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Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound

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Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound Submitted to: Ministry of Health and Long-Term Care By: Hospitals: Long-Term Care Facilities: Community Support Agencies: Mattawa General Hospital Algonquin Nursing Home Alzheimer Society North Bay General Hospital Au Château Home for the Meals-on-Wheels North Bay Psychiatric Aged Near North Community Hospital Cassellholme Home for the Care Access Centre Board West Nipissing General Aged of Directors and Hospital Eastholme Home for the Community Advisory Aged Council Lady Isabelle Nursing Home Physically Handicapped Leisureworld North Bay Adults Rehabilitation Centre Association Nipissing Manor Nursing Care Centre June 2004 Endorsements Letters of Endorsement are attached in Appendix 1 Vision The recommendations contained in Indiiviidualls will have access to this report have been formally appropriiate and affordable heallth approved by the following serviices to maximize independence, Boards/Agencies: enhance quality of life, and meet theiir heallth and wellness needs. • North Bay General Hospital, Mark Hurst, CEO • West Nipissing General Hospital, Guiding Principles Yves Campeau, Executive Director 9 Maiintain strengths of existing serviices • Mattawa General Hospital, Ted 9 Promote system-wide collaboratiion, Darby, Interim Executive Director iintegration, and communicatiion • North Bay Psychiatric Hospital, 9 Empower consumers, families, and David Barker, CEO communities • Algonquin Nursing Home, Zena 9 Promote smooth transitions between Monestime, Administrator care settings striving for continuiity, • Au Château Home for the Aged, coordiination, and ease of access Wayne Foisy, Administrator 9 Promote needs-based, responsiive, • Cassellholme Home for the Aged, sustaiinable, and culturally sensiitiive Beth Campbell, Administrator serviices • Eastholme Home for the Aged, 9 Focus on supporting individualls iin the Steve Piekarski, Administrator most cost-effective setting that iis • Lady Isabelle Nursing Home, Anita most congruent to their health care Joran, Administrator needs • Leisureworld North Bay Centre, 9 Promote ongoing planning, Yvonne Weir, Administrator evalluation and system • Nipissing Manor Nursing Care iimprovements. Centre, Milt Graham, Administrator • Alzheimer Society, North Bay & Primary Objectives District, Sandra Bolton, Executive The priimary objectives are to buiilld llocall Director sollutiions and system capacity to: • Meals-on-Wheels, Yvonne 9 Support individuals in the most cost- Boomhour, Executive Director effectiive setting that is most • Near North Community Care congruent to their health care Access Centre, Lloy Schindeler, needs; and Executive Director, Angela Knight 9 Proviide for smoother transitions van Schaayk, Chair-Community between the different levels of care Advisory Council • Physically Handicapped Adults Rehabilitation Association, Alice Radley, Executive Director Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound Submission to the Ministry of Health and Long-Term Care - June 2004 1 Members of the Committee are: Near North CCAC Community Advisory Council Angela Knight van Schaayk, Chair and NNCCAC Director of the Board Lloy Schindeler, NNCCAC Executive Director Sandra Bolton, Executive Director, Alzheimer Society-North Bay & District Alice Radley, Director PHARA Nancy Jacko, Vice President Medicine Care Centre, North Bay General Hospital Cynthia Désormiers, Assistant Executive Director, Patient Care Services, West Nipissing General Hospital Vala Belter, Director of Nursing, Algonquin Nursing Home Sheryl Norrie, Director of Standards & Developments, Cassellholme Home for the Aged Interim Strategies to Support Patients in Transition through Hospitals, LTCFs and NNCCAC Committee Hospitals: North Bay General Hospital: Mark Hurst, CEO, Nancy Jacko, Vice President Medicine Care Centre, Mariann Hibbard, Manager-Rehab and Continuing Care, Anna Petruzella, Discharge Planner Mattawa General Hospital: Ted Darby, Interim Executive Director, Beth Bangs, Director of Nursing North Bay Psychiatric Hospital: Dave Barker, Administrator, Karen Bennett, Associate Administrator of Programs, Sheila Mitchell, Program Manager Seniors Mental Health Program, Natalie Belleumeur, Seniors Community & Outreach Manager West Nipissing General Hospital: Yves Campeau, Executive Director, Cynthia Dèsormiers, Assistant Executive Director, Patient Care Services, Joanne Roy Discharge Planner/Utilization Manager Long-Term Care Facilities: Cassellholme Home for the Aged: Beth Campbell, Administrator Algonquin Nursing Home: Zena Monestine, Administrator, Vala Belter, Director of