Board Highlights - June 2015

Date: June 26, 2015

Kitchener, ON: The Waterloo Wellington Local Health Integration Network’s (WWLHIN) Board of Directors held their regular meeting on June 25, 2015. Below are highlights from the meeting. For the full agenda and briefing notes, please click here.

Health Provider Governor Presentations

The WWLHIN Board of Directors is now inviting health service providers to highlight their organizations and present initiatives and collaborative work that champion health system integration.  At the June 25th meeting, Board members received two special presentations from governors representing Woolwich Community Health Centre and Community Support Connections – Meals on Wheels and More.  To learn more about these organizations visit:

Committee  Appointments

Board member Michael Delisle has been appointed to the Finance and Audit Committee.  The committee oversees the financial health of the corporation by ensuring that appropriate controls and accountabilities exist with respect to finance and areas of material risk.

Board member Bryan Larkin has been appointed to the Governance Committee. The purpose of this committee is to establish, monitor and evaluate Board performance through the development of best practices in WW LHIN Board development, practices and structures in accordance with the WW LHIN Governance Principles of Conduct.

IHSP 2016-2019 Engagement  Update

Toni Lemon, Chief Strategy Officer and Jenny Flagler-George informed the Board of the progress that has been made on the development of the Integrated Health Service Plan 2016-19 with a specific focus on community engagement efforts.  Community engagement has included focus groups and visits with patients, front-line HSP staff and management, community support workers and residents, as well as  the online survey: Mapping The Future of Our Local Health System.

The survey is designed to capture a broad cross-section of experiences.  It is comprised of demographic data  and five brief but provocative qualitative questions designed to elicit fulsome answers.  To date there are more than 740 responses to the survey, which closes July 31, 2015.

All results will be compiled and analyzed by the middle of August and identified themes will be considered to inform the IHSP 2016-19.  This information will also help to inform ongoing planning. 

Health System Annual Plan Q1 Progress Report

Elliot Fung, Senior Manager, Health System Integration, provided Board Directors with a First Quarter 2015-2016 Annual Business Plan (ABP) update.  Highlights include:

Enhancing Access to Primary Care

Targeted Funding of $1,350,000 was allocated to Health Links in May 2015 in addition to one-time funding to support of the evolution of the four Health Links in the WW LHIN. This funding will be used for project management, change management and some enabling technology support.

A new Primary care provider forum for Chronic Disease Prevention and Management (CDPM) was established in April 2015.  The Advisory Group, comprised of primary care physicians representing all WW LHIN geographical regions, has been tasked with reviewing, designing, and recommending strategies for an integrated system of chronic disease prevention and management services within the WW LHIN. 

Creating a More Seamless and Coordinated Health Care Experience

Growing Patient and Family Engagement in Waterloo Wellington

On May 26th, Waterloo Wellington LHIN hosted a day-long session in partnership with the Change Foundation that focused on growing the use of meaningful patient and family engagement. Almost 200 clinicians, staff and governors attended.  Participant feedback about the event was positive with ratings as the “best LHIN event yet”.

Ontarians, and the people of Waterloo Wellington, want a health care system that is transparent and accountable, and they want to know that it will deliver results for patients now and in the future. Providing residents more information about how health care works and opportunities to use their perspectives to shape care provision processes will help identify opportunities for system improvement.

The WW LHIN will follow-up with attendees over the summer to find out how they are engaging with their patients and families and what changes have been implemented as a result.  This information will be reported back to the community in the fall issue of the WW LHIN newsletter.

Improving supports for older adults

Two local initiatives are confirmed for the 2015 – 2017 MOHLTC Targeted Assess and Restore Funding in the amount of $528,600. They are:

Assessment to identify frail seniors in the emergency departments and by primary care providers This project will aim to address in consistencies in the screening, assessment and referral processes related to the care of seniors across primary and acute care.  It will also provide resources and supports for frail individuals in the community to help decrease hospital admissions and readmissions, and improve patient transitions from acute and primary care to community-based geriatric care.

Earlier discharge from hospital (days to weeks) for patients to rehabilitate at home This initiative will target patients who are receiving inpatient post-acute rehab/restorative care beds and are nearing their discharge. Patients will be discharged days to weeks earlier and complete their rehab goals in their homes, limiting their exposure to illness and other challenges associated with a long hospital stay for adult patients. This model has the potential to significantly impact patient transition concerns and Alternative Levels of Care (ALC rates), while reducing the number of direct Long-Term Care Homes (LTCH) referrals from hospital.  It will also support provide connections and support to help frail clients transition back home through community-based restorative, rehabilitative and exercise programs.

Leading a Quality Healthcare System Using Evidence-based Practice

2015-2016 Annual Base Funding of up to $3,600,000 was confirmed for palliative care (community and hospice), long-term care palliative and behaviour supports, intensive and flexible mental health and addictions community teams, mental health and addiction housing supports.  

Wellington/Guelph Mental Health & Addictions ED review work

Waterloo Wellington LHIN CEO Bruce Lauckner informed the Board of Directors of the Wellington/Guelph Mental Health and Addictions review. 

The Waterloo Wellington LHIN, in collaboration with health service providers Guelph General Hospital, Homewood Health Centre, the Canadian Mental Health Association, Waterloo Wellington Dufferin, and North Wellington rural hospitals, initiated an extensive review of the Mental Health Emergency Department (ED) model of care in Guelph and Wellington in March, 2015.

The purpose of the review was to identify causes for increased patient volume in the ED for addictions and mental health issues, and an increased length of stay in the ED while patients await inpatient admission and treatment. Patient and staff safety continues to be the central focus of this review, which is expected to be complete by August 2015, and it will provide recommendations for mental health and addictions system improvements. 

Long-Term Care Home Service Accountability Agreement (2016-2019)

The Waterloo Wellington LHIN Board of Directors has authorized an LSAA Negotiating Team with representation from 3 LHIN CEOs (Central East, Hamilton Niagara Haldimand Brant and Waterloo Wellington LHINs) to act on behalf of the Waterloo Wellington LHIN to coordinate and manage the consultation and negotiation process for the 2016-2019 LSAA.

The Village at University Gates Long-Term Care Service Accountability Agreement

Schlegel Villages Inc. received a license from the Ministry of Health and Long-Term Care (MOHLTC) to operate a new, 192-bed long-term care home in north Waterloo. Construction of the home, named the Village at University Gates, was announced in 2011 as part of the new Schlegel-University of Waterloo Research Institute for Aging (RIA) facility.   The facility is the result of collaboration between Schlegel Villages, the University of Waterloo, Conestoga College, and the Government of Ontario, and will include a specialized building where faculty, staff and students from the partner institutions will work and learn with residents and staff.

The Board of Directors approved the creation of a 2015-2016 Long-Term Care Home Service Accountability Agreement between the WWLHIN and Schlegel Villages Inc., with respect to the Village at University Gates, effective August 1, 2015 and pending satisfaction of the following conditions: Schlegel Villages submit a Long-Term Care Home Accountability Planning Submission (LAPS) that is satisfactory to the WWLHIN by July 31, 2015. The Waterloo Wellington LHIN provides operating funding for the Village at University Gates.

Next Board Meeting

The next WWLHIN Board meeting will be held on Thursday, August 13, 2015.