St. Paul s L Amoreaux Centre Annual Report 2014-2015
Vision Statement We envision a community in which all older adults live in wellness and dignity with equal access to the supports they need. Mission Statement St. Paul s L Amoreaux Centre supports healthy aging by providing client-centred housing, programs and services that meet the needs of diverse older adults Our S.E.N.I.O.R.S. Values Strategic Goals 2013-2016 1. Address and Respond to the Needs of the Seniors Community 2. Advance Organizational Capacity 3. Diversify and Develop Resources 4. Expand and improve Service and Housing Space 5. Strengthen Leadership through Governance
Contents Message from the Chair of the Board and Executive Director Building Quality and Accountability Building Health Care Systems Building Sustainable Access and Connections Financial Results Donors, Funders and Directors
Message from the Chair of the Board and Executive Director To age in wellness and dignity, people need access to high quality services, programs and housing. St. Paul s L Amoreaux Centre is a contributor and partner in a system of care that involves many professionals, health service providers, different levels of care, funders, academics, and most importantly our clients and caregivers. The year 2014-2015 was one of building and strengthening our ability to serve the diverse community of seniors in Scarborough. For many, particularly in a community with marginalized individuals, the journey of seeking and obtaining supports to maintain independence and quality of life can be complex and overwhelming. For this reason, St. Paul s L Amoreaux Centre has been actively involved with other health service providers in building a system of care that better connects people with providers through Health Links and our GAIN Community Team. Our GAIN Community Team, which launched in March 2014, is now fully operational. We are extremely pleased that the inter-professional Team provided clinical care to over 181 frail individuals with complex care needs, often in their own homes. We continued to do impactful work to build improved access and connections for people: We developed our Addictions Supportive Housing into a program of supports for individuals and groups. Our Adult Day Program expanded with options for additional days and more opportunities for new individuals to attend. The Building Connections and Diabetes projects empowered people to map out their own paths to health while also building strong social networks. Enhancing the capacity of our employees and volunteers to serve increasingly complex older adults is an important component of our strategic plan. We provided training to develop knowledge and skills, such as quality improvement techniques, leadership skills, and specific care services, which enable us to offer more specialized and effective services. This kind of ongoing investment will mean longterm benefits for our clients, better outcomes, and a thriving and vital community. Jim Kaufman Chair of the Board of Directors Diane Duncan Executive Director
Building Quality and Accountability In doing our part to contribute to a high-performing health care system that provides people with better quality care, St. Paul s L Amoreaux Centre is ensuring high standards of quality and building our capacity to conduct quality improvement initiatives. Achieving High Standards We work to high standards in our services, programs and housing and we want our stakeholders to be assured that we do. This is why we hold our work accountable to provincial and national standards and pursue external designations that demonstrate this. Accreditation St. Paul s L Amoreaux Centre has been proudly accredited with Accreditation Canada since 2007. Following additional work to address recommendations from our third accreditation survey in November 2013, we attained the highest level of accreditation in April 2014: Accredited with Exemplary Standing. Accreditation Canada s standards help us to ensure we are constantly working to improve quality, safety, and effectiveness to offer clients the best possible care and service. St. Paul s L Amoreaux Centre was assessed with the following six standards: Community Health Services, Case Management Services, Home Support Services, Infection Prevention and Control, Leadership, and Governance. Heart Wise Exercise Designation Accreditation Canada is an independent, non-profit organization that accredits more than 1,200 healthcare providers across Canada. www.accreditation.ca In 2014, St. Paul s L Amoreaux Centre successfully completed the requirements for designation as a Heart Wise Exercise Facility. Heart Wise Exercise was launched in 2007 by the University of Ottawa Heart Institute. It designates facilities, programs and classes where individuals can exercise regularly to prevent or limit the effects of living with a chronic health condition. heartwise.ottawaheart.ca
