Mount Waddington Health Services: Mount Waddington Health Services: Where are we in April 2008?Where are we in April 2008?Mount Waddington Health Services: Mount Waddington Health Services: Where are we in April 2008?Where are we in April 2008?

Presentation to:Presentation to:

Mount Waddington Health NetworkMount Waddington Health Network

April 4, 2008April 4, 2008

Determinants of Health

Mount Waddington HealthNetwork

Goal 2Become a Centre of Excellence inRural and Remote Health Service

Delivery

Mount Waddington IntegratedServices

Framework for ChangeFramework for Change

Goal 1Improve the Health of Mt. Waddington

People and Communities

Principles of Integrated ServicesPrinciples of Integrated Services

Comprehensive

Seamless

Locally accessible

Network of provider teams

Integrated into a regional system

That supports our population to:

stay healthy (prevention, promotion) get better (acute, urgent) manage illness and disease (chronic) cope with the end of life (palliative)

Mount Waddington Mount Waddington Redesign for IntegrationRedesign for Integration

Change the way we plan and provide services

““Identify the best supports to Identify the best supports to ensure success and ensure success and

sustainability of this work”sustainability of this work”

Strategies to Achieve Strategies to Achieve Integration….Integration….

&&

Results to DateResults to Date

‘Namgis Health Services

Mt Waddington’s VIHA Area Services

Port Hardy Cluster of Services Cormorant Island

Service Cluster

Port McNeill Cluster of Services

Port Alice Health Centre

Sointula Nursing Centre

Holberg

Kwakiutl FN (Fort Rupert)Gwa’sala-nakwaxda’xw

Quatsino

Tsawataineuk (Kingcome)

Woss

Vision of Integrated Services Developed in 2007Vision of Integrated Services Developed in 2007

Kwicksutaineuk/Ak-Kwa-Mish (Gilford)

Gwawaenuk (Hopetown)

Established Service Integration TeamService Integration Team with direction from Rural Services and including all managers responsible for area programs

Agreement to plan as a team and implement a plan as a team and implement a shared visionshared vision

Supported by VIHA’s Learning & Development to create an integrated team cultureintegrated team culture both for operations decision-making and to begin implementing key change strategies

Drafted Implementation Action Plan for 2008-9Implementation Action Plan for 2008-9

Integrating VIHA’s management team in Mount Waddington- a big accomplishment!

““Together, let’s focus on meeting patient's Together, let’s focus on meeting patient's needs - crossing program boundaries as needs - crossing program boundaries as necessary to creatively overcome barriers necessary to creatively overcome barriers to health.”to health.”

Six primary health care nurse lead positions in place by December 2007

Leadership group establishes weekly telephone conferences to problem-solve and share information in February 2008

Tackling discharge planning issues across VIHA sites ongoing

Focus on health of aboriginal peopleFocus on health of aboriginal people

VIHA developing a partner relationship with Sacred Wolf

Friendship Centre by funding cultural safety education for

Port Hardy and Port McNeill VIHA staff

Visioning and population health needs review for urban

and village populations around Port Hardy in 2008

‘Namgis partnership initiated in Alert Bay through support

for health needs review

Physician outreach now to Quatsino & Promising Babies

Recruiting for Nurse Practitioners for Port Hardy

Cultural SafetyCultural Safety Aboriginal Liaison Nurse and Elder for VIHA

give ongoing cultural safety information to staff Elder Sally Williams presents to VIHA Board

advocating for continued cultural education. VIHA Board visits First Nation communities

Cultural education for health providers building on Kingcome and Hopetown camp experience

Port Hardy staff attend cultural orientation sessions held by Sacred Wolf Friendship Centre

Discharge planning initiative locally

Physician engagementPhysician engagement

Review by consultant Dr. Bob Burns; report submitted to VIHA on physician retention and recruitment issues in Mount Waddington

MW physicians engage in Practice Support Program for chronic disease management Toolkit and office redesign

The two Port Hardy clinics agree to partner with VIHA for services of nurse practitioner focused of moms and babes. Recruitment underway.

“VIHA programs are based at 13 different settings in five local communities. We need an inclusive process for staff to raise issues and a collaborative process for leaders and management to resolve problems locally.”

Staff engagement: Management/staff meetings to distribute Plan in 2007 Communication/change management strategy being

developed with Human Resources support Meeting with unions to share redesign plans and

strategies (charters) since November 2007 Six week consultation process at Cormorant Island

facility in early 2007 for team building Team-building process with managers & nurse leads

Increases in supportive housing for Increases in supportive housing for specialized populationsspecialized populations

Integrated Specialized MHAS Housing Project

Resources confirmed Partnership with

Salvation Army and cooperation with Sacred Wolf

Renovations underway for …..spaces!

Seniors Supportive Housing Initiative        

RFP from BC Housing Communication to all

interested seniors groups

No proposals received

Integrated specialty services

New Social Worker position created (funding from both MHAS and SHC) for navigation and supporting medical/social needs of patients/clients

Still need to find audiologist source, enhance regional physiotherapy, find new approaches to lab and diagnostics for small communities, spiritual care

Port Alice as Primary Health Care CentrePort Alice as Primary Health Care Centre

Community needs assessment completed by Population Health Observatory and VIHA Planning Fall 2007

Primary Health Care needs clarified Next job is to establish local Steering

Group with community reps to implement changes, sort out resources for physician support and capital improvements

Healthy Families Physicians and integrated team engaged for Promising

Babies Family Place services enhanced with support of MCFD Nurse lead for Reproductive Care working between

CYF and Rural Health Women’s Health Fair being offered by integrated

services in all communities Spring 2008

Will continue to strengthen the Mount Waddington Reproductive Network, confirm roles of physicians, facilities and community supports, to ensure a safe continuum of perinatal care for all communities

““Equitable access to services for remote Equitable access to services for remote populations with poor health status requires populations with poor health status requires special consideration beyond what works for special consideration beyond what works for people in larger communities”people in larger communities”

Using VIHA Quality Council process to improve discharge planning for Mount Waddington residents

Use of agency nurses to keep facilities operating

Successful use of outreach services and teams

Other ways we’d like to operate…Other ways we’d like to operate…

“Realigning front line resources to make a difference in rural health”

Primary Health Care teams to provide enhanced services in

community or facility while being on-call to provide emergency

services; a ‘workplace without walls.

“Integrating interdisciplinary services between facilities and homes

supports the complex care needs of the elderly in the community

and in residential care.”

Utilizing Seniors health care staff, whether in facilities or

community, where their expertise makes a difference to quality of

life for the elderly.

Finally…how to continue to Finally…how to continue to support our common support our common

commitment to a healthier commitment to a healthier Mount Waddington Mount Waddington

population?population?