The following are highlights from the Champlain Local Health Integration Network (LHIN) Board of Directors meetings held in Ottawa in April, May, June and July 2018.
Board Meeting Highlights
Proposed Integration Decision: Sub-Acute Capacity Plan
At its April 2018 public meeting, the Champlain LHIN Board of Directors made a decision to move forward on a plan that would change how sub-acute services are distributed in our LHIN.
Sub-acute services are those that provide rehabilitation and restoration to individuals after an acute event such as a stroke, surgery or an illness. Specifically, the plan would:
- 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
- Make better use of existing resources in the Champlain region, ensuring appropriate use of taxpayers’ dollars.
The following exemptions from the current endorsement were identified for reconsideration at a later date:
- Moving six in-patient stroke rehabilitation beds from Glengarry Memorial Hospital to Cornwall Community Hospital
- Moving four complex medical management beds from Winchester District Memorial Hospital to other hospitals, and
- Co-locating stroke rehabilitation in Ottawa with the acute stroke unit at The Ottawa Hospital (TOH). In the short term, TOH and Bruyère Continuing Care (BCC) will develop a plan to transfer stroke rehabilitation beds from BCC to TOH. The plan will be implemented at a mutually agreed-upon later date.
“By optimizing and restructuring the current system, we will be in a better position to address population growth and future sub-acute needs through existing resources,” said Champlain CEO Chantale LeClerc. “Identified providers across the region will be working with us to bring this plan to life.”
On July 25, 2018, the Board approved the next step to make a proposed integration decision available to the public for written input for a period of 45 days. The LHIN will use this input to finalize its decision, which it anticipates issuing at the Board of Directors’ public meeting on October 24, 2018. At that point, providers will be required to implement the changes outlined in the integration decision.
The LHIN Board welcomes input on this proposed integration decision.
All feedback must be received before 5 pm, Thursday, September 27, 2018.
To learn more, please click here.
Formalizing our Relationship with Ottawa Public Health
The Champlain LHIN has formally strengthened its collaboration with Ottawa Public Health to improve health outcomes for residents of the City of Ottawa.
In April 2018, Ottawa City Councillor Shad Qadri and Medical Officer of Health of Ottawa Public Health Dr. Vera Etches joined Champlain LHIN’s Board Chair Jean-Pierre Boisclair and LHIN CEO Chantale LeClerc at the signing of a Memorandum of Understanding (MoU).
Ottawa Public Health and the Champlain LHIN have a strong history of cooperation, drawing on each other’s strengths and areas of expertise. The LHIN’s vision of Healthy people, Healthy communities supported by a quality, accessible health system aligns with Ottawa Public Health’s vision that all Ottawa’s communities and people are healthy, safe, and actively involved in their well-being.
|Jean-Pierre Boisclair, Chantale LeClerc,
Dr Vera Etches, Shad Qadri
Champlain LHIN Board Chair Jean-Pierre Boisclair told the other LHIN Board members that the agreement will provide new opportunities for citizen engagement and reduce inequities among communities. “It will empower citizens to become more actively involved in improving their health and their well-being,” he said.
For this initial year, the MoU outlines five areas of focus:
- Early opportunities for action (e.g. system-wide improvements and efficiencies in service provision in areas such as sexual health clinical services, harm reduction programs, dental treatment, immunizations, and pre/post-natal counselling)
- Population health assessment and joint planning
- Learning from existing projects
- A structure and process for collaboration.
At the signing of the MoU, Mr. Qadri said that he was “…pleased to sign the first ever MoU between an Ontario health unit and its LHIN counterpart, further confirming the long-standing cooperation and collaboration between Ottawa Public Health and the Champlain LHIN.”
CEO Report to the Board
To update the Board on a number of initiatives aimed at advancing the LHIN’s strategic priorities, Champlain LHIN CEO Chantale LeClerc presented a progress report.
Some highlights include:
Working towards Integrated Support for Community Housing Residents
To discuss ways to better serve the residents of two community housing buildings in the City of Ottawa’s Somerset Ward, LHIN staff recently met with representatives from Ottawa Community Housing, City of Ottawa, Centretown Community Heath Centre, Salus, as well as Catherine McKenney, Councillor for Somerset Ward.
These residents are at very high risk of poor health and social outcomes. The LHIN and these partners are discussing strategies to increase support for community housing residents by optimizing existing resources.
Mental Health and Addiction Services
- All LHIN-funded community mental health and addiction service providers recently received a base increase of 2.4 per cent, thanks to additional funding from the Ministry of Health and Long-Term Care. While this increase will support existing services, it is not enough to fund expansions of services.
- The LHIN has been helping spread the word on two new, innovative online resources Big White Wall® (Ontario Telemedicine Network) and BounceBack® (Canadian Mental Health Association) to help those who experience mild to moderate anxiety and depression manage and provide an easily accessible form of treatment, as an alternative to traditional options.
- The demand for hospital-based (inpatient) beds serving people with mental health and addiction issues is increasing. To help address this challenge, the Champlain LHIN began developing a regional program to coordinate inpatient services. The top priority is creating a better way to work together to provide the right care at the right time, including building better pathways to community mental health and addiction services.
Addressing the Need for Relief from Low-Back Pain: New Rapid Access Clinics in Eastern Champlain
To improve access to care for people who suffer from low-back pain, a Rapid Access Clinic in Eastern Champlain has opened and is seeing its first patients.
