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Mississauga Halton Local Health Integration Network AcrossSystem10- MH LHIN 3M Health Care Quality Team Awards 3M Health Care Quality Team Awards – Nomination Form Submit by: February 1, 2016 Contact information for administrative purposes Please indicate the category that you are applying for. ☐ Quality improvement initiative(s) within an organization ☒Quality improvement initiative(s) across a health system Prefix: Ms. Name: Judy Bowyer Title: Senior Director, Health System Performance Management Organization: Mississauga Halton Local Health Integration Network (MH LHIN) Address: 700 Dorval Drive, Suite 500, Oakville, ON L6K 3V3 Phone: 905-337-4880 Fax: 905-337-8330 Email: [email protected] Project title: “Weaving a Mosaic of Support - Caregiver Respite in the Mississauga Halton LHIN” Contact information for publication This will appear in the 3M Health Care Quality Team Awards booklet. If you do not wish to have contact information published, please indicate “n/a” in the applicable fields. Please use the contact information provided in the nomination form. Project title: “Weaving a Mosaic of Support - Caregiver Respite in the Mississauga Halton LHIN” Prefix: Ms. Name: Judy Bowyer Title: Senior Director, Health System Performance Management Organization: Mississauga Halton Local Health Integration Network (MH LHIN) Address: 700 Dorval Drive, Suite 500, Oakville, ON L6K 3V3 Phone: 905-337-4880 Fax: 905-337-8330 Email: [email protected] 1 Please list project team members, with job titles, including anyone seconded or invited onto the team from other departments/groups. Include a separate page if necessary. Name Job Title Role as it relates to the project Project Team Member (2012- 1. Janice Cox Volunteer Caregiver ongoing) Senior Director, Health System Performance, Executive Sponsor and Project 2. Judy Bowyer MH LHIN Designer (2009-ongoing) Co- Chair, Caregiver ReCharge Service Director, Client Services and Quality, Nucleus Working Group & member of 3. Lisa Gammage Independent Living Caregiver Respite Collaborative. (2009-ongoing) Co- Chair, Caregiver ReCharge Service 4. Allison Price Director, In-Home Services, Links2Care Working Group (2012-ongoing) Co-Chair, Caregiver Respite 5. Beverley John CEO, Nucleus Independent Living Collaborative (2011-ongoing) Project Manager, Advancement of Community MH LHIN Project Lead Caregiver 6. Sean Weylie Practice – Respite ReCharge (2012-2014) Member Caregiver ReCharge Service 7. Chris Rawn-Kane CEO, Alzheimer Society of Peel Working Group & Caregiver Respite Collaborative (2012-ongoing) Managing Director – Mississauga: Home Member Caregiver ReCharge Service 8. Greg Bechard Instead Working Group (2012-ongoing) Member Caregiver ReCharge Service 9. Scott Johnson Managing Director – Oakville: Home Instead Working Group (2012-ongoing) Manager, Caregiver ReCharge Service Central Member Caregiver ReCharge Service 10. Jennifer Hill Intake Working Group (2012-2015) Member Caregiver ReCharge Service 11. Jenna Leonardi Respite Advisor Lead Working Group (2014-ongoing) Member Caregiver ReCharge Service 12. Karen Heffernan Program Manager: Thrive Able Living Working Group (2009-ongoing) Member Caregiver ReCharge Service 13. Sallie Morrison Director: Thrive Able Living Working Group (2012-2014) Member Caregiver ReCharge Service 14. April Morganti Executive Director: Thrive Able Living Working Group (2015-ongoing) MH LHIN Project Liaison, Caregiver Senior Lead, Health System Performance, MH ReCharge Service Working Group & 15. Carrie Parkinson LHIN Caregiver Respite Collaborative (2012-2014) MH LHIN Project Liaison Caregiver Senior Lead, Health System Performance, MH ReCharge Service Working Group & 16. Kelly Baker LHIN Co-Chair Caregiver Respite Collaborative (2015-ongoing) Researcher Caregiver ReCharge 17. Raquel Bettini PhD Student, University of Waterloo Service (2013-2015) 18. Nancy Curtin- Research Field Coordinator Caregiver University of Waterloo Telegdi ReCharge Service (2013-2015) 2 Member Caregiver Respite Manager, Community Support Services, Peel 19. Alison Howard Collaborative & Day Service Task Region Group (2014-ongoing) Member Caregiver Respite 20. Angela Brewer CEO, Acclaim Health Collaborative (2014-ongoing) Manager of Social work and Patient Flow, Member Caregiver Respite 21. Cathy Raiskums Halton Health Services Collaborative (2014-ongoing) Associate Director, Community Engagement Member Caregiver Respite 22. Donna Mackay and integration services, March of Dimes Collaborative (2014-ongoing) Member Caregiver Respite 23. Faith Madden Manager of Placement, MH CCAC Collaborative (2014-ongoing) Member Caregiver Respite 24. Kamalesh Visavadia Director - Seniors' Services, India Rainbow Collaborative & Day Service Task Group (2014-ongoing) Member Caregiver Respite 25. Kwong Y Liu Director of