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“Aging at Home” in the Central West LHIN

“Aging at Home” in the Central West LHIN. Elder Health Coalition November 19, 2008. Central West LHIN’s Strategic Directions. Enhanced Integration - better coordinated and better linked services Increased Capacity - adequate level of the right kinds of services and supports

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“Aging at Home” in the Central West LHIN

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  1. “Aging at Home” in the Central West LHIN Elder Health Coalition November 19, 2008

  2. Central West LHIN’s Strategic Directions Enhanced Integration - better coordinated and better linked services Increased Capacity - adequate level of the right kinds of services and supports Improved Access - timelier, easier access to high quality, client-centeredservices

  3. Central West LHIN’s Seniors 2007 population of 65 years + 78,583 of province’s seniors 4.4% 12th in province 2010 population of 65 years + 89,612 of province’s seniors 4.6% 12th in province Growth from 2007 to 2010 11,023 5th in province Percent growth 2007 to 2010 14.0% 1st in province

  4. Building Aging at Home • Invest $21 M in new funding over next 3 years … establishing the local Directional Plan • Nine Focus Groups (talking to diverse groups of seniors) • Seven Public Forums (one in French) • Aging At Home Symposium (Paul Williams, Mark Nowaczynski - innovation and integration) … and the local Detailed Plan • Three Public Validation Forums • Over 1000 people engaged • Services for Seniors Core Action Group

  5. Directional Plan • Increase capacity to relieve pressures • Address priorities identified through community engagement • Support target population (at risk of institutionalization) • Put in context of IHSP and Ministry priorities • Monitor and evaluate impact

  6. Year 1 Service Clusters • Congregate Dining • Adult Day Programs • Home Maintenance / Home-Making • Seniors multi-resource centre • Day program for seniors and care-giver • Volunteer training centre • Supportive Housing • Transportation • Tele-chek

  7. Year 1 Service Clusters Specialty Programs • Nurse Practitioners in LTC facilities • “Home-at-Last” across LHIN • Physician home-visiting • Social, recreational, and health educational programs • Seniors helping Seniors Wellness / Equity • South Asian wellness, volunteer program • South Asian Adult Day Service • Expand Ethno-cultural Seniors Centre

  8. Year 1 - Learnings • We’re on a learning curve • Still lots to do • Look at Year 1 processes • Review initiatives funded by all LHINs • Look at Year 1 initiatives moving forward

  9. Central West LHIN Year 2 Aging at Home • Determine gaps (geography and services) after Year 1 • Targeted Year 2 investments • Invite “geo-clusters” to develop Year 2 initiatives • Business cases received, reviewed, and categorized into “direct / immediate” impact on ER/ALC, “diversion” away from ER/ALC use, or “prevent” ER/ALC use • We’re setting the stage for Year 3

  10. Year 2 - Direct / Immediate – 1st lookDirect / Immediate (50% of Year 2 funding) - $2 MRegional Specialized Geriatric ServicesTransitional Short-Stay Beds Palliative Care Beds “Bridging You Home” Program

  11. Year 2 - Diversion – 1st lookDiversion (35% of Year 2 funding) - $1.4 MSeniors Community Mental Health Year 1 Supporting Living Expansion Respite Services Tele-Health Monitoring

  12. Year 2 – Preventive – 1st lookPreventive (15% of Year 2 funding) - $480,000 Somali Seniors Adult Day Program Bathing Program PSW Escort – Transportation Year 1 Adult Day Programs Expansions

  13. Year 2 – Learnings, so far • Lots of diversion and prevention initiatives • Need for unbundling • Need to finalize costs and service levels • Difficult to fund new start, high-cost proposals, notably • supportive housing • LHIN needs to work with group of providers to develop “direct / immediate” initiatives • Always keep an eye on Integrated Health Services Plan and Health System Plan • It’s about seniors and their health!

  14. It’s about you and your health! Central West Local Health Integration Network 8 Nelson Street West, Suite 300 Brampton, ON 6X 4J2 905.455.1281 centralwest@lhins.on.ca www.centralwestlhin.on.ca

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