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The Central West LHIN is pleased to publish the June / July 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.
Renewal and expansion of Etobicoke General Hospital | Important redevelopment milestone recognized and celebrated at Osler AGM as construction nears. Read more...
Help Ontario Recruit its First Patient Ombudsman | Province Invites the Public to Provide Feedback on Selection Process.  Read more...
 

In this issue ... 

  In the News
  • Help Ontario recruit its first Patient Ombudsman
  • Renewal and expansion of Etobicoke General Hospital celebrated at Osler AGM
  • Provincial Aboriginal LHIN Network (PALN) Planning Conference places spotlight on strategic priorities to advance Aboriginal health
  • Registration open for the NPAO conference  
   Announcements / Appointments
  • Central West LHIN welcomes new Board Member
   Improve Access to Care
  • Exercise and falls (PILOT) program moves ahead for Chronic Obstructive Pulmonary Disease (COPD) patients
   Streamline Transitions & Navigation
  • Telemedicine/Telehomecare - Update
  • William Osler Health System now sending automated discharge summaries for ED patients
  • eHealth Governance 2.0 to ensure investments in eHealth support the objectives of Patients First 
  • Spotlight on Quality | Driving Quality and Value in Central West LHIN... an Update

   In the News

Help Ontario Recruit its First Patient Ombudsman 

Ontario is inviting people from across the province to share their ideas on what skills, experience and personality traits they would like to see in the province's first Patient Ombudsman.

Now through August 31, 2015, people can go online to help recruit Ontario's first Patient Ombudsman by identifying which qualities they think are most important for the role. The province will use this information to guide its selection of Ontario's Patient Ombudsman.

The Patient Ombudsman will assist patients and their caregivers who have not had their concerns resolved through existing processes at hospitals, long-term care homes or community care access centres. Key functions of the Patient Ombudsman will include:

  • Addressing unresolved complaints from current and former hospital patients, long-term care home residents, community care access centre clients and their caregivers
  • Investigating health-sector organizations in response to unresolved complaints, as necessary
  • Making recommendations to health-sector organizations following investigations.

To further strengthen the voice of patients in Ontario's health care system, the province is also improving the patient relations process in hospitals. While many public hospitals already have patient relations departments and processes, as of Sept. 1, 2015, all public hospitals will be required to have a staff member responsible for overseeing the patient relations process as well as other measures to improve patient relations.

Establishing a Patient Ombudsman is part of the government's plan to build a better Ontario through its Patients First: Action Plan for Health Care. It will provide patients with faster access to the right care; better home and community care; the information they need to live healthy; and a health care system that is sustainable for generations to come. 

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   Events

Renewal and expansion of Etobicoke General Hospital celebrated at Osler AGM | Important redevelopment milestone recognized as construction nears
 
Dignitaries, donors, community members and local health care leaders joined William Osler Health System (Osler) staff, physicians, volunteers and Board members yesterday to celebrate a remarkable past year as well as an important milestone in the redevelopment and expansion of the Etobicoke General Hospital.

"The planned transformation of Etobicoke General Hospital incorporates exciting advances in health care,” said Maria Britto, Board Chair, Central West LHIN Board of Directors. “The Central West LHIN is proud to support the creation of a facility that will support physicians, staff and volunteers to deliver high quality, patient-centred care; establish centres of excellence; and provide education and training to the community and health care professionals of tomorrow.”

At a special event prior to Osler’s Annual General Meeting (AGM), dignitaries helped to unveil new signage for Etobicoke General’s redevelopment project – a new four-storey wing which will add approximately 235,000 square feet of space to the hospital and house the services most urgently needed by the community it serves. The introduction of the new signage on the site is an important milestone that signifies the province’s commitment to the project, and to the future of health care in the community served by Etobicoke General.

