Page 1 of 2 Central East CCAC Board Agenda Date: Wednesday, May 11, 2016 Place: Central East CCAC, Whitby Branch, Durham Room Time: 6:30 p.m. Teleconference Line: 1 866 232 9443 Participant Passcode: 2578505# Agenda Item Action Required Presenter Attachments Policy Reference Information/ Monitoring Discussion/ Decision Making Approval/ Policy-Making 1. Introductory Items 1.1. Call to Order L. Lifchus 1.2. Confirmation of Quorum L. Lifchus 1.3. Approval of Meeting Agenda X X L. Lifchus 1.4. Declaration of Conflict L. Lifchus 2. Central East CCAC Transition update X K. Ramsay 3. Board Education/ Generative Discussion Vl-1 3.1. Patient Story X K. Ramsay 3.2. Personal Support, Adult Therapy and School Waitlist Trends X X X L. Burden 4. Minutes of Previous Meeting, Action Items and Business Arising 4.1. April 13, 2016 Board Meeting Minutes, In- Camera Minutes and Action Items X X L. Lifchus 5. Reports 5.1. CEO Report to the Board X X K. Ramsay 5.2. PQE Committee (draft Minutes) X Part III X N. Crow 5.3. Finance Committee Part IV X P. Connolly 5.4. Audit Committee Part IV X R. Morphew 5.5. Governance Committee Part V X G. Lounsbury 5.6. Report of the Chair Part V X L. Lifchus 5.7. OACCAC Report Vl-4 X L. Lifchus
51
Embed
Central East CCAC Board Agenda - healthcareathome.cahealthcareathome.ca/centraleast/en/who/2016_Agendas_Minutes/May-1… · Central East CCAC Board Agenda Date: Wednesday, ... Accessibility/safety
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1 of 2
Central East CCAC Board Agenda
Date: Wednesday, May 11, 2016 Place: Central East CCAC, Whitby Branch, Durham Room
Enhanced and Regular PSW Waitlistby MAPLe as of March 14, 2016
Central East CCAC
0
100
200
300
400
500
600
700
800
900
Low Mild Moderate High Very High
Number of Patients
MAPLe Scores
Enhanced and Regular Waitlist-MAPLe
Enhanced
Regular
Central East CCAC
Personal Support Hours and Cost
Waitlist March 2014 –February 2016
Central East CCAC
* September 1st-new Personal Support and Adult
Therapy Criteria initiated
0
500
1000
1500
2000
2500
PSW, OT, PT Waitlist March 2014 -February 2016
Occupational Therapy
Personal Support &Homemaking
Physiotherapy
Central East CCAC
Physiotherapy Visits and Cost
Central East CCAC
Occupational Therapy Visits and Cost
Central East CCAC
Patient Profiles by RAI Grouping
RAI Grouping Patient Profile
RAI 1-7 • Patient may have 1 or more health or chronic conditions.
• Patient is capable of living independently and has a stable support network.
• Focus is on increasing independence.
• Patient will be linked to community resources and support agencies such as Meals on Wheels, Transportation, Adult Day Programs, Friendly Visitors
• Delay in PSW initiation- Low Risk
Case Scenarios- Community Independence
• 67 year old male admitted to hospital diagnosed with stroke
• Right side weakness and requires assist x 1 for transfers and all ADLs
• Lives with spouse and adult children who are able to provide supervision and support for patient
• Requires use of wheelchair for independent mobility as well as bed rail for home
• Patient has made good gains in rehab however continues to have some cognitive deficits and will need daily support with all ADLs and IADLs
• Patient and family are cautiously optimistic that with continued therapy and support at home, patient will regain most of his independence
Central East CCAC
Patient Profiles by RAI Grouping
RAI Grouping Patient Profile
RAI 8-12 • Patient has 1 or more health or chronic conditions and may have complicating factors.
• Direct care needs are stable or can achieve stability with support network.
