CENTRAL LHIN CEO REPORT CORRESPONDENCE
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1 140 Allstate Parkway Suite 210 Markham, ON L3R 5Y CENTRAL LHIN CEO REPORT CORRESPONDENCE
2 Central LHIN CEO Report - Correspondence Table of Contents 1.0 MINISTRY OF HEALTH AND LONG TERM CARE CORRESPONDENCE June 30, 2011 July 27, 2011 August 2, 2011 Letter from Assistant Deputy Minister, One Time Funding Support for Chronic Care Hospitals (Appendix 1.1) Letter from Assistant Deputy Minister, Amendment to Ministry LHIN Performance Agreement- Base Funding for Existing Announced Residential Hospices for (Appendix 1.2) Letter from Assistant Deputy Minister, One Time Funding for Provincial Human Service and Justice Coordinating Committee Conference (Appendix 1.3) 2.0 LHIN WIDE CORRESPONDENCE June 2011 Connecting GTA Steering Committee (Appendix 2.1) July 2011 Hospital Service Accountability Agreement Update (Appendix 2.2) 3.0 CENTRAL LHIN CORRESPONDENCE July 22, 2011 July 22, 2011 Memorandum to Central LHIN Health Service Providers, Host Communities Expanding for Northern Ontario Forest Fire Evacuees (Appendix 3.1) Central LHINfo Minute, Anti-Stigma Curriculum for Mental Illness and Addictions goes national (Appendix 3.2) Central LHIN Board of Directors CEO Report Correspondence August 16, 2011
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12 STEERING COMMITTEE June 2011 Bulletin Marking Milestones and Gaining Momentum As temperatures heat up and we welcome the sunshine, many have SPF on their minds; but for the ConnectingGTA project, RFP has been the main focus. This month Steering Committee and working group decisions and discussions moved the project forward in a number of significant areas. Please see further details in the bulletin below. ConnectingGTA Request for Proposals (RFP) Released! After issuing an Advance Notice about the upcoming RFP last week, the ConnectingGTA project issued the Back- End RFP today via MERX. This RFP will procure key technical components, including the Clinical Data Repository and Health Integration Access Layer. Once procured these components will set the foundation for the ConnectingGTA solution and will provide the ability to collect and exchange patient health information across the GTA. With this significant milestone complete, the project team is now busy preparing for the Bidder s Conference to be held in Toronto in mid-july. RFP details and timelines are available on MERX via: tate=7&id=222374&src=osr&fed_only=0&ac TION=&rowcount=&lastpage=&MoreResults=& PUBSORT=0&CLOSESORT=0&IS_SME=N&hc ode=ykxir4zs4zzhaix8kfy69w%3d%3d In order to ensure a fair and transparent procurement process all vendor requests related to this RFP should be directed to the Bid Administrator, Roshni Patel at ext ConnectingGTAProcurement@uhn.on.ca Clinical Data Source Strategy Selecting Wave 1 Participants Discussions began this month to determine the selection criteria and process for the first wave of participants that will contribute to and use the ConnectingGTA solution. Members will finalize the criteria and process next month and the project team plans to hold project overview sessions in August/September. Populating Ontario Laboratories Information System (OLIS) Wave 2 Scheduled for Kick-Off With Wave 1 sites in the final stages of implementation, the project is getting ready to engage the next wave of sites that will populate OLIS with GTA lab data. With approval from Steering Committee, the project team will be reaching out to site executives in early July. What is the ConnectingGTA Project? ConnectingGTA will improve the patient and clinician experience by providing point-of-care access to electronic patient information from across the care continuum. The project is a partnership of the five GTA Local Health Integration Networks Central, Central East, Central West, Mississauga Halton and Toronto Central ehealth Ontario and Canada Health Infoway. ConnectingGTA is a cornerstone information system that will support the agency s clinical priorities and accelerate the delivery of electronic health records in Ontario. UPCOMING ACTIVITIES We thank all our committee and working group members and partners for your time, insightful feedback and support on this critical milestone. Thanks to the Wave 1 sites - Mount Sinai Hospital, North York General Hospital, Southlake Regional Health Centre, St. Michael s Hospital and Sunnybrook Health Sciences Centre for their hard work, patience and feedback that will help support future implementations. July 5 th C. Hecimovich, CEO, Central West, CCAC presents ConnectingGTA overview to CCAC CEO Council What is the ConnectingGTA Bulletin? This bulletin summarizes key messages from ConnectingGTA Steering Committee meetings and highlights upcoming project activities. These messages are provided to help you keep your stakeholders informed of the project s progress and activity. Content and format will continue to evolve based on your feedback. Please forward comments or questions to ConnectingGTA@uhn.on.ca. This publication does not replace the detailed minutes of the meeting. Please refer to meeting materials for further information. July 25 th ConnectingGTA SC meeting July ConnectingGTA article to come in Canadian Healthcare Technology
