CEO REPORT TO THE BOARD - Mississauga Halton LHIN · Board Quality Report (Balanced Scorecard) 17....

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1 | Page CEO REPORT TO THE BOARD Mississauga Halton LHIN December 2013

Transcript of CEO REPORT TO THE BOARD - Mississauga Halton LHIN · Board Quality Report (Balanced Scorecard) 17....

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CEO REPORT TO THE BOARD Mississauga Halton LHIN

December 2013

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The following is a compilation of the major activities/events undertaken during this period in support of the Mississauga Halton LHIN’s Strategic Directions;

Accessible and Sustainable Health Care

Improve access to services to improve consumer flow, quality and safety Support consumers, families and health care professionals to navigate the health care

system Improve sustainability of the health care system

Family Health Care When You Need It

Improve access to family health care Increase linkages between family health care and other health care providers to improve

communication, coordination and integration across the continuum of care

Enhanced Community Capacity

Enable people to stay in their homes longer Provide integrated services that bring care closer to home

Optimal Health – Mental and Physical

Increase healthy habits and prevention of disease Build partnerships for healthy communities

High Quality Person- Centred Care

Support and foster a quality culture across the continuum of care Value people’s experiences to support system improvement Apply a health equity lens for the delivery of health care services

CONTENTS: MOHLTC UPDATE 3 ANNUAL BUSINESS PLAN PRIORITIES 2013/14 4 Accessible and Sustainable Health Care 4 Family Health Care When You Need It 10 Enhanced Community Capacity 12 Optimal Health – Mental and Physical 14 High Quality, Person-Centred Care 15 MEASUREMENT AND PERFORMANCE 16 Ministry-LHIN Performance Agreement Targets 16 Board Quality Report (Balanced Scorecard) 17 NOTABLE SECTOR ENGAGEMENT 18 Accountability Agreements 18 COMMUNICATIONS 19

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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MINISTRY OF HEALTH AND LONG-TERM CARE UPDATES

Physiotherapy

Community Exercise and Falls Prevention The Mississauga Halton LHIN has submitted its final 2013/14 implementation plan to the Ministry of Health and Long-Term Care for the Community Exercise and Falls Prevention. The plan provides for a total of 54 sites with 142 exercise classes and 135 falls prevention classes with the capacity to serve 5,790 unique individuals. These classes will be in place by the end of this year. This places the Mississauga Halton LHIN in a great position to meet the Exercise and Falls Prevention needs of our seniors. We currently do not have any locations with wait lists. Even though the actual number of sites we are targeting falls below the numbers calculated by the Ministry of Health and Long-Term Care (MOHLTC) they are not experiencing challenges with accessing classes. The ministry has set a target of 385 classes and we have proposed 277 classes based on demand. As we look for additional sites we are focusing our attention on Milton, Georgetown, and Acton as these are areas that need additional classes. Challenges and limitations exist specifically in these are due either the prerequisite to charge rent or not allowing public access to the programs. Although the Ministry has recommended 35 people per class, due to small site

location and safety of the participants, average class size at this point ranges from 15 – 20 persons. Plans to review the sites currently in operation are underway and will be working on changing the model and locations as required based on need and feedback. We will also continue to look for larger spaces and adding additional classes to existing locations.

Community Based Clinics The Mississauga Halton LHIN has completed the review and scoring of Community Physiotherapy Clinic applications. Applications were scored according to a standard process based upon the LHIN decision making framework used by all LHINs. LHIN recommendations for the awarding of community physiotherapy clinic contracts have been submitted to the Ministry of Health and Long-Term Care for their consideration. The Ministry will decide which applications are selected based upon a combination of the Ministry scoring and LHIN recommendations. The timeframe for announcements of approved applications has not been communicated. A total of 6,982 episodes of physiotherapy care were identified for distribution to new community physiotherapy clinics across the Mississauga Halton LHIN.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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2014/2015 Annual Business Plan Work is underway for the development of the 2014/15 Mississauga Halton LHIN Annual Business Plan (ABP). The Ministry of Health and Long-Term Care (MOHLTC) has identified that LHIN ABPs are to be submitted by February 28, 2014. Staff has provided status reports on the action plans identified in the ABP for the previous year indicating level of project completion and activities that will carry forward into the new ABP. New action plans for the ABP are being developed

based upon input received at the Board of Directors Retreat in November and recent policy and program announcements by the Ministry of Health and Long-Term Care. The ABP provides a strategic road map to guide LHIN activities over the next year so that the goals and priorities identified within the 2013 – 2016 Integrated Health Services Plan can be achieved.

