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Mississauga Halton LHIN Aging at Home Strategy
2008/09 Investment Overview
July 22, 2008
Integration Priorities & Enabling Strategies
• Alternate Level of Care• Surgical Throughput• Critical Care Capacity• Wait Times• Long-Term Care
Placement Time• Quality of Care –
Patient Perception• Readmissions for Acute
Myocardial Infarction
Local Solutions for Provincial Priorities:
Improving Health System Performance
StrengtheningPrimary Health Care
Preventing & Managing
Long-lasting (Chronic)
Conditions
IntegratingMental
Health & AddictionsServices
EnhancingSeniors Health,
Wellness & Quality of Life
Enabling Strategies: • Information and
Technology Solutions
• Human Health Resources Planning
• Promotion and Prevention
• Education and Knowledge Sharing
• Transportation• Easy Movement
Through the System
• Alternate Level of Care• Surgical Throughput• Critical Care Capacity• Wait Times• Long-Term Care
Placement Time• Quality of Care –
Patient Perception• Readmissions for Acute
Myocardial Infarction
Local Solutions for Provincial Priorities:
• Alternate Level of Care• Surgical Throughput• Critical Care Capacity• Wait Times• Long-Term Care
Placement Time• Quality of Care –
Patient Perception• Readmissions for Acute
Myocardial Infarction
Local Solutions for Provincial Priorities:
Improving Health System Performance
StrengtheningPrimary Health Care
Preventing & Managing
Long-lasting (Chronic)
Conditions
IntegratingMental
Health & AddictionsServices
EnhancingSeniors Health,
Wellness & Quality of Life
Enabling Strategies: • Information and
Technology Solutions
• Human Health Resources Planning
• Promotion and Prevention
• Education and Knowledge Sharing
• Transportation• Easy Movement
Through the System
Enabling Strategies: • Information and
Technology Solutions
• Human Health Resources Planning
• Promotion and Prevention
• Education and Knowledge Sharing
• Transportation• Easy Movement
Through the System
Aging at Home Investments in Ontario
• Investment of $382.4 M over the next three years.
• Increase supports to seniors so that they can live healthy, independent lives in their own homes.
• Identify innovative solutions that are more responsive to seniors needs and allow them to continue to live in comfort in their own homes.
• Help provide more equitable access to health care by matching the need of the local senior population with the appropriate support services.
• Over the next three years, a minimum of 20% of the LHIN funding must support innovative approaches to ensure equitable access to services for a diverse population, including:
• Partnerships with non-traditional providers that allow and recognize “informal services”• New services that include prevention and wellness • People from like groups (e.g., cultural, linguistic) delivering informal care such as
friendly home visits, telephone calling and transportation to appointments
• LHINs’ Aging at Home plans will contribute to system improvement and transformation:
• Reduced pressures on health care system, particularly hospitals and long-term care homes• Sustainable integrated community services for seniors and their care providers• Seniors’ dignity, independence and satisfaction
Aging at Home Strategy – Innovation and Results
MH LHIN’s Key Guiding Principles• Senior centered – Services must respond to the needs of seniors.
• Community based and integrated with broader health care system.
• Equitable – recognize demographic and geographic challenges.
• Cost-effective – best care at optimal cost recognizing benefits of volunteerism and developing local community responses.
• Results oriented – results defined and measured.
• Local community oriented – build on capacity in local neighbourhoods and within communities of common culture (e.g. ethno-cultural, linguistic, religious).
• Of experiencing a medical crisis and ending up in Emergency Departments• Lingering in hospital awaiting a more suitable place (ALCs), or are inappropriately admitted to a LTC home because of insufficient community supports
• Consideration of services to meet client’s cultural and linguistic needs, and specific disease requirements
Aging at Home Target Groups
• Supportive measures designed to prevent deterioration into crisis and/or institutionalization
3 Year Allocation for Mississauga Halton LHIN
$0
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
$35,000,000
2008/09Initial Investment
2009/10 Planned Base Increase
2010/11Planned Base Increase
$7.7 M(~23%)
$19.1 M(~57%)
$33.7 M(100%)
Highlight of Mississauga Halton LHIN 2008/09 Investments• Enhance supports for seniors/families affected by mental illness and/or
behavioural difficulties.
• Increase supports for daily living (housing options for seniors).
• Create capacity to meet the needs of hospitalized patients who no longer require acute care.
• Expand support for residents of long-term care homes.
• Enhance palliative care services.
• Increase seniors’ adult day programs.
• Expand health promotion and wellness initiatives.
Investments in 2008/09
2008/09 Aging at Home Investment
$7,555,198TOTAL
$1,294,997Adult Day & Respite Programs
$410,000Prevention and Wellness Education and Training Programs
$553,333Specialized Geriatric Services
$3,645,000Transitional Care Programs
$400,000ASSIST Model Implementation
$1,251,868Supports for Daily Living
Investment2008/09 Deliverable
Proposed Initiatives are Designed to:Proposed Initiatives are Designed to:
• Develop sustainable and increased community capacity
• Provide cost effective solutions to institutional care
• Support seniors to live healthy and independent lives in their homes longer
• Ensure consistent best practices across the region
• Ensure effective and efficient processes
• Commitment to performance improvement
• Build on existing operational infrastructure
2008-09 FUNDING
Project DescriptionService ProviderName of Project
$1,251,868Sub-Total
$662,527Expansion of current capacity in 5 buildings where service is offered in order to allow identified seniors requiring service to age at home.
