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North York Central Community Conversation

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Central LHIN System Transformation Sub-region Planning Community Conversations: North York Central April 5, 2017 Setting the Stage for Today’s Discussions Kick off sub-region planning & share the Central LHIN strategy; Bring sub-region communities together to strengthen relationships through collaborative networking; Listen and reflect upon experiences of patients and providers as they move through the system; Create a common understanding of sub-regional attributes related to their communities and populations; Generate greater context of sub-region needs and attributes through collaborative discussion; Set the stage to co-create the system collectively to identify gaps in care continuity during transitions 2 Central LHIN Community Conversation North York Central Region Sub-region Agenda Time Item Presenters 1:15 to 2:00 pm Registration & Light Refreshments Sub Region Community Wall 2:00 pm Welcome & Kick Off Kim Baker Overview of the Day Chantell Tunney Central LHIN Sub-region Strategy: Transitions 2:40 pm Sharing Experiences in Care Guest Speaker: Central LHIN Resident Michael Vandenbogaerde Guest Speaker: Care Provider Dr. Sharon Levy 3:20 pm BREAK 3:30 pm Building a Foundation: Information Eugene Wong 4:00 pm Filling in the Gaps Group Work 4:55 pm Wrap Up & Next Steps Chantell Tunney 3 Integrated Health Service Plan 2016 - 2019 4 Sub-region Strategy Building momentum, leveraging local strengths and co-designing innovative approaches to care continuity 5 Population Health – What does it mean to take a Population Health approach? Population health allows us to address the needs of the entire population, while reminding us that special attention needs to be paid to existing disparities in health. A population health approach: • Considers the upstream causes of poor health outcomes – the Social Determinants of Health • Looks at the distribution of health across populations and communities and identifies patterns (Equity) • Requires intersectoral partnerships (especially at the local level) to address barriers to good health • Takes a long-term approach Source: Population Health & Health Care: Tai M. Huynh, University Health Network (slide 52, population health approach) – Authored on behalf of CIHI. 6 http://www.torontocentrallhin.on.ca/en/forhsps/subregions.aspx Our Growing Partnership with Public Health Canada’s Social Determinants of Health 7 Source: Canadian Medical Association, 2013 Patients First Framework for Strengthening the Patient Experience Stronger Links to Population and Public Health Effective Inclusion of Integration of Population Indigenous Services and Health Based Voices in Health Greater Equity Decision- Care Planning Making Through Sub-region Planning Timely Access to, More Consistent and Better and Accessible Integration of, Home & Primary Care Community Care 3 Central LHIN Sub-regions Definition: A sub-region is a geographical planning region within each LHIN, outlined to better understand and address patient needs at the local level. This approach will not restrict Ontarians as they make their health care decisions. Sub-regions will: Enable a more focused approach to assessing the distinct health needs and service capacity in local communities: Help to better identify health disparities and service gaps; Assist with identifying local barriers to improvement; Allow the community and providers to focus engagement on local circumstances and issues Source: MOHLTC, Patients First Act Backgrounder, December 2016 5 Context: Alignment of Health Links in Sub-regions • Central LHIN has 5 Health Links and 6 Sub-regions • Health Links and Sub-regions are not synonymous – they work together but are different strategies • Health Links and the Patients First strategy have evolved differently, and they are not synonymous • Health Links have focused on addressing the needs of 5% of the population who use a disproportionate amount of healthcare resources • Patients First (which has been informed by HL), aims to enable a more integrated system through a pop health-based approach • Maturity Assessment of 82 Health Links across province was conducted in October 2016 with HL Leads • Only 25% have been active for a maximum of 4 years • Only 46% of HL are expected to reach the third stage (Functional) of maturity by Fall 2017 (5 stages of maturity) • 16% of HL are in a formative stage and/or about to start implementation • Adoption of best practices in provider and patient engagement has started, yet only beginning to take hold 10 Central LHIN Sub-region Strategy: Greater Impact through Strong Transitions in Care Our Co-designed Approach: • Supports deeper collaboration between patients, families, health service providers and community partners; • Improves