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The Central West LHIN is pleased to publish the May 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.
William Osler Health System makes a difference at home and abroad with global health mission to India... Read more.
Governance & Senior Leadership Forum places spotlight on planning the LHIN's 4th Integrated Health Service Plan - IHSP 4... Read more
In this issue ... 

   In the News
  • Minister's Medal 2015 - Nominations Now Open!
  • Ontario Launches Home Care Plan to Improve Access and Expand Service
  • Making Healthier Choices Act 2015 - New Legislation Passes to Help Reduce Smoking and Obesity Rates
  • New Video from the Ontario Telemedicine Network (OTN) 
  • William Osler Health System Makes a Difference at Home and Abroad with Global Health Mission to India 
   Events
  • Governance & Senior Leadership Forum | Planning for Integrated Health Service Plan 4  
  • Thousands of Central West LHIN Residents Take Part in 5th Telephone Town Hall
   Announcements
  • Central West LHIN Welcomes New Board Member
   Improve Access to Care
  • Chronic Disease Prevention and Management
  • Mental Health & Addictions
   Streamline Transitions & Navigation
  • Health Links - Update
  • Telemedicine/Telehomecare - Update
  • Enabling Technologies - Update
   Build on the Momentum
  • Ontario Special Needs Strategy

    In the News
2015 Minister's Medal - Nominations Now Open!

Applications are now being accepted for the 2015 Minister's Medal Honouring Excellence in Health Quality and Safety, recognizing the excellent work health care providers do every day. Each year the Medal is awarded to one team of organizations and one individual champion who put patients in the centre of the circle of care, and who incorporate a focus on quality and safety into everything they do.

Patients are at the heart of Patients First - Ontario's Action Plan for Health Care, which is why the theme for the 2015 Minister's Medal Honouring Excellence in Health Quality and Safety is - Putting Patients First

The Ministry of Health and Long-Term Care (MOHLTC) is seeking applications that put patients first through:

  • Improved access to care. The MOHLTC is committed to getting Ontarians the care they need, when they need it. Applicants who have removed barriers to care and/or streamlined processes are encouraged to apply.
  • Better coordinated care. For patients who are treated by multiple providers, coordination of care is critical to positive outcomes. This year's application criteria prioritize programs that improve coordination of care so patients get the right care from the right providers.
  • Information. By educating patients and keeping them well-informed, health care providers can help patients help themselves. Applicants whose efforts have resulted in greater transparency for patients are encourage to apply
  • Patient engagement. This year's application criteria also emphasize the importance of the patient's voice in the development and delivery of individual health care approaches.

Over the past two years, a large volume of submissions were received describing high-quality, patient-centred programs/initiatives. While many of these submissions represent initiatives that deserve recognition, only one winner could be selected. Those who applied in previous years are encouraged to resubmit an application this year, describing the evolution of their program/initiative and how they have continued to put patients at the centre of everything they do.

Winners will be announced at Health Quality Ontario's annual event, Health Quality Transformation, on October 14, 2015. 

For more information please visit.  Applications must be received at the Central West LHIN office by  5:00 pm on Wednesday, June 24 
and may be sent to Tom Miller, Director Communications and Community Engagement  - tom.miller@lhins.on.ca.

VIEW | The Ministry of Health and Long-Term Care is proud to showcase the winner of the 2014 Minister's Medal team recipient - Toronto Central Integrated Palliative Care Program | WATCH HERE! 

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Ontario Launches Home Care Plan to Improve Access and Improve Service | Province to provide 80,000 additional nursing hours for patients with complex needs

Ontario's new plan for home and community care includes an increase to home care nursing service hours to meet the needs of patients with complex care needs.

Funding for an additional 80,000 hours of nursing care is part of the 2015 Budget commitment to increase investment in home and community care by more than $750 million over the next three years. These extra hours of care will make it possible for individuals with complex conditions to receive care where they want to be - in their home and community, instead of in a hospital or in long-term care.

The proposal to provide more nursing hours is part of Patients First: A Roadmap to Strengthen Home and Community Care - a new plan to improve and expand home and community care over the next three years.

This new plan outlines how the government will transform the way care is delivered at home and in the community. In addition to increasing nursing hours, key initiatives will include:

  • Expanding supports for family caregivers
  • Giving clients and caregivers greater say in choosing a provider, and how and when that provider delivers services
  • Clear and consistent levels of home and community care services no matter where in the province a patient lives
  • Enhancing support for personal support workers
  • Providing greater choice for palliative and end-of-life care.
Ontario is making big changes to improve home and community care, one of our government’s most important health care priorities. Our new plan puts patients and their caregivers first by improving access and expanding services. We know that people who receive care in their homes – where they want to be – tend to heal faster because they are happier and more comfortable in a familiar setting. Our new plan outlines the path we will follow together with patients, caregivers and providers to improve the care people receive no matter where they live across the province.
 