PROGRESS ON ANNUAL BUSINESS PLAN PRIORITIES 2013/14 ACCESSIBLE AND SUSTAINABLE HEALTH CARE FAMILY HEALTH CARE WHEN YOU NEED IT ENHANCED COMMUNITY CAPACITY OPTIMAL HEALTH – MENTAL AND PHYSICAL HIGH QUALITY PERSON-CENTRED CARE

ACCESSIBLE AND SUSTAINABLE HEALTH CARE

Quality Based Procedures (QBP) The Health System Funding Reform Local Partnership Committee received a presentation on the decision making and prioritization process in November 2013. A pro-active volume management approach is being piloted with both hospital corporations for 2013/14 second quarter, to maximize revenue streams and optimize

the aggregate allocations provided by the MOHLTC. Using a pre-screening matrix to evaluate the QBPs, as well as other criteria, a list of QBPs which may require a LHIN-wide approach will be presented to the committee in January 2014 for deliberation. A work plan for the implementation of QBPs will be updated for 2014/15.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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Mississauga Halton LHIN Holiday Surge Strategy The LHIN, through a community funding investment, has supported the Mississauga Halton Community Care Access Centre (CCAC) in collaboration with local hospitals to develop a multi-faceted approach to the holiday surge. First, we have been working collaboratively with our health system providers and partners from various sectors including primary care, public health, hospitals, labs, diagnostic imagining services, pharmacies, mental health and addictions as well as community support agencies to develop and implement a plan that creates a state of health system readiness for surge situations this holiday period (December 21, 2013 – January 6, 2014). In partnership with primary care physicians, the LHIN is piloting an initiative in Halton Hills to increase access to primary care services over the holiday period. Second, we have been collaborating with our partners to reach out to the public to help them prepare for the holidays through our “Feel Better Faster” campaign. We are focusing on raising awareness of non-emergency health care options available over the holiday season and providing tips on how to stay healthier over the holidays including simple and useful resource cards, such as the one shared in this report. With support from Public Health, the LHIN plans to promote the Feel Better Faster website to targeted audiences such as schools and daycare centres. Working with our Community Support Services, the LHIN is leveraging existing exercise and falls prevention programs to distribute holiday health tips tailored to seniors. The LHIN is also working with mental health and addictions agencies to

develop health prevention messages around how to cope with depression and where to find support.

Integrated Hospital Transition Management Project Trillium Health Partners will be piloting a new discharge process with the Mississauga Halton CCAC. Planning work is underway with implementation expected in 2014/15.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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Regional Program for Rehabilitation and Complex Continuing Care Services The first Mississauga Halton Rehabilitative Care Steering Committee was held on November 29, 2013. The Committee is comprised of key stakeholders representing organizations involved in the delivery of rehabilitation services within the LHIN. The steering committee accepted the recommendation for a new conceptual Rehabilitative Care Model for patients/clients’ needs based on the five levels of care recommended by the provincial Rehabilitative Care Alliance group. The levels range from intensive hospital based care to community based exercise programs supporting people to remain living in the community.

The provincial Rehabilitative Care Alliance Steering Committee held its second quarterly meeting on November 1, 2013. Progress has been made on the work of the Alliance regarding the four priority initiatives: Definitions, Frail Senior/Medically Complex, Outpatient/Ambulatory data and Capacity Planning and System Evaluation.

The Definitions Task Group has established a draft provincial framework for definitions with identified levels of care, patient characteristics and medical/allied health resources for each level of care. The Task Group’s next step is to finalize eligibility criteria for each level of care.

Work is continuing on finalizing the Terms of Reference for the subcommittee working groups and revision of the project charter. The next steering committee meeting is scheduled for December 20,

2013. The steering committee will provide an update to the Mississauga Halton LHIN Clinical Integration Program Oversight Committee (CIPOC) in January 2014.

