CEO REPORT TO THE BOARD
Mississauga Halton LHIN
December 2014
MOHLTC Updates
Annual Business Plan
Priorities
ANNUAL BUSINESS PLAN PRIORITIES 2013/14
Accessible and Sustainable Health Care
Family Health Care When You Need It
Enhanced Community Capacity
Optimal Health – Mental and Physical
High Quality, Person-Centred Care
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MEASUREMENT AND PERFORMANCE
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Ministry-LHIN Performance Agreement Targets
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NOTABLE SECTOR ENGAGEMENT
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Accountability Agreements
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COMMUNICATIONS
December 2014
Notable Sector
Engagement
Communications
The following is a compilation of the major activities/events undertaken during this period in
support of the Mississauga Halton LHIN’s Strategic Directions;
CONTENTS:
MINISTRY OF HEALTH AND LONG-TERM
CARE UPDATE
Measurement and
Performance
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Accessible and Sustainable Health Care
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Improve access to services to improve consumer flow, quality and safety
Support consumers, families and health care professionals to navigate the health care
system
Improve sustainability of the health care system
Family Health Care When You Need It
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Improve access to family health care
Increase linkages between family health care and other health care providers to improve
communication, coordination and integration across the continuum of care
Enhanced Community Capacity
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Enable people to stay in their homes longer
Provide integrated services that bring care closer to home
Optimal Health – Mental and Physical
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Increase healthy habits and prevention of disease
Build partnerships for healthy communities
High Quality Person - Centred Care
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Support and foster a quality culture across the continuum of care
Value people’s experiences to support system improvement
Apply a health equity lens for the delivery of health care services
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MINISTRY OF HEALTH AND LONG-TERM CARE UPDATES
Provincial Life or Limb Policy
The provincial life or limb policy is a “no refusal” policy for patients
with life or limb threatening conditions. The guiding principles of the
policy are triggered when a patient is life or limb threatened and
therapeutic options exist, which are needed within four (4) hours
given considerations that when the threatening condition is a priority
the identification of beds is a secondary consideration; and that the
LHIN geographic boundaries will not limit a patient’s access to
appropriate care in another LHIN. Further, ensuring that patient
repatriation will occur within a best effort window of 48 hours once
the patient is deemed medically stable and suitable for transfer.
Mississauga Halton LHIN Life or Limb System Indicators
Mississauga Halton LHIN Life or Limb System Indicators
July-September 2014 - Second Quarter (Q2)
(Halton Healthcare Services and Trillium Health Partners)
System Indicators
Second Quarter (Q2)
Actual Value
Year to Date
(YTD) Value
Requests for Consult
152
270
Cases Confirmed as Life or
Limb
68
116
95.5%
97.5%
Percentage of Patients Arrived
at Designated Site Within the
4 Hour Timeline
December 2014
The Mississauga Halton LHIN has collaboratively engaged in ongoing
communication, meetings and evaluations since the inception of the
policy in January 2014. Recently, the Mississauga Halton LHIN Life or
Limb and Repatriation Working Group was rolled up into the Critical
Care Committee for further collective performance system
management improvement. The Mississauga Halton LHIN’s relative
performance aligned to the provincial targets is trending well.
End of Life/Palliative Care
The Auditor General released her annual report in December and a
section reviewed palliative care in Ontario. A number of
recommendations were made encouraging the Ministry and the
LHINs to continue their work on a more coordinated and integrated
system of palliative care across the Province. Bill MacLeod, along
with Gary Switzer from the Erie-St. Clair LHIN, have co-chaired the
Provincial Steering Committee for Palliative Care. While much has
been accomplished, the Auditor General pointed out that there is still
much to be done and that this was an important area to seek to
achieve value for money in the health care system. As a result of the
major efforts province wide and encouraged by this report, palliative
care will be a significant focus of the Mississauga Halton LHIN
activities in 2015.
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Health Quality Ontario (HQO)/LHINs Partnership Model
Personal Support Worker (PSW) Wage Increase
Considerable work has been completed to develop a partnership
model where HQO and the LHINs will collaborate on quality
improvement following a jointly developed work plan. The work plan
for 2015 will focus on shared approaches to quality improvement,
coordination of the use of metrics for both HQO Quality
Improvement Plans (QUIPs) and LHIN bases Service Accountability
Agreements (SAAs). In addition, the Partnership Agreement will
delineate a work plan for the adoption of evidence and best practices
in key clinical areas.
In the 2014 Budget, the Government committed to a three-year
phase in of wage increases to PSWs - raising the minimum wage from
around $12.50 to around $16.50 per hour. With a greater focus on
shifting care to the home and community sector, there was growing
concern that PSW services, an important component of the sector,
was not in a good position from a wage equity point of view. This
wage increase to PSWs is intended to stabilize the turnover in a very
important part of the community sector workforce. We are now
midway through the first year of implementation and are working
out implementation issues that have arisen. A major data collection
effort is now underway to determine actual wage information on an
agency level to ensure that the second and third year of this
implementation process can go more smoothly and be more
equitably applied. Details of the next stages of implementation
should be available in the late winter.
Home and Community Care Transformation
The Ministry and the LHINs have been supporting the work of the
Expert Panel on Home and Community Care. This group has drawn
experts from a wide variety of roles in the Health Care System to
advise the Ministry on the best course of action to improve home
and community care in the province. The panel is chaired by Gail
Donner, former Dean of the University of Toronto Faculty of Nursing
and former Chair of the Change Foundation. To assist the Expert
Panel in its work, each LHIN conducted a local community
consultation to provide feedback to the Panel on the views of home
and community care held by members of the public and by
caregivers. Results of that survey will be reviewed at the LHIN Board
meeting on January 15. The expert Panel is expected to complete its
report to the Ministry by the end of January.
December 2014
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Long-Term Care Home Renewal Strategy
In 2007, the Ministry of Health and Long-Term Care announced the
Long-Term Care Home Renewal Strategy (LTCHRS). The Ministry
categorized all long-term care homes in the province into four
groupings based on how closely each met the Ministry’s design
standards. The groupings known as structural classifications are
based on the building and infrastructure, not on the care provided to
residents. The structural classifications are:
• “A”- New - meets or substantially complies with current
Ministry design standards
• “B”- Exceeds the 1972 Nursing Homes Act regulations on
structural standards
• “C”- Meets the 1972 Nursing Home Act regulations on
structural standards
• “D”- Does not meet the 1972 Nursing Homes Act regulations
on structural standards.
The initial phase of the strategy was targeted at upgrading 16,000
beds across the province. These were beds considered to be in the
poorest condition based on age and congruence with existing
Ministry design standards. The Ministry’s LTCHRS also targeted an
additional 35,000 beds across the province that were not in the
poorest condition but did not meet the design standards. The plan
was to develop 3,500 beds annually over 15 years. The role of the
Local Health Integration Network (LHIN’s) was to coordinate and
prioritize the redevelopment of their beds, while the Ministry
oversaw the approval process and monitoring of the redevelopment.
