Chief Executive Officer Report to the Board
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CHIEF EXECUTIVE OFFICER REPORT TO THE BOARD December 2018 Annual Business Plan Community MOHLTC Updates Accountability Communications Priorities Engagement The following is a compilation of the major activities/events undertaken during this period in support of Mississauga Halton Local Health Integration Network (LHIN) Table of Contents strategic directions: Access ANNUAL BUSINESS PLAN PRIORITIES 3 Bring Care Closer to Home Integrate and Partner to Improve Access & Services Through Coordinated Access 3 Efforts Capacity 16 Make It Simpler to Navigate the Health Care System & Reduce Barriers to Quality 21 Access ACCOUNTABILITY 26 Capacity Quantify Capacity Needs and Expand Supports to Care Providers COMMUNITY ENGAGEMENT 31 Enhance Program Capacity to Support the Right Care in the Right Place Recognize and Address the Impact Social Determinants Play in Building a COMMUNICATIONS 34 Sustainable, Person-Centred Health Care System Quality Ensure the Needs and Voice of the Patient and Their Family Shape How Services are Delivered Coordinate and Integrate Care with the Person at the Heart of the Health Care System Foster a Culture of Health and Community Wellness Cover: Trillium Health Partners and SE Health recognized with the 2018 Minister’s Medal Honouring Excellence in Health Quality and Safety during the Health Quality Transformation 2018 conference on October 17, 2018. Left to right: Julie Drury, Ministry of Health and Long-Term Care; Dr. Dante Morra, Trillium Health Partners; Kathryn Hayward-Murray, Trillium Health Partners; Michael Peters, SE Health; Helene Lacroix, SE Health; Robin Martin, Parliamentary Assistant to Minister, Ministry of Health and Long-Term Care; Dr. Joshua Tepper, Health Quality Ontario 2 | P a g e December 2018 Annual Business Plan Community MOHLTC Updates Accountability Communications Priorities Engagement PROGRESS ON ANNUAL BUSINESS PLAN PRIORITIES ACCESS CAPACITY QUALITY Critical Care Capacity Planning strengthening opportunities within the LHIN. These important The provincial Life or Limb Policy is a “no refusal” policy for patients with life or limb discussions will inform the development of a three-year capacity plan threatening conditions. The guiding principles of the policy are triggered when a patient is life for the Mississauga Halton LHIN which is targeted for completion in or limb threatened and therapeutic options exist, which are needed within four hours. mid-December 2018. On October 18, 2018, Critical Care Services Ontario held their annual Chronic Disease Prevention and Management town hall meeting with the Mississauga Halton and Central West As the population ages the likelihood of developing chronic conditions increases. Chronic LHINs to provide an overview of the Ontario Critical Care Plan Disease Prevention Management in the Mississauga Halton LHIN focuses on health (2018-2021). A highlight of the event was a presentation by Halton promotion and the self-management initiatives that address the risks associated with the Healthcare and Trillium Health Partners on their organizational progression of chronic conditions within the population. The Mississauga Halton LHIN works activities to enhance patient and family engagement to further collaboratively with our health and community partners across the continuum of care to build healthy environments, increase equitable access to self-management programs and inter- improve the patient experience. Attendees also participated in LHIN- professional care for patients with chronic conditions to improve their quality of life and overall wide critical care system planning and identified priorities for capacity well-being. 3 | P a g e December 2018 Annual Business Plan Community MOHLTC Updates Accountability Communications Priorities Engagement Community Paramedicine program deserve a big thank you. I hope this wonderful caring Peel Paramedic Services opened a third community paramedicine program will continue. clinic in East Mississauga. This expansion will ensure seniors living at ~ Lorraine DeGasperis 177 Dundas Street will have access to a community paramedic once a week who will conduct a health assessment, offer patient education and refer participants to the appropriate community and health care Regional Meals in Home supports. To date, the Mississauga Halton LHIN currently supports Mississauga Halton LHIN’s Meals in Home Program goal is to provide equitable access for three community paramedicine programs across eight sites: meals in home to the most vulnerable residents. Eligibility will be determined by income and Halton community paramedicine clinics (one site in ability to move about in relation to other medical/health needs. Georgetown, one site in Milton, and two