Mississauga Halton LHIN

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Mississauga Halton LHIN Governance to Governance Integrated Health Services Plan - Partnering Together for a Healthier Tomorrow February 7, 2013

Ice Breaker Angela Jacobs Executive Lead, Governance and Quality Improvement 2

Agenda Agenda I tem Lead Time I ce Breakers Angela Jacobs Executive Lead Governance and Quality Improvement 10 min Welcome and Introductions Ron Haines Vice Chair MH LHIN Board of Directors 5 minutes Introduction to the 2013-16 I ntegrated Health Services Plan (I HSP) Liane Fernandes Director Health System Development and Community Engagement 20 min The IHSP in Action Angela Jacobs Executive Lead Governance and Quality Improvement 30 min Break 10 min Focus on Strategies to Support the IHSP Bill MacLeod CEO MH LHIN 50 min Closing Remarks Ron Haines Vice Chair 3

Welcome and Introductions Ron Haines Vice Chair Board of Directors Mississauga Halton LHIN 4

Mississauga Halton LHIN Integrated Health Services Plan 2013 2016 Governance to Governance Session Liane Fernandes, Director, Health System Development & Community Engagement February 7, 2013

IHSP According to the Local Health Services Integration Act (LHSIA), the IHSP: Sets out a vision, priorities and strategic directions for the local health system. Sets out strategies to integrate the local health system to achieve the purpose of the Act Is consistent with the provincial strategic plan Describes distinct local issues, strategies and integration initiatives, plus consistencies with Ontario s Action Plan Has measurable targets (as per MLPA) so that success can be measured and reported to the public 6

IHSP 2013 2016 Development Process 1. Provincial Direction Literature review 2. Environmental Scan Current state review 3. Community Engagement 7

Reach Out & Touch Community Engagement Results Over a nine week period commencing May 14, 2012, the MH LHIN successfully engaged: Varying Age Groups: Pediatrics, youth, adults, seniors, palliative Friends and Family Focus groups with HSPs Various Sectors: Hospital, long-term care, community, primary care, public health Special Needs: Physical disability, visual impairment Focus groups with consumers/ community MH LHIN Community forums Culturally Diverse: Francophone, Afghan, Black, Chinese, Metis/Aboriginal, South Asian Television Committee Presentations Vulnerable Populations: Coalition for Affordable & Accessible Housing, East Mississauga Community Health Centre, Homelessness Prevention Initiative Online survey 8

9

Improve access to services to improve consumer flow, quality and safety ED wait times; Avoidable hospital readmissions; Wait times for priority surgical services; Integration to support regional programs Support consumers, families and health care professionals to navigate the healthcare system Early collaborative planning for transitions; Provider awareness of health care system resources; Service navigation Improve sustainability of the health care system Regional integrated capacity plans; Implement quality based procedures; Focus on high cost users; Maximize scope of practice; Manage growth in capacity 10

Improve access to family health care Attaching patients; Same/next day appointments; After hours; Home visits; Multi-disciplinary healthcare teams Increase linkages between family health care and other health care providers to improve communication, coordination and integration across the continuum of care Health Links; Improve coordination of care; Increase capacity/access to specialists; Timely information sharing; Leverage technology 11

Enable people to stay in their homes longer Manage the volume of community services; Support for medication management and instrumental activities of daily living; Caregiver support; Training to support skilled staff Provide integrated services that bring care closer to home Community centres for integrated services; Transportation or bringing programming to convenient locations; Maximize use of technology 12

Increase healthy habits and prevention of disease Integrated model and approach; Support healthy lifestyles and disease prevention; Healthy workplace policies Build partnerships for healthy communities Cross-sector partnerships; Peer support initiatives 13

Continue to support and foster a quality culture across the continuum of care Implement ECFAA within all HSPs; Develop mechanisms for tracking quality, patient safety and system effectiveness; Consistent care pathways and standardized care plans; Utilize scientific evidence Value people s experiences to support system improvement Person experience metrics; Flexible services; Include people with lived experience in planning and quality improvement; LHIN-wide customer service focus Apply a health equity lens for the delivery of health care services Raise awareness to decrease stigma; Focus on vulnerable populations and develop awareness and understanding of health equity; Cultural and linguistically competent services 14

Success is dependent on all of us working together. Success will mean An equitable, high quality system, where people in Mississauga Halton LHIN will have timely access to the health care options they require, and those with the most serious and complex conditions will receive the support they need Services will be organized and delivered in a way that achieves the best health outcomes while being efficient 15

And success is important because we all want a healthier tomorrow. 16

The Integrated Health Services Plan in Action Angela Jacobs Executive Lead, Governance and Quality Improvement 17

Instructions Read the two stories at your table which demonstrate issues within our healthcare system Imagine it is now 2016 and we (all of us) as a LHIN, have been successful in achieving our goals and priorities Please work together and describe what each patient s experience would have been like if it had occurred in 2016. I will ask several tables to provide a succinct summary of the current story and then the story as in 2016 18

Break 10 minutes For the next discussion please group back together with the other attendees from your organization Sit at any table you choose. Thank you. 19

Strategies to Support the MH LHIN Integrated Health Services Plan Bill MacLeod CEO Mississauga Halton LHIN 20

Instructions Please discuss at your tables: How could you as Governors of your organization, use your foresight, insight and oversight to develop strategies that support the LHIN priorities and goals in this IHSP? How will your organizations measure success? Think about how would that be demonstrated within the patient stories that you worked with in part one? Please capture these items on the sheets of paper provided at each table I will be asking you to provide some examples at the end of this exercise. 21

Closing Remarks Ron Haines Vice Chair Board of Directors Mississauga Halton LHIN 22

Thank you for attending tonight s session You can find a copy of this presentation at: www.mississaugahaltonlhin.on.ca Community Engagement 23