South West Local Health Integration Network
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Access to Care

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Access to Care June 12 Webcast

Access to Care is an approach to care focused on supporting people, specifically seniors and adults with complex needs, to live safely in their homes for as long as possible. Over the last year, there have been three streams of work supporting Access to Care in the South West LHIN: Home First, Complex Continuing Care and Rehabilitation (CCC/Rehab), and Assisted Living, Supportive Housing, and Adult Day Programs (AL/SH/ADP).

About Access to Care

Access to Care is an Approach to help people move out of acute hospitals and into other care settings as quickly, smoothly and safely as possible.  Access to Care empowers patients/clients to participate in their own care and ensures that they get the right care at the right time and place. It calls for collaboration and integration across the health system.

In the South West LHIN, Access to Care involves three main initiatives:
(Click on each initiative to learn more)

Professionals across the healthcare spectrum are working together to achieve the goals of Access to Care

Learn more about Access to Care: 

Access to Care Approach Newsletter 

 

Resources for Health Care Providers: 

 

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Home First is a province-wide strategy and a new way of approaching patient/client care. The central idea is that when a person enters the hospital, health professionals, family members and others work together to get him or her home, if at all possible. Research has shown that this is the best way to manage transitions from hospital.

Benefits of Home First: 

For patients and clients, Home First:

  • Empowers you to participate in your care.
  • Gets you home sooner, minimizing your risk of hospital-acquired infection and functional decline.
  • Enables you to live safely and comfortable at home for as long as possible.
  • Enables you to make life-changing decisions, such as a move to long-term care, from your own home. 

For hospitals, the CCAC and the local health system, Home First:

  • Improves the effectiveness of discharge planning.
  • Reduces the number of Alternate Level of Care patients.
  • Shortens Emergency Department length of stay.
  • Provides better access to hospital and long-term care for those who really need it.

Learn more about Home First: 

Resources for Health Care Providers 

 


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As part of the Access To Care Appraoch, Assisted Living, Supportive House and Adult Day Program stakeholders will work together to enhance and realign services to best meet the needs of high-risk clients in our communities.

Residents in the South West  will benefit from work done as part of this initiative because available resources will be better provided where clients need them.  Instead of having to research available services and compare what can be provided, a CCAC caseworker will act as the client’s personal navigator into the health care system.

The expanded CCAC role will include admissions for these programs so that patients will have a single point of access to local services.  This change supports some the major goals of the government’s Excellent Care For All strategy – to reduce unnecessary hospital visits and increase the quality of each patient’s care experience.

Learn more about the AL/SH/ADP initiative: 

Resources for Health Care Providers: 

 

CCC rehab - 350

As part of the Access To Care Approach, the Complex Continuing Care (CCC) and Rehabilitation initiative will help ensure these services for frail seniors and adults with special needs are provided consistently and can be easily accessed across the LHIN. After careful study, the existing services will be re-aligned to better meet client needs and provided through a single point of access, the South West Community Care Access Centre (CCAC). Ultimately the work of this initiative will reduce wait times and improve utilization for CCC and Rehab beds, and reduce the number of patients designated as ALC.

Residents in the South West  will benefit from work done as part of this initiative because available resources will be better provided where clients need them.  Instead of having to research available services and compare what can be provided, a CCAC caseworker will act as the client’s personal navigator into the health care system.

The expanded CCAC role will include admissions for these programs so that patients will have a single point of access to local services.  This change supports some the major goals of the government’s Excellent Care For All strategy – to reduce unnecessary hospital visits and increase the quality of each patient’s care experience.

Learn more about the CCC/Rehabilitation initiative:

Resources for Health Care Providers: 

  • Coming soon!

June 12 Webcast Presentation Materials

Slide Deck (PDF 1MB)

Q and A (PDF)

Assisted Living/Supportive Housing/Adult Day Programs Final Report (PDF 1 MB)

CCC/Rehab Bed Draft Final Report - June 12 (PDF 3 MB)

CCC/Rehab Bed Report Appendices (PDF 1 MB)

Assisted Living/Supportive Housing/Adult Day Programs Report - Appendices (PDF 2.5MB)

Webcast Archive:
Archived version of the webcast will be at the link below a few days after the event.
http://mediasite.otn.ca/mediasite41/Viewer/?peid=4eaf77a111ec4968b72cd0727ff53f2d1d
 

Additional Materials

High Risk Seniors Pilot Project Final Report 

News Feed: 


May 2, 2013 Bruce County Municipal Engagement

April 22, 2013 City of London Municipal Engagement

April 18, 2013 Senior Friendly Networking Day

April 15, 2013 Hospital News features Home First (link)

April 10, 2013 Grey County Municipal Engagement

April 5, 2013 Access to Care team meeting to celebrate accomplishments and embark on a new year!

April 1, 2013 Access to Care Approach Newsletter 

March 27, 2013 Assisted Living Transitions begin in Elgin County

March 20, 2013 SWOGAN Spring Team Exchange event, featuring Senior Friendly Hospital

March 5, 2013 - Woodstock hospital celebrates 1 year anniversary of their rehabilitation unit

February 28, 2013 Access to Care Approach eNewsletter

January 31, 2013 -
Access to Care Approach eNewsletter 

January 31, 2013 – ATC presentation to Long Term Care Council

January 28, 2013 – Amber Alpaugh-Bishop joined the team as Project Manager

January 14, 2013 – Home First Launch and Coordinated Access Expansion Meeting at Woodstock General Hospital

January 8, 9, 2013 – ATC Team Members attend the EBD Workshop

January 8, 2013 - Assisted Living Transitions begin in Grey and Bruce counties

January 3, 2013 - Visit to Dorchester Adult Day Program to learn more about their services

