The Transformational Role of Case Management in Community Health Care. Caroline Brereton, RN, MBA Chief Executive Officer Mississauga Halton CCAC
|
|
- Brook Heath
- 8 years ago
- Views:
Transcription
1 The Transformational Role of Case Management in Community Health Care Caroline Brereton, RN, MBA Chief Executive Officer Mississauga Halton CCAC September 26-27, 2013
2 Agenda During this session we will: Describe the changing needs and increased demands in Mississauga Halton region and our CCAC Explain rationale for standardizing case management processes Current situation with our patient, Karl Provide overview of our approach to changing key case management processes Guiding principles Three core business processes to enable case managers to provide consistently excellent care to patients and their families Identify expected outcomes for system improvement and patient outcomes The ideal patient experience for our patient, Karl Next steps Questions 2
3 Mississauga Halton Region Demographics of Mississauga Halton region Region experienced Ontario s highest growth rate in population (12%) from 2006 to 2011 The population is expected to grow 46% over the next 15 years Second fastest aging population Over the next 20 years, the number of people over 65 years of age will increase at a rate that is the second greatest in Ontario The number of people aged 75 years and older will increase 143.4% by the year
4 Mississauga Halton Region Health conditions in Mississauga Halton region Six of all 10 deaths in region are caused by chronic conditions, including: Heart disease High blood pressure Diabetes Asthma Over past four years, emergency department visits in region s hospitals increased 13.4% compared to 6.4% for Ontario 4
5 Mississauga Halton CCAC Patient Demographics Mississauga Halton CCAC Supported 41,172 patients in 2012/13 Year-over-year increase of 5.3% 2,437,224 care service visits Year-over-year increase of 14% more services to meet 5.3% growth Increased services and more case management involvement required to keep patients safe at home Complexity of patients health care needs is changing Year-over-year growth in patients on Wait at Home to long-term care program increased 36% (high-need patients) Year-over-year growth in patients on Wait at Home Enhanced program increased 10.5% (high-need patients)
6 Core Business Redesign Why Core Business Redesign? Growing and changing needs of our patients Emerging technologies enabling improvements to our processes and systems Our evolving role in building a sustainable health system Our committed pursuit to continuously improving how we deliver our care to our patients and their families 6
7 Core Business Redesign Strategic Plan Priority Initiative Supports Client Care Model: Specific accountabilities and standards of care for case managers varies by patient population 1. Complex 2. Chronic 3. Recovery out of hospital (Short Stay) 4. Community independence Patient Populations are defined along the following dimensions: Health conditions Socioeconomic factors Degree of independence Acute episodes (risk, intensity, duration) Clinical judgment of intensity to optimize patient outcomes 7
8 Imperative for Change Situation: Karl in hospital recovering but will need rehabilitation and support to live independently Karl, 85, stroke patient in hospital Son Ben is his only relative in Canada Current state: Intake and assessment processes challenging for case manager Betty Betty was not involved in intake at admission Information was received too late and incomplete to facilitate smooth and safe transition Repeated steps Karl is confused Son Ben is frustrated 8
9 Core Business Redesign Think about the end before the beginning. Leonardo da Vinci We explored a vision of our patient's experiences Given this vision, what core business processes are required? Building on foundation of national case management standards and scope of practice, we: Completed a current state assessment that defines the core business, from patient referral to discharge from service Identified a detailed design for three priority business processes, including implementation plans and metrics 9
10 Guiding Principles Principle Metric Patient-centric Improved patient/family satisfaction scores (perceived improvement in care delivery, degree and utility of choice, ease of navigation, seamless transitions) Safe Reduced avoidable ED visits Reduced re-admission rates (overall and by discharge destination) Effective Reduced costs Timely Reduced wait times between assessment to initial setup and delivery of services Dynamic Improved ability to respond to changing conditions Efficient Reduced time from referral to initial home visit/ assessment/care planning (by discharge destination/ service type) Reduced internal transfers between case managers Equitable Improved access to services 10