Nursing Leisureworld North Bay Centre: Yvonne Weir, Administrator, Ruth Gauthier, Director of Nursing Nipissing Manor Nursing Care Centre: Milt Graham, Administrator, Wayne Graham, Assistant Administrator, Maureen deJourdan, Director of Nursing Eastholme Home for the Aged: Steve Piekarski, Administrator, Leslie Price, Program Coordinator of the East Parry Sound Community Support Services Program Lady Isabelle Nursing Care Centre: Anita Joran, Administrator, Melissa Lang, Director of Care Members of the Committee continued next page Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound Submission to the Ministry of Health and Long-Term Care - June 2004 2 Members of the Committee continued: Au Château Home for the Aged: Wayne Foisy, Administrator, Celeste Auger- Proulx, Social Worker Community Support Agencies Northern Shores District Health Council: Phil Kilbertus, Senior Health Planner, Sue Stewart, Senior Health Planner Near North CCAC: Lloy Schindeler, Executive Director Meals-on-Wheels : Yvonne Boomhour, Executive Director Ministry of Health and Long-Term Care Program Consultants: Brenda Loubert, Murray Christie, Marg Wilcox, Beth McCarthy-Kent Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound Submission to the Ministry of Health and Long-Term Care - June 2004 3 Table of Contents Chapter 1 Executive Summary 5 Chapter 2 Summary of Recommendations 7 Chapter 3 Introduction 11 Chapter 4 The Provincial Policy Context 14 Chapter 5 Sociodemographics 16 Chapter 6 The Current System 20 Chapter 7 Service Pressures 30 Chapter 8 Recommendations for Service and System Development/Costing 33 Chapter 9 Summary of Budget Request 43 List of Tables and Appendices Table1 Total Population (Census 1996 and 2001), Land Mass and Population Density for Ontario, the NNCCAC Catchment Area, Nipissing District and Northeast Parry Sound Area. Table 2 Total Population for NSDHC, NIpissing and Subdistrict by Age Cohort, Census 2001 Table 3 Nipissing District Annual Population Projections to 2028 with Percentage Change Compared to 2001 Actual Total Population, Population 55-64, Population 65+ Table 4 2003/2004 Service Descriptions by Service Provider in the Nipissing District and Northeast Parry Sound area Table 5 Long-Term Community Support Services Locations – NNCCAC Catchment Area Table 6 Profile of ALC Patients by Hospital in the Nipissing District Table 7 Alternative Levels of Care Statistics (12 month period) North Bay General Hospital Table 8 Profile of Long-Term Care Facilities ALC Bed Status (July 2003 & January 2004) Table 9 Community Support Services Clients Requiring Higher Levels of Support (July 2003) Appendix 1 Letters of Endorsement Appendix 2 Case Studies/Scenarios Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound Submission to the Ministry of Health and Long-Term Care - June 2004 4 Chapter 1 Executive Summary Local health care leaders from hospitals, long-term care facilities (LTCF), community support agencies and Near North Community Care Access Centre (NNCCAC) have collaborated in the development of this proposal designed to: • Support individuals in the most cost-effective setting that is most congruent to their health care needs; and • Provide for smoother transitions between the different levels of care. Current research supports the focus on a preventative model enabling individuals to remain in community settings, preventing visits to the emergency departments, or admissions to higher levels of care. An analysis of Alternative Levels of Care (ALC) patients in local hospitals, residents in local LTCFs, and clients in community care settings revealed that as a local system there are significant system capacity issues in this region. It is difficult to ensure individuals are supported or “placed” at “the right time”, in “the right place”, if these settings simply do not exist, or there is a lack of sufficient resources to support individuals with increasingly complex medical needs. The multi-agency Community Advisory Council of NNCCAC and the Interim Strategies to Support Patients in Transition through Hospitals, LTCFs and NNCCAC Committee have collaborated in data collection, analysis, planning forums, and proposal development. This collective work has lead to the submission of this proposal which touches on many components of the local health care continuum. As a first step, the “Low Cost/No Cost” recommendations will be Building a Spectrum of Health Care Options in Nipissing and Northern Sections of Northeast Parry Sound Submission to the Ministry of Health and Long-Term Care - June 2004 5 pursued by local leaders, in a phased approach, to build system capacity and responsiveness to client needs. Other recommendations with overarching policy
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