- Dr. Eric Hoskins, Minister of Health and Long-Term Care

This new roadmap responds to recommendations in Bringing Care Home, a report from the expert group on home and community care. At each step, the government will consult with clients, their advocates and caregivers, as well as with providers and leaders in the home and community care sector to ensure all voices are heard.

Helping more people access better health care faster and closer to home 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. For more information...

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New Legislation Passes to Help Reduce Smoking and Obesity Rates | Ontario takes action to help families make healthier choices

The Ontario government has passed the Making Healthier Choices Act, which will help families make healthier food choices by giving them caloric information when eating out or purchasing take-away meals. The act will also protect youth from the dangers of tobacco and the potential harms of electronic cigarettes, known as e-cigarettes.

As part of the government's commitment to achieve the lowest smoking rate in Canada, the new legislation will:

  • Increase the maximum fines for those who sell tobacco to youth, making Ontario's maximum fines the highest in Canada
  • Ban the sale and supply of e-cigarettes to anyone under the age of 19
  • Ban the sale of flavoured tobacco products, with a temporary exemption for menthol flavoured products.

This piece of legislation puts Ontario in a leadership position when it comes to helping lower smoking rates and fighting obesity by eating better. The passing of the Making Healthier Choices Act will protect Ontarians from the dangers of second-hand smoke, and protect our youth from tobacco products and e-cigarettes. It will also help families to make healthier choices when eating out.”

Dipila Damerla, Associate Minister of Health and Long-Term Care

The new legislation will also make it illegal to:

  • Use e-cigarettes in designated non-smoking areas
  • Sell e-cigarettes in certain places where the sale of tobacco is prohibited
  • Display e-cigarettes in places where e-cigarettes are sold, or offered for sale
  • Promote e-cigarettes in places where e-cigarettes or tobacco products are sold, or offered for sale.

To make it easier for families to make informed and healthy food choices, the new legislation will:

  • Require restaurants, convenience stores, grocery stores and other food service premises with 20 or more locations in Ontario who sell ready-to-eat and prepared food to post calories for standard food and beverage items, including alcohol, on menus and menu boards
  • Require regulated food service operators to post contextual information to help educate patrons about their daily caloric requirements
  • Authorize the minister to appoint inspectors to enforce menu labelling requirements.

Providing Ontarians with caloric information, and protecting youth from the dangers of tobacco and the potential harm of e-cigarettes 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 live healthy and a health care system that's sustainable for generations to come. For more information...

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Telehomecare Hits the TV Airwaves

Telehomecare was profiled in a four-minute segment on For Your Life, a lifestyle News Canada show with a viewership of over 8 million Ontarians. Otto Jensen, 90, and his wife/caregiver Ulla, 85 discuss how Telehomecare has helped Otto manage his Congestive Heart Failure (CHF). They were part of Southlake Regional Health Centre’s Telehomecare program and were supported by respiratory therapist Ana MacPherson, who is also featured. 
VIEW | For Your Life is airing on CHCH, Showcase, the Food Network, Home and Garden TV (HGTV) and Slice. Watch the new Otto and Ulla Telehomecare video HERE!

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Osler Makes a Difference at Home and Abroad through Global Health Mission
 
William Osler Health System (Osler) has looked beyond its borders and set its sights across the world in order to improve the care it delivers at home.

From April 30 to May 14, a five-member clinical team from Osler visited Punjab, India to learn more about health care in that region and identify opportunities to partner with organizations there through research and education initiatives that will enhance the delivery of health care services in the local community and beyond.

“We have a large and engaged Punjabi community within our region,” said Matthew Anderson, President and CEO of William Osler Health System. “Through this mission and support of health care initiatives in Punjab, we can contribute to the homeland of our local citizens in a meaningful way by learning how we can deliver services to better meet the needs of the patients and families we serve, now and into the future.”

This is the first international mission to take place since Osler’s Global Health Program launched last summer. Areas visited included Chandigarh, Ludhiana, Amritsar and surrounding areas, where the clinical team met with hospital leaders and non-governmental organizations (NGOs) to learn more about health care in the Punjab region. The team also visited hospital-affiliated satellite clinics in rural areas, to see first-hand how health care services are delivered. Partnership opportunities will be evaluated as Osler begins to plan next stages of the India initiative.