Social Services, Yee Hong Collaborative & Day Service Task Group (2014-ongoing) 26. Sebastian Ignacio Director of Client Services, Oakville Senior Member Caregiver Respite Arasanz Citizen Residence (OSCR) Collaborative (2014-ongoing) Member Day Service Task Group 27. David Fry Vice President, Patient Care, CCAC (2015-ongoing) Acting Director, Alzheimer Services, Acclaim Member Day Service Task Group 28. Renita Wood Health (2015-ongoing) Executive Director, Seniors Life Enhancement Member Day Service Task Group 29. Vida Vaitonis Centres (2015-ongoing) Member Day Service Task Group 30. Wendy McBride Executive Director, S.E.N.A.C.A. (2015-ongoing) Caregiver Support Resource Expert 31. Carol Fitzpatrick Education Lead, Regional Learning Centre (2014-ongoing) Completed with this nomination package: the completed nomination form, the completed nomination template - 4,029 word count – does not include charts, graphs, pictures word count relevant appendices – 3 pages total (not included in word count) 3 Executive Summary In 2012 the Mississauga Halton LHIN opened the new Caregiver Respite program. Five services were developed to “wrap around” the caregiver: Emergency Respite, Out-of-Home Respite (short stay), Adult Day Respite (day, evening and bathing service), In-Home Respite and Caregiver Counseling, Knowledge Exchange & Support. Caregivers can access all five services. In-home respite hours are awarded on assessed need and can be utilized by the caregiver as the caregiver chooses. The program has one access point through a centralized intake. Once admitted, Respite Advisors counsel and educate on the services available to the caregiver and coordinate entry into one or more services. A Learning Centre has been built and educators provide in-class or in-home training to caregivers in areas such as positioning, turning, feeding and changing dressings to enable caregivers to feel supported in their care. Educators also train respite provider staff in a variety of caring skills for those with dementias, Alzheimers, difficult behaviors, customer service, etc. A research study was conducted and an interRAI Caregiver Survey was piloted. Further clinical pilot testing is now taking place in other home care organizations and geographical jurisdictions, the plan being for the Caregiver Survey to become part of the inter-RAI standardized assessment system. The contribution to research and a new assessment instrument, return on investment savings and the targeted development of this much needed program, which integrates current with new services for a comprehensive approach, is strongly endorsed by the Mississauga Halton LHIN. Bill MacLeod CEO, Mississauga Halton LHIN A. Issue Statement: Quality improvement initiative(s) across a health system “Across Canada it is estimated that unpaid caregivers working specifically with older adults, save our health, social and community care systems $24-$31 billion annually.”1 From the inception of the Mississauga Halton LHIN in 2005, inherited respite services were fragmented, siloed and lacked coordination. Adult Day Services, a small in-home respite service that was unsustainable due to lack of staff, under-utilized short stay beds in LTC, Emergency respite with one provider and CCAC in-home respite consisting of a case by case judgment for extra service hours, were the respite landscape. In 2010/11 the LHIN funded a small respite pilot based on a limited cohort group’s feedback. In 2011/12 the Mississauga Halton LHIN undertook an extensive community engagement to develop the Integrated Health Services Plan (an activity of the LHINs that develops a 3 year plan for their regions), and formulated a question to ask stakeholders. We asked “How can we decrease avoidable hospitalizations and long term care demand?” We sought input from community agencies, CCAC, hospitals, and long term care resident councils as well as an extensive literature search. 1 Living Longer, Living Well: Dr. Samir K. Sinha, Provincial Lead, Ontario’s Seniors’ Strategy: December 20th, 2012, Pg. 151 4 From over 150 respondents, Caregiver Support/Respite Care was the number one area identified for need/development and became a priority initiative. From the engagement, the following foundation was developed: Core Belief: the Respite Program was designed for and around Caregivers who need to have support within a “network of care” Core Outcomes: access, fairness, equity, flexibility and timeliness Core Principles: (1) 3Cs: cooperation, collaboration, coordination (2) Assist to balance the load for caregivers/families (3) Engage caregivers in their own “care” – input matters – “talk to me” (4) Share your knowledge – “help me to understand” (5) Change how we conduct respite – “Make it easier for me” (6) “I am responsible for your transition through
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