Project Update. February 25, 2017

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1 Project Update February 25, 2017

2 Muskoka and Area Health System Transformation OUR STORY TO TODAY

3 The Health System in Muskoka : Collaborative Partner Steering Committee Formed : Community outreach, engagement and input into Business Plan Early 2014: Implementation commenced with approval by MOHLTC and NSM LHIN Target: Better coordinate care to meet the needs of individuals living with complex and chronic conditions that require higher volumes and costs of care Muskoka Community Health Link Muskoka Community Health Hubs : Community outreach, engagement and insight to shape a Made in Muskoka Solution 2013: Linked and partnered with Health Link Business Plan submission with formation of Muskoka Health Hubs Implementation Committee Late 2014: Approval received by MOHLTC, 3 year demonstration 2015: Implementation and Operationalization commenced Target: Enhance and expand access to primary care, community and social services across Muskoka, reaching more isolated and vulnerable populations : Planning, community engagement, outreach, & completion of Master Plan / Master Program Oct. 2015: MAHC Pre- Capital Submission endorsed by NSM LHIN Nov. 2015: NSM LHIN approved establishment with first meeting of the MAHC Capital Planning Task Force Nov. May 2016: Task Force continued to meet for purpose of defining a common future vision for acute care services Muskoka Algonquin Healthcare

4 Reframing our Story

5 March May 2016: Evolution to MAHST Small Working Group: May August, 2016 June 2016: NSM LHIN Approved MAHST TOR July Sept: Chair, Co-Chair & Executive appointed Nov: General Council appointed Jan: Working Groups commenced

6 A System Solution Ambitious project to redesign the local health care system serving Muskoka and Area. Unique opportunity to generate a person-centred model for health care and a plan to implement those changes designed by people who live in Muskoka, experience the current system and best understand local needs MAHST Council has been appointed by NSM LHIN to oversee a grassroots design process that engages health, social services and community stakeholders across the continuum of care

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8 MAHST General Council Chair: Don Mitchell * Special Advisor and Co-Chair: Dr. Adalsteinn Brown * Charlane Cluett * Gary Froude* David Mathies, MD* Philip Matthews* Sven Miglin* Larry Saunders* John Sisson* Executive Committee Members Rob Alexander: Municipal North Area Natalie Bubela: Acute Care Dr. Keith Cross: Physician Christine Fitchett: Nurse Practitioner Valerie Johnston: Mental Health and Addiction Sue Kelly: Community and Home Care John Klinck: Municipal District Colleen Nisbet: Public Health Lynn Sharer / Shelly Van den Heuvel (shared appointment): Primary Care Teams Graydon Smith: Municipal South Area Rick Williams: Long Term Care and Social Services

9 Primary Care Leadership Dr. Sheena Branigan Dr. Caroline Correia Dr. Keith Cross Christine Fitchett, NP Dr. Kristen Jewell Leanna Lefebvre, NP Dr. David Mathies Dr. Jennifer MacMillan Dr. Jessica Reid Dr. Greg Stewart

10 What is the Vision? Cost of not acting now is too great for safety of citizens accessing health care services within Muskoka and Area Present State Transformation Changes / Improvements Future State By 2017 Will have designed a model and implementation plan to transition to an improved health care system in Muskoka By 2018 Will have an integrated governance structure in place

11 March 31, 2017 Deliverables A report to the NSM LHIN describing: A recommended framework / design for health system transformation for Muskoka and Area including a set of preliminary recommendations for local health system change A draft implementation plan to support achieving the framework / design A draft new governance structure plan A progress report on tasks remaining and projected timeframe to complete project

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13 Muskoka and Area Health System Transformation BUILDING ON WHAT THE COMMUNITY SAID

14 Muskoka Health Links Community Engagement WE STARTED A CONVERSATION

15 NSM SGS Engagement 2014 Engagement session to inform regional Specialized Geriatric Services program planning in Focus Groups across North Simcoe Muskoka Patients and Caregivers Providers

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17 Muskoka and Area Health System Transformation PROGRESS TO DATE

18 Dimensions of a Quality Health System Better Health for Population Better Care for Person Better Value for System Better Experience for Providers

19 Our Process to Date Step Action Deliverable 1 General Data Collection Key Issues Design Elements 2 Targeted Data Collection Detailed Findings Hypothesis Setting 3 Analysis Organizational Assessment Current State Analysis 4 Identification of Transformational Changes Required The Vision Future State Designing 5 Action Planning The Transformational Plan

20 Muskoka and Area Health System Transformation STEP 1 GENERAL DATA COLLECTION MAHST DESIGN PRINCIPLES

21 MAHST Key Design Elements Governance & Strategy Integrated governance Strong link between health and social services in planning Integrated administrative structure Organizational design that retains and redirects funding within Muskoka Quality and Value measurement and management Standards for safe, high quality and sustainable Care Strong community engagement in system planning and sustainability Strong clinical governance and provider engagement in system management Information Technology Integrated across System Enhance Future Vitality of Muskoka Delivery of Care Care Navigators (person-centred care) Way-finding and triage for patients and providers Effective location of urgent and emergency care services with focus on quality Quick and effective primary-care based management of care trajectory IT Portal to Empower Self- Management Reduction of Waste and Duplication (at lower level on the care delivery side Generated by MAHST Executive Committee

22 Muskoka and Area Health System Transformation STEP 2 TARGETED DATA COLLECTION HYPOTHESIS SETTING & PROBLEM IDENTIFICATION

23 Our Workstreams Programs & Services Design Future State Model of Care (What it looks like siting/sizing) Develop the recommended Delivery of Care Mechanisms (how it ll operate coordination, access, consistency, capacity, education) Governance & Funding Create the new management structures (governance & administration) Establish structures & recommendations for integrations of back office & functional supports, system performance, HR, funding models, corporate structure, etc. Information Management & Technology Stakeholder Relations Idealized Redesign Workshop

24 Ranking Order Clustering Up of Problem Statement Areas Problems Areas 1 Coordination 2 Access 3 Governance 4 Education (public, individuals, caregivers & providers) 5 Capacity 6 Information Management & Technology (communication) 7 Consistency 7 Funding

25 Muskoka and Area Health System Transformation STEP 3 ANALYSIS CURRENT STATE

26 How are things working?

27 CURRENT STATE TO FUTURE STATE Moving from a disease and hospital centric system To a person-centred and primary care centric system

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30 Inventory of Current State Programs & Services

31 Muskoka and Area Health System Transformation STEP 4 IDENTIFICATION OF TRANSFORMATIONAL CHANGES REQUIRED THE VISION - FUTURE STATE DESIGN

32 Muskoka and Area Health System Transformation OUR CURRENT STATE

33 Model exploration

34 Ideas Discussion

35 Our Uniqueness

36 Brainstorming

37 New Model Ideas Evolving

38 Stakeholder & Community Preliminary Design Engagement Validation / Final Design Feb Mar Apr May Jun Public/Patient Updates / media interviews Previous local engagement activities (leverage input) + gaps identified today Providers Work streams members Workshops (preliminary designs) Previous local engagement activities + gaps identified today Political Area and District Councils Boards Foundations Public/Patient Updates / media interviews Information sessions / surveys for broader public Patient & caregiver focus groups to validate model Providers Work streams members Workshops (implementation planning) Provider Focus groups to validate model and implementation planning Political Area and District Councils Boards / Foundations Relevant Ministries / Agencies

39 How Can You Help? Engage in the design process by participating in Work Streams and Workshops Stay informed: Thank You!