, and other specified outdoor areas
  • Expand the list of places where e-cigarettes are prohibited for sale
  • Establish rules for the display and promotion of e-cigarettes in places where they are sold and prohibit the testing of e-cigarettes where they are sold.

A summary of proposed changes can be found on the Regulatory Registry for public comment. 

Through the Smoke-Free Ontario Act, the government has taken a strong stance to protect the people of Ontario from second-hand smoke in enclosed public places and workplaces. Recent amendments to the Act include further protection for kids by banning the sale of flavoured tobacco products, and increasing the maximum fines for youth-related sales offences.

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  HEALTHY CHANGE IN ACTION







From Hospital to Home... Behavioural Support Transition Nurses are Making a Differnece

The Central West LHIN Behaviour Supports Ontario (BSO) program continues to grow. The recent addition of Behavioural Support Transition Nurses (BTSN) has increased the program’s capacity to transition people with responsive behaviours from hospital to Long-Term Care settings.  

Hospitalized for six weeks, Mr. Abercrombbie's agitative and wandering behaviour was proving to be a barrier to his placement in a Long-Term Care (LTC) home The BSTN conducted a specialized assessment, which identified triggers to the patient’s behaviour, and worked with the nursing staff on the unit - and his spouse - on how to recognize triggers and respond before behaviours escalate. 

Following a notable improvement in Mr. Abercrombie's behaviour, he was discharged from hospital.  The BTSN was able to accompany the patient and his family to the LTC home, allowing for a warm hand off and the ability to educate LTC home staff on his behaviour triggers and remediation strategies.

Highly successful, over 200 unique BSO program referrals were received in each of the first three quarters of 2015/16, and over 4,049 active patients and their caregivers have been supported in that time period. 

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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

Mapping Seniors Services in Peel | The Central West LHIN was pleased to attended the ‘Join the Conversation - Mapping Seniors Services in Peel’ session. Sponsored by the Peel Elder Abuse Prevention Network (PEAPN), this important forum established a shared understanding of the current state of senior’s services in Peel, identifying opportunities for improvement, innovation and collaboration.

Approximately 30 people attended the session, representing different sectors within the region. Representatives from Canadian Association of Retired Persons (CARP), Region of Peel, Catholic Family Services and other private and public Health Service Providers (HSPs) discussed current services, issues and opportunities, and identified bold ideas for an ideal future state. The session was facilitated by Tamarack, an institute for community engagement, and the findings in the session will be used to further the conversation during the  Peel Senior’s Summit.


Resource Coordinators Enable Expansion of Health Links | Health Link leads have been busy on-boarding additional Resource Coordinators, increasing the capacity of Health Links to identify complex patients. Resource Coordinators will also play a key role in the development of coordinated care plans for those who are identified as complex patients. William Osler Health System will also be hiring a Decision Support resource, whose role it will be to analyze the performance and outcomes of Health Links, identifying areas for continued improvement. 

Taking the Next Step... Central West LHIN Hosts "Transition" Discussion for Local Physicians | The Central West LHIN Primary Care Network was pleased to host a first of its kind fireside discussion for physicians contemplating transitions – either into full-time practice from residency, or winding down active community practice. 

The session was attended by a balanced mix of 45 young and seasoned physicians who engaged with a panel that included Dr. Amy Catania from the Ontario College of Family Physicians (OCFP),  Kim Wilhelm from HealthForce Ontario, Dr. Mercedes Rodriguez - in practice for 6-months, Dr. David Knox - in practice for over 25 years, and a representative from MD Financial.  

As this was considered a provincial "first of its kind" forum, attendees and contributing organizations considered it a success, noting that it should become an annual event.

 
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   DRIVE QUALITY & VALUE

Update - Telehomecare | The Regional Telehomecare program has currently enrolled a total of 1,685 patients, and has reached 80% of its performance target for this fiscal year. Telehomecare continues to have sustained results, reducing emergency department visits and alternative levels of care (ALC) for patients that have been enrolled and completed the six-month program.

The Ontario Telemedicine Network (OTN) is looking to expand the Telehomecare program to serve patients with the main diagnosis of Diabetes, Mental Health and Palliative Care. Expansion to these areas of diagnosis will be tested and piloted over the next year with staged implementation to follow.

