Integration and collaboration

Work together to better organize and connect services to meet the needs of the population and ensure optimal use of resources. 
A fully integrated system from end-to-end means individuals and organizations intentionally work together to better organize and connect services to meet the needs of the population and ensure optimal use of resources. It also aligns services, systems and process so that the health care system is coordinated, accessible and high quality. The Local Health System Integration Act, 2006 (LHSIA), defines integration broadly to include a range of activities that enable outcomes that are central to the provincial goals for the health system. LHSIA clearly identifies that it is the responsibility of both the LHIN and Health Service Providers to identify and pursue integration opportunities. 

Continuum of Integration

Ontario’s Patients First: Action Plan for Health Care and Patients First: Road Map to Strengthen Home and Community Care clearly identify the need for the province, LHINs and health service providers to continually pursue opportunities to integrate and align services. To accomplish this goal, integration needs to be more than a project by project endeavour. It needs to include system wide integration and collaboration. This takes a common vision and trust between health service providers and system partners working together to improve quality of care, population health and value for money. However, we realize that when we feel under pressure to improve performance, we may miss the opportunity to collaborate with others. It is only through the common understanding of the problem that comes from a collaborative and trusting approach that we can develop a joint and coordinated approach to finding solutions. Success often stems from effective health service provider governance leadership to demonstrate commitment, collaboration and engagement with the community. This approach may initially take longer, but will move us toward improving the system for patients, residents and clients through the development of an integrated system of care.

PLAN OF ACTION

  • Work alongside health service providers to pursue opportunities to transform the health system to provide integrated, population-based care by strengthening end to end integration at a multi-community and local level across the South West LHIN.
  • Proactively work with health service provider governance through Board-to-Board engagement to intentionally identify and support integration activities related to service, administration and governance .
  • Provide tools to assist health service providers to continually assess quality of health services, organizational health, human resources, finances and performance outcomes to identify and successfully advance integration and collaboration opportunities.
  • Engage health service providers in capacity planning activities to improve care and use resources more efficiently by integrating/aligning services and resources.
  • Continue to evaluate integration activities to ensure they are in the best interest of the public. Proposed integrations must demonstrate how they will positively impact on population health, experience of care and value for money.
  • Work with health service providers to improve back office services, make the best use of public resources, and plan for future health system transformation.
  • Work alongside health service providers to pursue opportunities for Integrated Funding Models. This will promote high quality person-centred care across the care continuum by bundling payment to encourage coordination of care, reduce variation of care pathways, increase efficiency, and improve outcomes.

Resources