Being selected means our exercise programs meet criteria established by the University of Ottawa Heart Institute, fitness professionals in the community, and other stakeholders, including participants. Participants can be confident that our exercise programs and classes are appropriate for people who want to stay healthy or who are living with a chronic health condition. Quality Improvement: Building Capacity Quality improvement activities begin with an idea and small, focused steps. In 2014, we began a journey of building our repertoire of knowledge, skills and tools for making service improvements with a small team and a great idea for improved client outcomes. The proposal for the Adult Day Program Utilization Improvement Project was accepted into the IDEAS five-month Advanced Learning program. Our project team set and achieved the IDEAS (Improving & Driving Excellence Across Sectors) is a comprehensive, provincewide initiative to enhance Ontario s health system performance by increasing quality improvement, leadership and change management capacity. www.ideasontario.ca goal of increasing attendance rates in our Adult Day Program where attendance can be a challenge for some individuals due to physical or mental health conditions. Upon completion of the program our project team was awarded the 2014 Alumni Award for Capacity Building. The award, which includes a grant component, enables the project team to share their new quality improvement knowledge and skills throughout our organization and with our colleagues at other community service providers. Already, the team has presented at the annual conference of the Ontario Community Support Association and small groups of healthcare providers. IDEAS Alumni Awards Ross Baker, Co-Principal Investigator - IDEAS, Diane Duncan, Sarafina Hui, Frieda Tsang - St. Paul s L Amoreaux Centre, Adalsteinn Brown - Co-Principal Investigator - IDEAS, Joshua Tepper - President and CEO - Health Quality Ontario
Building Health Care Systems Central East Health Links Scarborough Health Links Health Links are developing throughout Ontario and St. Paul s L Amoreaux Centre is involved in two emerging Health Links in Scarborough. As a Scarborough Health Links collaborating partner r organization we have been active this past year in the design, transition and implementation of systems of care and interprofessional practices, and including patients and caregivers as equal planning partners. A Health Link is a local health care network consisting of patients, caregivers, health care providers and community support agencies who are committed to working better together to improve health outcomes for people with complex health care needs. www.centraleastlhin.on.ca/healthlinks The Health Link approach aims to achieve the best health outcomes and enrich peoples experience of the health care system by reducing wait times, visits to the emergency department, and unnecessary hospital re-admissions. Inter-professional Care in the Community As part of the GAIN network of 4 teams in Scarborough and a total of 12 teams in the Central East LHIN region, our team collaborates to provide care and exchanges knowledge with a large network of health professionals and primary care providers. Our GAIN Community Team is comprised of healthcare professionals with geriatric expertise, Behavioural Support Ontario (BSO) clinicians shared within the Scarborough Cluster, St Paul s L Amoreaux Centre s GAIN (Geriatric Assessment & Intervention Network) Community Team is an inter-professional health care team that provides specialized geriatric care to frail older adults with multiple complex medical, functional, mental health and psychosocial conditions. www.centraleastlhin.on.ca/en/ goalsandachievements/seniors/gain.aspx
GAIN Grand Opening Reginald Liu, Father Dean Mercer, Diane Duncan - Executive Director SPLC, Deborah Hammons - CEO - Central East LHIN, Soo Wong - MPP Scarborough Agincourt, Arnold Chan - MP Scarborough Agincourt and dedicated GAIN/CCAC Care Co-ordinators. The team conducts comprehensive geriatric assessments, inclusive care planning and provides specialized care in our patients homes and at our GAIN Clinic. Patients benefit from consultations with our collaborating Geriatricians, Geriatric Psychiatrists, and other specialists. The team works in concert with primary care, home and community services, and acute care to help improve integration of services. The ultimate goal is to increase capacity for frail older adults to remain in the community and reduce unnecessary emergency department visits, hospital admissions or institutionalization. Approximately 95% of our GAIN Community Team patients and families request and receive an initial visit in their home In Memory of Zahra Sadly, we experienced the significant and tragic loss of Zahra Abdille, our inaugural Nurse Practitioner for our GAIN Community Team. Befitting Zahra s deeply caring personality and her professionalism, we are supporting the establishment of a scholarship in her name with the Nurse Practitioners Association of Ontario.