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Due to low uptake by long-term care facilities in Phase 1, a consultant
was engaged in November 2011 to identify impediments and
proposed solutions to the LTCHRS based on low uptake for Phase 1.
The identified impediments were consistent with feedback received
through consultation by the Ministry with LTC sector stakeholders in
2010.
The following enhancements to the LTCHRS were communicated on
October 28, 2014:
1. A dedicated project office to oversee the Enhanced Renewal
Strategy will be established
2. The Construction Funding Subsidy (CFS) will be revised
3. Preferred accommodation premiums for new homes will be
increased
4. The maximum license term will be increased (from 25-30
years)
5. Homes will be scheduled for redevelopment as opposed to a
call for application process
6. A committee to review individual requests for exceptions to
existing design standards will be established.
Across the province, there are 308 long-term care homes with 30,940
“B” and “C/D Upgraded” LTC beds to be redeveloped. Within the
Mississauga Halton LHIN, there are 10 homes with 1344 beds
identified for redevelopment. The Mississauga Halton LHIN
continues to engage with the Ministry regarding the process and the
proposed schedule.
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PROGRESS ON ANNUAL BUSINESS PLAN PRIORITIES 2013/14
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ACCESSIBLE AND SUSTAINABLE HEALTH CARE
FAMILY HEALTH CARE WHEN YOU NEED IT
ENHANCED COMMUNITY CAPACITY
OPTIMAL HEALTH – MENTAL AND PHYSICAL
HIGH QUALITY PERSON-CENTRED CARE
ACCESSIBLE AND SUSTAINABLE HEALTH CARE
Mississauga Halton LHIN Healthy Holiday Strategy
The regional Healthy Holidays initiative is well underway with
execution of a multi-sectoral strategy and a key partnership with
iamsick.ca. A large scale communication strategy is being rolled out
to enable individuals, their families and providers in the Mississauga
Halton LHIN to access information through smartphone technology
that is up-to-date, reflects the holiday hours and provides everyone
with information at their fingertips via the iamsick.ca app. The
December 2014
holiday strategy is also evolving towards a year-round strategy of
health system preparedness. Currently, we are in the initial stages of
gathering information in order to build a concrete strategy that helps
to support a decrease in emergency room utilization for non-acute
issues as well as providing the right care at the right time in the right
place for the Mississauga Halton LHIN individuals and their families
all year long.
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Health System Funding Reform (HSFR)
In the context of mobilizing effort to implement Health System
Funding Reform (HSFR), a regional group of health service providers
convenes at the HSFR Local Partnership Committee to discuss local
impacts, implications and risks associated with the implementation,
and related mitigation strategies for Quality Based Procedures
(QBPs). The Committee has recommended a comprehensive work
plan for fiscal 2014/15. The work plan encompasses several areas of
focus including:
• Evaluating the performance of all QBPs where clinical
handbooks exist;
• Informing volume management policy; and
• Knowledge transfer, including the integration of “Improving &
Driving Excellence Across Sectors (IDEAS)” locally.
Notable Sector
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high level system goal of improving a patient’s acute length of stay
while in hospital by implementing a consistent care pathway and
physician order sets for this patient cohort.
Improving and driving excellence across sectors (IDEAS) is a provincial
initiative, co-sponsored by Health Quality Ontario (HQO) and the
Institute for Health, Policy, Management and Evaluation at the
University of Toronto. IDEAS was initiated to complement the
implementation of HSFR, with the goal of introducing and sustaining
quality improvement science across Ontario. The Mississauga Halton
LHIN has had three teams attend the nine day training session, with
two projects directly related to HSFR implementation. Both projects,
Total Joint Replacement Ambulatory Rehabilitation, and Stroke
Rehabilitation were successfully completed with remarkable
improvement noted.
Hospital partners reported their findings at the November HSFR Local
Partnership meeting for five (5) QBPs. These QBPs had been
evaluated for regional performance in July 2014 and included noncardiac vascular (both lower extremity occlusive disease (LEOD) and
endovascular aneurysm repair (EVAR)), neonatal jaundice,
tonsillectomy, and pneumonia. The hip fracture QBP was identified
for regional improvement work in November 2014 and is being
mobilized through the Integrated Orthopedic Capacity Planning
Steering Committee. Regional improvement work related to
congestive heart failure commenced in September 2014 with the
December 2014
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Capital Developments
Trillium Health Partners Mississauga Academy of Medicine (MAM)
Trillium Health Partners Master Plan
Trillium Health Partners has reached a capital milestone and received
approval from the Ministry of Health and Long-Term Care to proceed
to sign the construction contract for the first tender of the MAM
project.
Regional Hospice Palliative Care Steering Committee
The Regional Hospice Palliative Care Steering Committee (RHPCSC)
and its sub-committees continue to progress on their strategic work
plan (work which is aligned with the Declaration document) and are
currently focusing on developing recommendations for a Regional
Palliative Care Program in the Mississauga Halton LHIN.
Recent progress to date includes:
• The new Mississauga Halton LHIN Hospice Palliative Care
Program - the group presented to the Clinical Integration
Program and Oversight Committee (CIPOC)
• Testing of Model of Care through Hospice Palliative Care
Interdisciplinary Teams - Mississauga Halton CCAC is the lead
on this project and has called for a working group
• Learning Essential Approaches in Palliative Care - Trillium
Health Partners is the lead and a business case has been
submitted to the Mississauga Halton LHIN
• Hospice Palliative Care Education for PSWs (alignment with
Advancement of Community Practice Initiative and the
Regional Learning Centre)
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Testing of Earlier Identification and Prognostic Indicator Guide
and Mississauga Halton CCAC Palliative Care Registry/Earlier
Identification
Regional Spiritual and Bereavement Service Delivery Program
– Acclaim, Heart House and Dorothy Ley have submitted
business cases to the Mississauga Halton LHIN.
Regional Program for Rehabilitative Care & Complex
Continuing Care Services
The Mississauga Halton LHIN, in partnership with its health service
providers continues its work towards a regional rehabilitative
strategy incorporating Rehabilitative Care Alliance directions, best
practices and stakeholder feedback to enhance patient access and
flow through the system, improve patient experience and outcomes,
and improve system integration.
The Mississauga Halton Rehabilitative Care Steering Committee met
on November 11, 2014 and reviewed progress on provincial and
regional initiatives involved in the delivery of rehabilitation services
within the LHIN. The committee will be finalizing a report on the
Phase One findings. The Rehabilitative Care Report focuses on two
prioritized areas:
1. Local System Review
Stroke Care in Mississauga Halton LHIN – A comprehensive
analysis of stroke in Mississauga Halton LHIN conducted to
ensure optimal stroke care exists in the rehabilitative care
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bedded levels of care to support mild, moderate and severe
strokes patients.