• Requires assistance with IADLs/ADLs to keep patient at home.
• Focus of intervention is to help patient manage at home and prevent further decline.
• Patient will be linked with community resources and support agencies.
• Delay in PSW initiation- at some risk for increased deterioration.
Central East CCAC
Patient Profiles by RAI Grouping
RAI Grouping Patient Profile
RAI 13-15 • Patient is similar to previous profile- 1 or more healthor chronic conditions with possibility of complications.
• Decreased ability to access the community and more reliance on care providers for IADLs and ADLs.
• Delay in PSW initiation- higher Risk of decline and inability to remain at home, especially if not intact cognitively and/or behaviours exist.
Case Scenarios- Chronic• 80 year old with dementia, history of depression and anxiety
• Lives with family (spouse, son, DIL, 2 grandchildren - grandson has medical needs that put more strain on son and DIL)
• DIL is primary caregiver and is assisting in showers, hair washing/brushing, toileting, incontinence BID
• Patient is able to manage basic hygiene family manages all IADLs, spouse provides meds –includes antipsychotic med d/t psychotic episode 2011
• Ambulates without aids indoors, mobility is slow and balance unreliable, one person assist when out – refuses cane
• Generally cooperative, occasionally resistive to changing clothes
• Recent increase in confusion, loss of interest, sleeps/lays down all day
• Had fall in washroom 1 month ago, sustained backache
• Family declined LTC application at this time
• Spouse is elderly but is able to assist/supervise when family are at work
• Requires OT and PSW
Central East CCAC
Patient Profiles by RAI Grouping
RAI Grouping Patient Profile
RAI 16+ • Patient has 1 or more health or chronic conditions with complicating factors.
• Direct care needs are not stable and unpredictable.
• Support network may not be sufficient.
• Will require an array of services and coordination to manage care and to remain at home.
• Delay in PSW initiation- at High Risk for further decline and inability to remain at home safely.
Case Scenarios- Complex
• 90 year old patient who lives with spouse who also has multiple care needs in basement of son’s home
• Diagnoses of dementia, diabetes, renal insufficiency, hypertension, asthma
• Total dependence for all Activities of Daily Living and Instrumental Activities of Daily Living
• Total Assistance required for locomotion
• Severe cognitive issues including memory loss and behaviours
• Incapable of making own personal care decisions
• Resists care
• English is not first language
• Son will not provide support as per cultural beliefs
• Two daughters assist both parents with care but are feeling burnout
• Currently not interested in LTC as per cultural beliefs
• Receiving PSW and OT from CCAC
Personal Support/Adult Therapy Waitlist Guidelines- Snapshot
Central East CCAC
Waitlist Activities Personal Support
July 2014
Communication to Care Coordinators regarding providing Personal Support Services to patients with a RAI score of 16+ and Very High MAPLe.
September 2015
New Waitlist Criteria implemented for Personal Support Services including moving the RAI score to 17+ and Very High MAPLe for patients to receive service in order to optimize resources- allowing for the CECCAC to continue providing service to the most at risk and vulnerable patients.