11 Core Business Redesign Getting started: Comprehensive interviews with case managers, patients and family members, partners and stakeholders Leading practice review Data analysis CCAC best practice review Value-stream mapping sessions 11
12 Case Manager Voices My vision for the future is simplicity - reduced number of layers and manual processes. Use our technology more effectively to streamline and simplify. We have no formal processes to support patients to navigate complicated systems. A case manager can spend much time helping someone on the phone looking for a particular service, but the experience may be as good as the case manager s knowledge and experience, rather than a consistent approach. 12
13 Patient/Family Caregiver Voices Multiple assessment points with multiple case managers involved retelling storyfrustrating and confusing for patients and their families. One patient explained how she had five case managers in the past three months! Inconsistency of practice followed by CCAC case managers resulting in perceived inequity in services which can lead to complaints. Inconsistency between jurisdictions for example, MH CCAC may provide different service allocations than a sister CCAC. Perception from families about the type and quality of care depends on how loud you scream/advocacy of family member vs. what happens to isolated patients. 13
14 Core Business Redesign Selecting most impactful processes 1. Assessment at intake 2. Care planning and monitoring 3. System navigation at intake 14
15 Assessment at Intake Goal: Develop a highly efficient, patient centered intake process which sets up the right initial services the first time 15
16 Care Planning and Monitoring Goal: Improve consistency, timeliness and quality of information with service providers to better monitor patient health needs and allocation of services Establish a single work flow for monitoring patients health needs and allocating services 16
17 System Navigation at Intake Goal: Develop standard expectations and formalize Mississauga Halton CCAC s role in system navigation with the appropriate supporting processes 17
18 Ideal Patient Experience I am your Case Manager Access and transitions Acute Care integration and coordination Assessment and care planning Primary Care Long Term Care School/Other Transitions Well Short Stay Stay Community Independent Chronic Complex 18
19 Ideal Patient Experience Karl s ideal patient experience Access and transitions One assessment One case manager Patient directed Seamless transitions from hospital to home and care Assessment and care planning Set expectations Plan the right care at the right time Integrated and shared care/services plan Minimal wait times Patient directed Care integration and coordination Seamless transitions and integrated care Transitions Maintain Karl s quality of life Set expectations of discharge 19
20 Evolving Role of Case Management Role: Grounded in Canadian Standards of Practice for Case Management definition, we are evolving role of case managers to support the ideal patient experience Working definition of care coordination Access & Transitions Key functions: Patient-focused assessment and care planning Outcomes evaluation and management Care integration and coordination Central point of access to information for care team 20
21 Next Steps From planning to implementation: Develop comprehensive implementation plan for three business processes Collaborative and participatory, engaging the leaders who will be accountable for delivering and monitoring processes Collaborate with service providers and other partners Begin implementation November 2013 Evaluate and measure Share with other organizations Communicate with patients, stakeholders and partners 21
22 Questions? 22
Mississauga Halton Local Health Integration Network (MH LHIN) Health Service Providers Forum - May 5, 2009
Mississauga Halton Local Health Integration Network (MH LHIN) Health Service Providers Forum - May 5, 2009 The LHIN invited health service providers and other providers/partners from the LHIN to discuss
More informationEnhancing Community and LTC Rehabilitation Services for Stroke Survivors: Improving the System of Care
Enhancing Community and LTC Rehabilitation Services for Stroke Survivors: Improving the System of Care The Discharge Link A Cross - Continuum Partnership South East Ontario Population ~ 525,000 20,000
More informationTransforming Patient Flow, Improving Patient Care
Transforming Patient Flow, Improving Patient Care Transformation by Design (TbyD) Dr. Peter Nord, VP, CMO, Chief of Staff Thelma Horwitz, Director, Quality and Process Improvement Heidi Hunter, Quality
More informationOptimal patient flow is vital in hospitals to achieve
Quality Improvement : Reducing ALC and Achieving Better Outcomes for Seniors through Inter-organizational Collaboration Leslie Starr-Hemburrow, Janet M. Parks and Susan Bisaillon Abstract Like many hospitals,