Regional Hospice Palliative Care Hospice Palliative Care Provincial Steering Committee The sixth meeting of the Hospice Palliative Care Provincial Steering Committee was held in November 2013. Both Bill MacLeod and Gary Switzer, CEO, Erie St Clair LHIN, are the co-chairs of this steering committee. As mentioned in the previous CEO’s reports, a self-assessment survey on Hospice Palliative Care was conducted among stakeholders and the results were shared and validated at the November meeting. Responses were received from 34 stakeholders: 13 LHINs, 7 members of the Coalition Quality End-of-Life Care Coalition of Ontario, 14 other stakeholders namely Cancer Care Ontario, Ontario Hospital Association, Provincial End of Life Network, Community Care Access Centre (CCAC), Ontario College of Family Physicians and Provincial Council for Maternal Child Health.

The top five priorities identified from the recommendations of the Advancing High Quality, High Value Hospice Palliative Care: Declaration Document (December 8, 2011) are:

• Ensure early identification and access to supports and care options for palliative patients,

• Provincial level policy guidance and direction, • Create effective planning and measurement tools to

ensure needs-based resource allocation and optimal utilization,

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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• Consistent and standard education and competency requirements for all levels of care provision (primary, secondary and tertiary) across care settings, and

• Physician engagement for palliative care.

The Hospice Palliative Care Provincial Steering Committee will be working with stakeholders to develop its work plan based on the above priorities and the respective shared commitments from the Declaration Document (December 8, 2011) to support the work currently underway in support of the Palliative Care Strategy in Ontario.

A third communication briefing will be issued in December 2013 on the work undertaken to date by this provincial steering committee. This steering committee has also developed linkages with various palliative care projects. The updated Structures and Deliverables document captures the major work within the province, organizations and structures in one slide with the main deliverables.

At the last provincial meeting, the Way Forward presented their work and strategies to the members. The Way Forward is a national initiative on palliative care and is being conducted across the provinces and territories to develop a national framework for integrated hospice palliative care across Canada. It is a three-year initiative led by the Quality End-of-Life Care Coalition of Canada and managed by the Canadian Hospice Palliative Care Association. This project is funded through a 2011 federal budget commitment for the period 2012-15.

This initiative will address two objectives: • To change the understanding and approaches to aging among

key stakeholders as it relates to: Chronic, serious and life-limiting illness and dying Hospice palliative and end-of-life care and advance

care planning • To enable stakeholders to move towards community with the

integration of hospice palliative care across all health and home care settings.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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The provincial work is aligned with the work being undertaken by The Way Forward, specifically on these two objectives. Mississauga Halton LHIN staff participated at the Way Forward workshop in Ottawa in October 2013. Regional Hospice Palliative Care Steering Committee Work continues at the Regional Hospice Palliative Care Committee and its sub-committees. Members are working on the development and adaptation of the Gold Standards Framework from UK to an Ontario context. Dr. Robert Sauls is leading this work. The Mississauga Halton Community Care Access Centre (MH CCAC) has developed a business case for an earlier identification of clients/patients requiring palliative care services. This will enable patients/clients with palliative needs to be known to CCAC at an earlier stage in their palliative care trajectory.

Further to the new model for hospice palliative care, (i.e.: three levels of care based on patient/client needs for these levels), work is being undertaken to develop a referral process to secondary level of care. This process is being validated with members of the steering committee.

Long-Term Care (LTC) Palliative Care Working Group The Mississauga Halton LHIN has partnered with Lakehead University to conduct webinars for Long-Term Care Home (LTCH) managers and Personal Support Workers in November and December 2013. Nineteen (19) participating LTCHs are currently developing a project

charter to implement palliative care in their respective homes and will submit the plan to the LHIN by December 15, 2013. Enhancing Access to Mental Health and Addictions Services The Mississauga Halton LHIN will be working in collaboration with the two co-lead organizations, Halton Healthcare Services and Trillium Health Partners along with key stakeholders, to implement a System Access Model (SAM) and Service Resolution Table for mental health and addictions. These two initiatives will include establishing a Steering Committee and/or associated work or task groups to guide the implementation process. It will also explore leveraging existing IT infrastructure and integration opportunities. Analysis of the IT infrastructure requirements to support SAM sustainability and expansions, ensuring the ability to leverage information exchange requirements of other Mississauga Halton LHIN initiatives (i.e. Diabetes Central Intake) as well as pan-LHIN and provincial initiatives will be provided by Mississauga Halton LHIN eHealth support.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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“Every Door is the Right Door” Service System The No Wrong Door (NWD) protocol or Every Door is the Right Door Implementation Work Group was established by System Integration Group for Mental Health & Addictions (SIGMHA) to review the actualization, implementation and mobilization of the NWD protocol in partnership and in collaboration with mental health and addiction service providers. The group has developed a survey in order to better understand current state levels of adoption as well as identify opportunities to support No Wrong Door protocol implementation.