2. Alignment to the Provincial Rehabilitative Care Alliance
Recommendations
The Provincial Rehabilitative Care Alliance Definitions
Advisory Group has developed a Definitions Framework for
provincial standards (i.e. definitions and common
terminology) for bedded levels of care. A system level
analysis was conducted at Mississauga Halton LHIN to
understand the impact of aligning to the Provincial Definitions
Framework for bedded levels of care. Halton Healthcare
Services and Trillium Health Partners have reviewed their
current rehabilitative beds within the system defined by the
program and looked at alignment to the new Provincial
Definitions Framework. The analysis reveals a high degree of
alignment in Mississauga Halton LHIN to the Provincial
Definitions Framework. Currently work is underway towards
finalizing the analysis.
The Rehabilitative Care Report for Phase One will be finalized with
the steering committee and Phase One recommendations are
planned to be presented to the Clinical Integration Program
Oversight Committee in January 2015.
Enhancing Access to Mental Health and Addictions
Services
The Mental Health and Addictions System Access Model
Implementation Team has established its four working groups that
December 2014
Notable Sector
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will continue the development of the System Access Model. These
four working groups include: Referral, Assessment and Technology;
Creating a Brand for the System Access Model; Service Resolution;
and System Access Model Hubs/Telemedicine in North Halton. The
four work groups have been working from October to December with
a clear set of deliverables.
System Access Model
Steering Committee
SAM
supports in
North
Halton/
Developing a
brand for the
SAM
workgroup Telemedicine
workgroup
SAM referral,
assessment
and
technology
workgroup
Service
Resolution
Workgroup
SAM work group functions:
• Brand Work Group: is leading the development of a
Mississauga Halton LHIN System Access Model name and logo
• Referral and Assessment: this work group is leading the
development of assessment and referral forms, screening
tools, eligibility criteria and prioritization in order to channel
individuals to the right care, right place and at the right time.
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SAM Hubs and processes in the North: This group has been
focused on better understanding current use and potential
future use of existing space to leverage SAM supports in the
north area of Halton
Service Resolution: this group has been working on better
defining what the service resolution mechanisms and
protocols will look like for the Mississauga Halton LHIN.
Mississauga Halton LHIN Telemedicine Strategy
The Telemedicine Advisory Committee continues to meet to advance
the goal to increase the number of health service providers and
clients using telemedicine technologies to provide and access care.
To date we have 27 sites within the Mississauga Halton LHIN and we
have had a total of 3,557 telemedicine events. The committee will
meet in the new year to refresh the goals and work plan to reflect
the advances in telemedicine and the enhanced collaboration with
the Ontario Telemedicine Network (OTN).
Seniors’ Strategy
The Seniors’ Strategy Steering Committee will meet in January to
review the results of the Collaborative Community Capacity Study.
The results will be used to help determine the priorities for planning
for care for seniors in our communities.
The Senior Friendly Hospital Working Group continues to meet to
develop a regional approach to the collection of delirium indicators
December 2014
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for all hospitals within the Mississauga Halton Local Health
Integration Network.
The Specialized Geriatric Services program participated in a
comprehensive provincial review initiated by the Ministry and the
LHINs. The intent was to obtain information that would assist in the
development of recommendations on how to optimize the
contributions of Regional Geriatric Programs and Specialized Geriatric
Services, while ensuring alignment with Ministry and LHIN priorities.
A review was also recommended in Dr. Sinha’s report, Living Longer
Living Well.
ConnectingGTA
ConnectingGTA (cGTA) is a regional solution that supports the
delivery of provincial electronic health records by linking and
integrating electronic patient information from across the care
continuum and making it available at the point-of-care to improve
the patient and clinician experience.
Within the Mississauga Halton LHIN, Trillium Health Partners is our
early adopter data contributing hospital. Halton Healthcare Services
has completed the readiness assessment for becoming a data
contributor in Wave 2 and is working with the ConnectingGTA team
on next steps. In addition to Wave 2 contributors, the
ConnectingGTA team is working with qualified view only access
organizations. ConnectingGTA is currently resuming status / site
milestone reports which will be released in the new year.
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Resource Matching and Referrals (RM&R) Cluster 2
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The goal of the RM&R BTI program is to provide a way to streamline
the complex patient referral environment across Ontario.
•
Within the Mississauga Halton LHIN, Trillium Health Partners (THP)
and Halton Healthcare Services (HHS), the Provincial Referral
Standards (PRS) have been implemented for Acute to LTC (both
hospitals), and Acute to CCAC (HHS). Anticipated early in Q4, THP will
complete the Acute to CCAC integration project between Meditech
and CHRIS. The balance of work in this fiscal will be to implement
Acute to Rehab/CCC.
Physiotherapy
Community Exercise and Falls Prevention
As of November 2014 we are offering or are in the process of
implementing programming at 72 locations across the Mississauga
Halton LHIN region. We are investigating the development of
programming to address the needs of those residents in our LHIN
who have been diagnosed with a chronic disease or congestive heart
failure. This is a model that is currently in place in the Central LHIN
and we are hoping to build on their experience and lessons learned in
order to have success in our LHIN. The programs available are as
follows:
• 12 Week Falls Prevention Program (registration required)
• 12 Week Osteoporosis Program (registration required unique
to Mississauga Halton LHIN)
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Movement Matters (drop in low intensity class suitable for
beginners to intermediate)
Pump it Up (drop in higher intensity class that involves more
standing based exercises)
Seated Chair Tai Chi (drop in)
Simply Stretch (drop in)
Chair Yoga (drop in modified yoga postures while seated)
Exercise Program.
In-Home Physiotherapy (Rapid Recovery Program)
The in-home physiotherapy program (Rapid Recovery Program) was
an initial pilot commencing January 2014 under Physiotherapy
Reform. There were a selected number of Community Care Access
Centres (CCACs) across Ontario chosen to pilot this program. The
initial results of the pilot were encouraging, and subsequently, the
Mississauga Halton LHIN requested that the Mississauga Halton CCAC
continue to deliver these services. This CCAC program emphasizes
three streams of service delivery. The CCAC continues to make
changes to the program based on a care pathway trajectory for each
of the three streams. The CCAC continues to work at referrals from
this program to community programs to bring care closer to home
for patients. This program has shown the ability for the CCAC to take
patients out of hospital earlier, as appropriate for physiotherapy.
The Mississauga Halton CCAC’s Vice President of Client Services will
be presenting to the LHIN CEOs on the Rapid Recovery Program at a
future date in 2015.