Refresh of the scores and algorithms available in the RAI suite of tools and the Client Care Model populations to guide waitlisting activities
Reminder to all Care Coordinators of the Patient Contact Guidelines and Reassessment Guidelines for patients that are waiting for service
Central East CCAC
Waitlist Activities Adult Therapy
September 2015- initiation of new Waitlist Criteria for Adult Therapy-Physiotherapy, Occupational Therapy, Speech Language Therapy, Social Work, Nutrition
Refresh of the eligibility guidelines for CCAC services to all staff including the definition of “access the community”
Use of the scores and algorithms available in the RAI suite of tools to create waitlist criteria and to ensure that high care needs patients are receiving services
Central East CCAC
SSHS Waitlist March 2014 – February 2016
Central East CCAC
0
500
1000
1500
2000
2500
3000
3500
31
-Mar
-20
14
30
-Ap
r-2
01
4
31
-May
-20
14
30
-Ju
n-2
01
4
31
-Ju
l-2
01
4
31
-Au
g-2
01
4
30
-Se
p-2
01
4
31
-Oct
-20
14
30
-No
v-2
01
4
31
-De
c-2
01
4
31
-Jan
-20
15
28
-Fe
b-2
01
5
31
-Mar
-20
15
31
-May
-20
15
30
-Ju
n-2
01
5
31
-Ju
l-2
01
5
31
-Au
g-2
01
5
30
-Se
p-2
01
5
31
-Oct
-20
15
30
-No
v-2
01
5
31
-De
c-2
01
5
31
-Jan
-20
16
29
-Fe
b-2
01
6
Number of Students
Date
SHSS Waitlist March 2014 to February 2016
Occupational Therapy
Physiotherapy
Speech/Language Pathology
SSHS Waitlist
Occupational Therapy had 2026 students taken off the waitlist between April 1, 2014 and March 31, 2015.
On average those students were on the waitlist for 423 days.
Speech Language Therapy had 2127 students taken off the waitlist between April 1, 2014 and March 31, 2015.
On average those students were on the waitlist for 762 days.
Central East CCAC
SSHS Waitlist- Occupational Therapy
Priority of service for Occupational Therapy is determined by the students ability to safely access the school curriculum.
Short Term/Acute (Very High):
A specific functional problem requiring focused, short term intervention
Accessibility/safety within the school i.e. seating/ positioning, adaptations, classroom/bathroom renovations, ramping, modifications to work station, etc.
Complex (High):
Experiencing difficulties with communication and/or technology, Sensory Processing and performance of Self Care/ADL skills; may accompany Fine Motor deficits
Have a highly changeable health status and unpredictable outcome
Noticeable Progressive decline in functioning
Cannot participate in classroom or home routines
Decreased organization skills & motor planning
Oral motor/feeding/diet concerns
Change in school support
Central East CCAC
SSHS Waitlist –Occupational Therapy continued
Chronic (High):
Experiencing difficulties with communication and/or technology, Sensory Processing and performance of Self Care Activities/ADL skills; may accompany Fine Motor deficits
Ongoing equipment to maintain function
Intermittent difficulties associated with growth
Modification to school/classroom
Change in school support
Fine Motor (Moderate to Low):
Written productivity issues
Fine motor delays associated with weak written communication skills, poor classroom productivity
May require equipment to optimize function
Unable to keep up with peers despite normal intelligence
Central East CCAC
SSHS Waitlist –Speech Language Therapy
Service priority for articulation, motor speech disorders/dyspraxia, fluency, voice and/or complex language disorders is determined by the degree of impact on the following components of speech:
Intelligibility
Stimulability
Muscle weakness/coordination of muscles
Interruption in smooth easy flow of speech
Abnormalities in pitch/tone, quality or resonance
Physical, cognitive or neurological impairments which contribute toward a reduced rate of progress
Central East CCAC
Next Steps
CECCAC will continue to monitor and balance the demand for services with financial resources
The focus of service provision will remain on those patients that are most complex and vulnerable
Continue to monitor spend at weekly OBRAM meetings and adjust OBRAM allocations accordingly
Central East CCAC
Central East CCAC Board Meeting – April 13, 2016 Page 1 of 6
CENTRAL EAST COMMUNITY CARE ACCESS CENTRE
BOARD MEETING
MINUTES
Date: April 13, 2016
Time: 6:30 pm
Present: Len Lifchus (Chair), Kathryn Ramsay (CEO), Gary Lounsbury,
Carmen Rapati, Patrick Connolly, Michelle Rawnsley, Susan Donaldson, Glenn Rogers, and Andy Williams
Teleconference: Nicola Crow
Regrets: Sylvia Patterson, Rick Morphew and Derrick McLennon
Guests: Lisa Burden, Michelle Nurse, David Stringer and Meera Balasubramaniam
Recorder: Robin Russell
1.0 Introductory Items
1.1 Call to Order
The meeting to order at 6:34p.m.