Mississauga Halton LHIN Telemedicine Strategy The Mississauga Halton LHIN Telemedicine Advisory Committee is continuing to finalize plans for a system approach to enhancing the assets of telemedicine. The group participated in a mapping exercise to identify current state telemedicine use and partnership opportunities. Activities are starting to be implemented to increase the use of telemedicine sites for:

• Joint discharge planning and transition of patients • Mock sessions to assist providers in becoming comfortable

with telemedicine; and, • Trillium Health Partner’s tele-mental health nurses for clinical

support to patients in North Halton.

Seniors’ Strategy A framework for a comprehensive Seniors’ Strategy is being developed to ensure a seamless continuum of care for all seniors in the Mississauga Halton LHIN. The framework is in alignment with the provinces’ Excellent Care for All and Dr. Sinha’s Living Longer, Living Well Report.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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FAMILY HEALTH CARE WHEN YOU NEED IT Health Links South East Mississauga Health Link South East Mississauga Health Link has developed care planning tools and patient enrollment processes. Four patients have been enrolled into their health link to date. Halton Hills Health Link The Halton Hills Health Link has completed their Readiness Assessment for submission to the Ministry of Health and Long-Term Care. The Readiness Assessment is the first step in the development of the Health Link. The Health Link will begin preparatory work on the Business Plan in January 2014. South Etobicoke Health Link South Etobicoke Health Link has submitted their Readiness Assessment to the Ministry of Health and Long-Term Care. A Project Manager has been hired to oversee the next stage of planning: the development of the Business Plan. South West Mississauga Health Link South West Mississauga Health Link is in the final stages of completing the readiness assessment for submission to the Ministry of Health and Long- Term care in December.

North West Mississauga Health Link The Credit Valley Family Health Team and Nucleus Independent Living are the lead partners for this health link. Planning has begun for the inaugural meeting of this health link in early January.

Trillium Health Partners Long-Term Care Order Sets Project A preprinted order (PPO) is a tool to assist the practitioner in choosing the most appropriate care for the medical management of a patient. The use of PPOs is recommended in the literature to minimize communication system errors. The PPO project continues with an expected completion date of March 31, 2014 at which time a final report will be made available.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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Primary Care Network The Primary Health Care Steering Committee has developed a conceptual model for a Primary Care Network. This network is designed to provide primary care providers with a vehicle to discuss issues at a local level (physician to physician) and have them raised at a regional level. Through the network, engagement of primary care physicians will improve, promoting increased primary care input and awareness for regional planning initiatives and programs. Four engagement sessions were held in December with various primary care physician leaders across the LHIN to garner feedback about the concept and move the network into action by beginning to recruit members.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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ENHANCED COMMUNITY CAPACITY Caregiver ReCharge Program Respite Advisors will be added to the growing services provided through the Caregiver ReCharge Program. The Mississauga Halton LHIN will also be funding an expansion of in-home services for this program in January 2014. The Respite Advisors will work directly with the caregivers to assist them in determining what resources are needed.

Standardized Diabetes MedsCheck System Trillium Health Partners Diabetes Education Program is developing a pilot project in partnership with Paladin Labs to standardize their approach to recommending and accessing the Provincial MedsCheck system. This approach ensures that the Diabetes Education Program as well as the pharmacy and primary care receive the results of the MedsCheck meeting with the client. If successful, all other Diabetes Education Programs in the Mississauga Halton LHIN will have an opportunity to adopting the MedCheck system. Implementation of Home First Evaluation Results The Home First final evaluation results will be presented to the Home First/Service Maximums Working Group in December and next steps will be identified at that time.

Community Capacity Study Preyra Solutions Group will be conducting the Collaborative Community Capacity study for the Mississauga Halton Local Health Integration Network and the Central West Local Health Integration Network. The study commenced in December, and is focusing on a gap analysis, a review of service delivery options, recommendations for investments and reconfigurations, (cost implications of these findings) along with an implementation plan. The study will be completed by March 2014. A planning tool will be developed to predict service volumes and need for capacity. Training to administer the tool and two final reports will be delivered upon completion of the study. A collaborative steering committee is being established to guide the project. Stakeholder engagements will also be held in the upcoming months to help inform the study. Advancement of Community Practice and Building a Regional Learning Centre Engagement sessions have been held to determine the direction of the six pillars aligned with the Advancement of Community Practice framework. The six focus areas include:

1. Education and Development. This area is for the development and delivery of education for staff in the sector.

2. Behaviours. This area includes the former Behaviourial Supports Ontario working group and the Sheridan Villa Specialized Behavioural Support Unit.

