Project Update February 25, 2017 Musko ka a nd Are a He a lth - PowerPoint PPT Presentation

Project Update February 25, 2017

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n OUR ST ORY T O T ODAY…

The Health System in Muskoka… 2012 - 2016 Muskoka Community He a lth • 2013: Co lla b o ra tive • 2012 – 15: Pla nning , Pa rtne r Ste e ring Hubs c o mmunity e ng a g e me nt, Co mmitte e F o rme d o utre a c h, & c o mple tio n o f Ma ste r Pla n / Ma ste r • 2013- 14: Co mmunity Pro g ra m o utre a c h, e ng a g e me nt a nd input into Busine ss Pla n • Oc t. 2015: MAHC Pre - • 2012- 13: Co mmunity o utre a c h, Ca pita l Sub missio n • E ar ly 2014: e ng a g e me nt a nd insig ht to sha pe e ndo rse d b y NSM L HIN Imple me nta tio n a “Ma de in Musko ka So lutio n” c o mme nc e d with a ppro val • Nov. 2015: NSM L HIN b y MOHL T C a nd NSM L HIN • 2013: L inke d a nd pa rtne re d with a ppro ve d e sta b lishme nt with first me e ting o f the He a lth L ink Busine ss Pla n • T ge t: Be tte r c o o rdina te ar sub missio n with fo rma tio n o f MAHC Ca pita l Pla nning c a re to me e t the ne e ds o f Musko ka He a lth Hub s T a sk F o rc e individua ls living with Imple me nta tio n Co mmitte e c o mple x a nd c hro nic • Nov. – May 2016: T a sk c o nditio ns tha t re q uire • L ate 2014: Appro va l re c e ive d b y F o rc e c o ntinue d to me e t hig he r vo lume s a nd c o sts fo r purpo se o f de fining a MOHL T C, 3 ye a r de mo nstra tio n o f c a re c o mmo n future visio n fo r • 2015: Imple me nta tio n a nd a c ute c a re se rvic e s Ope ra tio na liza tio n c o mme nc e d Muskoka • T ge t: E nha nc e a nd e xpa nd ar Muskoka Community He a lth a c c e ss to prima ry c a re , c o mmunity a nd so c ia l se rvic e s Alg onquin L ink a c ro ss Musko ka , re a c hing mo re He a lthc a re iso la te d a nd vulne ra ble po pula tio ns.

Reframing our Story…

March – May 2016: Evolution to MAHST Sma ll Working Group: May – Aug ust, 2016 June 2016: NSM L HIN Approve d MAHST T OR July – Se pt: Cha ir, Co- Cha ir & E xe c utive a ppointe d No v: Ge ne ra l Counc il a ppointe d Jan: Working Groups c omme nc e d

A Syste m Solution • Ambitious project to redesign the local health care system serving Muskoka and Area. • Unique opportunity to generate a person-centred model for health care and a plan to implement those changes… designed by people who live in Muskoka, experience the current system and best understand local needs • MAHST Council has been appointed by NSM LHIN to oversee a grassroots design process that engages health, social services and community stakeholders across the continuum of care

MAHST General Council • Rob Ale xande r : Munic ipa l – No rth • Chair: Don Mitchell * Are a • Natalie Bube la: Ac ute Ca re • Special Advisor and • Dr . Ke ith Cr oss: Physic ia n Co-Chair: Dr. Adalsteinn • Chr istine F itc he tt: Nurse Pra c titio ne r Brown * • Vale r ie Johnston: Me nta l He a lth a nd Addic tio n • Charlane Cluett * • Sue Ke lly: Co mmunity a nd Ho me Ca re • Gar y F r oude * • John Klinc k: Munic ipa l – Distric t • David Mathie s, MD* • Colle e n Nisbe t: Pub lic He a lth • Philip Matthe ws* • L ynn Shar e r / She lly Van de n • Sve n Miglin* He uve l (sha re d a ppo intme nt): Prima ry • L ar r y Saunde r s* Ca re T e a ms • • Gr aydon Smith: Munic ipa l – So uth John Sisson* Are a • Executive • Ric k Williams: L o ng T e rm Ca re a nd Committee Members So c ia l Se rvic e s

• Dr. She e na Bra nig a n Pr imar y Car e L e ade r ship • Dr. Ca ro line Co rre ia • Dr. K e ith Cro ss • Christine F itc he tt, NP • Dr. K riste n Je we ll • L e a nna L e fe b vre , NP • Dr. Da vid Ma thie s • Dr. Je nnife r Ma c Milla n • Dr. Je ssic a Re id • Dr. Gre g Ste wa rt

What is the Vision? Cost of not acting now is too great for safety of citizens accessing health care services within Muskoka and Area Transformation Present Future Changes / State State Improvements By 2017  Will have designed a model and implementation plan to transition to an improved health care system in Muskoka By 2018  Will have an integrated governance structure in place

Mar c h 31, 2017 De live r able s • A re po rt to the NSM L HIN de sc rib ing : – A r e c o mme nde d fr ame wo r k / de sign fo r matio n fo r Musko ka he alth syste m tr ansfo r a nd Are a inc luding a se t o f pr e liminar y e c o mme ndatio ns fo r lo c a l he a lth syste m r c ha ng e – A dr aft imple me ntatio n plan to suppo rt a c hie ving the fra me wo rk / de sig n – A dr aft ne w go ve r nanc e str uc tur e plan – A pr e maining a nd o gr e ss r e po r t o n tasks r pro je c te d time fra me to c o mple te pro je c t

