BSO Funding Enhancement

Transcription

1 BSO Funding Enhancement Update to HISST February 28, 2017

2 Objectives Background on BSO funding from MOHLTC Information update on BSO program additions Discuss areas of areas of opportunity Education Funding Update

3 Background of Funding MOHLTC news release on August 18, 2016 announcing $10 million in new annual funding for Behavioural Supports Ontario The HNHB LHIN allocation is $1.1 M: Long-Term Care: 0.7 M Community/Hospital Sector: $0.3 M Stabilization Funding (existing resources): $0.1 M

4 LHIN Stakeholder Consultations Outcome: LTC Sector- Enhanced Transition Support Team for high risk clients entering LTC from community Members of the BSO Advisory Committee and LTC Network Council provided guidance in the use of the enhanced funding. Across the Sectors Increase resources to Community Outreach Team, Hospital Clinical Leader program, and add a new role in Retirement Homes (Hamilton/Burlington)

5 LTC Sector: BSO Transition Lead Support Collaborative effort - 60/86 LTCHs participated in 5 working group sessions to develop a model of transition support The Transitional Lead model will better support LTC Homes with supporting clients who present as high risk transitions into their LTCHs and carry on that support well past admission 6 Full-time positions, Regulation Health Professionals

6 Work with CCAC to pull in existing resources to stabilize client BSO Support for High Risk Transitions Transition Lead Role (Version 5 DRAFT STILL UNDER REVIEW ) Ongoing communication with LTCH staff, LTC partners, resident/substitute Decision Maker; electronic documentation in LTC Complex Case Conference with LTC, ICL, and other partners Transitional Lead Transitional Care Plan (TCP) Engagement of BSO Mobile Team; intensive support for resident first 6 weeks post admission Support to prevent Transition out of LTC PRE-ADMISSION TO LTC ( approx. 2 to 4 weeks) POINT OF TRANSITION POST-TRANSITION (minimum 6 weeks) Collaboration with client, family, SDM through face-to-face visits in the home from point of referral from CCAC Collection of up-to-date medical and behavioural care plans and other pertinent information from primary care, health and social service partners, including SGS and PRC, providing community support to the client and family Analysis of care plans, medical, cognitive, psycho-social, medication histories to develop a collaborative Transitional Care Plan (TCP) that builds on clients strengths Conduct on site visit to LTC to discuss plan and prepare for admission Support transition to the greatest extent possible including support in the client s home (as needed/supported) on transition day, present for admissions at the LTC home LTC home aware of TCP, including medical, medications, and behavioural plan Support for resident/family as required Electronic Documentation of behavioural plan Ongoing communication with LTC, partners and resident/sdm With BSO MT Test Behavioural strategies in LTC Setting; model successful strategies with LTC staff Transitional Lead attendance at 6 week admission family meeting Support to prevent transition out of LTC ALL CONTENT UNDER REVIEW DRAFT FORMAT (NOVEMBER 8, 2016) 6

7 Target Client Population Transitional Leads Will Serve Crisis Priority Ranking Score 3 Category 1 in LTC placement (estimate over 400 clients at any one time) Target clients for this type of support will be considered based on: Physical & Verbal Behaviours, Socially Inappropriate, Diagnosis, Age, Substance Abuse, Social/Occupational History (rough approximate between at any one time) Referrals will be provided by CCAC LTC Placement Coordinators but can be initiated by others

8 How this new support may impact clients in community? While awaiting LTC bed offers: TLs will work with community, outreach, ICL partners to support high risk clients and further support clients and families to receive intensive behavioural management before entering LTC More pre-planning with LTC homes to ensure best match

9 How this new support may impact residents in LTCHs? While living in LTC post-transition: high risk residents will have additional supports in place and LTC will have additional support with having someone who already knows the resident well TLs working BSO mobile PSWs will provide more intensive support for those at greatest risk

10 Areas of Opportunity As a partner in the Hamilton region, how would you like the transitional lead to be oriented to the community? How would you like to see them working with you in the community, while appreciating their scope?

11 Additional Community/Hospital Sector Support Community Community (Crisis) Outreach Worker: 1 FTE added to Hamilton team Responsive Behaviour Specialist (Retirement Homes): New 1 FTE position in Hamilton/Burlington Hospital BSO Clinical Leader: 1 FTE position added to support Brant, Haldimand, Norfolk hospital sites

12 How this new support may impact Community support in Retirement Homes can provide additional support to RH staff upon receiving patients from hospital Support clients who are aging in place in RH clients? Additional Hospital Clinical Leader will add to the existing complement who have influenced ALC length of stay and care trajectory for behavioural patients positively in last 1.75 years (17 diversions in from BHU, 31 total to date)

13 Areas of Opportunity As a partner in the Hamilton region, how would you like the Responsive Behaviour Specialist to be oriented to the community? How would you like to see him working with you in the community, while appreciating his role scope?

14 BSO Enhanced Funding: Education Plan August 2016: Enhanced BSO funding announced Stakeholder consultation, development & recruitment January to March 2017: New positions filled Unspent staffing dollars allocated for education to support the BSO population. Must be spent by March 31 st, 2017

15 CORE COMPETENCIES A multi-faceted approach to educating our teams and colleagues across sectors Long-Term Care Appointment of 1-2 Behavioural Champions within LTCHs 5 days training offered to Leads Opportunities to send additional team members to training sessions Community Two full-day sessions targeted to front-line care providers Opportunities to send additional team members to training sessions Training of Mental Health First Aid for Seniors Coaches Hospital Four P.I.E.C.E.S. sessions planned in hospitals LHIN-wide U-First available for PSWs and Aides BSO Staff 5 day Mental Health Recovery Care Program 1 day collaborative learning event for staff members from all BSO teams, PRCs and ICMs Standardized patient experiential learning sessions

16 Education to Hospitals 4 P.I.E.C.E.S. sessions have been planned in Hamilton, St. Catharines and Brantford which can reach up to 120 hospital staff members U-First training offered to PSWs and Aides Quality Improvement work aimed at increasing hospital staff members capacity to support the BSO population is underway (albeit outside of this education plan)

17 Sustainability LTCH leadership have been informed of their responsibilities re: Behavioural Champions(s); Behavioural Champions are aware of the expectations in role A Community of Practice will be formed based upon the Provincial BSO Knowledge to Practice Process Framework. Members will include: Behavioural Champions/Leads PRCs Geriatric Outreach Teams BSO Transitional Leads BSO LTC Mobile Team members BSO Clinical Leaders BSO Responsive Behaviour Specialist (Retirement Homes)

18 QUESTIONS