Dr. Naveed Mohammad, Vice President, Medical Affairs at William Osler Health System and lead of the exploratory team addresses the graduating class of nurses at the Shaheed Kartar Singh Sarabha Ayurvedic Medical College & Hospital in Sarabha village.

“Many people from our local community come from other parts of the world. With them they bring their heritage, culture, genetics, and their disease processes,” said Dr. Naveed Mohammad, Vice President, Medical Affairs and lead of the exploratory team. “Understanding how health care is delivered in Punjab will help us establish partnerships with local health care providers to create innovative programs, such as screening for common illnesses or assisting with maternal health challenges, which will have a direct impact on patient care in the areas where it’s needed most.”

As part of Osler’s corporate research strategy, the Global Health program has a number of priorities including researching the progression and treatment of diseases within multi-generational and multi-cultural communities and exploring different treatment options to meet the needs of each patient. With this, Osler identified six clinical areas where there is the greatest potential for impact and selected the tour team based on these needs.The tour team included:
  • Dr. Naveed Mohammad (Global Health Program Co-Lead), VP Medical Affairs and practicing Emergency and Primary Care physician
  • Dr. David Koczerginski, Corporate Chief of Psychiatry and Medical Director of Mental Health and Addictions
  • Dr. Davinder Wadehra, Medical Director of Nephrology (representing chronic disease area)
  • Kelly Falzon, Director of Women’s, Children’s and Seniors Program
  • Gurpreet Rosales, Project Manager and Global Health Program Lead
Funds for this mission were generously donated by the William Osler Health System Foundation.
 
“Osler’s Global Health Program provides an exciting and unprecedented opportunity to learn, to share and to innovate – leading us to improved health care within this region and beyond,” said Kulvir Singh Gill, Chair, William Osler Health System Foundation. “Osler Foundation is thrilled to be a part of this monumental first international mission, and support the tremendous work of this hospital and its clinicians.”

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    Events

Governance & Senior Leadership Forum Places Spotlight on Integrated Health Service Plan 4  (IHSP 4)
 
The Central West LHIN is pleased to have hosted over 100 health service professionals at its latest Governance and Senior Leadership Forum, focused on planning for the LHIN's fourth Integrated Health Service Plan - IHSP 4.

IHSP 4 will align with key objectives identified in Patients First - Ontario's Action Plan for Health Care, which sets out a framework for the next phase of health care system transformation. Like Patients First, IHSP 4 will be designed to put people and patients first, improving their health care experience and health outcomes through improved access to care, better coordinated care, information and patient engagement. 
The Central West LHIN’s work remains committed to the development of an integrated system of health services that places patients first; building a more accessible and integrated local health care system responsive to local needs. Recognizing that the health care needs of local communities are best understood by those who live and work in them, participants were actively engaged in exercises that solicited their valuable feedback on the priorities, actions and measures they felt should be included in IHSP 4.  

This feedback will help to inform the outcome of IHSP 4, which will outline the Central West LHIN's priorities and areas of focus for the period April 1, 2016, through March 31, 2019.
 
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Over 5,000 residents participate in Telephone Town Hall
 
Over 5,000 Central West LHIN residents engaged in a conversation about local health care services when the Central West Community Care Access Centre (CCAC), the Central West LHIN, Headwaters Health Care Centre, the Region of Peel and William Osler Health System hosted their fifth Telephone Town Hall.

The Telephone Town Hall provides a unique opportunity for area residents to better understand what each organization does and how they work together to provide health services to local communities. It also gives residents an opportunity to provide the organizations with important feedback as to how they might be able to better meet the health needs of patients and their families in this area.

Throughout the call, participants were asked a variety of questions designed to solicit their input on various aspects of the local health care system.  

A  majority of Central West LHIN residents - 95% - now report having a regular family doctor. Accordingly, during this call, a majority of respondents indicated they receive most of their information about health care services from their family doctor and, when they are not feeling well, they visit their family doctor for care. An overwhelming number of respondents went on to indicate that they are satisfied or very satisfied with the care they receive. This result is in keeping with a positive trend identified in the LHIN's last public satisfaction poll, where a majority of respondents - 88% - indicated they were satisfied with the quality of local health care. 

Keep an eye out for the next Telephone Town Hall later this year and be part of the conversation!

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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 6, 2015.