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Physiotherapy in Primary Health Care
In April 2013, the Ministry of Health and Long-Term Care announced
that Ontario would be integrating physiotherapists into Primary
Health Care (PHC) settings. The initial focus of this initiative focused
on the following PHC settings: Aboriginal Health Access Centres
(AHACs), Community Health Centres (CHCs), Family Health Teams
(FHTs), and Nurse Practitioner Led Clinics (NPLCs) to support settings
where physiotherapy will be integrated into existing interdisciplinary
primary health care programs.
Within the Mississauga Halton LHIN, three FHTs applied for funding
in the summer of 2013, along with LAMP Community Health Centre
(through the Toronto Central LHIN). Last month, the successful
applications were announced: Summerville Family Health Team and
LAMP Community Health Centre were successful in their applications
for physiotherapy resources.
December 2014
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FAMILY HEALTH CARE WHEN YOU NEED IT
Primary Care Integration Strategy
The Primary Care Integration strategy, designed to improve access to
primary care and increase linkages between primary care and other
health care providers, is working towards a number of initiatives
which will build awareness of health care system resources and
capacity within the Primary Care sector.
The role of the Primary Care Advisors is being launched this month
under the leadership of the Mississauga Halton CCAC. These roles
will provide an opportunity to engage individually with Primary Care
providers across the LHIN in an effort to address their needs. The
Advisors will communicate key system level strategies reflecting the
full continuum of care to Primary Care providers. They will also
support health service providers to create effective engagement
strategies for this sector.
eConsult
The Ministry of Health and Long-Term Care has launched a Provincial
eConsult Initiative led by OntarioMD. This initiative is designed to
evaluate various eConsult service models to inform decisions
required for a provincial eConsult service. Within this phase of the
initiative, six regional partners have been selected to provide
evidence-based results to inform decisions on the provincial eConsult
service. The Mississauga Halton LHIN is the regional partner working
December 2014
the eConsult platform established by the Champlain LHIN. Using the
Champlain BASE eConsult service, established in 2010 by the
Champlain LHIN, Mississauga Halton physicians will have the
opportunity to consult virtually with over 50 specialties. This
program has demonstrated the ability to reduce the need for
referrals to specialists by over 40%. Specialists from the Mississauga
Halton LHIN are also invited to join the roster of physicians acting as
consultants in this initiative.
Primary Care Improving Transitions through Electronic
Hospital and Emergency Discharge
The improving transition through electronic hospital and emergency
discharge project aims to improve the communication process
between hospitals and primary care providers and the Mississauga
Halton Community Care Access Centre (CCAC) as soon as a patient is
admitted to the hospital or discharged from the hospital.
Both hospital corporations and the Mississauga Halton CCAC
contributed to a system process mapping session in the spring 2014
to develop a common set of parameters and practices at each
hospital site which targeted having a consistent patient-focused
process. In July 2014, hospital and Mississauga Halton CCAC staff
confirmed their ability to implement a phased solution in fiscal year
2014/15. Next steps include working in partnership with the
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Mississauga Halton Primary Care Lead to help develop the
communication strategy and set expectations for primary care, CCAC
and hospitals for information to be shared amongst care partners in a
cohesive and proactive manner. Opportunities to pilot the
communication strategy are being developed by the LHIN and
Primary Care Physician Lead.
Health Links
Health Links in Business Planning Phase
The LHIN met with the Ministry of Health and Long-Term Care
regarding the Readiness Assessments submitted by the Milton Health
Link and the North West Health Link. Discussions were positive and it
is anticipated that these two Health Links will have their Readiness
Assessments approved and receive funding for their business
planning phase shortly.
Business Plans have been submitted to the LHIN for approval from
both Halton Hills Health Link and Milton Health Link. The plans are
under LHIN review and will then be submitted to the Ministry of
Health and Long-Term Care for approval which will provide them
with funds to begin implementation. Plans to sustain the momentum
achieved during the planning for these Health Links are under
development as the approval process is anticipated to take more
than six months.
Four Health Links are continuing to develop their business plans with
their collaborating partners.
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East Mississauga Health Link (Early Adopter)
As of November 2014, the East Mississauga Health Link has enrolled
124 patients. The Health Link continues to implement a broad
stakeholder communication and engagement plan to increase
awareness of health links among providers and primary care
physicians. The Health Link presented at the Health Quality
Transformation conference in November and continues to share the
learnings as an early adopter with other health links. The Health Link
team is embarking on a qualitative review of patient and provider
experiences to explore opportunities to improve processes and care.
Health Links Secretariat
The Mississauga Halton CCAC has been funded to host the Health
Links Secretariat. The Health Links Secretariat is intended to provide
resource to all Health Links within the LHIN to support common
issues. Recruitment is underway for a project manager, data analyst
and communications/engagement consultant.
Endocrinologist Primary Care Consultation Program for
Diabetes Care
The Building Access to Specialists through eConsultation (BASE) is a
solution managed by the Champlain LHIN. To ensure working in
tandem, the Endocrinologist Primary Care Consultation Program for
Diabetes Care is utilizing this same platform to meet the needs of
access to specialists for diabetes consultation.
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The Mississauga Halton LHIN, Chronic Disease Prevention
Management (CDPM) Medical Lead will be the Endocrinologist for
the larger access to specialist’s initiative in order to keep both
programs aligned. The Diabetes Education Program and Central
Intake are currently identifying physicians that could most benefit
from this additional access and support in order to manage their
patients with diabetes in their primary care offices. Team members
are reaching out to primary care physicians to get them signed up
and on the platform. The CDPM Medical Lead, Dr. Amish Parikh is
also reaching out to primary care physicians. Data will be collected
by Dr. Parikh in order to identify the major barriers, issues and
concerns from primary care in managing diabetes.
Hospital Report Manager (HRM) Implementation
OntarioMD's Hospital Report Manager (HRM) enables physicians
using EMRs to receive direct electronic hospital reports into their
patient's medical record within 30 minutes of transcription.
Halton Healthcare Services (HHS) went live with HRM in May 2014
and continues to see the number of registered physicians eligible to
receive hospital discharge reports electronically increase. It is
expected that Trillium Health Partners will go live later in Q4 of this
fiscal (to-date, Trillium Health Partners has not been able to
successfully implement HRM as a result of the testing delays
stemming from the ConnectingGTA project).
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ENHANCED COMMUNITY CAPACITY
The Community Capacity Study
Advancement of Community Practice
The Mississauga Halton and Central West Local Health Integration
Networks and Community Care Access Centres (CCACs) jointly
contracted with Preyra Solutions Group to develop a community
health services capacity plan for each LHIN to meet the needs of the
LHINs' growing and aging populations. The objective of the study
was to evaluate the level and mix of health services required by the
growing and aging populations in each LHIN, including a
comprehensive assessment of current and future capacity and need
for community-based health services for seniors.