“We could not have achieved this milestone without the significant support of the Ontario government, the Central West Local Health Integration Network and Osler Foundation in helping us bring greater access to services needed most by this community,” said Neil Davis, Vice Chair, William Osler Health System Board of Directors. “With construction of the new wing expected to begin in just under a year, this is an exciting time for health care in this community.”
(l-r) Neil Davis, Vice Chair, William Osler Health System Board of Directors; Maria Britto, Chair, Central West Local Health Integration Network Board of Directors; Matthew Anderson, President and CEO, William Osler Health System; Dr. Shafiq Qaadri, MPP Etobicoke-North; Yvan Baker, MPP Etobicoke-Centre; Heather Gray, Director, William Osler Health System Foundation Board of Directors; Vincent Crisanti, Deputy Mayor and Councillor, City of Toronto; Harinder Malhi, MPP Brampton-Springdale; and Ken Mayhew, President and CEO, William Osler Health System Foundation celebrate the commitment of partners to funding the new wing at Etobicoke General.
Etobicoke General, which originally opened in 1972, is undergoing significant revitalization to meet the growing demands of its community. Some of the features of the new wing include:
  • A larger, state-of-the-art emergency department
  • Cardiac Care and Intensive Care Units
  • A Maternal newborn unit with birthing suites and a specialized nursery
  • A new ambulatory procedures unit
  • Cardiorespiratory and neurodiagnostic services
“Etobicoke General is truly transforming and we are seeing this take shape through renovation, expansion and redevelopment,” said Dr. Shafiq Qaadri, MPP for Etobicoke-North. “For many in this community, Etobicoke has been their first and only entrance into Canada’s health care system and they rely on the patient-inspired care and innovation this hospital continues to provide. For this, we need to ensure that we continue to support and invest in Etobicoke General.”

To prepare the building and systems for the new addition, Osler will soon be starting its Early Works project. This includes replacing existing chillers, upgrading the heating plant, upgrading the normal and emergency power distribution systems, providing structural modifications to support the mechanical system upgrades, and providing integrated building systems connections for the new addition. Osler is also upgrading the western hydro lands parking areas to create more parking spaces, improve traffic flow and enhance safety.

“On my many tours of the hospital, I am continually impressed by the compassion and dedication of the staff, physicians and volunteers who work tirelessly every day to serve this growing community,” said Yvan Baker, MPP, Etobicoke-Centre. “This is an exciting time for residents in this area, and I look forward to watching the hospital transform before our eyes over the next few years.”

Osler is also in process of planning for the construction of a new Ancillary Services Building on the site of the Etobicoke General Hospital. This building will house a number of outpatient programs/services and also allow Osler to foster new partnerships with other complementary organizations for innovation and education.

The celebration took place during Osler’s Annual General Meeting, and provided Osler with the opportunity to share its highlights and achievements with its guests through videos, special presentations, and an online and interactive Annual Report. To view Osler’s Annual Report and Etobicoke General redevelopment updates, please visit
www.williamoslerhs.ca.
 
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Provincial Aboriginal LHIN Network Planning Conference
Establishing strategic priorities to advance Aboriginal Health


Scott McLeod, Central West LHIN CEO and Patrick Boily, Central West LHIN Aboriginal Health Lead recently attended the annual Provincial Aboriginal LHIN Network (PALN) planning conference at Little Rock, on Manitoulin Island. 

This two day event, attended by the CEOs and Aboriginal Health Leads from all fourteen LHINs, is an important opportunity for participants to learn more about the culture, best practices, and health care needs of Aboriginal people living in Ontario. Sponsored by a different LHIN each year, the event includes cultural learning's, presentations from key note speakers across the country, and an opportunity to have an in-depth discussion on how LHINs can better meet the health care needs of Aboriginal, First Nation and Métis people across the province. This year, the North East LHIN was pleased to host the conference on beautiful Manitoulin Island – a tranquil setting about 500 kilometers North of Toronto. Next year, Erie St. Clair will act as host. 



On day one, participants took in drumming, singing, teachings from elders, and a cultural dinner. The Great Spirit Circle Trail organization offered a traditional dance and drumming ceremony following dinner.  Day two was an informative day filled with guest speakers and meaningful discussions with the objective to build cultural competency, share knowledge and exchange information, as well as build better systems of indigenous care. In the afternoon, guests watched a documentary series, facilitated by award winning film-maker Michelle DeRosier from Thunderstone Pictures, that spoke about what it’s like to live as a First Nations person and to start the conversation to break down barriers, challenge stereotypes, and strengthen community relations.  

Information gleaned from this conference will help to inform local Central West LHIN planning moving fowrward. 


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Registration Open for the NPAO Conference

 

The Nurse Practitioners’ Association of Ontario (NPAO) and the 2015 Conference Planning Committee would like to welcome you to Toronto, Ontario this September, for the 2015 NPAO Annual Conference. 

This years’ conference theme is Nurse Practitioner Practice in the 21st Century: Defining our Future.

This conference offers a blend of clinical and professional content. This is the only professional conference in Canada that brings NPs together to have meaningful dialogue about issues of critical importance to NP practice across a wide range of specialties and practice settings.

