CENTRAL COMMUNITY CARE ACCESS CENTRE BACKGROUND INFORMATION DOCUMENT RFP for Medical Equipment and Equipment-Related Supplies August 2015
Table of Contents Page CCAC Vision & Mission 1 Background of CCAC 1 Central CCAC Main Office Sites 2 Central CCAC Nursing Clinic Sites 2 CCAC Mandate 3 Central CCAC s Strategic Priorities, Goals and Objectives 3 Services Provided by CCAC 3 Central CCAC Volume Statistics 4 Central CCAC Patient Profile 4 Settings Where Services Are Delivered 5 CCAC Partners/Stakeholders 6 Central CCAC Patients by Age 8 Central CCAC Budget 8 Population & Demographics of Central LHIN Area 8 Key CCAC Statistics 9 Central CCAC Medical Equipment and Equipment Related Supplies 10 Attachment 1 Boundary Map of Central LHIN/CCAC Area
Page 1 of 11 Background of the CCAC: The Central Community Care Access Centre (CCAC) has a very diverse geography. Our catchment area includes the northern section of Toronto, most of York Region and the southern part of Simcoe County. Please refer to Attachment 1 for a map outlining the geographic boundaries of Central CCAC. Central CCAC is the largest of Ontario s 14 CCACs in terms of population; however we are the third smallest in terms of geographical size. Our population density is 40 times greater than that of Ontario as a whole. The Central CCAC s population is broken down as follows: 40% in the city of Toronto, 17% in Markham, 14% in Vaughan and 11% in Richmond Hill and the remaining 18% living throughout the remaining geography. Although the geography is primarily urban, it does have a significant rural region in the north, which can represent challenges to residents when accessing services.
Page 2 of 11 Of the roughly 1.8 million residents, Central CCAC provided service to over 82,500 people in the 2014-15 fiscal year or 36,500 patients on any given day. This service is delivered through approximately 700 CCAC employees as well as through the staff of 23 contracted service provider agencies. The changing needs of our patients require that we redefine patient-centred care. Central CCAC service providers will be expected to work collaboratively with the CCAC and other health care partners to develop innovative and effective models of service delivery to meet the needs of patients in our geography. Central CCAC Main Office Sites: Newmarket Richmond Hill 1100 Gorham Street, Unit 1 9050 Yonge Street, Ste. 400 Newmarket, Ontario L3Y 8Y8 Richmond Hill, Ontario L4C 9S6 Phone: 9058951240 Phone: 9057639928 Sheppard 45 Sheppard Avenue East, Ste. 700 North York, Ontario M2N 5W9 Phone: 416 222 2241 Central CCAC Nursing Clinic Sites: CCAC Clinic - Newmarket CCAC Clinic - Markham York Medical Building Boxgrove Medical Arts Centre #1-17215 Leslie Street #100 110 Copper Creek Drive Newmarket, Ontario L3Y 8E4 Markham, Ontario L6B 0P9 CCAC Clinic Vaughan CCAC Clinic - Alliston Vaughan Health Campus of Care Stevenson Memorial Hospital #121-9401 Jane Street Outpatient Dept Room 213 Vaughan, Ontario L6A 4H7 200 Fletcher Crescent Alliston, Ontario L9R 1W7 CCAC Clinic Keele Humber River Hospital E221-2175 Keele Street Toronto, Ontario M6M 3Z4 CCAC Clinic - Branson North York General Hospital #224-555 Finch Avenue West Toronto, Ontario M2R 1N5 CCAC Clinic Fairview Fairview Health Centre 5 Fairview Mall Drive, Suite 108B Toronto, Ontario M5G 1Z8
Page 3 of 11 CCAC Mandate: The Central CCAC is one of 14 CCACs that play an important role in Ontario s health system by coordinating quality in-home and community-based care for over 650,000 people each year. Services provided by the CCAC include nursing, personal support and therapy services, as well as specialized services such as rapid response nursing, mental health and addictions nurses in schools, palliative care and child and family services. We also help people of all ages understand and choose from a wide range of health, community and social services, so they can live independently at home for as long as possible. These options include adult day programs, retirement homes, assisted living and supportive housing, and short- or long-term care. The mandate as stated in the Community Care Access Corporation Act, 2001 is: To provide, directly or indirectly, health and related social services and supplies and equipment for the care of persons. To provide, directly or indirectly, goods and services to assist relatives, friends and others in the provision of care for such persons. To manage the admission of persons into long-term care homes (LTCH). To provide information to the public about community-based services, long-term care homes, and related health and social services. To cooperate with other organizations that have similar objectives. Central CCAC s Strategic Priorities, Goals and Objectives: At the heart of the Central CCAC Strategic Plan (2014-2017) are three priorities for action over the next two years. Quality through Integrated Care Quality through Access to Care and Services Quality through Optimizing Patient Outcomes Services Provided by the CCAC: Care Coordination Access to long-term care homes Information & Referral Nursing Personal Support Physiotherapy Occupational Therapy Speech-Language Pathology Social Work