More informationMarina Richardson, M.Sc. Deb Willems, BSc.PT David Ure, OT Robert Teasell, MD FRCPC
Assessing the Impact of Southwestern Ontario s Community Stroke Rehabilitation Teams: An Economic Analysis Presenters: Laura Allen, M.Sc. (cand.) Matthew Meyer, Ph.D (cand.) Marina Richardson, M.Sc. Deb
More informationNurses in CCACs: Providing Care and Creating Connections Across Sectors
Nurses in CCACs: Providing Care and Creating Connections Across Sectors Janet McMullan, RN, BScN, MN, Client Services Specialist, Project Lead, OACCAC Jacklyn Baljit, RN, MScN, Client Services Specialist,
More informationIntegrated Comprehensive Care Bundled Care
Integrated Comprehensive Care Bundled Care Health Council of Canada National Symposium on Integrated Care Oct 10, 2012 C. Gosse, K. Ciavarella St. Joseph s Health System SJHS is one of Canada s largest
More informationPatients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario
Ministry of Health and Long-Term Care (MOHLTC) Patients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario Ontario Pharmacy Research Collaboration Summit January 20, 2016 Today s Objectives
More informationOntario Hospital Association 2013 2017 Strategic Plan: A Catalyst for Change
Ontario Hospital Association 2013 2017 Strategic Plan: A Catalyst for Change The Ontario Hospital Association (OHA) is pleased to present its 2013 2017* Strategic Plan. This plan will position the Association
More informationENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT
ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT MRS PHIL MAHON 7 APRIL 2006 ENHANCING PRIMARY AND COMMUNITY CARE Community Rehabilitation Sub Group 1. Introduction 1.1
More informationPatient Flow and Care Transitions Strategy 2013-2018. Updated September 2014
Patient Flow and Care Transitions Strategy 2013-2018 Updated Introduction Island Health s Patient Flow and Care Transitions 2013-2018 Strategy builds on the existing work within the organization to address
More informationAttachment A Minnesota DHS Community Service/Community Services Development
Attachment A Minnesota DHS Community Service/Community Services Development Applicant Organization: First Plan of Minnesota Project Title: Implementing a Functional Daily Living Skills Assessment to Predict
More informationHigh Risk Profiling at points of transitions in care
High Risk Profiling at points of transitions in care Dr. John Puxty puxtyj@providencecare.ca Background 63% of all inpatient days in Ontario are accounted for by seniors 27.2% of inpatient days for seniors
More informationHome and Community Care Review Stakeholder Survey
Home and Community Care Review Stakeholder Survey PLEASE MAKE YOUR VOICE HEARD! The Home and Community Care Expert Group (the Group) has been asked by the Minister of Health and Long-Term Care to provide
More informationIntegrated Community Assessment and Referral Team (ICART) A proactive approach to communitybased services for high-risk seniors
June 2014, OACCAC Annual Conference Integrated Community Assessment and Referral Team (ICART) A proactive approach to communitybased services for high-risk seniors Joanne Billing, South East CCAC Benedict
More informationa message from the chair and executive director
a message from the chair and executive director a brain injury this year. For many, the injury will be life changing. And access to high quality services and support will be critical as they rebuild their
More informationSMITHS FALLS NURSE PRACTITIONER-LED CLINIC ANNUAL REPORT
SMITHS FALLS NURSE PRACTITIONER-LED CLINIC ANNUAL REPORT October 18, 2014 Message from Nancy Unsworth, NP-PHC Executive Director This report covers the period April 1, 2013 to March 31, 2014 and is extended
More informationGuide to Chronic Disease Management and Prevention
Family Health Teams Advancing Primary Health Care Guide to Chronic Disease Management and Prevention September 27, 2005 Table of Contents 3 Introduction 3 Purpose 4 What is Chronic Disease Management
More informationSouth West LHIN. Hospital Discharge Planning Tool Kit. June 13, 2014
South West LHIN Hospital Discharge Planning Tool Kit June 13, 2014 1 Table of Contents Introduction... 3 Discharge Policy Components for Hospitals in the South West LHIN... 4 Appendix A... 8 Appendix B...
More informationErie St. Clair Community Care Access Centre Response to Patient First: A Proposal to Strengthen Patient-Centred Health Care in Ontario
Erie St. Clair Community Care Access Centre Response to Patient First: A Proposal to Strengthen Patient-Centred Health Care in Ontario BACKGROUND AND INTRODUCTION The Erie St. Clair CCAC, comprised of
More informationAlphaFIM Instrument Too ol1 Mild Stroke Project (Part II) Report
1 AlphaFIM Instrument Tool 1 Mild Stroke Project (Part II) Report Prepared by: Carmel Forrestal Regional Stroke Rehab Coordinator 1 The FIM instrument and AlphaFIM instrument referenced herein are the
More informationA STAR is born. Collaborative Strategy that works!