care by strengthening transitions: location to location, provider to provider, service to service; • Strengthens care by including everyone in the conversation: Patients, caregivers, primary care providers, home and community care, mental health and addictions, community care, acute sector services, long term care, allied health and other community partners; • Tackles health inequities by focusing on population health, accessing timely data and building strong partnerships with our three public health units; • Builds and fosters interdependent networks of care across sectors and the broader system; • Transform the patient experience through a relentless focus on quality, system performance and accountability 11 The Methodology: Collective Impact Bringing Clarity to Complex Issues Collective Impact … • is an advanced form of collaboration which brings together different sectors for a common agenda to solve large complex problems • uses data and field knowledge as the foundation to determine which innovations should be scaled and which should be modified or stopped • relies on an agreement between partners to abandon their own agenda in favour of a common outcome, shared measurement and alignment of effort. 10 Central LHIN Sub-region Development Impact Statement By September 2017, the Central LHIN stakeholder community will have co-designed an approach to working together to strengthen continuity of care during transitions for patients through the development of consistent, quality-based outcomes. 13 Principles for Shared Success Patients First, 2016 presents a platform for large-scale system change across all sectors and partners to be successful. This time of renewal will require a variety of factors necessary for success at the provincial, LHIN, sub-region and partnership levels such as: Renew the principles shared amongst all partners that work toward collective goals that strengthen openness and transparency; Diverse & flexible thought-leadership within our Central LHIN community; Robust stakeholder engagement & partnership planning that is authenticated through the patient and community voice; Timely & meaningful data for system responsiveness; Courage to discuss things that are not working and be willing to shift approaches for better outcomes; Shared accountability that puts the care of patients, families and caregivers before our historic system challenges; Collectively build a culture of collaboration, respect & trust 14 Building a Foundation Through Information Establishing a common understanding of sub-region data & attributes to better understand local communities and populations 15 Data Sources: *Estimates for Population, Pop 65+ and % of Low Income: LHIN Sub-region Population Social and Economic Profile (Feb 28 2017), Health Analytics Branch, MOHLTC. ^ ED visits: ED visits crude rate. IntelliHealth Ambulatory Care, AM Case Type equal to EMG AND Fiscal Year 2014-15 AND Patient LHIN = Central LHIN. Due to data limitations, ED visits per 1000 population are available at North York level only. ~Long-Term Care (LTC) Beds: Number of licensed LTC beds within Central LHIN boundary (Internal Tracking). 16 Central LHIN Sub-regions with Neighbourhoods 17 Central LHIN Sub-regions and Neighbourhoods Northern York Western York Eastern York South Simcoe North York West North York Central Region Region Region Woodbridge South East Kingsview Village-The Bradford 3 (195) Aurora South East (175) Thornhill South (145) Clanton Park (33) (141) Westway (6)^ Willowridge-Martingrove- South Simcoe (196) Aurora South West (176) Woodbridge East (142) Thornhill North (146) Bathurst Manor (34) Richview (7)^ Adjala-Tosorontio South Aurora Centre South West Humber Heights-Westmount South of Maple (143) Markham West (147) Westminster-Branson (35) (197) (177) (8) Newmarket Clearmeadow North Tecumseth (198) Concord-Vaughan (144) Milliken West (148) Humber Summit (21) Newtonbrook West (36) /Glenway (181) ^^ Bradford 2 (199) Aurora North West (182) Richmond Hill Doncrest (157) Markham Hagerman (149) Humbermede (22) Willowdale West (37) Bradford 1 (200) Aurora Centre West (183) Richmond Hill B (158) Milliken East (150) Pelmo Park-Humberlea (23) Lansing-Westgate (38) Alliston South (201) Aurora Centre North (184) Richmond Hill C (159) Markham East (151) Black Creek (24) St.Andrew-Windfields (40) Alliston North (202) Newmarket Armitage (185) Richmond Hill Richvale (160) Markham Central East (152) Glenfield-Jane Heights (25) Banbury-Don Mills (42) Adjala-Tosorontio North Newmarket Stonehaven Around Maple (161) Cornell (153) Downsview-Roding-CFB (26) Victoria Village (43)^ (203)^ (186) Newmarket Quaker Maple (162) Markham Village (154) York University Heights (27) Parkwoods-Donalda (45) Hill/Haskett Park (187) Newmarket College Manor Maple Teston (163) Unionville (155) Rustic (28)
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