13 JUNE 2011 BULLETIN Engaging the Experts On June 23 rd the ConnectingGTA Privacy & Security Working Group (P&SWG) kicked-off. In the short-term, the P&SWG will help determine privacy requirements necessary to access and use the ConnectingGTA solution. In the longerterm this working group will identify and prioritize a list of privacy & security policies necessary for secure execution of the system. Members of this group will identify and address privacy or security related concerns, while also completing detailed planning to ensure that project deliverables meet the appropriate requirements and have the necessary policies in place. A list of working group members is available via the following link: Stay Connected Looking to stay connected to ConnectingGTA? Check in regularly online by visiting the ConnectingGTA Community at for access to the following: Monthly project bulletins Regularly updated frequently asked questions Ongoing project updates Recent media coverage More information will also be shared via the five GTA LHINs in the coming months through ehealth updates, newsletters and websites. If you can t find what you re looking for or have suggestions on our materials please contact the project team directly at ConnectingGTA@uhn.on.ca or contact your LHIN ehealth Lead. Recent Frequently Asked Questions Stay tuned to this section of the monthly bulletin as the project team will be sharing the most recent frequently asked questions from the field. In the first phase of the project what data format will be used for exchanging clinical reports (e.g. discrete fields, PDF format)? Discrete data elements are preferred. However to accelerate the sharing of patient health information amongst care providers, ConnectingGTA will collect electronic patient health information in the electronic format available. Will the project only be requesting the identified priority data types from the participating organizations? ConnectingGTA will initially focus on organizations that are collecting and sharing the priority data types: CCAC, Hospital (emergency department, visits & encounters, discharge summaries), diagnostic imaging, drug information and lab data, however, any electronic data being collected by participating sites will also be captured for future use. Wishing you a happy Canada Day! Central LHIN Jeff Kwan, ehealth Lead, jeff.kwan@lhins.on.ca Central East LHIN Marlene Ross, Sr. Project Manager marlene.ross@lhins.on.ca Central West LHIN Andrew Hussain, Regional CIO and ehealth Lead andrew.hussain@lhins.on.ca Mississauga Halton LHIN Andrew Hussain, Regional CIO and ehealth Lead andrew.hussain@lhins.on.ca Toronto Central LHIN Robert Lee, Sr. ehealth Consultant robert.lee@lhins.on.ca
14 July 2011 Hospital Service Accountability Agreement Update Introduction This is the fourth communiqué regarding the discussions of the H-SAA Steering Committee on the development of the Hospital Service Accountability Agreement (H-SAA) for Hospital Accountability Planning Submission (HAPS) The Local Health Integration Networks (LHINs) received notice mid-july 2011 regarding confirmed funding amounts (base, small hospital, high growth, Wait Time Strategy) for fiscal year 2011/12. The Hospital Service Accountability Agreement (H-SAA) Steering Committee met via teleconference on July 21, 2011 and agreed on a process to inform hospitals of the funding. The process includes the following proposed deadlines: LHINs to receive completed budget submissions from hospitals by September 30, 2011; and After discussion and agreement with their LHINs, hospitals to submit signed amending agreements to the LHINs by October 31, To facilitate consistent messaging and streamlined process, LHINs will be provided a template letter. It is recommended that the LHINs release the letters to hospitals at the latest by August 15th, 2011 with the Web-Enabled Reporting System (WERS) HAPS package to follow shortly after H-SAA The H-SAA Steering Committee is now looking ahead and considering the process for the new agreements. A conceptual framework has been proposed for the H-SAA process and memberships for new working groups are being determined so that planning can begin. Next Steps The LHINs and hospitals are encouraged to continue to work together in the spirit of collaboration to support the submission of HAPS forms and signing of the amending agreement to the H-SAA. The H-SAA Steering Committee will meet in October 2011 to address any outstanding items from the process and begin discussions on the service accountability agreement process. Hospital Service Accountability Agreement Update Hospital Service Accountability Agreement Update is intended to keep Senior Executives in Ontario hospitals and the LHINs informed about the development of the Hospital Service Accountability Agreement Template, and negotiations between LHINs and hospitals towards achieving balanced budgets 0 and signing service accountability agreements.