A STAR is born Collaborative Strategy that works! Objective Demonstrate the importance of developing and nurturing partnerships in achieving quality outcomes, providing the right care at the right place
More informationTORONTO STROKE FLOW INITIATIVE - Outpatient Rehabilitation Best Practice Recommendations Guide (updated July 26, 2013)
Objective: To enhance system-wide performance and outcomes for persons with stroke in Toronto. Goals: Timely access to geographically located acute stroke unit care with a dedicated interprofessional team
More informationIntegrated Delivery of Rehabilitation Services:
Integrated Delivery of Rehabilitation Services: Guidelines SPECIAL for NEEDS Children s STRATEGY Community Agencies, Health Guidelines Service for Providers Local Implementation and District School of
More informationMinistry of Health and Long Term Care (MOHLTC) Patients First: A Proposal to Strengthen Patient Centred Health Care in Ontario
Ministry of Health and Long Term Care (MOHLTC) Patients First: A Proposal to Strengthen Patient Centred Health Care in Ontario Objectives 1 Provide an overview of the MOHLTC s proposal to strengthen patient
More informationStroke Rehab Across the Continuum of Care in Quinte Region
Stroke Rehab Across the Continuum of Care in Quinte Region Adrienne Bell Smith Manager of Rehab Therapies QHC Karen Brown Manger Client Services, Hospital Access South East CCAC Disclosure of Potential
More informationISSUED BY: TITLE: ISSUED BY: TITLE: President
CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE: Stroke Care Rehabilitation Unit DATE OF ISSUE: 2005, 05 PAGE 1 OF 7 NUMBER: CPG 20-3 SUPERCEDES: New ISSUED BY: TITLE: Chief of Medical Staff ISSUED
More informationONTARIO NURSES ASSOCIATION. Submission on Ontario s Seniors Care Strategy
ONTARIO NURSES ASSOCIATION Submission on Ontario s Seniors Care Strategy Dr. Samir Sinha Expert Lead for Ontario s Seniors Care Strategy July 18, 2012 ONTARIO NURSES ASSOCIATION 85 Grenville Street, Suite
More informationWaterloo Wellington CCAC Community Stroke Program
Waterloo Wellington CCAC Community Stroke Program Stroke Collaborative 2014 October 27, 2014 Maria Fage, OT Reg. (Ont.) Manager, Client Services Map of Waterloo Wellington LHIN 2 Background Integration
More informationELECTRONIC HEALTH INFORMATION
ELECTRONIC HEALTH INFORMATION ehealth - An Enabler of Integration, Sustainability and Patient Accountability/Empowerment Linda Bisonette, BScN, MHS, CHE ELECTRONIC HEALTH INFORMATION ehealth is defined
More informationBEYOND ACUTE CARE: NEXT STEPS IN UNDERSTANDING ALC DAYS
BEYOND ACUTE CARE: NEXT STEPS IN UNDERSTANDING ALC DAYS MARCH 19, 2008 1.0 EXECUTIVE SUMMARY In its continued efforts to improve the delivery of and access to rehabilitation services, the GTA Rehab Network
More informationTHE ROLE OF CLINICAL DECISION SUPPORT AND ANALYTICS IN IMPROVING LONG-TERM CARE OUTCOMES
THE ROLE OF CLINICAL DECISION SUPPORT AND ANALYTICS IN IMPROVING LONG-TERM CARE OUTCOMES Long-term and post-acute care (LTPAC) organizations face unique challenges for remaining compliant and delivering
More informationInforming. Decisions: Shorter lengths of stay. Reduced wait times. Fewer hospitalizations.