On Thursday September 24, a selection of interactive pre-conference workshops with hands-on learning experiences are offered. Sponsored symposia, as well as plenary and concurrent sessions are offered on Friday & Saturday. Plan to visit the Exhibit Hall throughout the conference, where you can explore exhibits, view posters, find meals and refreshments and network with fellow delegates.

You will not want to miss the Friday evening Awards/Celebration dinner ($55). Connect with colleagues and celebrate accomplishments of NPs!Saturday morning will begin with the NPAO Annual General Meeting (open to all NPAO members, whether attending the conference or not). The board will report on work they have done on behalf of NPAO members this past year. The AGM also provides an opportunity for NPAO members to voice  opinions, ask questions and interact with the board of directors who work tirelessly on your behalf.

This year we are also offering post-conference workshops on the Saturday afternoon. Enjoy the conference, network with colleagues and have fun celebrating NP Practice in the 21st Century.

Please
 Click Here to view the conference program

DIRECT ONLINE REGISTRATION NOW OPEN! Please
 Click Here to register for the conference.


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   Announcements

Central West LHIN Welcomes New Board Member
 
Maria Britto, Chair of the Central West Local Health Integration Network (LHIN) Board of Directors, is pleased to announce the appointment of a new Director to the Board. This three-year appointment was made by the Lieutenant Governor in Council and endorsed by the Minister of Health and Long-Term Care, the Honourable Dr. Eric Hoskins on May 27, 2015.
 
Jeff Payne of Brampton has lived in Peel Region for over fourteen years and is currently Director of Corporate Services for the Credit Valley Conservation Authority. With an educational background in political science, legal studies and public administration Mr. Payne brings a breadth of experience, diversity and skills to the Central West LHIN Board of Directors.  Ready to work at helping to achieve better integrated health care for local LHIN residents, Mr. Payne is an active member of the community, whose volunteer activities include minor hockey, supporting school councils and the United Way of Peel.
__________________________________________________________

“I am very pleased to welcome Mr. Payne to the Central West LHIN Board of Directors.
A strong addition, Jeff brings specific experience and skills which complement and
add significant value to the current board members’ wealth of expertise.”


                                     - Maria Britto, Board Chair, Central West LHIN Board of Directors
_____________________________________________________________________________
 
Members of the Central West LHIN Board of Directors are responsible for directing its affairs and providing oversight in accordance with applicable legislation, approved strategic and business plans, accountability agreements with the Ministry of Health and Long-Term Care and its directions and policies. The Chair and the Directors are appointed based on their expertise, experience, leadership skills and the needs of the LHIN and are accountable, through the Chair, to the Minister of Health and Long-Term Care for the LHIN’s use of public funds and for its results in improving the local health system.

The Central West LHIN’s Board of Directors includes:
  • Maria Britto, Board Chair
  • The Honourable John McDermid, P.C., Vice Chair
  • Adrian Bita, Director
  • Lorraine Gandolfo, Director
  • Suzan Hall, Director
  • Gerry Merkley, Director
  • Jeff Payne, Director
  • Pardeep Singh Nagra, Director
  • Ken Topping, Director
For more information on the Central West LHIN and Central West LHIN Board of Directors, please visit www.centralwestlhin.on.ca. 

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   Improving Access to Care
 
Exercise and Falls (PILOT) Program Moves Ahead for Chronic Obstructive Pulmonary Disease (COPD) Patients
 
The first community-based exercise and falls prevention (PILOT) programs, designed specifically for Chronic Obstructive Pulmonary Disease (COPD) patients, have begun. 

Falls can significantly impact the quality of life for seniors including injuries, loss of confidence and curtailing activities leading to an overall decline in health and mobility. Regular activity can positively affect their overall well-being, functional capacity, strength, ability to manage chronic conditions, and contributes to a reduction in hospitalizations.

Tailoring community-based exercise and falls prevention classes to accommodate the specific needs associated with COPD, places COPD patients first by supporting them to further self-manage their chronic conditions within the community.


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   Streamlining Transitions & Navigation

Telemedicine/Telehomecare | Update

The Central West LHIN’s Regional Telehomecare program has currently enrolled a total of 1,300 patients, surpassing program enrollment targets. 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%.

Aligned with the LHIN's Telemedicine Strategy, Personal Computer Video Conferencing (PCVC) is now being piloted in the Health Links environment to increase communication among service providers for improved care coordination, and connect patients to clinical services where required. 
A second area of focus will be to enable access to Mental Health and Addiction services through the efficient and effective use of PCVC.


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William Osler Health System now sending automated discharge summaries for ED patients

William Osler Health System (Osler) is now sending automated discharge summaries to the primary care physicians of all patients discharged from its Emergency Departments (EDs).
 