3. Falls and Exercise. Physiotherapy and exercise classes are included here.

4. Caregiver ReCharge Program. Includes the five (5) areas of focus which include Caregiver ReCharge, Adult Day Services,

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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Emergency Respite, Out of Home Respite/Short Stay, Caregiver Counseling and Support.

5. Medication Management. This area is under development will embed a protocol with each agency to deal with medication management.

6. Incontinence. Work continues to refine this pillar.

Four (4) Community Educators will be hired as regional resources for the education and development area as well as the Caregiver Re-

Charge Program. These educators will be available through the regional learning center.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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OPTIMAL HEALTH – MENTAL AND PHYSICAL

We continue to focus our attention on health promotion and prevention of disease, to improve the health of our communities. Investing in these areas support our plans for a sustainable health system which promotes option health and delivers high quality care when and where needed.

On November 28, 2013 the Mississauga Halton LHIN invested $1.4M in the Mental Health and Addictions sector and launched Opioid Outreach & Treatment Services with our community partners to enhance the treatment system and provide outreach in the Mississauga Halton region.

New services to help in opioid care photo by Nathan Howes — special to the Beaver

ADAPT CEO Ian Stewart discusses the new Opioid Outreach and Treatment Services initiative at a one-day symposium on Nov. 28 at the Holiday Inn Oakville. The plan is funded by the Mississauga Halton Local Health Integration Network (LHIN).

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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HIGH QUALITY PERSON-CENTRED CARE

Mississauga Halton LHIN Health Equity The Mississauga Halton LHIN System Planning Advisory Committee is moving forward with a series of recommended health equity initiatives expected to build health care system capacity. As it is finalizing elements of it three year strategic plan there are activities that will start to roll out over the next four months that include a three phased project with the following deliverables:

1. Research – literature review and a survey identifying knowledge gaps in all Mississauga Halton LHIN Health Service Providers (HSPs), identifying issues in organizational development, identifying preferred communication tools for training of HSPs.

2. Training - two streams of training: training in the use of the Ministry’s Health Equity Impact Assessment Tool and training that moves HSPs to a stage of readiness by building initial capacity for equity work.

Equity Symposium - Mississauga Halton LHIN Health Service Providers will be invited to participate in a one day Equity Symposium in March 2014.

Implementation of Ontario Health Technology Advisory Council (OHTAC) Recommendations Angela Jacobs, Director Governance, Quality Improvement & Communications at the Mississauga Halton LHIN, participated as part of a panel at Health Quality Ontario’s (HQO) “Health Quality Transformation 2013” event on November 21. The panel’s presentation “Making Evidence Relevant: Collaborating and Engaging with Health System Leaders to Drive Evidence-Based Care” focused on OHTAC’s recommendations around Heart Failure. She discussed the LHIN perspective in the implementation of OHTAC’s recommendations around Heart Failure Clinics.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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MEASUREMENT AND PERFORMANCE

Ministry-LHIN Performance Agreement (MLPA) Targets 2013/14 Q2 Stocktake report was submitted to the Ministry of Health and Long-Term Care (MOHLTC) December 3, 2013. The performance highlights include: Mississauga Halton LHIN (LHIN) was within the acceptable range (10% corridor) in 12 of 15 (80%) performance indicators 3 indicators fell outside the acceptable range (detailed in chart below)

Indicator MLPA Target Stocktake Q2 Stocktake Q1 Comments

Percent of Priority 4 Cases completed within access target for MRI

45% 32% 23%

-40% improvement between Q1 & Q2 -improvement directly attributed to infusion of MRI hours in Q2 -shortfall to MLPA target is directly related to population demand and # of available MRI hours -Proposal being developed by the LHIN and hospital partners for MOHLTC consideration to increase infrastructure/capacity to meet projected demand

90th Percentile wait time from community for CCAC in home services – application from community setting to first CCAC service (excl. case management)