Informing Decisions: Data Improves Rehabilitation Services in Canada Shorter lengths of stay. Reduced wait times. Fewer hospitalizations. Health care providers continually aim to improve client care while
More informationWaypoint Centre for Mental Health Care Second Annual Inpatient and Community Client Experience Survey Results Fall 2013
Patient/Client & Family Council Waypoint Centre for Mental Health Care Second Inpatient and Community Client Experience Results Fall 2013 Contents Second Inpatient and Community Client Experience Results
More informationImplementing a Web-Based, Intelligent Care Coordination Solution for Behavioral Health Services
Implementing a Web-Based, Intelligent Care Coordination Solution for Behavioral Health Services Challenges Facing the Access & Coordination of Behavioral Services in Canada April 2013 Executive Summary
More informationA redesign journey to improve patient access to acute Mental Health Services
A redesign journey to improve patient access to acute Mental Health Services Create better experiences for people using health services Prepared by Louise McFadden and Gabrielle Mulcahy A redesign journey
More informationPatient Flow Pressures
Patient Flow Pressures Presentation to Board of Directors Hamilton Niagara Haldimand Brant Local Health Integration Network December 11, 2013 Patient Flow (in this context) Refers to the movement of individuals
More informationSex Differences in Profiles & Outcomes of Patients with Traumatic Brain Injury in an Inpatient Rehabilitation Sample
Sex Differences in Profiles & Outcomes of Patients with Traumatic Brain Injury in an Inpatient Rehabilitation Sample Dr. Angela Colantonio Vincy Chan Tatyana Mollayeva Background & Significance Traumatic
More informationExperiencing Integrated Care
International Comparisons Experiencing Integrated Care Ontarians views of health care coordination and communication Results from the 2014 Commonwealth Fund International Health Policy Survey of Older
More informationDavid Eubanks, RN, MSN Billie Papasifakis, RN-BC, MSN, AACC. Describe model of care most appropriate
THE BRIDGE PROGRAM David Eubanks, RN, MSN Billie Papasifakis, RN-BC, MSN, AACC Pamela Teenier, RN, MBA, COC-C, C HCS-D HCSD 1 Objectives Describe model of care most appropriate for a Bridge program from
More informationMississauga Halton Local Health Integration Network (MH LHIN) Health Service Providers Forum - May 5, 2009. Contents
Mississauga Halton Local Health Integration Network (MH LHIN) Health Service Providers Forum - May 5, 2009 The LHIN invited health service providers and other providers/partners from the LHIN to discuss
More informationFall 2013. A progress report on improving rehabilitative care in Waterloo Wellington
Fall 2013 A progress report on improving rehabilitative care in Waterloo Wellington The Waterloo Wellington Rehabilitative Care Council Improving rehabilitative care in Waterloo Wellington, fall 2013,
More informationItem 15.0 - Enhancing Care in the Community
BRIEFING NOTE MEETING DATE: October 30, 2014 ACTION: TOPIC: Decision Item 15.0 - Enhancing Care in the Community PURPOSE: To provide information regarding enhancements to care in the community and recommend
More informationCare Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed
Care Coordination The Embedded Care Manager Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed Goals of Care Management The goals of care Management are consistent with the Triple Aim: Improve population
More informationNational Clinical Programmes
National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2015
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2015 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationTransitions of Care: The need for collaboration across entire care continuum
H O T T O P I C S I N H E A L T H C A R E, I S S U E # 2 Transitions of Care: The need for collaboration across entire care continuum Safe, quality Transitions Effective C o l l a b o r a t i v e S u c
More information01/22/2010 1. Program Objectives. Quality and Poor Care Coordination
Building Community Engagement in Indiana Communities: The Conduit to Transforming Healthcare Empowerment 34 th Annual InAHQ Conference on Healthcare Quality The Triple Crown of Healthcare Quality Nancy
More informationPatient Relationship Management: An Approach that Improves Patient Satisfaction and Health. A Healthcare White Paper
Patient Relationship Management: An Approach that Improves Patient Satisfaction and Health A Healthcare White Paper Table of Contents The Challenge of Reactive, Disconnected Healthcare.................