This important advancement aligns with the Central West LHIN's commitment, outlined in its third Integrated Health Service Plan (IHSP 3), to Increase system collaboration through use of information technologies. 

Upon receipt of care at an Osler ED, a discharge diagnosis will be included with the triage summary that is automatically sent to the patient's primary care physician of the patient upon discharge. Related diagnostic imaging and laboratory results will continue to be transcribed and sent to the the primary care physician when tests are completed. 


Supporting initiatives that ensure the sharing and accessibility of timely discharge information between hospitals and primary care practitioners is an important piece of the LHIN's work. This initiative will help primary care physicians to stay informed about their patients' care at every step along the health care journey. 
 
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eHealth Governance 2.0
 
The Ministry of Health and Long-Term Care (MOHLTC) is taking steps to ensure investments in eHealth advance the objectives of Patients First. The starting point is eHealth Governance 2.0.

Informed by recent consultations, the MOHLTC has established the eHealth Investment and Sustainment Board to be the focal point for engaging the health system in renewing the provincial strategy for eHealth. The Board’s mandate, set by Minister Hoskins, is to provide advice to the MOHLTC on eHealth Strategy 2.0 and once approved, to monitor its implementation. The strategy will live within the current funding envelope and ensure long-term sustainability. This will be done by building on progress to date, maximizing the benefits of existing assets, and enhancing our capacity to assess the value of spending on eHealth.

Chaired by Deputy Minister Bell, the new Board is composed of MOHLTC senior executives, LHIN representatives including Central West LHIN CEO Scott McLeod, the CEO of eHealth Ontario, and a cross-section of special advisors.

While the Board has important, ongoing responsibilities to sponsor the new strategy, its functions do not displace the currently approved mandates of eHealth delivery partners. Success in achieving the Board’s mandate depends on strong collaboration, driven by a clear sense of objectives. Over the coming months, the MOHLTC will be undertaking focused consultations that reach out to patients and their caregivers, providers, and other health system partners on how best to renew Ontario’s eHealth strategy.

   Drive Quality & Value
 
The Central West LHIN remains hard at work to support initiatives that improve quality and increase capability and capacity for improvement. Over the past year, the patient/client experience has been incorporated into quality indicators; an integrated and collaborative approach with Health Service Providers (HSPs) and community partners has been developed to support further development of quality improvement plans and undertake accreditation processes; and three regional system level aims have been established to build upon and enhance the quality work already being carried out by HSPs across the Central West LHIN. 







WHAT WE HEARD

Important themes related to collaboration and alignment emerged from the quality-focused Governance and Senior Leadership Forum held last fall including…
  • Collaborate and communicate - ongoing information/resource sharing and knowledge exchange across all partners to support quality improvement
  • Joint quality objectives and associated plans
  • Performance - indicator and measurement support
These important insights are being used to help guide the quality agenda across the LHIN, and to ensure continued collaboration and alignment between the LHIN and local HSPs.
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PROGRESS MADE


Targeted to improve access to mental health and addiction services, system navigation and patient experience, a broad number of ongoing initiatives support the achievement of three system level aims. Initiatives have been mapped to primary drivers, to better understand progress made in relation to outcomes associated with each system level aim.

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WHAT’s NEXT

While there remains much work to be done in regard to continued quality improvement at the local level there is a strong commitment to ongoing collaboration in pursuit of common goals. To move this work forward a Central West Quality Symposium is being planned for spring 2016, bringing HSPs and community partners together to…
  • communicate, collaborate and align in regard to quality at the regional health system level
  • promote joint learning and sharing across all partners about current and future quality initiatives
  • engage and network among peers and colleagues
  • recognize and celebrate the work and accomplishments of Central West LHIN HSPs and community partners to improve the experience of care and services for local LHIN residents.   
Collaboration with Health Quality Ontario (HQO) and other LHINs will help to ensure alignment of provincial and regional quality priorities toward a common quality agenda and, the maximization and efficient use of resources.
 

Ontario’s Patients First: Action Plan for Health Care places its focus on four key objectives including, a commitment to protect the public health care system by making evidence-based decisions on value and quality. As the Central West LHIN goes about the work of developing its fourth Integrated Health Service Plan (IHSP 4), delivering quality and value will remain an important and foremost priority that will align with Patients First. It will be important to maintain and build on the progress made through IHSP 3; to look for new ways in which to embed a culture of continuous quality improvement in all of our organizations, and expand cross-sectoral initiatives designed to improve high-quality, patient-centred care to local LHIN residents.


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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.