Peel Senior LinkSupports for Daily Living
$53,680Increase in evening and night supervision to allow the residence to age at home.
Ivan Franko Home (Mississauga)
Supports for Daily Living
$237,043Extension of a Supports for Daily Living Program into the adjacent apartment tower would result in a further diversion of clients from LTC Homes. With this extension, those clients who have the greatest care needs and require 24/7 support will be targeted.
Oakville Senior Citizens Residence
Supports for Daily Living – Apartment Tower
$165,467Expansion of the existing services will have multiple benefits. Average age in this building is 85+ in years and, service needs and acuity have increased. Increasing the existing units of service to 1.5 hours (90 minutes) per day will avert the admission of stable, healthy seniors to Long-Term Care (LTC) Homes.
Oakville Senior Citizens Residence
Supports for Daily Living – Residential
$133,151This program will allow faster discharge of clients from hospital who require direct hourly monitoring and supervision. It will also divert those clients who do not require hospitalization but could end up in hospital due to episodic illness (i.e. flu) that has created temporary disability.
Oakville Senior Citizens Residence
Supports for Daily Living – Recovery Program
Supports for Daily LivingDefinition: Provides a home-like setting which supports the health, safety, independence and wellbeing of frail seniors and clients with disabilities.
Supports for Daily LivingSupports for Daily Living
Supportive Housing within the Continuum of Care: From THIS:
Supports for Daily Living within the Continuum of Care: To THIS:
Supports for Daily Living – Serving 337 Clients!
Performance Requirements for Supports for Daily Living
• Agreement to implement new model
• Agreement to new cost structure
• Agreement to target hospital ALC clients wherever possible or to identify those who could be diverted from LTC
• #’s to be served
• Implement Common Health Assessment
ASSIST Model
2008-09 FUNDINGProject DescriptionService ProviderName of Project
$400,000Pilot the ASSIST Model. The Model targets adults age 55 or older residing in the Mississauga Halton LHIN to ensure a proactive approach to health promotion, disease prevention and wellness interventions that may delay or prevent onset of disease in the future.
Credit Valley Hospital (The)
ASSIST Model Implementation
ASSIST Model
“ASSIST”: Service Delivery Model for Seniors in Mississauga Halton LHIN
• All-inclusive
• Seamless
• Services for
• Independence of
• Seniors for
• Today and Tomorrow
ASSIST Model
FHTFHT
GPs orSpecialistGPs or
Specialist
GPsGPs
Family Health Team
Family Health Team
Teaching Centres
Teaching Centres
RGPRGP
SeniorsHealth and
Wellness Centre
Care Coordinator(s)Exact Services TBD
SeniorsHealth and
Wellness Centre
Care Coordinator(s)Exact Services TBD
SHWCSHWC
GPsGPs
FHTFHT
Patien
t/Cons
umer
and Ci
rcle
Patien
t/Cons
umer
and Ci
rcle
Patien
t/Cons
umer
and Ci
rcle
of Supp
ort Fo
cused
Servic
e
of Supp
ort Fo
cused
Servic
e
of Supp
ort Fo
cused
Servic
e
Delive
ry
Delive
ry
Delive
ry Central
Information and Referral
Central Information and
Referral
SHWCSHWC
SHWCSHWCGPsGPs
FHTFHT
Tertiary Care
Tertiary Care
Quaternary Care
Quaternary Care
Adult Day Centre
Adult Day Centre
Family Support Family
Support
RespiteRespite
Long Term Care
Long Term Care
Community Services & Agencies
Community Services &Agencies
Emergency Room/ Urgent Care
Emergency Room/ Urgent Care
Acute,Specialist
s
Acute,Specialist
s
Transitional Care Programs
2008-09 FUNDINGProject DescriptionService ProviderName of Project
$3,645,000Sub-Total
Halton Healthcare Services Corporation
20 Acute Transitional Beds
$2,625,00040 additional acute care beds, on an interim basis (projected 2 years), to serve up to 600 people awaiting LTC Home placement. Patients will receive focused care to regain strength and maintain functional ability.
Trillium Health Centre - Mississauga
20 Acute Transitional Beds
$1,020,000These short-stay beds, offering specific restorative, rehabilitation (transitional) and discharge planning will fill an identified service gap by providing a flow through from acute care to community.
Ernst & Young (Mississauga Lifecare Centre)
Short Stay Restorative Program
Transitional Care Programs
Definition: Provides sub-acute restorative care for seniors awaiting discharge back into the community or LTC homes.
Alternatives to Staying in Hospital More options for seniors who are ready to leave the hospital, but need some time to get well before going home or need more support at home.