More informationUCare provides case management for all UCare members not affiliated with one of the above listed care systems. 2011 UCare for Seniors
Case Requirements Updated 3/16/2011 According to the Case Society of America (CMSA), Case Model Act of 2009, Case management is a collaborative process of assessment, planning, facilitation, care coordination,
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario March, 2016 North Simcoe Muskoka Community Care Access Centre 1 Overview Quality improvement plans (QIPs) are an important
More informationCoventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida Medicare Quality Management Program Overview Quality Improvement (QI) Overview At Coventry, we
More informationModern care management
The care management challenge Health plans and care providers spend billions of dollars annually on care management with the expectation of better utilization management and cost control. That expectation
More informationAccess to Care. Questions and Answers June 28, 2013
Access to Care Questions and Answers June 28, 2013 Access to Care 1. What is Access to Care and why is it important? Access to Care is an approach to care focused on supporting people, specifically seniors
More informationGuide #1 - PCP to Specialist ereferral
Guide #1 - PCP to Specialist ereferral Executive Summary The Healthcare Executive s Guide to Streamlining Patient Flow New Accountability The mission-critical challenge facing today s healthcare executive
More informationTORONTO STROKE FLOW INITIATIVE - Inpatient Rehabilitation Best Practice Recommendations Guide (updated January 23, 2014)
TORONTO STROKE FLOW INITIATIVE - Inpatient Rehabilitation Best Practice Guide (updated January 23, 2014) Objective: To enhance system-wide performance and outcomes for persons with stroke in Toronto. Goals:
More informationBest Practice Recommendations for Inpatient Stroke Care: Rationale and Evidence for Integrated Stroke Units in North Simcoe Muskoka LHIN
Best Practice Recommendations for Inpatient Stroke Care: Rationale and Evidence for Integrated Stroke Units in North Simcoe Muskoka LHIN Physician Education Session May 24, 2013 Dr. Mark Bayley,, Cheryl
More informationRisk Tools in Predicting Rehospitalization from Home Care. VNAA Best Practice for Home Health
Risk Tools in Predicting Rehospitalization from Home Care VNAA Best Practice for Home Health Learning objectives The participant will be able to: Discuss the need for risk assessment for home health patients
More informationQuality-Based Procedures
Quality-Based Procedures Fiscal Year 2015/16 Volume Management Instructions and Operational Policies for Local Health Integration Networks Ministry of Health and Long-Term Care 1 Table of Contents 1.0
More informationFive Trends Impacting the Home Care Agency
Five Trends Impacting the Home Care Agency Introduction Technology has brought significant changes to the non- medical home care industry and its constituents. People of all ages including home care clients
More informationJim Boswell, MBA VP Physician Services / BMHCC and CEO / BMG Robert Vest, JD COO / BMG
Jim Boswell, MBA VP Physician Services / BMHCC and CEO / BMG Robert Vest, JD COO / BMG ! Baptist Memorial Healthcare Corporation " Award Winning Network " 14 affiliate hospitals in Mid-South! Baptist Medical
More informationState of Tennessee Health Care Innovation Initiative Executive Summary
State of Tennessee Health Care Innovation Initiative Executive Summary Outpatient and Non-acute Inpatient Cholecystectomy Episode OVERVIEW OF AN OUTPATIENT AND NON-ACUTE INPATIENT CHOLECYSTECTOMY EPISODE
More informationPATIENRTS FIRST P OPOSAL T O STRENGTHEN PATIENT-CENTRED HEALTH CARE IN ONTARIO. DISCUSSION PAPER December 17, 2015 BLEED
PATIENRTS FIRST A P OPOSAL T O STRENGTHEN PATIENT-CENTRED HEALTH CARE IN ONTARIO DISCUSSION PAPER December 17, 2015 BLEED PATIENTS FIRST Message from the Minister of Health and Long-Term Care Over the
More informationUnbundling recovery: Recovery, rehabilitation and reablement national audit report
NHS Improving Quality Unbundling recovery: Recovery, rehabilitation and reablement national audit report Implementing capitated budgets within long term conditions for people with complex needs LTC Year
More informationDementia Evidence Brief:
Dementia Evidence Brief: Mississauga Halton Local Health Integration Network July 2012 20 Eglington Avenue, 16th Floor, Toronto, Ontario M4R 1K8 T 416-967-5900 F 416-967-3826 E staff@alzheimeront.org www.alzheimer.ca/en/on
More informationPolicy Guideline Relating to the Delivery of Personal Support Services by Community Care Access Centres and Community Support Service Agencies, 2014
Policy Guideline Relating to the Delivery of Personal Support Services by Community Care Access Centres and Community Support Service Agencies, 2014 April, 2014 1 of 14 Policy Guideline Relating to the
More informationRehabilitation indicators
Rehabilitation indicators Erzsébet Boros eboros@enternet.hu Erika Takács Health Services Management Training Centre Semmelweis University, Budapest Literature review USA UK AUSTRALIA HUNGARY R Guile at
More informationin LOVE with LIFE CaroMont Health s Path to Accountable Care: A Pathway to Health
CaroMont Health s Path to Accountable Care: A Pathway to Health Betty Herbert, Director Managed Care May 17, 2011 CaroMont Health System Gaston Memorial Hospital, with 435 beds Courtland Terrace, a 96-bed
More informationImproving Patient Access and Flow
Improving Patient Access and Flow Physician Engagement Presentation London November 17, 2014 1 CFPC Disclosure for Mainpro-M1 In relation to all speakers here today: 1. No funding received for the program
More informationIs Resource Matching and ereferral technology investment warranted when an HIE is in place?