The Chair welcomed Kathy Ramsay to her first meeting as CEO,
congratulated board member Carmen Rapati (nee Nisbet) on her recent
marriage and introduced Meera Balasubramaniam, a University of
Toronto Masters Student currently interning with the Central East CCAC.
1.2 Quorum
A quorum was present
Central East CCAC Board Meeting – April 13, 2016 Page 2 of 6
1.3 Approval of Meeting Agenda
MOTION: TO APPROVE THE AGENDA OF APRIL 13, 2016, WITH
THE ADDITION OF AGENDA ITEM 8 - IN-CAMERA
SESSION.
MOVED: Glenn Rogers
SECOND: Susan Donaldson CARRIED
1.4 Declaration of Conflict (Policy Reference V-A-3)
No conflicts were declared.
2.0 Central East CCAC Transition Update
Senior Team members led a discussion regarding the ongoing transition of the
CCACs, as per the Patients First discussion paper. It was noted that Deputy
Minister of Health, Dr. Bob Bell and Associate Deputy Minister Nancy Naylor
met with the CCAC CEOs to provide an update on the CCAC transition. CEOs
were advised that work is underway on the required legislation and that the
Ministry of Health and Long-Term Care anticipates a first reading of the
amended legislation during the spring 2016 session.
It was noted that correspondence was received from Minister of Health Dr. Eric
Hoskins, in follow up to correspondence from Deputy Minister Dr. Bob Bell,
regarding CCAC compensation and benefit provisions. It was noted that the
Central East CCAC is in compliance.
3.0 Board Education / Generative Discussion
3.1 OACCAC Governance
It was advised that the Board of the OACACC was considering its
governance options as a result of the Patients First: A Proposal to
Strengthen Patient-Centred Health Care in Ontario discussion paper
4.0 Minutes of Previous Meeting, Action Items and Business Arising
4.1 March 9, 2016 Board Meeting Minutes and Action Items
The Minutes and Action items for the March 9, 2016 Board Meeting were
reviewed with no changes noted.
Central East CCAC Board Meeting – April 13, 2016 Page 3 of 6
MOTION: TO APPROVE THE MARCH 9, 2016 BOARD MEETING
MINUTES AND ACTION ITEMS
MOVED: Andy Williams
SECOND: Patrick Connolly CARRIED
5.0 Reports
5.1 CEO Report to the Board
The April, 2016 CEO Report to the Board was presented, as circulated.
It was noted that the annual Public Salary Disclosure list had been
published. Board members were advised that the Central East CCAC
increase from 2014 reflected the labour disruption experience in
February, 2015, as well as an extra pay period in 2015.
Board members were apprised that the Ontario Auditor’s Report
recommendations were being addressed by the sector through the
OACCAC and it was noted that work was underway. The audited CCACs
as well as the OACCAC has been requested to present to Public Accounts
on May 11, 2016 It was noted that the CECCAC would continue to move
forward locally and provincially to meet the deadlines.
Board members requested clarification on the report on Nurse
Practitioners Supporting Teams and Averting Transfers (NPSTAT) and
requested clarification on how the “days saved” metric is quantified.
ACTION: L. Burden to provide Robin Russell with the formula
used to quantifying days saved, to be sent to Board
Members as information.
Board member acknowledged the great work on falls prevention
program.
5.2 PQE Committee
The PQE Committee minutes were presented, as circulated. It was
noted that a presentation on Personal Support, Adult Therapy and
School waitlists was provided at the April Committee meeting. The
presentation, which addressed the challenges of growth in waitlist,
complexity and need, will be provided to the Board at the May Board
meeting
Central East CCAC Board Meeting – April 13, 2016 Page 4 of 6
It was noted that the most recent Patient Caregiver evaluations results
were reviewed and the Central East CCAC is on par with provincial
average. It was noted that this data is delayed six (6) months and
processes are put in place to improve metrics before results are
received.