This will help alleviate hospital bed and ED pressures.
Specialized Geriatric Services
2008-09 FUNDINGProject DescriptionService ProviderName of Project
$553,333Sub-Total
$233,333NP works with a multidisciplinary to support LTCH in managing residents with sudden or semi urgent injuries or illnesses.
Credit Valley Hospital (The)
Support Residents of LTC through NP Model
$250,000Expansion of geriatric mental health outreach services across Mississauga Halton LHIN and creation of targeted partnerships to strengthen the health and social service continuum responsible for supporting seniors/families affected by serious mental illness and/or behavioural difficulties (e.g. responsive behaviour) residing in community or long term care homes settings.
Halton Healthcare Services Corporation
Expand and Develop Geriatric Mental Health Outreach Services
$70,000Provide expert medical advice and support the development of an accessible, comprehensive, co-ordinated and sustainable continuum of care for seniors within the Mississauga Halton LHIN.
Credit Valley Hospital (The)
Specialized Geriatric Services Review
Specialized Geriatric Services
Prevention and Wellness
2008-09 FUNDINGProject DescriptionService ProviderName of Project
$410,000Sub-Total
$164,000Patient/caregiver/public education, capacity in the education program, implement care guidelines within LTC facilities and educate awareness of DNR roles and responsibilities.
Acclaim HealthMississauga Halton Palliative Care Services
$40,000One-time funding through Mississauga Halton CCAC to Saint Elizabeth to deliver 12 self-management workshops based on the internationally recognized Stanford University’s Chronic Disease Self Management Program. The program consists of a series of 2.5 hour workshops spread over six weeks where seniors with different chronic diseases meet to discuss and learn the skills needed to deal with their condition on a day-to-day basis in an effort to maintain and/or increase life’s activities and enjoyment.
Mississauga Halton Community Care Access Centre
Building Bridges for Better Health
$206,000Implementation of appropriate, individually tailored, progressive program with activities evidenced to improve balance and strength, which are important to preventing falls.
Credit Valley Hospital (The)
Mississauga Halton LHIN Falls Prevention Project
Prevention and Wellness Education and Training
Adult Day Program ExpansionAdult Day Program Expansion 1200+ Client Days!1200+ Client Days!
2008-09 FUNDING
Project DescriptionService ProviderName of Project
$1,294,997Sub-Total
$192.514Create new Adult Day Program for seniors with Alzheimer’s and other progressive cognitive disorders or dementia in South Etobicoke.
City of Toronto - Wesburn Manor
Alzheimer’s Adult Day Program
$142,918Combine 2 centres into one facility to provide added service as well as accommodate 10 additional clients.
Seniors’ Life Enhancement Centres
Seniors’ Life Enhancement Centres Consolidation
$281,140Open an Adult Day Program (culturally specific) for Chinese frail seniors, seniors with dementia and seniors post-stroke - within the Yee Hong LTCH
Yee Hong LTCHYee Hong Continuum of Services for Chinese Seniors
$322,483Proposal recommends establishing a new adult day program in Georgetown, which collaborates with Links2Care, Hamilton Halton Alzheimer Society, MH CCAC, Georgetown Hospital/Supportive Housing Program, Georgetown Seniors Centre.
Region of HaltonHalton Hills Day and Respite Centre
$355,942Increase service in existing locations to serve 25 new clients from Oakville/Mississauga as well as the addition of a preventative program for healthy seniors.
India Rainbow Community Services of Peel
Enhanced Seniors and Caregiver Health, Wellness and Quality of Life
Adult Day / Respite ProgramsDefinition: Provide a range of health and social services to allow seniors with physical or mental impairments to remain independent for as long as appropriate, while allowing caregivers relief from the responsibilities of at-home care giving so they can fulfill work or other obligations.
Going Forward –
Next Two Years (↓ALC)Engage our seniors’ and their families / caregivers to understand their needs to age at home with dignity
Continue to look for innovative approaches to support seniors to “age at home”.
Optimize and increase the capacity of services within the LHIN.
Reduce reliance on LTC beds and hospitals.
Preventive and wellness services and partnerships with non-traditional providers.
Culturally sensitive options for service delivery including seniors helping seniors.
Mississauga Halton LHIN �Aging at Home StrategyIntegration Priorities & Enabling StrategiesAging at Home Investments in OntarioAging at Home Strategy – Innovation and ResultsMH LHIN’s Key Guiding PrinciplesSlide Number 6Aging at Home Target Groups3 Year Allocation for Mississauga Halton LHINHighlight of Mississauga Halton LHIN 2008/09 InvestmentsSlide Number 102008/09 Aging at Home InvestmentSlide Number 12Slide Number 13Slide Number 14Slide Number 15Slide Number 16Slide Number 17Slide Number 18Slide Number 19ASSIST ModelSlide Number 21Slide Number 22Transitional Care Programs Alternatives to Staying in Hospital Specialized Geriatric ServicesPrevention and WellnessSlide Number 27Slide Number 28Going Forward – Next Two Years (↓ALC)
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