Is Resource Matching and ereferral technology investment warranted when an HIE is in place? Executive Summary Health Information Exchange (HIE) is the most rapidly advancing tool for secure access to and
More informationModule 5: Bill s Search for Lois
COMPANION GUIDE Module 5: Bill s Search for Lois Tips for facilitators: Watch the Module 5 DVD prior to the training so that you can anticipate questions and identify supplementary materials needed for
More information2013-14 Five Hills Health Region Strategic Plan
2013-14 Five Hills Health Region Strategic Plan Better Health Better Care Better Teams Better Value We are pleased to present the Five Hills Health Region s Strategic Plan for the 2013-14 fiscal year.
More informationThe University of Chicago Medicine: Driving Engagement With Interactive Care
The University of Chicago Medicine: Driving Engagement With Interactive Care 1 Training front-line clinical and administrative staff to encourage patients to use technology, but also reminding them of
More informationJohns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases
Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases Epidemiology Over 145 million people ( nearly half the population) - suffer from asthma, depression and other chronic
More informationCapacity Management: Patient Throughput and Case Management Improvement. February 25, 2015
Capacity Management: Patient Throughput and Case Management Improvement February 25, 2015 Agenda Introduction Impetus for Change Approach to Improving Case and Capacity Management Client Case Study Key
More informationTOTAL JOINT REPLACEMENT GUIDELINE IMPLEMENTATION
1 Communique 1: TOTAL JOINT REPLACEMENT GUIDELINE IMPLEMENTATION Toronto Central LHIN MSK/Stroke Implementation Group COMMUNIQUE 1: TOTAL JOINT REPLACEMENT GUIDELINE IMPLEMENTATION 1 IN DECEMBER 2012,
More informationCoordinating Transitions of Care: It Takes a Village
Coordinating Transitions of Care: It Takes a Village Ken Laube RN, BSN, MBA: Vice President Clinical Excellence Situation/Background Patients face significant challenges when moving from one health care
More informationStrata Health Solutions Inc. Summary Series
IMPROVING ACUTE ACCESS BEHIND INNOVATIVE PATIENT FLOW PRACTICE Strata Study Analysis within the Fraser Health Authority BC - Canada Extract from Study commissioned by Fraser Health Authority: May 06 A.
More informationAlberta Health. Primary Health Care Evaluation Framework. Primary Health Care Branch. November 2013
Primary Health Care Evaluation Framewo Alberta Health Primary Health Care Evaluation Framework Primary Health Care Branch November 2013 Primary Health Care Evaluation Framework, Primary Health Care Branch,
More informationUsing electronic feedback reporting to support clinicians ability to understand and improve population patient care in primary health care
Using electronic feedback reporting to support clinicians ability to understand and improve population patient care in primary health care Shaheena Mukhi Primary Health Care Information CPHA 2011 Monday,
More informationQuantifying the ROI of Population Health Solutions March 1, 2016
Quantifying the ROI of Population Health Solutions March 1, 2016 Curt Magnuson, Principal, The FiscalHealth Group Michael S. Wilson, Principal, The FiscalHealth Group Conflict of Interest Curt Magnuson,
More informationHealth Systems in Transition: Toward Integration
Leading knowledge exchange on home and community care Health Systems in Transition: Toward Integration A. Paul Williams, PhD. Full Professor & CRNCC Co-Director, University of Toronto El Instituto Nacional
More informationThe London Primary Care Diabetes Support Program:
The London Primary Care Diabetes Support Program: Diabetes Care with a Difference SUCC ESS STO R Y 1 A patient s first appointment here includes an intake assessment of the broader determinants of health
More informationHome Care in Canada: Advancing Quality Improvement and Integrated Care
Home Care in Canada: Advancing Quality Improvement and Integrated Care A report from Accreditation Canada and the Canadian Home Care Association Accreditation Canada is an independent, not-for-profit organization
More informationDTES Integrated Primary & Community Care