The Advancement of Community Practice (ACP) Regional Learning
Centre (RLC) creates an environment of continued learning through
the provision of a centralized point to operationalize an evidence
informed practice, provides a mechanism for centralizing discussion,
resources and decisions for high quality service delivery and
improves the health of those living in the Mississauga Halton LHIN
community by enhancing the competency of staff and caregivers.
The Regional Learning Center serves as a collective foundation
aligned with the six collaboratives defined within the Advancement
of Community Practice initiative as an educational resource to help
educate, train and support health service providers and caregivers in
the Mississauga Halton LHIN.
After extensive data analysis, review of other jurisdictions, and
discussions with multiple organizations and stakeholders, the findings
from the study were ready to be shared. On November 18, over 90
stakeholders gathered for the Community Capacity Study session. At
the session, the consultant team reviewed the study results and
asked for feedback from those in attendance to ensure that the most
important areas were adequately considered and to share further
questions and discussion to further enrich the study and develop the
final report.
December 2014
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The Advancement of Community Practice Regional Learning Centre
Educational Initiative
InterRAI Education
Health Service Providers (HSPs)
Education Needs Assessment
Community Education Team Meetings
with Community Stakeholders
Technology (ongoing)
Fall Curriculum/ 2014
Personal Support Worker (PSW) Focus
Groups
SIGMHA
CSS Directors’ Think Tank
PSW Education/ Winter Term 2015
December 2014
Resource and Outcomes
Developed educational material for and delivered interRAI CHA courses.
Total number of attendees = 83
Total number of participating HSPs = 13
Met with 29 of 35 Mississauga Halton LHIN Community Support Services (CSS) HSPs and
completed an Education Needs Assessment Survey. A similar Education Needs Assessment
Survey has been created for Mental Health & Addictions (MH & A) HSPs and will be completed
in spring 2015.
Stakeholder engagement opportunities:
• LHIN Leadership Teams for CSS and MH & A sectors.
• Behavioural Support Ontario (BSO) team
• Self-Management program managers
• Director, Palliative Care Consultation at Acclaim Health - Carol Sloan
• MH LHIN Health Equity Committee
• Respite Advisors
Technologies developed aligned with the RLC
New courses developed (1) interRAI Preliminary Screener, (2) interRAI Mental Health
Supplement, and (3) Hands on HEIA
Facilitated Education Focus Groups to identify the needs of PSWs for program development
Presentation to the Systems Integration Group for Mental Health and Addictions (SIGHMA) in
September.
Moderated a webinar for directors to discuss systemic issues related to client care in the
community.
PSW modules for winter term 2015 are currently in development. Courses include: Infection
Control, Professionalism, Safety & Risk, Gentle Persuasive Approaches, Mental Health,
Documentation and Enhanced Skills. In addition, the RLC will be transformed into a Skills Lab
for hands-on learning in February.
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OPTIMAL HEALTH – MENTAL AND PHYSICAL
Regional Integrated Chronic Disease Prevention and
Management Strategy
The Mississauga Halton LHIN Chronic Disease Prevention &
Management (CDPM) Regional Advisory Working Group recently held
a think tank in order to facilitate discussion with stakeholders on
ways to bring the Mississauga Halton LHIN model to the forefront, at
the same time, aligning it with the Provincial CDPM strategy and
other strategies (e.g. vascular) in both the region and province. Work
is underway to create the vision, goals and objectives to the end of
March 2015. An engagement session with providers will be held in
the new year in order to ensure that there is congruence with
direction from multiple perspectives and a report will be created by
the CDPM Regional Advisory Working Group with recommendations
to the Mississauga Halton LHIN.
Centralized Intake for Patients with Chronic Diseases
The Mississauga Halton LHIN Diabetes Regional Coordination Centre
identified the need for a central intake and referral system to
streamline access to the six adult diabetes education programs
available in the Mississauga Halton LHIN in 2012. The central intake
program created a vision that included having a system-wide role in
increasing access, informing stakeholders, and enabling efficiency
related to diabetes service delivery in the Mississauga Halton region.
December 2014
Central Intake objectives include:
• Single point of access;
• Coordinate referrals to right care, right place, right time;
• Integrated communication between all parties;
• Collect data for system planning & quality improvement;
• Support consistency & best practice among services.
The Central Intake Program worked with a Central Intake Advisory
Group to develop, test and improve a single referral form and
centralized referral management process for all adult Diabetes
Education Programs in the Mississauga Halton LHIN. The pilot was
initiated in April 2013 with positive uptake from primary care
providers, specialists and diabetes education programs.
The central intake program’s mandate was expanded in 2014 to
include managing referrals for the Mississauga Halton Diabetes Foot
Care Program and providing central intake support for the developing
System Access Model for adult Community Addictions and Mental
Health services within the Mississauga Halton LHIN.
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In order to support the streamlined access objective and manage the
increasing volume of referrals they were receiving, Halton Healthcare
Services (HHS) entered into a partnership in Q4 2013/14 with Novari
Health to develop and implement an eReferral solution that would
meet the business and clinical needs identified for the central intake
program. This new eReferral system will enable efficient referral
management between referring sources, Central Intake Program and
Diabetes Education Programs/Diabetes Foot Care/Addictions and
Mental Health Service providers; live data capturing and patient
status updates and secure communication between stakeholders.
The project will be implemented in four phases over the next
eighteen months.
On November 17, 2014 the eReferral system went live enabling
eReferrals between the Central Intake Program and the Diabetes
Education Programs. The eReferral system which will enable primary
care providers to initiate a Diabetes Education Program referral
through the electronic portal or through their current fax system is
anticipated to be activated in January 2015.
The success of the eReferral implementation and launch is expected
to be shared by Novari Health in January 2015.
December 2014
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HIGH QUALITY PERSON-CENTRED CARE
Mississauga Halton LHIN Health Equity
The Mississauga Halton LHIN Planning Advisory Committee on Health
Equity and the Health Equity Working Group is engaged in the
expansion of an evidence based practice for equity issues in the
service provision collection of socio-demographic data in
collaboration with intersectoral system partners (i.e. data collected
regarding race, age, preferred language to speak and read, length of
residency in Canada, housing status, disability status, religion, gender
identity, sexual orientation and income). It will be obtaining
feedback from health service providers, organizations and groups in
the Mississauga Halton LHIN in order to identify standardize and
evaluate health outcomes incorporating the Health Equity Impact
Assessment Tool. The primary focus of the health equity inventory
survey is to develop an informed baseline of standardized questions
that can be incorporated into practice for our clients, patients and
families in our community.