Page 4 of 11 Dietetics Medical Supplies Infusion Supplies and Equipment Medical Equipment Laboratory Services Access to Adult Day Programs Medication Management Support Services Central CCAC Volume Statistics: Service 2014-2015 2013-2014 Visits Visits Nursing 688,025 642,027 Nursing Shift*, including hospice 318,109 287,735 Nursing in community clinics 93,051 67,391 Personal Support*, including hospice 3,428,549 2,999,082 Occupational Therapy 50,528 49,195 Physiotherapy 173,014 91,829 Speech Language Pathology 51,949 51,940 Social Work 1,670 1,453 Nutritional Counselling 4,882 4,642 *Personal Support and Shift Nursing Services are reported in Hours Central CCAC Patient Profile: Central CCAC serves an increasing number of patients with complex, chronic health conditions. Over 73% of patients have very high or high need compared to 56% just five years ago. Patients expectations are also changing. They are better informed, and expect their values, culture, beliefs and personal circumstances to be understood and respected when it comes to decisions about their care. Evidence shows that patients who are engaged in their care have better outcomes and a more positive experience with the health system. At the same time, public sector organizations, particularly in health care, are expected to improve patient outcomes by delivering quality care while demonstrating value for the taxpayer. Patients, care partners, researchers and policy experts all agree that better planning and coordinated care is required for complex patients as they shift from receiving care in the hospital to the community. Helping patients to transition to different care settings, such
Page 5 of 11 as, from hospital to home, mobilizing health, community, and support services through integrated, individualized care plans and accessing the right services for patients this is where the CCAC comes in. Central CCAC s commitment is that patients and caregivers will be an integral part of their health care plan even when we are not able to meet all of their expectations. They will know who to call at the Central CCAC about their care plan and services, what to expect, and be informed about the benefits and risks of different choices. Central CCAC uses a common provincial assessment tool to determine the needs of adult patients. Service plans are then developed to meet the identified needs. The table below sets out some of the primary characteristics of the various patient populations. Population Average Age Average Length of Stay (days) # Patients on Service per Month % of Total Resources Complex Adult 78 474 2,870 25.5% Complex Child 7 278 256 4.3% Chronic Adult 79 395 9,587 36.5% Chronic Child 8 371 715 3.7% Community 75 293 39,552 9.4% Independence Short Stay Acute 60 54 2,520 6.8% Short Stay 75 62 1,713 1.9% Rehabilitation Short Stay Oncology 59 131 548 1.4% Not Identified 63 61 206 0.6% Home First 81 53 255 3.9% School 8 513 4,593 6.0% Settings Where Services are delivered: Health and support services for patients are delivered in the community. Settings include but are not limited to: The patient s residence, whether a permanent or temporary home, and may include a group home, retirement home, rest home, or home for special care Long-term care homes Community settings where the patient may need assistance from the service provider in carrying out their day-to-day activities, e.g., shopping centres, medical offices, recreation centres, workplace (occasionally). Also, the CCAC will provide the required services in settings where community support agencies offer their services and programs.
Page 6 of 11 Publicly and privately-funded schools CCAC clinic locations Central CCAC provides services to residents on Georgina Island, Snake Island, and Fox Island. Access to the islands is provided by Island Transportation (either ferry, airboat or ice road access) CCAC Partners/Stakeholders: There are 10 hospitals located within Central CCAC s catchment area: Don Mills Surgical Unit North York General (including the Branson site) Humber River Hospital (including Finch, Church & Keele St sites) Markham Stouffville Hospital Shouldice Hospital Limited Southlake Regional Health Centre Mackenzie Richmond Hill Hospital Stevenson Memorial Hospital St. John s Rehab St. Joseph s Morrow Park Infirmary & Private Hospital There are 46 long-term care homes in Central CCAC s catchment area. The CCAC provides care coordination services to assist people with their short stay respite, convalescent care and long-term care placement needs. The CCAC also provides shortterm nursing and speech language pathology services to eligible patients in long-term care homes. Central CCAC has service agreements with the following organizations: 1to1 Rehab Inc. Bayshore Home Health Calea Ltd. Cancare Health Services Inc. CBI Health Group Circle of Home Care Services Closing the Gap Healthcare Group Hill House Hospice Lifelabs Matthews House Hospice Medigas Nursing & Homemakers Inc. Ontario Medical Supply Inc. Paramed Home Health Care Preferred Health Care Services Inc.
Page 7 of 11 Prohome Health Services Inc. Regional Nursing Services Revera Health Services Saint Elizabeth Health Care Shoppers Home Health Care Spectrum Health Care The Speech Clinic SRT Med-Staff VHA Home Healthcare and VHA Rehab Solutions VON Canada We Care Health Services Inc. There are approximately 105 private schools and 8 publicly-funded school boards in the Central CCAC catchment area. The CCAC works closely with and is actively involved in cooperative/partnership initiatives with many of the community support agencies that provide services throughout the Central region. The CCAC collaborates with many stakeholders, such as the Ministry of Health and Long- Term Care, the Central Local Health Integration Network (LHIN), local hospitals and other local health system partners such as community support agencies, to meet health system priorities. Central CCAC is committed to working with all system partners to maximize the resources that are available within the health and community support system. It is essential to build capacity of all health care service providers in order to meet the needs of the aging population as well as the complexity of their care. Central CCAC is committed to supporting the Central LHIN in the development and implementation of strategies that will help seniors stay healthier and to live independently at home and in their community.
