Hospital-based care

Ensuring timely access to hospital-based care at the LHIN-wide, multi-community, and local level

Hospitals are key resources within the South West LHIN -- providing the vast majority of acute care services to its residents. A significant focus of the LHIN’s Blueprint is to optimize hospital-based resources in order to build capacity and access to quality treatment and care throughout the LHIN. In support of this direction, the LHIN has taken an extensive look at complex continuing care and rehabilitation services, stroke, perinatal care, vision care and endoscopy services to make sure that high quality care is provided in the best possible way.

To maintain high quality, publicly accessible and cost-effective hospital care, the LHIN also continues to move forward with implementing Health System Funding Reform (HSFR) within the hospital. HSFR aims to link funding more directly to the quality of care provided to better meet the needs of the population. This leads to efficient patient centred-care and improved outcomes.

Health System Funding Reform uses two funding models: the Health Based Allocation Model and Quality-Based Procedures. The Health Based Allocation Model uses standard unit costs and expected growth rates to share funding while also recognizing growth and encouraging efficiency. Quality-Based Procedures allocate funds to specific procedures using evidence-informed rates to care for targeted conditions
and procedures.

Together with the LHIN, system partners will:
  • Continue to implement clinical services plans for complex continuing care and rehabilitation services, stroke, vision care, endoscopy and perinatal care.
  • Develop and implement clinical services plan strategies for stroke (community care), rehabilitative care, and diagnostic imaging.
  • Deploy an automated surgical eBooking and wait list management system to further improve wait times.
  • Improve timely access and quality of care for critical care services.
  • Create opportunities to spread best practices for antimicrobial stewardship across hospitals to reduce hospital acquired infections
  • (e.g. C. difficile).
  • Develop and implement system of care recommendations for people supported by chronic mechanical ventilation.
  • Grow and sustain strategies for senior-friendly hospitals, patient flow, emergency department knowledge transfer initiatives and community para-medicine.