December 19, 2012  Access to Care Approach eNewsletter

December 18, 2012 Home First and Coordinated Access initial “think tank” meeting at Woodstock General Hospital

December 12, 2012 Adult Day Program education session for the South West LHIN Board of Directors

December 4, 2012 Access to Care Approach eNewsletter

November 28, 2012
 Home First presentation to Alexandra Hospital board of directors

November 19, 2012 Access to Care engagement session with St. Thomas council

November 13, 2012 Access to Care presentation to the Alexandra Hospital physicians

November 12, 2012 Access to Care Newsletter posted

October 25, 2012 Alexandra Hospital All Staff Meeting includes an ATC presentation

October 23, 2012 ATC team tour of Alexandra Hospital

October 1, 2012 ATC presentation at Cheshire Board Meeting

October 1, 2012 Rehabilitation ‘Waitlist Management’ live in Oxford County

September 27, 2012 Access to Care Newsletter posted

September 19, 2012 Presentation for Elgin Health Services Council Meeting about Access to Care

September 7, 2012 Access to Care team members attended the Ontario Seniors Care Strategy Expert South West LHIN Consultation with Dr. Samir Sinha

September 4, 2012 Access to Care presentation and discussion with the Middlesex Hospital Alliance Local Advisory Committee

August 29, 2012 Assisted Living Transition Begins in Oxford County

August 15, 2012 Initial Home First Meetings at Grey Bruce Health Services

July 11, 2012 Access to Care tours the ADP faclities at the McCormick Home

July 07, 2012 Watch a video of "Floyd's story"

June 28, 2012 Access to Care presentation to the Huron Perth Providers Council (Central) and Initial Home First meeting at TDMH

June 27, 2012 Access to Care Presentations to the South West LHIN Board of Directors and the Middlesex Providers Alliance

June 23, 2012 Read more about Home First in LHSC’s Inside magazine at http://inside.lhsc.on.ca/, by clicking on “Why Wait”

June 18, 2012 100th patient returns home from hospital as a result of Home First!

June 14, 2012: Presentation to the London Health Providers Alliance. 

June 12, 2012: Access to Care Webcast.  Click here to watch

May 16, 2012: Presentation to Thames Valley Hospital Planning Partnership (Chiefs of Staff).

May 15, 2012: Presentation to South West Regional Primary Care Network. 

May 14, 2012 (week of):  St. Thomas Elgin General Hospital Home First travelling roadshow.

May 02, 2012:  Presentation to South West CCAC Board of Directors.

April 25, 2012: Tour of new Rehab beds at Woodstock General Hospital.   WGH is an early adopter CCAC eligibility and admission criteria.

April 13, 2012: Presentation to South West LHIN Hospital and CCAC CEOs and Chief Nursing Officers.

March 28, 2012: Presentation to South West LHIN Board of Director's Meeting.

Feb 28, 2012: Presentation to TDMH about the Access to Care Approach.

Jan 26, 2012: First patient at St. Thomas Elgin General expected to be discharged with short term intensive hospital to home care plan. This is Home First in action.

Jan. 25, 2012: South West LHIN community engagement session in St. Thomas - Home First was a key focus.

Jan. 24, 2012: Access to Care Newsletter posted here.

Jan. 10, 2012: Sue McCutcheon begins work as the Director of Access to Care in the South West.

Jan. 3, 2012: Andria Appeldoorn begins work as the ATC Communications Lead. She can be reached at 519.474.5695.

Dec 15, 2011: Planning meeting to launch Home First concepts at St. Thomas Elgin General Hospital

Dec 15, 2011: Completed Value Stream Mapping exercise of AL/SH/ADP providers

Dec 15, 2011: ATC presentation to the LHIN’s Quality Advisory Group

Dec 13, 2011
: Announcement to all health service providers in South West LHIN to highlight:
• Sue McCutcheon has accepted the position of Director of the Access to Care initiative and will begin on January 9, 2012
• Sherry Frizzell, nursing practice consultant at St. Joseph’s Health Care London will be the CCC/Rehab co-lead working with Mary-Lynn Priestap
• Consulting firm Optimus SBR, will conduct an analysis of current CCC and rehab bed resources and develop recommendations
• ATC Communications Lead Andria Appeldoorn will begin January 3, 2012

Dec 5, 2011: ATC Core Operations team meeting – communications & e-health plans approved in principle

Dec 1, 2011: Inaugural CCC/Rehab Steering Committee meeting – work plan approved

Nov 30, 2011OMA-LHIN Physician Engagement Session on Access to Care in Stratford generates good discussion about the importance of providing the right care in the right location.
Video | Presentation 


Nov 30, 2011: LHIN Communicators meeting – An overview on ATC strategy and LHSC communication update on Home First implementaion provided to hospital communicators.

Nov 28, 2011: Penny Burnham, joins team as Executive Assistant, Access to Care.  She can be reached at  519.474.5693 /
 penny.burnham@sw.ccac-ont.ca.  Many thanks to Veronica McLean at the South West LHIN and Allison Coffey at the South West CCAC who have done a fabulous job supporting the teams to date.

Nov 22, 2011
: Consulting firm selected to conduct analysis of CCC and Rehab beds and patient needs in South West LHIN.

Nov 7, 2011: 12 patients from University Hospital home on intensive home care services – would have otherwise remained in hospital or Long Term Care.

Nov 4, 2011: AL/SH/ADP Steering Committee.

Nov 3, 2011: ATC Inaugural Steering Committee meeting.

Nov 3, 2011: Home First Steering Committee.

Nov 1, 2011: OMA-LHIN Physician Engagement Session on Access to Care in Owen Sound. Video | Presentation 

Oct 24, 2011: OMA-LHIN Physician Engagement Session on Access to Care in London generates good discussion about the importance of providing the right care in the right location.  Video | Presentation