Page 8 of 11 Central CCAC Patients by Age: Central CCAC Budget: The 2015-2016 budget for Central CCAC is approximately $267 million. Central CCAC is challenged by the increasing number of patients as well as the complexity of their care needs. Population and Demographics of Central LHIN Area: The Central region has the largest proportion of immigrants (48 per cent of residents) among the LHINs, and the second highest visible minority population (42 per cent of residents). We have the highest proportion of residents (4.5 per cent) who report no knowledge of either official language. In 2006, just over half of the LHIN s population reported English as their mother tongue (the lowest rate among the LHINs) and only 1.2 per cent included French as their mother tongue (the second lowest percentage in Ontario). We also have the lowest number (0.4 per cent) of Aboriginal/First Nations people. The proportion of the population considered low-income is the second highest in Ontario, at almost 18 per cent. Among children, poverty rates are even higher in some parts of our LHIN. In Markham-Unionville, 22.5 per cent of children live in poverty; in Richmond Hill, the rate is nearly 20 per cent.
Page 9 of 11 Central LHIN Ontario Total Population (2011) 1,768,550 13,372,996 Population Aged 65+ 12.5% 14.2% Population Aged 75+ 5.8% 6.6% Population English Mother Tongue 51.5% 69.8% Population French Mother Tongue 1.2% 4.4% Population with no knowledge of either official language 4.5% 2.2% Population Immigrants 48% 28.3% Population Visible Minority 42.1% 22.8% Population Aboriginal Identity 0.4% 2% Population Completed Post-Secondary Education, aged 25-64 66.6% 61.4% Population Living in Low Income 17.7% 14.7% Key CCAC Statistics: 2015-2016 Budget $286 million Number of Employees 700 Number of patients served in 2014-15 82,587 Number of patients on service on any given day 36,437 Largest Referral Source within Central LHIN in 2014-2015 Humber River Hospital Largest Referral Source Outside Central LHIN in 2014-2015 Sunnybrook Health Sciences Centre
Page 10 of 11 Central CCAC Medical Equipment and Equipment-Related Supplies: It is important for CCAC service providers to have a detailed description of all the products along with a picture showing exactly what each product looks like. The successful respondents will be required to provide Central CCAC with an electronic copy of a picture catalogue which can be shared with our contracted service providers. These medical equipment picture catalogues provide service providers with a valuable resource and decreases the number of product errors and repeat deliveries. The estimated number of deliveries in the first agreement year by delivery type as outlined in the delivery price form is provided using Central CCAC historical and recent data, service delivery request patterns throughout the Central CCAC geography, consultation with other CCACs, and data from the current Central CCAC vendors. The table below is a summary of the total number of units ordered, rental days and the average time that each item was in the home for the top 10 most utilized Medical Equipment rentals in the 2014-15 fiscal year at Central CCAC. 10 Most Rented Items Number of Units Ordered Number of Rental Days Average Length of Stay(Days) Electric Hospital Bed 1,554 44,448 29 Partial Bed Rails for Hospital Bed 1,139 27,971 25 Commode Stationary unpadded 959 17,578 18 Therapeutic Surface - Advanced Pressure 358 16,349 46 Relief Overbed Table 438 12,341 28 Full Bed Rails for Hospital Bed 285 12,277 43 Walker wheels 5 regular pair 415 10,689 26 Therapeutic Surface Basic Pressure Relief 445 10,578 24 Bed Helper 248 9,292 38 Therapeutic Surface Intermediate Pressure Relief 316 8,783 28
Page 11 of 11 The table below is a summary of the number of CCAC owned units, including the current number of units for each item as well as the total number of orders in the 2014-15 fiscal year. Central CCAC Owned Equipment Inventory Item Number of Owned Units Total Number of Annual Orders Therapeutic Surface - Atmosair 9000 40 132 Therapeutic Surface - First Step Select - Air Rail 23 72 Therapeutic Surface - First Step Select - Excel 2 12 Therapeutic Surface - Pressure Guard 1 1 Therapeutic Surface - RIK 1 4 Therapeutic Surface - Therakair Visio 23 42 Hospital Bed - Electric Low Bed w/ Foam Mattress 102 200 Hospital Bed - Electric Hospital Bed w/ Foam Mattress 42 84 Hospital Bed - Bariatric Bed Frame 2 1 Falls Prevention Floor Mat 20 50 Sit-to-Stand Life Sling - Size XS 5 1 Sit-to-Stand Life Sling - Size SM 5 1 Sit-to-Stand Life Sling - Size MD 5 1 Sit-to-Stand Life Sling - Size LG 5 1 Sit-to-Stand Life Sling - Size XL 5 1 Sit-to-Stand Life Sling - Size XXL 5 1 Sit-to-Stand Lift 5 1 30" Wheelchair 2 1
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