Pay for Results (P4R) Reduces Emergency Department Length of Stays | The P4R program was introduced in 2008. With the goal of reducing emergency department (ED) length of stay (LOS), financial incentives are provided to organizations based on improved performance. Since its implementation, the program has been successful at reducing the overall provincial ED LOS by 15%, despite an increase in overall ED volumes.

Funding for each year’s P4R program is based on a LHIN’s share of the available provincial program funding, earned by the performance of eligible hospital sites across a number of measures of time spent in the ED in the previous calendar year. Based on the success of the program, in fiscal year 2016-17 the Ministry of Health and Long-Term Care (MOHLTC) is looking to improve access and advance the quality agenda by adding three additional elements including:
  • a sixth indicator: Ambulance Offload Time (AOT). This indicator will provide an incentive to reduce offload delays and lead to faster access to care for patients arriving by ambulance, the result of which will be improved quality of care and patient satisfaction. It will also enable ambulances to return to service faster to care for patients in the community
  • a requirement for eligible hospitals to participate in the ED Return Visit Quality Program - a program to promote a culture of continuous quality improvement and reduce factors that increase risk of return visits.
  • a continued requirement for eligible hospitals to participate in the Ontario Hospital Association’s (OHA) Patient Satisfaction Survey   
P4R 2016/17 funding will be allocated according to the funding priorities of the Central West LHIN, outlined in Integrated Health Service Plan (IHSP) 2016-2019 and the 2016/17 Annual Business Plan (ABP).

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  CONNECT & INFORM

Reflet Slavéo Provides Francophone Lens to Patients First Discussion Paper | Reflet Slavéo, as part of the Regroupement des Entitiés, was pleased to have been asked by the Ministry of Health and Long-Term Care (MOHLTC) to provide input on Patients First: A Proposal to Strengthen Patient-Centered Health Care in Ontario.

In total, the response outlines 19 recommendations aligned with the four key proposals of Patients First including formalizing the Regroupement des Entitiés’ relationship with the MOHLTC, and instituting provincial linguistic data collection and Health Service Provider (HSP) reporting requirements.

In addition, specific recommendations were made to strengthen the legislative framework for French Language Services in health care, including changes to the Local Health System Integration Act and Regulation 515/09 (the Entitiés enabling legislation).  And, a recommendation was made to change the funding and accountability agreements between the LHIN and Entitiés.

For a complete copy of the Regroupement des Entitiés recommendations 
click here

At the local level, Reflet Salvéo’s Annual Advisory Report to the LHIN has been submitted. Highlights include... 
  • Active Offer:  that the LHINs, Reflet Salvéo and HSPs develop a joint strategic plan to increase active offer in the region.
  • Mental Health Services: create a structure to share the sector’s best practices and other tools.
  • Equity: recommendations were drafted that target the LGBTQIA and seniors' communities.
  • Planning:  the integration of a French language planning lens to the upcoming changes in home and community care, community hubs, Health Links, and all other areas of change within the health care system.
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  DEMONSTRATE SYSTEM LEADERSHIP

Advancing Education in the Prevention and Self-Management of Diabetes | Each year the Chronic Disease Prevention and Management (CDPM) Initiative at the Central West LHIN conducts an annual survey of Adult Diabetes Education Programs. The goal is to obtain information about current diabetes education practices, for the purpose of future improvements. 

2015/16 survey results indicate progress has been made in several areas. More programs are 
conducting foot assessments. Adoption of tools such as the Diabetes Concerns Questionnaire and Depression Screening tool has increased.  And, all programs are now involved in developing and implementing quality improvement plans, a notably milestone over the past year. 

In addition to positive results related to adult programming, Paediatric Diabetes Education Programs in the Central West LHIN exceeded their projected volumes for children and youth at the end of the 3rd quarter for 2015/16. Awareness of and engagement in Central West LHIN Diabetes Education and Self-management programs, across all age groups, continues to improve. 

 

Central West LHIN Health Equity Charter Moving Forward | The Central West LHIN is moving forward with local providers and stakeholders on the development of the LHIN’s Health Equity Charter. The intent is to develop a charter that outlines a collaborative commitment to the goals and outcomes of equitable access to care for the residents of the Central West LHIN.

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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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