Integrations

Proposed Integration Decision: Sub-Acute Capacity Plan for Champlain LHIN New!

Have Your Say - We Welcome Your Input!

SubAcuteCareThe Champlain LHIN Board of Directors is seeking public input on a proposed change to how sub-acute services are delivered in our region.

Issue

In 2016, the Champlain LHIN undertook a review of the region’s hospital-based (inpatient) rehabilitative services.

The LHIN was seeing signs that indicated the nature and distribution of the 880 beds – those with the purpose of helping patients recover from acute illnesses and restore their function so they can return home - no longer met the needs of the region’s aging population.

There were long wait lists for certain types of beds while other beds remained vacant. There were also bottlenecks and delays in admitting patients to these beds, which intensified pressures on acute-care hospital services, contributing to overcrowding in hospitals and reducing the chance of patients making a full recovery.

The results of the review confirmed that changes were required to the mix of rehabilitative beds, and that more community-based services were needed to ease an over-reliance on in-patient services.

The review outlined improvements that could be made to how these beds were used, how patients could better access these beds, community-based services that are needed, and the nature of the care provided in these services.

The review concluded that if the Champlain LHIN does not make these changes to its existing resources, an additional 156 beds will be needed in the next two years simply to keep pace with demographic changes.

Solution

For more than a year, the Champlain LHIN has worked with its hospitals and other partners to develop a comprehensive plan to address the review’s recommendations.

The plan was developed through a steering committee and a number of working groups with representatives from all hospitals that deliver rehabilitative services.

The plan aims to reduce wait times and increase access to services while providing the right type of care to the residents in our region.

Generalized rehabilitation services will be provided closer to home in rural hospitals and in community hubs.

Specialized rehabilitative services will be provided in acute-care centres to optimize the use of these resources.

Proposed Integration Decision

The proposed integration decision restructures the current system to address population growth and future needs by making the best use of existing resources. It requires hospitals that provide rehabilitative services to:

  • Convert a selection of rehabilitative beds with lower occupancies (complex continuing care and general rehabilitation) to beds that have a higher demand (stroke and acquired brain injury rehabilitation)
  • Increase the intensity of rehabilitation services received by patients in hospital
  • Refrain from making changes to rehabilitative services without the LHIN’s approval, and 
  • Establish a regional program to ensure ongoing planning and improvement initiatives across all the hospitals delivering rehabilitative services. 

Why does this matter to patients / families / caregivers and health care providers in the Champlain LHIN?

The proposed integration decision will:

  • Make better use of existing resources in the Champlain LHIN, ensuring appropriate use of tax payers’ dollars
  • Provide rehabilitation services earlier in the patient journey to allow patients to regain optimal function, and increase their chance of remaining at home
  • Reduce overcrowding in hospitals by decreasing the amount of time patients need to stay in hospital after their acute-care phase of hospitalization is complete.

Additional information you may find helpful

  • Champlain LHIN Board of Directors Public Meeting Minutes:
  • July 25, 2018 (pdf) - pending

We welcome your input on this proposed integration!

Please provide your written feedback to Champlain LHIN Board Chair Jean-Pierre Boisclair (in care of Amber Kayed at amber.kayed@lhins.on.ca) before 5 pm, Thursday, September 27, 2018. The LHIN will use the input it receives from the public to finalize the integration decision which it anticipates to issue at a public meeting of its Board of Directors in October 2018.


Required

  • Distribution of Orthopedic Services in the Champlain Region (Aug 2016)
    This integration changes how orthopedic services are distributed across the Champlain region, and occurred as a result of changing demographics and evolving patient need. It aims to better align orthopedic care with the needs of communities in various geographical areas. Click here for information on the Champlain Regional Orthopedic Network.