Building Sustainable Access and Connections Building Access to Adult Day Programs, Respite for Caregivers Adult Day Programs offer professional care, socialization and activation to frail older adults with complex health conditions in a safe and home-like environment. We support over 240 individuals in our Adult Day Programs every year and are now expanding to serve 30 new individuals annually. The service provides a much needed break - respite - to caregivers and means peace of mind for those with work or other family commitments. To enhance the flexibility for older adults and their caregivers, we have also increased service days to include Thursdays and Saturdays. The purchase of a lifting device to safely assist personal care for frail older adults means improved accessibility for people with higher care needs. Improving access to this service leads to improved outcomes and health for older adults and caregivers alike. Generously funded by the Central East LHIN Accessing the Community through Transportation In surveys, conversation, and other feedback mechanisms, older adults consistently tell us that transportation is key to maintaining independence and quality of life. For individuals who use mobility devices, accessible transportation opens doors to their community. At the close of this year, due to one-time funding, St. Paul s L Amoreaux Centre was able to purchase a new, state of the art, accessible van. The features include auto-kneel, auto ramp, and a lowered floor. SPLC vehicles provided over 18,100 trips in 2014-15 Generously funded by Central East LHIN Connecting Seniors to Community St. Paul s L Amoreaux Centre is situated in a neighbourhood where many seniors, from diverse backgrounds and with low-income, are isolated. Isolation leads to poor health outcomes for many reasons and results in loneliness. In 2014, the Building Connections Project connected with over 500 isolated seniors from the Black,
Chinese, South Asian, and Filipino communities. The project fostered cross-cultural sharing among isolated seniors to share their heritage in an integrated, multicultural community setting. Participants were involved in the planning, development, implementation, and evaluation of this project. Volunteers, who are also seniors, learned friendly methods of reaching out to isolated individuals and the cross-cultural activities enabled participants to gain access and self-confidence in social participation. Generously funded by the Government of Canada New Horizons for Seniors Program Connecting those with Mental Health and Addictions We enhanced and expanded the services in our Addictions Supportive Program this year. The program supports older adults with addictions and mental health conditions with case management, counselling, personal care and group activities. This builds on the foundation of our Addictions Supportive Housing program which offers rent-supplemented housing along with case management. Participants enjoy regular social and personal development activities that connect them with one another and significant people in their social networks. We connected with Addiction Supportive Program clients for a total of 3,411 client care days Generously funded by the Central East LHIN and the Ministry of Health and Long-Term Care Building Healthy Habits Type 2 diabetes is increasingly prevalent among seniors in Scarborough. Learning prevention techniques from peers in one s own language means improved selfdetermination and ability to influence one s current and future health. This year, over 250 seniors attended a series of sessions we offered to learn about diabetes, healthy eating, and physical activity. Participants completed personal risk assessments on type 2 diabetes and reported positive changes in their eating habits and physical activity. Generously funded by Toronto Public Health - Peer Leadership Grant