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n BUIL DING ON WHAT T HE COMMUNIT Y SAID…

Muskoka He alth L inks ngage me nt 2013- 14 Community E WE ST ART E D A CONVE RSAT I ON…

NSM SGS E ngage me nt 2014 – E ng a g e me nt se ssio n to info rm re g io na l vic e s pro g ra m Spe c ialize d Ge r iatr ic Se r pla nning in – F o c us Gro ups a c ro ss No rth Simc o e Musko ka • Pa tie nts a nd Ca re g ive rs • Pro vide rs

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n PROGRE SS T O DAT E

Dime nsions of a Qua lity He a lth Syste m Be tte r He alth for Population Be tte r Car e for Pe r son Be tte r Be tte r Value for E xpe r ie nc e Syste m for Pr ovide r s

Our Pr oc e ss to Date Ste p Ac tion able De live r 1 Ge ne ra l Da ta Colle c tion Ke y Issue s le me nts De sig n E 2 a rg e te d Da ta Colle c tion T De ta ile d F inding s Hypothe sis Se tting 3 Ana lysis Org a niza tiona l Asse ssme nt Curre nt Sta te Ana lysis 4 Ide ntific a tion of T he Vision T ra nsforma tiona l Cha ng e s uture Sta te De sig ning F Re quire d 5 Ac tion Pla nning ra nsforma tiona l Pla n T he T

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n ST E P 1 – GE NE RAL DAT A COL L E CT ION S MAHST DE SIGN PRINCIPL E

MAHST – Ke y De sign E le me nts Gove r nanc e & Str ate gy De live r y of Car e • I nte g ra te d g o ve rna nc e • Ca re Na vig a to rs (pe rso n-c e ntre d • Stro ng link b e twe e n he a lth a nd c a re ) so c ia l se rvic e s in pla nning • Wa y-finding a nd tria g e fo r pa tie nts • I nte g ra te d a dministra tive struc ture a nd pro vide rs • Org a niza tio na l de sig n tha t re ta ins • E ffe c tive lo c a tio n o f urg e nt a nd a nd re dire c ts funding within Musko ka e me rg e nc y c a re se rvic e s with fo c us • Qua lity a nd Va lue me a sure me nt o n q ua lity a nd ma na g e me nt • Quic k a nd e ffe c tive prima ry-c a re • Sta nda rds fo r sa fe , hig h q ua lity a nd b a se d ma na g e me nt o f c a re susta ina b le Ca re tra je c to ry • Stro ng c o mmunity e ng a g e me nt in • I T Po rta l to E mpo we r Se lf- syste m pla nning a nd susta ina b ility Ma na g e me nt • • Stro ng c linic a l g o ve rna nc e a nd Re duc tio n o f Wa ste a nd Duplic a tio n pro vide r e ng a g e me nt in syste m (at lo we r le ve l o n the c are de live ry ma na g e me nt side • I nfo rma tio n T e c hno lo g y I nte g ra te d a c ro ss Syste m • E nha nc e F uture Vita lity o f Musko ka Ge ne r ate d by MAHST Exe c utive Co mmitte e

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n ST E P 2 – T ARGE T E D DAT A COL L E CT ION HYPOT HE SIS SE T T ING & PROBL E M ION IDE NT IF ICAT

Our Wor kstr e ams Ide alize d Re de sign Wor Gove r nanc e & F unding Pr ogr ams & Se r vic e s •Cre a te the ne w ma na g e me nt struc ture s •De sig n F uture Sta te Mo de l o f Ca re (g o ve rna nc e & a dministra tio n) (Wha t it lo o ks like – siting / sizing ) •E sta b lish struc ture s & re c o mme nda tio ns •De ve lo p the re c o mme nde d De live ry o f fo r inte g ra tio ns o f b a c k o ffic e & Ca re Me c ha nisms (ho w it’ ll o pe ra te – func tio na l suppo rts, syste m c o o rdina tio n, a c c e ss, c o nsiste nc y, pe rfo rma nc e , HR, funding mo de ls, c a pa c ity, e duc a tio n) c o rpo ra te struc ture , e tc . kshop Infor mation Manage me nt & T e c hnology Stake holde r Re lations

Cluste ring Up of Proble m Sta te me nt Are a s Ranking Pr oble ms Ar e as Or de r 1 Coor dination 2 Ac c e ss 3 Gove r nanc e 4 duc ation (pub lic , individua ls, c a re g ive rs & pro vide rs) E 5 Capac ity 6 e c hnology (c o mmunic a tio n) Infor mation Manage me nt & T 7 Consiste nc y 7 F unding

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n ST E P 3 – ANAL YSIS CURRE NT ST AT E

How ar e things wor king?

CURRE NT ST AT E T O F UT URE ST AT E • o m a dise a se a nd ho spita l c e ntric syste m Mo ving fr • o a pe rso n-c e ntre d a nd prima ry c a re c e ntric T syste m

Inve ntory of Curre nt Sta te – Prog ra ms & Se rvic e s