French Language Services (FLS)
FLS - Capacity Building
A health education "train the trainers" session for Francophone
seniors, their caregivers and French speaking health care
professionals was held in November. This initiative was the result of
a partnership between the Alzheimer Society of Peel and Retraite
Active (Francophones Seniors Group). The overall goal of this project
December 2014
was to enhance the community capacity for FLS within the
Mississauga Halton LHIN, which is the second objective of the Joint
Annual Action Plan. It will also increase the number of cultural and
linguistic appropriate education programs for Francophones. In the
long term, the trainers will be able to provide education sessions to
help Francophones seniors living in the community to maintain their
mental and physical abilities and prevent dementia.
FLS - Cultural Competency
During the last few months, FLS cultural competency and sensitivity
training for the staff of the FLS identified organizations and the
members of the Health Equity Planning Advisory Committee was
conducted. The next step will be to ensure the sustainability of this
project by distributing the materials among the FLS identified
organizations for their internal usage (availability on intranet for staff
and new employee’s orientation package).
FLS – Engagement
The Francophone community was invited to complete a survey on
home and community care services. As part of the French Language
Services strategy in the Mental Health and Addictions sector, the
Francophone community is engaged to provide input to the System
Access Model (SAM) brand name working group and to increase
awareness about French Languages Services among their members.
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Mississauga Halton LHIN Aboriginal Cultural Sensitivity
Plan
The Mississauga Halton LHIN partnered with the Metis Nation of
Ontario Council to host the annual Sisters in Spirit candlelight vigil
held at Gauge Park in Brampton to honor and remember the almost
1200 missing and murdered Aboriginal women across Canada. There
were many speakers that attended the event supporting Aboriginal
women and their struggles. Community volunteers also helped to
make 100 faceless dolls to bring attention to the need for a public
inquiry. The vigil concluded with members of the community lighting
their candles with final prayers and placing them with the victims’
photos.
December 2014
Notable Sector
Engagement
Communications
Health Quality Transformation 2014
Health Quality Ontario (HQO) held their annual conference on
November 20, 2014. This conference supports quality improvement
by fostering the sharing of ideas amongst all healthcare sectors and is
the event where the Minister’s Medal Honouring Excellence in Health
Quality and Safety is awarded. Health Quality Transformation is now
Canada’s largest conference on quality in health care with about
2,200 people attending this event. Dr. Joshua Tepper President and
CEO of Health Quality Ontario provided opening remarks and plenary
speakers included Deputy Minister of Health Dr. Bob Bell and the
Minister of Health and Long-Term Care, Dr Eric Hoskins who awarded
the Minister’s Medal. For more details please check the following
links: Health Quality Transformation and The Minister’s Medal.
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MEASUREMENT AND PERFORMANCE
Ministry-LHIN Performance Agreement (MLPA) Targets
The Mississauga Halton LHIN achieved the target within a 10%
corridor in 10 of 15 indicators with an average provincial rank of
seven out of 14 LHINs.
Five (5) indicators, emergency department length of stay for
admitted patients, Magnetic Resonance Imaging (MRI),
Computerized Tomography (CT), CCAC Wait time to first service and
Repeat emergency department visits for substance abuse,
experienced performance outside of the 10% corridor.
Based on increased and sustained emergency department demand at
both Halton Healthcare Services and Trillium Health Partners, and the
limited options available for transitioning patients from hospital to
Long-Term Care, a Priority 1A status was declared to initiate crisis
placement for medical and surgical patients in the hospitals.
One indicator was newly identified in comparison to previous
quarters. CT as a result, has been identified for a local performance
improvement initiative, with focus on data quality and understanding
the increased demand for CT services as driven by the regional
cancer centre at Trillium Health Partners, Credit Valley site.
December 2014
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Measurement and
Performance
Priorities
Notable Sector
Engagement
Integration &
Coordination of Care
Access to Health Care Services
LHIN
ERLOS
Communications
Quality & Improved Health
Outcomes
Surgical & Diagnostic Wait Times
Repeat ED Visits
Adm
I-III
IV-V
Cancer
Cardiac
Cataract
Hip
Knee
MRI
CT
%ALC
CCAC
CMG
MH
SA
Erie St Clair
23.32
6.75
4.12
98%
NA
99%
85%
78%
30%
95%
16.59%
19
16.36%
16.96%
25.88%
South West
23.50
6.32
3.58
90%
99%
89%
80%
85%
27%
78%
8.33%
22
16.77%
16.44%
21.65%
Waterloo Wellington
Hamilton Niagara
Haldimand Brant
Central West
12.57
6.20
4.05
98%
100%
95%
86%
85%
30%
65%
12.01%
11
14.28%
13.48%
23.74%
30.47
7.23
4.37
85%
100%
87%
83%
78%
39%
79%
17.47%
22
16.07%
19.27%
28.46%
32.28
7.10
3.50
94%
NA
90%
47%
39%
16%
91%
7.02%
15
16.60%
24.10%
26.78%
Mississauga Halton
33.62
6.05
3.60
96%
85%
98%
98%
82%
23%
51%
11.00%
32
15.26%
15.05%
23.99%
Toronto Central
24.25
7.70
4.32
95%
99%
90%
94%
95%
48%
56%
9.98%
25
19.65%
26.86%
41.13%
Central
28.35
6.52
3.45
99%
98%
100%
95%
95%
34%
92%
13.79%
27
15.96%
17.52%
24.64%
Central East
27.60
6.00
4.00
96%
NA
98%
99%
96%
39%
96%
14.69%
22
14.93%
18.82%
23.24%
South East
27.30
6.80
4.37
98%
100%
94%
41%
87%
53%
96%
12.21%
21
17.75%
24.46%
22.60%
Champlain
26.17
7.80
4.72
97%
41%
90%
84%
86%
38%
85%
10.61%
56
15.88%
18.07%
26.43%
North Simcoe Muskoka
25.47
6.27
4.05
97%
NA
96%
91%
91%
10%
57%
26.11%
64
13.99%
15.21%
21.86%
North East
30.67
5.67
4.08
79%
100%
91%
72%
70%
49%
72%
21.31%
64
17.29%
16.21%
25.70%
North West
28.90
6.72
4.07
96%
NA
95%
72%
61%
44%
65%
21.30%
42
14.00%
15.50%
34.69%
Q2 14/15 Q2 14/15 Q2 14/15 Q2 14/15 Q2 14/15 Q2 14/15 Q2 14/15 Q2 14/15 Q2 14/15 Q2 14/15 Q1 14/15 Q1 14/15 Q4 13/14 Q1 14/15 Q1 14/15
Measures
Provincial
Maximum
Minimum
Variance
27.38
33.62
12.57
21.05
Hours
6.78
7.80
5.67
2.13
4.05
4.72
3.45
1.27
94%
99%
79%
20%
92%
100%
41%
59%
% within Access Target
93%
87%
85%
100%
99%
96%
87%
41%
39%
12%
58%
56%
35%
53%
10%
43%
Color coding reflects LHIN relative performance from
December 2014
80%
96%
51%
45%
%ALC
13.57%
26.11%
7.02%
19.09%
better
to
worse
1
2
3
ReDays Admits
28 16.32%
64 19.65%
11 13.99%
53
5.65%
Repeat Visits
19.42% 30.24%
26.86% 41.13%
13.48% 21.65%
13.38% 19.48%
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Board Quality Board Quality Report (Balanced Scorecard)
NOTABLE SECTOR ENGAGEMENT
December 2014
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NOTABLE SECTOR ENGAGEMENT
Community Accountability Planning Submissions (CAPS)
and Multi-Sector Service Accountability Agreements (MSAA)
The Local Health System Integration Act, 2006 (LHSIA) necessitates
that the Local Health Integration Networks (LHIN) have a service
accountability agreement (SAA) in place with each health service
provider (HSP) they fund. The Mississauga Halton LHIN and
community based HSPs entered into Multi-Sector Service
Accountability Agreements for a three year period effective April 1,
2014 to March 31, 2017. Planning for the 2014/15 Community
Accountability Planning Submissions (CAPS) and the Multi-Sector
Service Accountability Agreement (MSAA) Schedules now need to be
reviewed and possibly updated to incorporate the financial, service
information, and performance expectations for fiscal 2015/16 &
2016/17, thereby requiring completion of the CAPS for the second
year of the 2014-17 MSAA. This process is defined as the 2015/16
CAPS and MSAA Schedule Refresh.