DTES Integrated Primary & Community Care Developing an Effective, Integrated System of Primary and Community Care Anne McNabb, Val Munroe MOHS Strategic Assertions A strong primary care system coordinated
More informationProven Innovations in Primary Care Practice
Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare
More informationBe Careful What You Ask For A Predictive Model That Really Works
Be Careful What You Ask For A Predictive Model That Really Works Rod Christensen, MD President, Allina Health Clinics Cheryl Hermann, RN, MBA Vice President, Clinic Operations & Patient Care Services Karen
More informationONE CLIENT ONE TEAM. Advancing an Integrated System of Care Driving Transformation. Stacey Daub Chief Executive Officer
ONE CLIENT ONE TEAM Advancing an Integrated System of Care Driving Transformation Stacey Daub Chief Executive Officer Toronto Central Community Care Access Centre Jodeme Goldhar Lead, Health System Integration
More informationOT service design for new emergency care - how we can support integrated practice
OT service design for new emergency care - how we can support integrated practice Barbara Kemp Clinical Lead for Occupational Therapy Northumbria Healthcare Foundation Trust #theotshow #theotshowselfie
More informationA collaborative model for service delivery in the Emergency Department
A collaborative model for service delivery in the Emergency Department Regional Geriatric Program of Toronto, December 2009 Background Seniors over the age of 75 years now have the highest Emergency Department
More informationThe ADOPT Toolkit: Planning and Building Best-in-Class Remote Patient Monitoring Programs
The ADOPT Toolkit: Planning and Building Best-in-Class Remote Patient Monitoring Programs November 15, 2012 AgeTech Conference www.techandaging.org 1 Agenda Background and Goals Using the ADOPT Toolkit
More informationA Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers
A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers in Utah Claudia Bohner, MPH Tobacco Prevention and Control Program (TPCP) Utah Department of Health Background:
More informationPrimary Health Care Nurse Practitioners
Primary Health Care Nurse Practitioners Alba DiCenso, RN, PhD Professor, McMaster University CHSRF/CIHR Chair in APN December 2010 Objectives of Presentation Current status of PHCNP roles Ontario-based
More information2014/15 Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
2014/15 Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario April 2014 Overview of Our Organization s Quality Improvement Plan The Royal s Quality Improvement Plan (QIP) is
More informationEuropean Care Pathways Conference 2013
European Care Pathways Conference 2013 Peter O Neill Director π 3 Solutions Senior Lecturer, Department of Management, Monash University, Australia peter.oneill@monash.edu Ian Gibson Director π 3 Solutions
More informationProject Option 1.6.2 - C11 UT Health Nurse-line Medical Triage Call Center - Enhance Urgent Medical Advice
Project Option 1.6.2 - C11 UT Health Nurse-line Medical Triage Call Center - Enhance Urgent Medical Advice Unique RHP Project Identification Number: 111810101.1.5 Performing Provider Name/TPI: UTHealth,
More informationBACKGROUND INFORMATION DOCUMENT
South East Community Care Access Centre BACKGROUND INFORMATION DOCUMENT RFP #16-01 Infusion Equipment and Infusion Supplies March, 2016 South East Community Care Access Centre Centre d accès aux soins
More information2003 FIRST MINISTERS ACCORD
2003 FIRST MINISTERS ACCORD ON HEALTH CARE RENEWAL 1 In September 2000, First Ministers agreed on a vision, principles and action plan for health system renewal. Building from this agreement, all governments
More informationThe South East Laidan Health Care Plan
Health Care Tomorrow Putting Patients First Integrated Health Services Plan 2016-2019 1 Table of Contents Table of Contents 2 Executive Summary 3 The South East LHIN Mission, Vision and Values 5 Introduction
More informationBehavioural Supports Ontario (BSO)
Behavioural Supports Ontario (BSO) Presented to: Canadian Home Care Association Summit 2012 Presented by: Cathy Hecimovich - CEO, Central West Community Care Access Centre, Ontario Tuesday, October 23,
More information