5.3 Finance Committee
The Finance Committee Minutes were presented, as circulated, and it
was noted that as of the most recent Committee meeting there was a
projected budget deficit but that the Committee was optimistic that the
budget would balance as numbers were finalized. It was noted that the
salary line had been finalized and a savings of $900,000 was realized
due to a hiring freeze in non-patient services and management,
increased vacation day utilization and consistent allotment of contracted
services such as Health Links to the correct budget line. It was further
noted that the majority of lease renewals have been completed.
5.4 Audit Committee
It was advised that the Auditors for the Central East CCAC will begin the
annual audit on May 9, 2016. The Audit Committee will convene a special
meeting in advance of the PQE Committee meeting on May 11, 2016 to
review the draft audited statements.
5.5 Governance Committee
It was noted that the Nomination Committee had spoken with all eligible
Board Members and advised that all agreed to continue their service
with the Board during the transition period. It was noted that that the
Governance Committee next meets May 11, 2016.
5.6 Report of the Chair
Board members were reminded of the special joint meeting to be held
with the LHIN Board of Directors at the CCAC Whitby Branch on May 25,
2016. It was noted that Senior Team and the Central East CCAC CEO
will provide the LHIN Board with a CCAC overview.
ACTION: R. Russell to send invitations to Board Members once
details are finalized
Central East CCAC Board Meeting – April 13, 2016 Page 5 of 6
It was advised that CEO succession plan has been completed for 2016-
2017. (Policy Reference II-7)
It was noted that the annual board surveys, Board Member Self-
Evaluations and Committee Evaluations have been completed and the
Governance Committee will review the results in the coming month.
(Policy Reference V-B-8)
ACTION: R. Russell to send Board members details on how to
complete surveys not yet submitted
It was noted that the Board Chairs Council met on April 4, 2016 and L.
Lifchus agreed to sit on a committee for the OACCAC Conference for
LHIN Board members attending the OACCAC Conference. It was also
noted that G. Lounsbury would be attending the Governance Advisory
Council’s Governors’ Forum on behalf of the Board.
5.7 OACCAC Report
No report.
It was decided that the OACCAC Report would be removed as a standing
agenda item, as the Central East CCAC no longer has a representative
on the OACCAC Board.
MOTION: TO ACCEPT REPORTS FOR ITEMS 5.1-5.7, AS
INFORMATION
MOVED: Patrick Connolly
SECOND: Michelle Rawnsley CARRIED
6.0 New Business
No new business
7.0 Correspondence
It was noted that the Board Chair was copied on a letter sent from the
Township of Scugog to the Minister of Health, in response to the Patient
First discussion paper, requesting inclusion in the consultation process.
Central East CCAC Board Meeting – April 13, 2016 Page 6 of 6
8.0 In Camera
MOTION: TO MOVE OUT OF THE REGULAR BOARD MEETING AND IN
TO THE IN CAMERA PORTION OF THE MEETING (PER
POLICY V-B-7 FOR MATTERS RELATED TO PERSONNEL) AT
7:15 P.M.
MOVED: Susan Donaldson
SECOND: Michelle Rawnsley CARRIED
MOTION: TO MOVE OUT OF IN CAMERA AT 7:48 PM
MOVED: Carmen Rapati
SECOND: Nicola Crow CARRIED
MOVE OUT OF IN CAMERA
9.0 Report of Actions taken In-Camera
Board Members moved to support the OACCAC Membership Agreement and
By-law proposal.
ACTION: Robin Russell to send Board Members information on process for
candidate nomination for the OACCAC Board.
10.0 Adjournment of meeting
MOTION: TO ADJOURN MEETING AT 8:20 P.M.