Voluntary

  • The Royal’s Hospital Information System (Nov 2017)
    The Royal's Hospital Information System (HIS) requires updating to better serve the needs of its patients and clinicians. The Champlain LHIN Board of Directors supported the voluntary integration of the HIS between The Royal, and Ontario Shores Centre for Mental Health Sciences and Waypoint Centre for Mental Health.
  • Community Support Services in Eastern Champlain (Jul 2017)
    This integration means the Canadian Red Cross (Cornwall Branch) will transfer the provision of its community support services to Carefor Health and Community Services (Eastern Counties). On April 1, 2018, the transfer of services to Carefor will be complete, and Canadian Red Cross Cornwall Branch will no longer be a Champlain LHIN-funded health service provider.
  • Meals on Wheels in South Dundas (Feb 2017)
    The integration has Williamsburg Non-Profit Housing Corporation (WNPHC) absorbing Home Support Services – Morrisburg and District’s (HSSMD) volunteers and responsibility for serving their Meals on Wheels clients. On April 1, 2017, the agencies transferred services to WNPHC, at which time HSSMD proceeded with corporate dissolution.
  • VHA Health and Home Support and The In Community (Feb 2014)
    This integration provides improved navigation for clients moving from private homes to supportive housing settings, streamlined assessment, and improved quality of care through increased consistency in staffing.
  • Mental Health Services in Prescott and Russell (Apr 2013)
    Mental-health crisis services and geriatric psychiatric care for people in Prescott-Russell are provided by Hôpital Montfort. The LHIN Board approved a transfer of these services to Hawkesbury & District General Hospital so that clients in Prescott-Russell can receive seamless care under one administration. The changes involve governance, administration and funding only, with no impact on services.
  • Hospice at May Court and Friends of Hospice Ottawa (Jun 2012)
    The LHIN Board supported the integration of these two Ottawa hospice palliative care organizations into a larger organization called Hospice Care Ottawa. It provides community-based and residential services, in partnership with Bruyère Continuing Care. The Boards of the two agencies gathered input from their communities, and supported this merger.
  • Montfort Renaissance and Horizons Renaissance (Apr 2011)
    This is an integration of two community-based mental health and addictions agencies. Hôpital Montfort is also a partner in the integration. Montfort Renaissance and Horizons Renaissance offer care in Ottawa and Prescott-Russell, mainly serving a Francophone population but also providing some bilingual services. The integration establishes a single entry-point for services, thereby improving access to care for clients in need of supportive housing, withdrawal management, or peer support, for example.
  • Sharing of Medical Information Technology (Aug 2009)
    Queensway Carleton Hospital (QCH) is a licensee of a hospital information system from Medical Information Technology Ltd (Meditech). QCH agreed to allow Carleton Place & District Memorial Hospital to ‘piggyback’ on QCH's information system. The integration provides a cost-effective eHealth solution for the Arnprior hospital, and advances the Champlain LHIN eHealth integration agenda.
  • Children and Youth Mental Health Services Integration (Dec 2008)
    This integration is between Royal Ottawa Health Care Group and Children's Hospital of Eastern Ontario for a single and shared leadership for specialized psychiatric and mental health services. It promises to improve access, coordination and efficiency.
  • Supply-Chain Management Shared Services (Feb 2008)
    Arnprior and District Memorial Hospital, CHEO, Hôpital Montfort, QCH, Bruyère Continuing Care, The Ottawa Hospital
    This is an integration for Champlain Integrated Supply Chain Management Services. Some already have agreements in place.  Integrated supply chain management saves costs, and standardizes inventory management.

Facilitated

  • Mississippi River Health Alliance (Apr 2016)
    This decision creates a formalized relationship between Carleton Place and District Memorial Hospital and Almonte General Hospital, called the Mississippi River Health Alliance, to better serve both communities, and make the best use of their resources by finding opportunities to partner with each other.
  • Transfer of Services across LHIN Boundaries (Nov 2008)
    This supported the efforts of the South West LHIN to improve the provision of Consumer Survivor Services in and to its geographic area that includes the United Counties of Leeds & Grenville (excluding North Grenville).
  • Transfer of Convalescent Care Program (Mar 2008)
    This integration with Specialty Care Granite Ridge, Perley and Rideau Veterans’ Health Centre and Garden Terrace (OMNI Healthcare Limited Partnerships) was to enable a smooth transition of the convalescent care program within Champlain, maintain high-quality care and equitable access for clients of the convalescent care program across Central Champlain, and maintain access to long-stay capacity, and improve the utilization of the short-stay capacity.

Other Integration Initiatives & Resources

If you have questions, contact Amber Kayed, Executive Assistant to the Board (amber.kayed@lhins.on.ca, or 613.747.3205).