December 2014
2015/16 CAPS & MSAA Schedule Refresh
Below are the key steps and estimated timelines related to the 201516 M-SAA refresh for completing the 2015/16 CAPS & MSAA
Schedule refresh.
Activity
Target Date
CAPS 60 Day Issuance Notice to HSP’s
Oct. 17, 2014
Pan LHIN Community Lead Education
Oct. 31, 2014
CAPS Launch onto SRI for HSPs
Nov. 4, 2014
HSP Training Materials Available
Nov. 4, 2014
LHINs Complete Local HSP Q&A Session
Nov. 13, 2014
Completed HSP Board approved CAPS refresh submitted
through SRI to LHINs by January 9, 2015
Nov. 4, 2014 –
Jan. 9, 2015 (9
WEEKS)
LHIN review of CAPS refresh, consultations on MSAA refresh
indicators, population of Schedules, and final MSAA Schedule
amendments
Jan. 9– Feb16,
2015 (5 WEEKS)
2015/16 MSAA Schedule amendment letters provided to
HSPs
Feb 16, 2015
HSP Board Approval of 2015/16 MSAA Schedule
amendments
March 9, 2015
LHIN Board Approval of 2015/16 MSAA Schedule
amendments
March 9 – April 1,
2015
Year 2 of the current 2014-17 MSAA comes into effect
April 1, 2015
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Hospital Sector Accountability Agreement (H-SAA)
Community Governance Consultation Group (CGCG)
The Mississauga Halton LHIN has fully executed the Hospital Service
Accountability Agreements (H-SAA) with Trillium Health Partners and
Halton Healthcare Services. The Mississauga Halton LHIN continues
to work with hospitals on determining performance, volume and
financial targets for 2014/15. With the funding announcements in
September 2014, the Mississauga Halton LHIN will focus on setting
performance targets and expectations in collaboration with hospital
partners. A new approach for the H-SAA will unfold for fiscal
2015/16 whereby the hospital annual planning submission will be
submitted to the LHIN in the winter 2015 with the goal of having fully
executed agreements by March 31, 2015.
The Community Governance Consultation Group (the “CGCG”) is a
LHIN sponsored group consisting of 13 Board Chairs and Board
Members from our Community Health Service Providers (HSPs) and
two (2) Mississauga Halton LHIN Board members. The purpose of the
Mississauga Halton LHIN CGCG is to provide advice in the area of
collaborative governance for the purpose of advancing the
improvement of health system integration and health service
coordination across the LHIN. The group can be reached at
[email protected].
Community Quarterly Sector Meeting
The Community Quarterly Sector Meeting was held on December 10,
2014 and targeted the theme of Enhancing Community Capacity as
per the following:
• Funding Allocation;
• Community Information Management / Information
Technology Survey;
• Health System Development Community Engagement Update
for the Year;
• Financial Update of Requirements for Submission and CAPs;
• Emergency Management;
• Healthy Holidays; and
• Seamless Transitions.
December 2014
The most recent meeting was held on December 3, 2014 after the
Governance to Governance (G2G) Session. The CGCG provided
feedback on the just completed G2G on the Board’s Role in Risk
Management and identified topics for the next G2G to occur
sometime in March. Jeannie Collins-Ardern (Co-Chair) provided a
listing of Governance websites which will be placed in the
Governance Resource Library under Helpful Websites.
Under the Terms of Reference for this Committee Co-Chairs are
elected for a 2 year term, renewable once. In order to stagger the
term expiry dates, Ron Haines, Vice Chair of the Mississauga Halton
LHIN was re-elected for one year term and David Lukey, Council
Member of the Canadian Red Cross was elected for a new two year
term.
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Governance to Governance (G2G)
A Mississauga Halton LHIN Governance to Governance session was
held on December 3, 2014. The topic for this session was “The
Board’s Role in Managing Risk” with our guest presenter Polly
Stevens, VP Healthcare Risk Management, Healthcare Insurance
Reciprocal of Canada (HIROC). Her presentation focused on
simplified the approach to risk management specifically focusing on
Board level risk management as opposed to operational level.
The facilitation exercise brought each organization’s Board and
Leadership together to review HIROC's Health Care Organizations
Risk Taxonomy and apply it to their organization.
Materials for this event can be found on our website under
[email protected]. The next Governance to Governance
session will be held in March 2015.
December 2014
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COMMUNICATIONS
Media Relations
Engaging with our media partners includes the development and
distribution of news stories through either Mississauga Halton LHIN
news releases or repurposing information shared by our health
service providers or the Ministry of Health. Two news releases and
several media stories referenced Mississauga Halton LHIN from
October to December 31, 2014
News Releases
Mississauga Halton LHIN Welcomes Newest Board Member - Mary
Davies appointed as Board Member
OAKVILLE, ONTARIO (November 19, 2014) – The Public Appointments
Secretariat of the Province of Ontario issued an official Order-inCouncil appointing Mary Davies to the Mississauga Halton Local
Health Integration Network (LHIN) Board of Directors in April 2014
for a three-year term.
Mississauga Halton LHIN Board of Directors Announce Two New
Appointments
OAKVILLE, ONTARIO (December 23, 2014) – Mississauga Halton LHIN
Board Chair Graeme Goebelle is pleased to announce the Order-inCouncil appointment of Kimbalin Kelly and Gulzar Ladhani to the
Board of Directors of the Mississauga Halton LHIN. The new board
members join Mississauga Halton LHIN for three-year appointments.