MOVED: Glen Rogers CARRIED
Len Lifchus, Chair Date
ACTION ITEMS FROM
APRIL 11, 2016
BOARD MEETING
Action Item
Responsibility Time Line Status
1. L. Burden to provide Robin Russell with
the formula used to quantifying days saved, to be sent to Board Members as information.
L. Burden /
R. Russell May 11, 2016 Complete
2. R. Russell to send invitations to Board
Members for May 25, 2016 meeting with
Central East LHIN Board once details are
finalized
R. Russell May 25, 2016
Complete
(location to be confirmed)
3. R. Russell to send Board members details
on how to complete surveys not yet submitted
R. Russell May 11, 2016 Complete
4. Robin Russell to send Board Members
information on process for candidate nomination for the OACCAC Board.
R. Russell May 11, 2016 Complete
May 2016 Page 1 of 13
The Central East CCAC
CEO Report to the Board May, 2016
Outstanding Care Partner
Engage with clients, caregivers and partners to coordinate quality home and community care that promotes safe independence, drives optimal health outcomes and delivers a positive experience.
School Health Support Services – Special Equipment Pilot
Upon review of the Occupational Therapy Waitlist for School Health Support services, it was
identified that a number of students who will be transitioning to high school in September
require an assessment for technology support, i.e. laptop/iPad. Students requiring technology
support in the school setting require an application to be submitted to the school board Special
Equipment Amount (SEA) department, accompanied by a letter of recommendation for the
equipment from an Occupational Therapist. These children are normally ranked low in priority
as their needs fall under fine motor skills, which are considered low risk from a functional
perspective however delaying access to technological equipment results in an increased risk
due to their inability to fully participate in learning activities where technology would be
otherwise utilized.
As part of a trial process developed with our Service Provider and School Boards, a total of
additional 66 students throughout the Central East CCAC were removed from the Occupational
Therapist (OT) waitlist in April, 2016. It is important to note that the funding for this has been
allocated from the existing School Health visits volume allocation.
The Occupational Therapist will determine the technology need and provide a recommendation
letter for the equipment as required by the school boards to ensure that these students will be
equipped with the necessary technology support required to assist them to be successful at
school. Two OT visits per student were authorized. Deadlines for SEA applications vary in the
Durham, Kawartha Pine Ridge, Peterborough Victoria Northumberland Clarington and Toronto
school boards; however, by the end of the current school year, each student will be assessed
by an OT and a recommendation letter for the equipment will be provided to the school for each
student.
Outstanding Care Partner Outstanding System Partner Outstanding Place to Work
Strategic Goals
Optimize Health Outcomes ☒ Balance Our Budget
☐ Develop Our People ☐
Provide Comprehensive System Navigation
☐ Collaborate with our
Community Partners Services
☐ Provide Healthy Safe
Workplaces
☐
Design Patient-Centric Programs
☒ Deliver High Value, Outcome-
based Care
☒ Support Flexible Work
Environments
☐
Promote Safe Independence ☐ Expand Partnerships
☐ Be an Innovative Learning Organization
☐ Ensure Quality and Safety
☐ Enable Service Excellence ☐
May 2016 Page 2 of 13
Wound Care Committee Update: Total Contact Casting
The Central East CCAC Wound Care Committee (WCC) consists of Program Directors, Senior
Managers, Operations Managers and Care Coordinators from Patient Services, as well as
representatives from the Contracts Team and Nursing Service Provider Partners. The mandate
of the Committee is to review wound care best practices and to implement quality
improvements to achieve best practice.
Over the past year, the WCC has been reviewing the implementation and sustainability of the
organization’s wound care pathways, monitoring their effectiveness and assessing the need for
improvement. In support of continuous improvement, representatives from the committee
attended a two-day conference on October 28, 2015 in Toronto hosted by the Canadian
Association of Wound Care. Total Contact Casting was presented at this conference and
promises to be a remarkable and effective method of wound care for treating diabetic foot
ulcers.