sites in Oakville) As part of a new pilot beginning December 1, 2018, the Regional Peel community paramedicine clinics (three sites in Meals in Home program will begin to introduce fresh produce in its Mississauga) offerings, including both fruits and vegetables, at no cost to the client. Community Paramedicine-Led Wellness Clinic and Home Clients will have the option to have their orders prepared and Visit Program (one site in South Etobicoke) packaged for immediate consumption, ensuring barrier free access. The following quote is from one of the seniors who benefits from the Work on the pilot is underway with a new partner, FoodforLife South Etobicoke community paramedicine program and shared her Canada, Halton region’s largest food recovery program. Continuous positive experience with www.toronto.com: quality improvement cycles are planned throughout the fourth quarter with active engagement with clients. A fulsome evaluation will be …When I arrived at my new home, which I have been residing in for completed at the beginning of first quarter of 2019-2020, with hopes the past nine years, I felt something missing — lonely, isolated and to expand the pilot to include other services within the Mississauga sick people with no means of support. As of September 2018, Halton LHIN to incorporate meals or snacks into their programming. community paramedics have set up a program for senior residents in our building every Monday from 11 a.m. until 3 p.m., assisting seniors In addition to the pilot, the “Finding Food’ website (www.finding- with health issues, support, doctors and a feeling of safety. The food.com) is currently being upgraded to customize the client user residents are happier and now have people who care and discuss experience to ensure they are only provided options that meet their issues important to them. I commend paramedics for their involvement specific needs (i.e. such as options available on specific days or by with our community and the welfare of our seniors, lending support public transit); providing more detailed descriptions of available wherever needed, giving hope and balance moving forward with their services; and adding geo location to help clients understand what is lives. All parties that helped set up this community paramedics local to them as well as mapping out the best routes for access. 4 | P a g e December 2018 Annual Business Plan Community MOHLTC Updates Accountability Communications Priorities Engagement Telemedicine Health System Funding Innovation and Transformation The Mississauga Halton LHIN is working to champion and support a culture that uses The Ministry of Health and Long-Term Care continues to test and scale innovative funding Telemedicine solutions to improve access and equity to health care services; to enhance and service delivery models to achieve high quality, more consistent and better integrated health system capacity; and to increase knowledge transfer and collaboration between health care. Under the Bundled Care funding model, designated “bundle holders” receive a single care providers in a way that will positively impact the overall patient and health care provider payment for an episode of care across multiple settings. Health service providers, the LHIN’s experience in the Mississauga Halton LHIN. direct service delivery branch, and relevant stakeholders are collectively responsible for creating seamless transitions and improved outcomes including reduced length of stay, Telemedicine enables providers to remotely diagnose, monitor and treat patients – and helps reduced emergency department visits, reduced hospital readmissions, improved patient, patients manage their illnesses through self-care and access to education and support caregiver and provider experience and improved value for money. systems. The Ontario Telemedicine Network provides the platform and tools, programs and services that make this possible. At the 2018 Health Quality Transformation Conference in October, As part of Enhancing Access to Primary Care, we’ve made significant Trillium Health Partners and SE Health were recognized as the Team strides in the implementation of the Novari eVisit solution, software Based Winners of the 2018 Minister’s Medal of Honour for that enables a patient to initiate a virtual visit with their health care Excellence in Health Quality and Safety for Putting Patients at the provider via their mobile and/or desktop devices. Thus far, 63 primary Heart (PPATH): A seamless journey for Cardiac Surgery Patients. care providers have been registered, trained and using the Novari PPATH brings together the hospital and home care as one team to eVisit platform, exceeding the provincial target of 40 by 57 per cent. provide seamless service to cardiac surgery patients. As of October 2018, we have had 315 eVisits,