Best-practice processes and approaches are being piloted and brought forward to support the roll-out of the Rapid Access Clinic program across the rest of the region.
This initiative is part of the LHIN’s regional program, the Champlain Regional Orthopedic Network, which has the goal of improving orthopedic patient health by delivering high-quality, accessible, and financially sustainable care.
Digital Health: Bringing Care Closer to Home
To support efforts to bring care closer to home through enabling technology, the LHIN has been collaborating with a few of its home and community care contracted service providers to participate in a small-scale pilot with The Ottawa Hospital’s Vascular Surgery Clinic.
The pilot consists of providers working with a small number of patients needing post-surgical care for their wounds. To explore if it’s possible to meet patients’ needs without requiring them to travel to a clinic, the providers and patients are trialing personal computing video services made available through the Ontario Telemedicine Network.
The service would be particularly important for people living in rural communities who have difficulty getting to the hospital’s clinic for their follow-up wound-care appointments. The hope is that this pilot will be a step forward in improving wound-care outcomes, and expanding capacity across the health system.
Health Links Approach: Putting Patients with Complex Needs at the Centre of their Care
To build public awareness of the Health Links approach, the Champlain LHIN plans to launch an informational campaign across the region.
The Health Links approach targets people who live with four or more chronic conditions, and are frequent users of the health system. This approach offers these individuals one lead care-coordinator, and one coordinated care-plan that focuses on each patient’s goals, and improving their quality of life.
As a result, people with the most complex needs receive better health care, and a better experience of the health system. They also need fewer visits to the emergency department and admissions to hospital. For these patients, the Champlain LHIN’s aim is for the Health Link approach to become the standard of practice – the “new normal.”
The public campaign, which will be promoted across the Champlain LHIN’s five sub-regions, will include printed and online promotional material and presentations, and aims to increase awareness of the Health Links approach among patients and primary care providers.
Click here to learn more about the Health Links approach.
Fourth Quarter 2017-18 Performance Report
The Champlain LHIN produces a quarterly report that focuses on key performance indicators. The indicators show the regional health system’s effectiveness across areas of health and wellness, quality and sustainability of care, system access and integration, and home and community care.
The report for the fourth quarter of 2017-18 (January to March 2018) showed that on average, the Champlain health system was 83 per cent of the way toward meeting its overall targets.
Champlain LHIN Senior Performance Specialist, Allison Lampi, said that the regional health system performed well in four key areas: shorter wait times for people to receive their first home-care nursing visit after discharge from hospital, decreased wait times for both hip and knee replacement surgeries, and prevention of hospital readmissions for people who have chronic conditions.
Champlain LHIN Success Story: Dramatic Improvement in Wait Times for Hip and Knee Replacement Surgeries
In the past, wait times for hip and knee replacement surgeries in the Champlain LHIN were among the worst in the province. In 2013-14, fewer than 75 per cent of people who needed these replacements received them within the target of 182 days or less. Since that time, as shown by the chart, below (also in the Fourth Quarter 2017-18 Performance Report mentioned above), there has been a dramatic improvement in the percentage of people who received the procedure within the provincial target.
The Champlain Regional Orthopedic Network is one of the LHIN’s more recently established regional programs. The goal of the network is to improve orthopedic patient health by delivering high-quality, accessible, financially sustainable care across the region. The network’s leadership attributed the wait time improvements for hip-and-knee-replacement surgeries to a few key factors, including:
- Additional funding to increase capacity, closing the gap between supply and demand
- Standardizing care and centralizing intake, ensuring the same quality and access to care across the region
- Establishing and developing the network, which has brought forward strong leadership and collaboration (for example, sharing space and expertise, participating in organized intake efforts).
The network continues to monitor wait times, and is also to expand its standardized approach to other orthopedic conditions.
Voluntary Integration of Community Support Services for Francophones
Two LHIN-funded providers in Central Ottawa that offer community support services to Francophones sought the LHIN Board’s support to proceed with a voluntary integration.
Centre de Services Guigues provides services such as non-urgent transportation, hospice visiting services, and adult day services (supervised programming in a group setting for dependent adults, such as those living with dementia). Faced with operational pressures, and to maintain services to clients, Centre de Services Guigues began exploring integrating with Montfort Renaissance. Montfort Renaissance offers assisted living services for high-risk seniors, substance withdrawal management services, and mental health rehabilitation and clinical services.
Providing high-quality health services in French is a priority for the Champlain LHIN. The benefits of the integration of Centre de services Guigues and Montfort Renaissance include:
- The continuation of service delivery geared specifically to Francophone seniors in Ottawa
- Increased alignment and coordination of health care services. For example, the integration will result in a cohesive seniors program, including community support services currently delivered by Centre de services Guigues and the assisted-living program currently provided by Montfort Renaissance.
The LHIN Board voted unanimously to allow the proposed merger to proceed using the two organizations’ current combined funding.
Appointment of a Supervisor
LHIN-funded health service providers are required to have a board of directors to oversee their operations. Recently, the community support service agency, Personal Choice Independent Living, had all members of its board leave their voluntary positions. The remaining option was for the Champlain LHIN to appoint a supervisor to take on board functions.
Accordingly, the LHIN appointed as supervisor Maureen Taylor-Greenly, who has significant experience and expertise in health care in this region. Services to clients have not been affected by this change. The supervisor is working with members of the management team to develop a plan to sustain the important services offered by the organization.