Following the Canadian Association of Wound Care Conference, the WCC invited a wound care
specialist to review the treatment of diabetic foot ulcers using the product Total Contact Casting.
This expert noted that Total Contact Casting causes remarkable wound healing, decreased
nursing visits and most importantly improved quality of life for individuals who have dealt with
poor healing diabetic ulcers for up to 4 years.
In February 2016, Care Partners, one of our Nursing Provider Partners, was provided with
complimentary Total Contact Casting products from BSN medical. Three long-term Central East
CCAC patients with diabetic foot ulcers were selected. After only 8 weeks utilizing Total Contact
Casting, remarkable healing was observed, and additionally resulted in one of these patients
being discharged.
The cost analysis indicated that the predicted total cost savings per patient utilizing the Total
Contact Casting is $1701.11 vs. our current wound care approaches. Notably, the savings is
realized entirely by the reduction in length of stay and nursing visits, which dramatically
decreased from over 120 days to 56 days. This is the desired outcome for both the patient and
the Central East CCAC.
Over the next few weeks, processes will be developed with an anticipated GO Live date of June
30, 2016.
Outstanding Care Partner Outstanding System Partner Outstanding Place to Work
Strategic Goals
Optimize Health Outcomes ☒ Balance Our Budget
☐ Develop Our People ☐
Provide Comprehensive System Navigation
☐ Collaborate with our
Community Partners Services
☐ Provide Healthy Safe
Workplaces
☐
Design Patient-Centric Programs
☐ Deliver High Value, Outcome-
based Care
☒ Support Flexible Work
Environments
☐
Promote Safe Independence ☒ Expand Partnerships
☐ Be an Innovative Learning Organization
☒ Ensure Quality and Safety
☒ Enable Service Excellence ☐
May 2016 Page 3 of 13
Outstanding System Partner
Actively contribute to an integrated and sustainable health system by expanding partnerships,
embracing leading practices and innovation and achieving value for money.
Central East LHIN Self-Management Program
The Self-Management Program currently receives its funding through the Central East LHIN and
the Ministry of Health and Long Term Care (MOHTLC) as part of the Ontario Diabetes Strategy.
The MOHLTC recently announced that it will be divesting the 14 Self-Management Programs
from the MOHLTC and transitioning them to their respective LHIN, by July 1, 2016. The Ministry
has been transitioning Diabetes programs to the LHIN since 2013, starting with the Diabetes
Education Programs. In addition to the Self-Management Program, the Centres for Complex
Diabetes Care (CCDC) will also be divested. The MOHLTC has confirmed that programming will
not be interrupted during this transition.
In Central East, the Central East LHIN Self-Management Program has a unique leadership role
as the coordinator of health care provider training programs, and also acts as the transfer
payment agency for the MOHLTC funding of these programs for the 13 Self-Management
programs. Work will be underway to determine next steps for this component of the program.
This year the program is offering a new program, Powerful Tools for Caregivers, specifically
designed for caregivers. It is being offered as a pilot project using existing program funds from
the LHIN budget and will consist of six Powerful Tools for Caregivers workshops throughout the
region this fiscal year. Two staff and two volunteers travelled to the United States at the end
of March to receive the training and the Central East LHIN Self-Management program will be
the first organization to offer this program in Ontario. Workshops are six weeks in length for
1. 5 hours each week, and are focused on how to help support caregivers’ health with a focus
on providing self-care tools to reduce personal stress, enhance communication skills with health
care providers and family members, and make difficult caregiving decisions.
Outstanding Care Partner Outstanding System Partner Outstanding Place to Work
Strategic Goals
Optimize Health Outcomes ☒ Balance Our Budget
☐ Develop Our People ☒
Provide Comprehensive System Navigation
☐ Collaborate with our
Community Partners Services
☒ Provide Healthy Safe
Workplaces
☐
Design Patient-Centric Programs
☒ Deliver High Value, Outcome-
based Care
☐ Support Flexible Work
Environments
☐
Promote Safe Independence ☐ Expand Partnerships
☒ Be an Innovative Learning Organization
☐ Ensure Quality and Safety
☒ Enable Service Excellence ☒
May 2016 Page 4 of 13
Finance Report
The Central East CCAC achieved a balanced position for the base portion of the 2015/16 budget.