Adrian Bita, of Orangeville, is an Accounting and Finance Professional (CPA, CGA), with over 15 years of experience in the field. He is also a Certified Fraud Examiner (CFE), and holds an Honours Bachelor of Commerce degree from Laurentian University. Currently, Mr. Bita is an Accounting Manager with RJ Burnside & Associates in Orangeville, Ontario. 

Ready to work at helping to achieve better integrated health care for residents in the Central West LHIN, Mr. Bita is an active member of the local community as a member of the Rotary Club of Orangeville Highlands, Community Advisory Council of Headwaters Health Care Centre and MENtors (men working to build healthy relationships in our community), an initiative of Family Transition Place. 

“I am very pleased to welcome Mr. Bita to the Central West LHIN Board of Directors," said Maria Britto, Chair, Central West LHIN Board of Directors. "A strong addition, Adrian brings specific experience and skills which complement and add significant value to the current board members’ wealth of expertise.” 
 
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
  • 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

Chronic Disease Prevention and Management (CDPM)
 
The Central West LHIN has been continuing to explore access to chronic disease education and self-management programs for residents living with Congestive Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD).

A work group of the Chronic Disease Prevention and Management (CDPM) Core Action Group that includes pr
imary care physicians, community and hospital Health Service Providers (HSPs) has been asked to develop a plan for COPD care in the community. Topics being discussed by the work group include opportunities to support post-acute care of clients hospitalized with COPD, ideas for streamlining the transition of COPD patients from hospital to community settings, and the management of stable COPD clients in the community. This work is being done in the context of Health Links targeted patient populations. 

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Mental Health and Addictions

Health Service Providers (HSPs) are being guided by the following five-year vision for Mental Health and Addictions services: “high quality and seamless services that are easily accessed, efficient, available in a timely way, meeting the changing needs of people over their lifetime”. Focused on access to care, the Mental Health and Addiction Services Core Action Group is continuing to work toward implementation of a system access model. With proposed approaches having been developed for work flow, structure, governance and management, and cross sector linkages consultation with consumers or persons with lived experience has now begun. Among the sectors prioritized for consultation are primary care, child and youth services, education, and settlement.

Members of the work group include the Canadian Mental Health Association (CMHA) - Peel Branch, the Consumer / Survivor Network (CSN), Peel Addictions Assessment and Referral Centre, Supportive Housing in Peel (SHIP), and William Osler Health System (Osler). 

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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 1,253 patients in the program and has achieved 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%.

In 2015/16, the LHIN’s local Telemedicine Strategy will focus on the successful implementation of Personal Computer-based Video Conferencing (PCVC) for Health Links care coordinators and navigators in order to increase communication among service providers. 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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Enabling Technologies | Update

Physician Electronic Medical Record (EMR) Adoption
- As of March 31, 2015 the Central West LHIN continued to have the highest Physician EMR adoption rate in the province for Family Practice Physicians at 91%, and the highest rate of adoption in the province for specialists at 63%. While continuing continue to support the implementation of EMRs by physicians, the LHIN has now begun to expand its focus to include EMR interoperability with provincial solutions, e.g. eConsult, eNotifications, report standardization and ePrescribing.

Integrated Assessment Record (IAR) - The IAR allows client assessments to move with the client from one Health Service Provider (HSP) to another. It allows participating HSPs to upload and view the information from consenting clients for assessments that are created by their organization and assessments created by other participating organizations for a shared patient. This enables HSPs to collaborate and effectively plan and deliver care. The tool also streamlines patient information so there is less duplication and faster access to services. All 42 in-scope HSPs in the Central West LHIN have successfully implemented the IAR. The LHIN has now begun to expand adoption of the IAR tool among additional HSPs. 

Ontario Lab Information System (OLIS) - OLIS is an information system that connects hospitals, community laboratories, public health laboratories and practitioners to facilitate the secure electronic exchange of laboratory test orders and results. William Osler Health System is currently sending their lab results electronically to the OLIS database where physicians, with access to OLIS, can view their patients’ lab results from any connected hospital in the province. Headwaters Health Care Centre (HHCC) has re-initiated implementation activities as a result of a new Transfer Payment Agreement being developed and signed between eHealth Ontario and HHCC. It is expected that lab results from HHCC will flow into the OLIS tool by the end of 2015/16.

In the Central West LHIN:
  • 350 physicians with eligible EMRs are viewing OLIS data
  • 80 additional physicians are currently completing the activities necessary to view OLIS data from their EMRs

    Build on the Momentum
 
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.