Toronto Central LHIN Strategic Plan Driving system improvements to achieve better outcomes for people and communities 1 TC LHIN’s Progress TC LHIN Strategic Plan TC LHIN Progress We are here IHSP 1 Sizing the problem – Disease prevalence – Population profile – Provider and community perspectives on issues Driving Excellent Care for All / IHSP -2 changing system culture / driving system Aligning, integrating sustainability / services to improve access / optimizing internal initiating LHIN-level Excellent Care for All capacity initiatives / beginning culture shift / beginning to optimize internal capacity Time 2 Indicators Strategies Goal Who We Serve Aim TC LHIN Strategy 2011/12 - 2013/14 – At a Glance Drive sustainable system improvements to achieve better outcomes for people and communities Patient/Client/Caregiver The Health System People have more and easier access to services across the system; services are more efficient and sustainable Improve Access to and Efficiency of Services • ER/ALC • Mental Health and Addictions • Diabetes • Value and Affordability Indicators for Integrated Health Services Plan – 2 priorities Our People Organizational Capacity is Optimized • Senior Friendly Hospital • Resource Matching and Referral Every person receives quality care Drive Excellent Care for All Lead Provincial and Cross-LHIN System Improvement Indicators for TC LHINled provincial initiatives including: Our Communities Optimize Internal Capacity Indicators for: • • • • • Business Intelligence Knowledge management Business continuity Customer database LHIN Shared Services and LHIN Collaborative • Quality • Equity • System Capacity and Planning System and sector indicators for: • Quality • Equity • System Capacity 3 The Singular Goal of Excellent Care for All To re-orient the health care system around people and communities 4 Every person receives quality care Strategies Drive Excellent Care for All Quality • Engage communities to select indicators, by system and sector, and determine priorities and actions. Equity • Engage communities to set priorities, indicators and actions. System Planning and Capacity • Improve quality, equity and sustainability by: Indicators • driving system integration and efficiency • influencing health and community services integration and efficiency •# of HSPs adopt quality indicators •Reduction in % ALC days for long-stay •Reduce 30-day readmissions •Decreased hospital length of stays •% reduction in costs related integration 5 Quality – Initial Deliverables • Select Quality indicators consistent with Ontario Health Quality Council that TC LHIN can drive • Break down indicators by sector • Include indicators in accountability agreements • Drive implementation of key LHIN Quality initiatives • • i.e., Seniors Friendly Hospital Identify new high priority LHIN-level Quality initiatives and implement • Caregiver support? 6 Equity – Initial Deliverables • Establish Equity indicators for system, by sector • Include indicators and obligations in Accountability Agreements, starting with hospitals • Select priority Equity initiatives for TC LHIN and implement 7 Excellent Care for All - Draft High Level Development Plan Q1 Deliverables Excellent Care for All • Vent, MHA, rehab/CCC patients transitioned • Begin demonstrating impact of Integrated Care for Seniors project; create plan to incorporate Home Bound Primary Care for Frail Seniors Stakeholder engagement • Engage HSPs; health professionals; consumers via existing group to develop quality indicators, initiatives. • Equity expert forum and targeted engagement to select indicators and initiatives, plan engagement. • Broad and targeted consumer engagement to select/develop quality, equity indicators and priorities • HSP Leadership Forum to identify cross-sector process improvement priorities • Engage non-health sectors about process improvement, system capacity opportunities Q2 Deliverables Q3 Deliverables Excellent Care for All Excellent Care for All • Quality system and equity indicators selected • Hospital-specific equity indicator in H-SAA • Hospitals begin to implement Senior Friendly Hospital improvements • Implement models for all longstay ALC priorities • Implement quality and equity indicators • HSP process improvement initiatives and opportunities • Set sector specific quality and equity indicators • Hospital-specific equity indicator in H-SAAs • Begin implementation of new LHIN-level quality and equity initiatives Stakeholder engagement • Engage HSPs; health professionals; consumers via existing structures to confirm system-level quality indicators, implement plans for new system initiatives. • Engage non-health sectors on process improvement ; system capacity opportunities. • Broad and targeted consumer engagement on system -level quality and equity actions. Stakeholder engagement • Engage HSPs; health professionals; consumers to set sector-specific quality indicators • Engage HSPs regarding inclusion of quality indicators in accountability agreements • Engage non-health sectors on process improvement; system capacity opportunities. Q4 Deliverables Excellent Care for All • Quality indicators in 12/13 accountability agreements for all sectors Stakeholder engagement • HSP Leadership Forum to advance cross-sector process improvement priorities. • Engage HSPs regarding inclusion of quality indicators in accountability agreements. • Engage non-health sectors on process improvement ; system capacity opportunities. 8