Participation Safety Adult Day Services 18,689 attendances Visiting and Security Check 117,170 visits Wellness Programs 80,273 attendances Social Dining 11,858 attendances Mobility Transportation 18,100 trips Care GAIN Community Team 1,409 visits Respite 9,882 care hours Help Assisted Living 30,015 care hours Homemaking 5,998 care hours Client Intervention and Assistance 5,182 visits Nutrition Meals on Wheels 30,159 meals delivered St. Paul s Centre 298 units 320 residents 21 primary languages Caregiver Support 4,535 visits Addictions Support Program 1,893 visits Terrace Life Lease 91 units 105 residents 10 primary languages
Financial Results St. Paul s L Amoreaux Centre Revenue Programs & Services $4,961,738 Building $3,699,773 Non-Funded Services $167,404 Donations & Fundraising $42,471 $8,871,386 Expenses Programs & Services $5,020,538 Building & Maintenance $2,866,687 Non-Funded Services $183,537 $8,070,762
Emp Our People, Our Languages l Employees Volunteers 165 20 500 + 33 P h y s i c i a n s s Geriatrician Geriatric Psychiatrist Family Physician c 110 + 33 S t u d e n t s
Donors, Funders and Directors Thank you to our donors for their generosity and loyal support. Patron $2000+ Gabrielle Tung Medical Staff Association Of The Scarborough Hospital Friend $1000+ Bridlewood Mall Management Inc. Shoppers Drug Mart Jim Kaufman John Barnes Lilian Chin Mason Edwin Hogarth Millie Chan Friend $500+ Diane Duncan Clive Esty Douglas Goodchild Wonderful Hand Ltd T. C. Chan Francis King Nouri I. Shammas Medicine Professional Corporation Markville Ford Andrea Kreutzer Ralph & Maureen Phillips Family Foundation Supporter $200+ Scharley M. Horne Chartered Professional Accountant Of Ontario Yan Lam & Sau-Wan Lo Daniel Wong Vera Wang Peter K Stinson Joseph Barbaro Zoran Vojnovic King Leung Elizabeth Jones Diana W Ing Yuen Ling Tsang Robert Lamont Amy Hui Net Trio Associate $100+ Aziz Hirji Dean Mercer William Wong Ron & Deborah Scott Lykle Devries Ralph Phillips Yuk Lan Cheung Louise Okawara James Domm Kamal Estephenous Esther Ho Yin Hing Kung Chi To Wu Shui Yee Leung Donato Caprara Hilda Tsang Radmila Andjelkovic Lai Fong Chan Virginia Hon Kui Kan Joseph Sue-Ho Nan Curren Nelson Yip Suzanne Lam Chandra Kiran Ellen Coyle Fung Yee Lee Louis M Chan North Toronto Chinese Baptist Church Nancy Tang Kim Hung Lau Barbara Nayler CAA South Central Ontario Granite Club Ann Wilson King Yu Ma John K. Wong Don Ou Edson Huggins Man Lit Liu Amanda Falotico Ken Pun James Garland Kam Shun Cheung Roseanna Chan Ernest Fischer Inis Hopp Yen Ju Chen Alvin Fung Steven Chong Rita Mok Larry Blankenstein
St. Paul s L Amoreaux Centre has remained a leader in seniors care, housing and health promotion due to the continued support of our funders. Ongoing funding makes many things possible and is essential to the health and wellbeing of individuals, and the community as a whole. We would like to extend a special thank-you to the Central East LHIN for additional funding in 2014-2015 to expand our Adult Day Program services and for one-time funding for the purchase of an accessible vehicle. Our Funders: Central East Local Health Integration Network City of Toronto Ontario Seniors Secretariat Human Resources & Social Development Canada Ministry of Health and Long-Term Care We would also like to thank funders who provided project based funding : Heritage Canada City of Toronto (Public Health) Government of Canada - New Horizons for Seniors Program Finally, we thank our Board of Directors for their excellent support and governance: Board of Directors 2014-2015 Jim Kaufman Doug Goodchild John Barnes Clive Esty Reginald Liu Rev. Canon Dean Mercer Rev. Jesse Parker Lilian Chin-Mason Joseph Sue-Ho Bob Horne Sam Harris John Gordon
St. Paul s L Amoreaux Centre (Head Office) 3333 Finch Avenue East Scarborough, Ontario M1W 2R9 (416) 493-3333 info@splc.ca www.splc.ca www.facebook.com/splcweb Other Service Locations: St. Paul s Terrace Seniors Residence 2800 Warden Avenue Scarborough, Ontario M1W 3Z6 St. Paul s L Amoreaux Church 3351 Finch Avenue East Scarborough, ON M1W 2R9 Wishing Well Manor 2008 Pharmacy Avenue Scarborough, ON M1W 3P7 Bridlewood Mall 2900 Warden Avenue Scarborough, ON M1W 2S8 Harmony Village 3260 Sheppard Avenue East Toronto, ON M1T 3K3 Mon Sheong Court 2020 McNicoll Avenue Scarborough, ON M1V 0B5 Toronto Public Libraries, Scarborough Everyone Here Belongs