December 2014
News Coverage – Mississauga Halton LHIN
In October and December, some of the stories included:
 Regional Learning Centre in Oakville will equip care providers
with new tools – Oakville Beaver – October 21, 2014
 Mary Davies to Member, Board of Directors, Mississauga Halton
LHIN, Oakville, ON – Longwoods.com
 October 21: Heroes in the Home – Mississauga Life – October 21,
2014
 United Way program helps youth through dark side of addiction Toronto Star – October 23, 2014
 Oakville residents appointed to Mississauga Halton LHIN board –
Oakville Beaver
Media and Healthcare Ontario
Ebola, has been the top source of coverage since July, with record
levels of media attention focusing on the local, provincial, national,
and international levels. The province’s preparation for Ebola
garnered twice as much favourable exposure than unfavourable.
Other positive major drivers included measures taken by Minister
Hoskins to improve health system transparency and mental health
initiatives.
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Media exposure for LHINs was below average for the fourth straight
month. Tone was strong, with positive share more than double the
12-month average. The government’s announcement that it would
limit public sector salaries was a key source of favourable coverage.
Other positive drivers were linked to new local programs and
capacity. Measures to prevent Ebola also generated coverage of
LHINs.
Source: October 2014 Cormex Media Analysis Report
Engagement
Website
The Mississauga Halton LHIN website continues to be a primary
vehicle for both communication and engagement with our
stakeholders.
Website content is currently being translated into French to mirror
the English side and is anticipated to be ready to go live in early
March.
Home and Community Care Survey
To support the Home and Community Care Review Expert Group
(Expert Group) to develop recommendations for improving the home
and community care sector, the Mississauga Halton LHIN developed a
survey to obtain feedback/input directly from local patients, their
family members and/or primary caregivers who had received and/or
used home and community care services during the past year.
December 2014
Notable Sector
Engagement
Communications
Our community engagement included promotion of and access to
our online survey via links to our website, a large email blitz to health
service providers and stakeholders, which included engagement tools
(flyer/email), public and volunteer group newsletters and by word of
mouth. Our local MPPs and Hospitals, and Towns advertised the
survey in their newsletter, website and through social media. We
received 225 responses in English and 17 responses from our
Francophone community and have submitted our report to the
Expert Group.
The findings of the survey will be provided to our Board at the next
scheduled meeting.
Local Government Leaders
Bill MacLeod and Graeme Goebelle continue to meet with local
government leaders to discuss the Mississauga Halton LHIN priorities
and any emerging local healthcare issues.
During the month of December, meetings were held with
Mississauga East-Cooksville MPP Dipika Damerla (Associate Minister
of Health and Long-Term Care (Long-Term Care and Wellness) and
Wellington-Halton Hills MPP Ted Arnott (PC Critic to the Minister of
Economic Development, Employment, and Infrastructure). A
meeting has been schedule with our new Etobicoke--Lakeshore MPP
Peter Milczyn for early January 2015.
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Upcoming Engagements
•
 Health Link Announcements - Local MPPs in collaboration with
the Mississauga Halton LHIN will be hosting media events to
announce three new Health Links in the Mississauga Halton LHIN
in January and early February. Lead organizations along with
collaborating partners will attend.
 Deputy Minister Bob Bell has arranged to visit the Mississauga
Halton LHIN on February 6. Preparations are underway for his
visit.
 Government and Community Services Fair -The Mississauga
Halton LHIN has been invited and will participate in the 10th
Annual Government and Community Services Fair at Cloverdale
Mall on Saturday, February 21, 2015 hosted by MPP Etobicoke
Centre Ivan Baker and Etobicoke--Lakeshore MPP Peter Milczyn.
 The next Mississauga Halton LHIN Board of Directors Meeting is
to be held on March 5, 2015.
•
•
•
Health System Emergency Preparedness
Mississauga Halton LHIN emergency management role is intended to
support the local health system to prepare for, respond to and
recover from emergency events and with an overarching goal of
ensuring continued access to health care services and maintain local
health system capacity during emergency events. The Emergency
Management Team established at the Mississauga Halton LHIN
continues work in the following areas:
December 2014
Notable Sector
Engagement
Communications
Mississauga Halton LHIN Health System Emergency
Management Planning
Health System Preparedness - 2015 Pan/Parapan Am Games
Mississauga Halton LHIN Business Continuity Planning
Ebola Preparedness.
Mississauga Halton LHIN Health System Emergency
Planning
Work on the development of the Mississauga Halton LHIN Health
System Management Emergency Plan continues and targeted for
completion by March 31, 2015.
Health System Preparedness - 2015 Pan/Parapan Am Games
The Emergency Management Team represents the LHIN at planning
for the PAN-AM and PARA PAN AM Games. This planning is in
conjunction with the GTA West cluster group.
On November 25, we participated in a Heat Planning Forum held at
the Forensic Service and Coroner’s Complex in Toronto. This forum
supported coordinated heat planning across the footprint of the
2015 Pan and Parapan Am Games.
The Mississauga Halton LHIN will attend the Emergency Management
Communications Tool launched on January 15, which will enable
communications directly with health system partners during the
Pan/Parapan Am Games and beyond.
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MOHLTC Updates
Annual Business Plan
Priorities
Measurement and
Performance
Notable Sector
Engagement
Communications
Mississauga Halton LHIN Business Continuity Planning
The Emergency Management Team has completed a draft of the
Business Continuity Plan and Emergency Response Handbook to be
shared with the senior team for their review in February 2015.
If testing rules out Ebola, LHIN regional hospitals will care for an
individual until discharge. If an individual tests positive for Ebola, our
regional hospitals will transport the individual to a “designated”
hospital outside of our LHIN.
Ebola Preparedness
The Ministry of Health and LongTerm Care is continuing to take
steps to ensure preparedness in
the event that Ebola virus disease
(EVD) reaches Ontario. There have
not been any cases of Ebola in
Canada and the risk to Ontarians
remains low. The Ministry issued
directives to Acute Care, Paramedic
Services, and Primary Care Settings
to ensure that appropriate
measures in place to be prepared
for an Ebola case.
Work continues to evolve in order to prepare our LHIN region for the
potential of Ebola.
The LHIN has worked with others
across the province to develop a
Transfer Algorithm for our LHIN for
those individuals who test positive
for Ebola disease. Hospitals in our
LHIN are capable of testing and
caring for an individual who may be
positive for Ebola Disease.
December 2014
Ontario Situational Update,
as of Jan. 5, 2015
There are 0 person(s) under
investigation where Ebola
testing was recommended
and results are pending.
Since July 30, 2014, there
have been 12 persons under
investigation for Ebola in
Ontario, 12 were negative for
Ebola.
There are no probable or
confirmed cases of Ebola
detected in Ontario.
Ebola Public Information:
Ministry of Health and LongTerm Care
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