In This Issue
 What does ATC mean for people?
 Connecting care through technology
 Additional funding
 Impact of Home First Report
VOLUME: 2, ISSUE: 7, DATE: 13/11/05
RECENT
What does Access to Care mean for people in the
South West?
ATC Webcast - On September 10,
the ATC team presented an update
to Health Service Providers in the
South West. If you missed it, you
can watch it by clicking here.
SJHC Parkwood Launched Home
First on September 20, 2013
 Home First: One-year Impact
Analysis
 AL/SH/ADP—Special Populations
 Convalescent Care / Restorative
Care
The graphic above, featuring Norm, illustrates how the “system” outcomes have a direct
impact on the lives of patients and clients in our communities.
Access to Care is an approach to care
focused on supporting people, specifically
seniors and adults with complex needs, in
their homes for as long as possible, with
community supports.
For two years, partners across the health
care system have been working together on
Access to Care, a project that has touched
nearly every health service provider in the
South West.
Throughout this work, every milestone on
the journey has been recorded, analyzed
and debated to understand impacts on the
health care system. The following outcomes
are only a beginning of what partners can
achieve once all aspects of Access to Care
are fully implemented.
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In the 6 hospitals where Home First has
been implemented the overall number
of people who are waiting for care
elsewhere has decreased (31%).
The number of people being supported
in the community with robust service
plans is increasing.
In hospitals where home first has been
implemented, there is a decreasing
number (51%) of people waiting in
hospital for LTC.
Increasing number of clients with a
MAPLe score (Method for Assigning
Priority Levels) High or Very High are
living in the community supported by
CCAC.
Consistent high percentage of clients
placed in LTC with a MAPLe score of
High or Very High.
Want to learn more about Norm and his
wife Peggy? Click here for their story.
Check us out at www.southwestlhin.on.ca
> Current Initiatives > Access to Care for current news and resources
The free ‘Living a Healthy Life’
workshops, provide participants
with the skills, tools and
confidence to better manage their
ongoing health conditions.
www.swselfmanagement.ca
If you have a link that would be
helpful to share with readers of
the ATC Approach, please let us
know.
To receive future issues of the
Access to Care eNewsletter,
click here.
Access to Care
356 Oxford Street West
London, Ontario N6H 1T3
519-474-5693
[email protected]
VOLUME: 2, ISSUE: 7, DATE: 13/11/05
How eHealth Technology Will Impact Mr. Patterson’s Patient/Client Journey
For patients/clients (including their caregivers), unanticipated Emergency Department visits and
scheduled transitions from one level of care to another often present opportunities for
communication breakdowns, uninformed decision making and added stress.
Strategic eHealth technology investments have been made to support effective and timely
sharing of information among patients/clients, and their health care partners.
eNotification simultaneously notifies the hospital and the CCAC that a mutual patient is in the
Emergency Department. It is a system which integrates information between the hospital
information system with the CCAC’s Client Health and Related Information System (CHRIS).
Complex Discharge Screening Tool / eReferral from Acute Care
Hospital staff are electronically prompted to use the Complex Discharge Screening Tool to ask
patients 5 YES/NO questions.
Client struggling?
Inadequate supports?
Frequent visits to hospital?
Trouble with activities of daily living?
Other issues?
The right combination of YES answers automatically prompts an eReferral to CCAC for patients.
VOLUME: 2, ISSUE: 7, DATE: 13/11/05
eDischarge Summary and Medication Reconciliation
An automated system to transfer the patient’s discharge summary and medication list
from hospital to physician and CCAC upon hospital discharge.
Referral to CCAC and eReferral from CCAC to Health Service Providers
Electronic referral (eReferral) from CCAC to Health Service Providers (HSP) and
enabled exchange of information between the CCAC and the HSPs, via Health Partner
Gateway, for Wait List Management.
The thehealthline.ca website was
initially developed as a partnership
between hospitals, the health unit and
the CCAC in London, Ontario, and is now
a province-wide resource. It houses
more than 50,000 health service
profiles, including Assisted Living /
Supportive Housing and Adult Day
Program information for both the public
and health care professionals to access
information.
Through the Access to Care initiative,
additional resources have been invested
in this website to provide even greater
value for its users in the South West.
Adult Day Program providers, in
conjunction with the Access To Care
team, have worked with
thehealthline.ca staff to enhance the
service descriptions online, including
video segments from many programs.
Clients, families and Care Coordinators
can all view this information in order to
ensure the programs/services that are
included in the development of care
plans are the most appropriate options
for the client.
Assisted Living providers are now designing their information and video segments.
In the draft work plan for Complex
Continuing Care / Rehabilitation, there
is a desire to implement a similar form
of standard service information as well
as develop videos of each of the
programs to be posted online.
VOLUME: 2, ISSUE: 7, DATE: 13/11/05
Supporting Patients and Clients in the South West LHIN
On September 25, 2013, the South West LHIN Board of Directors approved funding
that will directly support the work of Access to Care related initiatives.
Base funding:
 Expansion of Home First to the rest of the South West LHIN
 Home First was launched at St. Joseph’s Health Care (St. Joseph’s) Parkwood
on September 20, 2013
 Provision of overnight respite and Adult Day Programs (ADP) for adults who are
medically fragile and technologically dependent
 Develop a special unit in Long-term Care for adults with Acquired Brain Injury
(ABI)
 Specialized adult day program for adults with ABI
 Implement redesign of adult day programs and enhance spaces/transportation
to ADP in London
 Enhance overnight respite spaces in ADP
One time funding:
 Implementation of designated geographic service and hub model
 Infrastructure for startup of ADP for adults with ABI
 Access to Care Team Infrastructure
 Provincial Rehabilitative Care Alliance
Newly Released Report on the Impact of Home First
Clients representing those people
across the continuum of care who will
benefit from this funding.
The South West CCAC assessed the economic impact of Home First by looking at the 371 most
complex patients returning home from hospital in 2012-2013. These patients received up to 24/7
care for up to four weeks. The analysis shows:
 The average per diem cost was $412 in the first 22 days, and $50 thereafter. Hospital per diems
are $450 (excepting London Health Sciences Centre where the per diem is $900), and LTC per
diems are $108.
 Although the first month of care at home was costly, community care was less costly than
institutional care.
 The average annualized cost per patient was approximately $56,000 (total system cost including
hospital stays and LTC).
 The average annual cost per patient if they stayed in hospital until moving to LTC would have
been approximately $84,000.
 The net economic savings to the system for these 371 patients was approximately $10 million.
Beyond the 371 patients, an additional 2,228 complex patients benefited from Home First during the
365-day period, receiving robust care plans to be able to go home. Of those:
 1,980 of the 2,228 were still at home after a month,
 More than 1,100 were still at home at the end of two months, and
 The average cost per person was less than $55 per diem.
To learn more about the tremendous impact of Home First on the Health Care System in the South
West read the report, click here.