21 days 44 days 32 days

-performance is attributed to Mississauga Halton Community Care Access Centre’s (MH CCAC) cost containment strategies to offset the 2012/13 deficit. -The MH CCAC achieved a balanced financial position in Q2 13/14; improvement is expected in this wait time in the latter half of FY2013/14

Repeat unscheduled emergency visits within 30 days for substance abuse conditions

21% 31.5% 23.7%

-first quarter in 8 cycles where the performance has exceeded the MLPA significantly; average of the last 7 quarters is 21.7% -Contributing factors include: changing substance preferences; patient/client demographics (homeless); limited alternative access to locations other than the emergency department; and limited ability/desire to self-manage planned interventions -planning is expected in this area in 2014/15 for residential withdrawal management programming

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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Board Quality Report (Performance Scorecard)

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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NOTABLE SECTOR ENGAGEMENT

Multi-Sector Accountability Agreement (M-SAA) 2014-2017 There will be a pan-LHIN education session for the M-SAA on December 19 and the template agreement will be ready for the Boards in January 2014. Status Report on the Community Annual Planning Submission (CAPS) The CAPS process was launched on October 1, 2013. Community sector health service providers (HSPs) were required to complete their submissions by November 15, 2013. The LHIN has provided education materials and held Q&A sessions to support our HSPs through this process.

To date, all parts A and B of the CAPS have been submitted to the LHIN Leads to review; with ongoing communication to the HSPs. The first process review will be completed by December 20, 2013.

Hospital Sector Accountability Agreement (H-SAA) The 2013/14 Hospital Sector Accountability Agreements (H-SAA) negotiations are expected to conclude in January 2014.

The 2014/15 H-SAA process has launched with the collective goal of all LHINs to have a three (3) year agreement in place for 2015-18.

Community Support Services (CSS) and Mental Health & Addictions (MH&A) Quarterly Sector Meeting The Community Quarterly Sector meeting was held on Wednesday December 11, 2013. Enhanced Community Capacity was the focus of this meeting, one of the five priorities of our Integrated Health Service Plan.

Community Governance Consultation Group (CGCG) The most recent Community Governance Consultation Group (CGCG) meeting took place on December 9 where the group planned for the next Governance to Governance (G2G) event, and discussed the governance training for Health Service Providers (HSPs). The G2G will occur on February 26 with Quality as the theme. Dr. Joshua Tepper, CEO of Health Quality Ontario will be the key note speaker at the upcoming G2G event. The CGCG has received one-time funding to provide education and training to Boards of the Mississauga Halton LHIN’s HSPs and to develop a resource library on governance for their use. This funding was approved as a direct outcome of the HSP Governance survey results which showed that governors would appreciate assistance from the GCGC around Board education and training, risk management, the facilitation for sharing of tools and templates, governance coaching, and the planning of the G2G events.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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COMMUNICATIONS

Media Relations Press Releases Local Partnership Launches Life Changing Opioid Outreach & Treatment Services Oakville (November 28, 2013) - In response to opioid use in our region, ADAPT (Halton Alcohol, Drug and Gambling Assessment Prevention & Treatment Services) and local partners announce the launch of the Opioid Outreach & Treatment Services to enhance the treatment system and provide outreach in the Mississauga Halton Local Health Integration Network (LHIN). Helping More Seniors in Mississauga - MPP Charles Sousa Announces Improved Access to Home and Community Care – November 22, 2013 Mississauga (November 22, 2013) - Seniors and residents in Mississauga are receiving better access to home care and community supports to help them live independently and stay at home longer, Charles Sousa, MPP Mississauga South announced today. Mississauga Team Honoured for Helping Seniors Access Care at Home – November 21, 2013

Oakville (November 21, 2013) - The Supports for Daily Living program in the Mississauga Halton Local Health Integration Network (LHIN) was recognized today for helping seniors access the care they need at home so they can live more independently. Backgrounder for The Supports for Daily Living (SDL) – November 21, 2013 The Supports for Daily Living (SDL) is one of the major programs that pioneered the concept of Home First through implementation of their program and laid the foundation for building community capacity in the Community Support Services (CSS) sector to accept high-risk seniors directly from hospital and/or help seniors to live independently with supports in the community thus avoiding Long-Term Care (LTC) placement. News Coverage – Mississauga Halton LHIN Engaging with our media partners includes the development and distribution of news stories either through Mississauga Halton LHIN news releases or repurposing information shared by our health service providers or the Ministry of Health. In November and December, some of the stories included: Home News Province pledges almost $16M for local health care

organizations – Mississauga News – Nov 22, 2013

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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Program to help seniors live at home receives award – Mississauga News – Nov 26, 2013