15 July 2011 For further information please contact: Bill MacLeod Mimi Lowi-Young Marian Walsh Hospital Service Accountability Agreement Update Hospital Service Accountability Agreement Update is intended to keep Senior Executives in Ontario hospitals and the LHINs informed about the development of the Hospital Service Accountability Agreement Template, and negotiations between LHINs and hospitals towards achieving balanced budgets and signing service accountability agreements.
16 60 Renfrew Drive Markham, ON, L3R 0E1 Tel: Fax: Toll Free: MEMORANDUM July 22, 2011 To: Central LHIN Health Service Providers From: Kim Baker, Chief Executive Officer, Central LHIN RE: Host Communities Expanding for Northern Ontario Forest Fire Evacuees Since July 14, 2011, thousands of people in remote First Nations communities have been impacted by over 100 ongoing forest fires raging across Northwestern Ontario, and hundreds have been evacuated to safety in outside communities across Ontario. Evacuation efforts are being coordinated by the Provincial Emergency Operations Centre (PEOC) operated by Emergency Management Ontario. PEOC is also leading fire-fighting efforts, evacuations, as well as food, shelter and supplies for evacuees. At this time, no municipalities in the Central LHIN have been identified as host communities, but surrounding communities such as Peel Region have been identified. Central LHIN continues to monitor the situation and will notify our health service providers as soon as possible if one of our communities is identified as a host community in future, as the potential remains. Evacuation efforts are being coordinated by the Ministry Emergency Operations Centre, who is leading fire-fighting efforts, evacuations, as well as food, shelter and supplies for evacuees. Role of the LHIN In the event of host communities being established in the Central LHIN, our role will be to work with our health care partners to ensure that evacuees have access to coordinated, quality health services during their stay. We will help coordinate and mobilize health service providers and health care professionals to address both community and acute care services. We will notify health service providers in potential host communities to be on standby for the implementation of their disaster plans and then give notice when to activate. Impact on Health Service Providers Please be prepared to activate your surge plan in preparation for possible increased service demands based on a Stage 1 emergency evacuation (people who have existing health issues) should your community become a host site for evacuees. Request for After Hour Contact Information All health service providers in the Central LHIN area are asked to provide after hours contact information to the LHIN to ensure our information is current. The fire evacuation situation is evolving quickly and the need for timely, coordinated communications will be required during and after work hours. Please send after-hours contact information to Cleo Surace, Senior Coordinator, at Cleo.Surace@lhins.on.ca.