LHIN's Supports for Daily Living program recognized – Oakville Beaver – Nov 28, 2013

New services to help in opioid care – Oakville Beaver – Dec 2, 2013

Minister Deb Matthews takes a tour of Oakville's new hospital – Oakville Beaver – Dec 5, 2013

Opioid treatment plan officially launched – Georgetown Independent – December 9, 2013

Innovative program helps seniors stay home – Mississauga – Dec 12, 2013.

Events Press Conferences 6% Community Funding Announcement - In an announcement on Friday November 22 at the Alzheimer Society of Peel, the Mississauga Halton LHIN, along with MPP Charles Sousa announced the Community Sector Funding Increase ($15.6M) to support home care for more seniors and for expanded community health care services, including mental health supports, in the Mississauga Halton LHIN. Community providers/guests/media heard success stories from a Caregiver ReCharge client. It was a very successful event, well covered by the media. Mississauga Halton LHIN Board Director Kim Piller and participated in the announcement with staff in attendance.

Symposium In response to opioid use in our region, Mississauga Halton Local Health Integration Network (LHIN), ADAPT (Halton Alcohol, Drug and Gambling Assessment Prevention & Treatment Services) and local partners were joined by Oakville MPP Kevin Flynn on November 28 at an educational symposium to announce the launch of the Opioid Outreach &Treatment Services to enhance the treatment system and provide outreach in the Mississauga Halton region. Graeme Goebelle, Mississauga Halton LHIN Board Chair, provided welcome remarks and thanked long-time volunteer Betty Lou Kristy for her commitment and dedication to mental health and addictions in our region. Minister’s Medal Presentation To recognize the excellent work health care providers do every day, the Ministry of Health and Long-Term care introduced the Minister's Medal Honouring Excellence in Health Quality and Safety. Officially announced at Health Quality Ontario's Health Quality Transformation event on November 21, this year's inaugural winner of the 2013 Minister's Medal in the Team category was Mississauga Halton LHIN’s Supports for Daily Living representing the following organizations:

• Nucleus Independent Living • Oakville Senior Citizens Residence • Ontario March of Dimes • Peel Senior Link • Regional Municipality of Halton • Victorian Order of Nurses • Yee Hong Centre for Geriatric Care

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications

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Reports Annual Report The Mississauga Halton LHIN 2012/13 Annual Report entitled Integration in Action - Shaping a Healthier Future Together was released and posted publicly on our website on December 9, 2013. Health Council of Canada profiles Home First program in new video The Health Council of Canada (HCC) has produced a six part pan-Canadian video series that examines and highlights innovative practices and solutions working to reduce wait times in specific settings. For the final video in the series, HCC’s scoping effort identified the Home First program as an innovative practice working to reduce wait times in the long-term care setting, New Video: Home First, an initiative by the Mississauga Halton LHIN – December 11, 2013 Home First features interviews from the Mississauga Halton LHIN and our community partners including: Bill MacLeod – CEO, Mississauga Halton LHIN, Caroline Brereton, CEO, Mississauga Halton CCAC, and Dale Clement, COO, Halton Healthcare Services among others.

Engagement Local Government Leaders Bill MacLeod and Graeme Goebelle continue to meet with local government leaders to discuss the Mississauga Halton LHIN 2013-16 Integrated Health Service Plan and any local healthcare issues. During the month of November they met with MPP Chudleigh, MPP Arnott MPP Holyday as well as Mayor Burton of Oakville. Government and Community Services Fair The Mississauga Halton LHIN has been invited and will participate in the 9th Annual Government and Community Services Fair at Cloverdale Mall on February 22, 2014 hosted by Donna Cansfield, MPP Etobicoke Centre. The Mississauga Halton LHIN website and Social Media Top five pages viewed after the landing pages during December were: Careers, About our LHIN, Feel Better Faster, For Health Service Providers and Current Activities As of December 2013, our YouTube channel had 834 video views which is an increase of 300 views since last year.

MOHLTC Updates Annual Business Plan Priorities

Measurement and Performance

Notable Sector Engagement Communications