17 Need More Information? If you have any questions, concerns or need any additional information in regards to this situation, please contact the Shirin Ansari- Tadi, Aboriginal Lead, at ext Thank you for your preparations as we work to potentially provide a community away from home for evacuees. Kind regards, Kim Baker Chief Executive Officer Central LHIN /rs c. Victoria van Hemert, Senior Director, Planning, Integration and Community Engagement, Central LHIN Karin Dschankilic, Senior Director, Performance, Contracts and Allocations, Central LHIN
18 July 22, 2011 Central Local Health Integration Network Central LHIN anti-stigma curriculum for mental illness and addictions goes national Program now a national model to reduce stigma Innovation and collaboration are at the forefront of any good idea. And if you bring the right people to the table, with the right supports in place, good things really do happen. That s the case with the Central Local Health Integration Network (LHIN) Mental Health and Addictions Education Work Group a committee that was comprised of Central LHIN mental health and addictions health service providers that developed a strategy to combat stigma amongst health care professionals. Why is this so important? By definition, the word stigma means the shame attached to something regarded as socially unacceptable. And for those needing or wanting services to help overcome or cope with mental illness and addictions, the stigma of it all is one of the greatest barriers to getting the help they need. That s why the Central Local Health Integration Network developed a workshop entitled Mental Illness and Addictions: Understanding the Impact of Stigma. The primary objective of this education strategy was to address the stigma associated with mental illness and addictions, and its impact on people. Proven to be effective at reducing stigma, the Mental Health Commission of Canada has adopted the Central LHIN model through a ten-year anti-stigma program called Opening Minds. The Central LHIN program has also been implemented in other health regions across Canada including seven communities in British Columbia, and will soon be rolled out in a children s hospital in Halifax, Nova Scotia. Additionally, plans are underway to take it to healthcare providers in the Northwest Territories. Since 2007, Central LHIN s Mental Illness and Addictions: Understanding the Impact of Stigma program has reached about 900 health care professionals working in different hospitals and health care sites across the LHIN, and has made a meaningful difference in the attitudes and perceptions of those individuals. In fact, participants said that as a result of the workshop they would be: more aware of their actions, assumptions and language in their interaction with consumers; would eliminate stigma in their behavior; and would point out stigma behaviours in others. Following the success of the program, Central LHIN is partnering with the Mental Health Commission of Canada to develop an enhanced anti-stigma pilot program called Understanding Stigma Phase II: Building Organizational Capability and Driving Sustainable Change. The purpose of the pilot is to improve the experience of people living with mental illness by enhancing health care professionals knowledge and understanding of the negative impact of stigma on patient-care outcomes by embedding anti-stigma concepts in organizational culture, policies and practices.
19 Quotes Central LHIN s mental illness and addictions anti-stigma education program demonstrates the impact that education and awareness-building can have on an individual s knowledge, understanding and interest in making a difference in the care they provide. We are proud to be at the forefront of this work, which is also a major element in Open Minds, Healthy Minds: Ontario s Comprehensive Mental Health and Addictions Strategy, says Kim Baker, Chief Executive Officer for the Central LHIN. For those living with mental illness and addictions, the most devastating impact on their lives is often not from the illness itself but rather from the way others in society treat them. Unfortunately, the need to know more about mental illness and addictions, and the associated stigma, does not just affect the average person it is an issue that health care professionals struggle with as well. This program has begun to make a difference in changing attitudes and perceptions amongst health care professionals, says Jody Hamilton, Project Consultant for Centre for Addiction and Mental Health (Central Area, Provincial Services) Fast facts Even though most Canadians know someone who has been, or will be, affected by mental illness or addictions, a lack of knowledge, misperception and fear significantly contributes to the stigma experienced by consumers of mental health and addictions services*. One in every five Canadians will have a mental health problem at some point in their lives**. More than 50% of people with mental health disorders experience problems with substance abuse***. In Ontario, 65% of people seeking alcohol or drug treatment in Ontario also had a psychiatric disorder***. This LHINfo minute is part 1 of a 3 part series dedicated to Central LHIN s ongoing leadership in advancing care and services for individuals living with mental illness, addictions or both. The upcoming LHINfo Minutes will focus on: 1. The Centralized Access Project through York Support Services Network and Toronto North Support Services to provide the coordination of and access to case management services, information and service navigation and eligibility assessments to clients with mental illness and addictions within the Central LHIN. 2. The expansion of North York General Hospital s Emergency Department Diversion Program to improve the coordination of care delivery between acute care and community-based supports for clients with mental health and concurrent disorders. *Central LHIN: Mental Health and Addiction Training Project report **Statistics Canada: Canadian Community Health Survey: Mental health and well-being, September 3, 2003 ***Canadian Senate report: Out Of The Shadows At Last - Transforming Mental Health, Mental Illness And Addiction Services In Canada, May Contact: Crystal Moss - Manager, Communications Central Local Health Integration Network Tel: ext Crystal.Moss@lhins.on.ca
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