The balanced position was not easily achieved. Growth in patient numbers and service volumes
in Q1/Q2 2015/16 required the implementation of mitigation strategies including a staff hiring
freeze, waitlists for adult therapy patients and updates to our service planning guidelines.
As illustrated in the table below we had considerable growth in our waitlists over the last fiscal
year as a result of our financial pressures. While waitlisted patients receive case management
support and referrals to other community supports where applicable, they typically have high
home care service needs which remain unmet creating risks for these patients and increased
caregiver burden. As we have communicated to you previously, we are most concerned with
the risk inherent in those patients on the enhanced personal support waitlist who currently have
CCAC services, but have been reassessed and need more service hours than they are currently
getting.
April 1/15 March 31/16 Estimate to
Eliminate Waitlist
Adult Therapy Services 0 247 $0.3M
Enhanced Personal Support 472 1,053 $4.1M
Personal Support 1,438 2,304 $18.1M
The Central East CCAC is continuing to see growth in patient numbers and demand for services
beyond our resources and we will continue with the mitigation strategies implemented in 2015
through the 2016/17 fiscal year to reach a balanced position again this year.
Outstanding Care Partner Outstanding System Partner Outstanding Place to Work
Strategic Goals
Optimize Health Outcomes ☒ Balance Our Budget
☒ Develop Our People ☐
Provide Comprehensive System Navigation
☐ Collaborate with our
Community Partners Services
☐ Provide Healthy Safe
Workplaces
☐
Design Patient-Centric Programs
☐ Deliver High Value, Outcome-
based Care
☐ Support Flexible Work
Environments
☐
Promote Safe Independence ☐ Expand Partnerships
☐ Be an Innovative Learning Organization
☐ Ensure Quality and Safety
☐ Enable Service Excellence ☐
May 2016 Page 5 of 13
Outstanding Place to Work
Build on the strengths, expertise and leadership capacity of our people and continuous quality improvement in a healthy, safe and energized workplace.
LEADS to Success Performance Development Program
In an effort to maximize the success of the LEADS to Success Performance Development
Program and improve our impact and the completion rate, Human Resources and Organizational
Development staff are now offering one-on-one support with our managers to help them be
successful in completing their performance assessments. The support has helped managers
identify and work through issues they have with the program and/or electronic system and to
provide support in their completion rate. This support has resulted in a 24% improvement in
the number of development plan assessments performed and a 13% increase in the number of
full performance assessments completed from January 2016 to the end of April 2016. This
quality improvement initiative has had a significant impact on not just the number of
assessments completed, but on the quality of the assessments and understanding the value of
the assessments.
Outstanding Care Partner Outstanding System Partner Outstanding Place to Work
Strategic Goals
Optimize Health Outcomes ☐ Balance Our Budget
☐ Develop Our People ☐
Provide Comprehensive System Navigation
☐ Collaborate with our
Community Partners Services
☐ Provide Healthy Safe
Workplaces
☐
Design Patient-Centric Programs
☐ Deliver High Value, Outcome-
based Care
☐ Support Flexible Work
Environments
☐
Promote Safe Independence ☐ Expand Partnerships
☐ Be an Innovative Learning Organization
☐ Ensure Quality and Safety
☐ Enable Service Excellence ☐
Central East CCAC 2015 Awards for Excellence Program
This year, the Central East CCAC Awards for Excellence Program received a total of 28
nominations in the categories of Leadership, Lesley Hanley Compassionate Care, Staff Team,
Individual, Citizenship and Systems Partnership. Congratulations to all of our nominees!
It gives us great pleasure to announce the Award recipients:
The Lesley Hanley Compassionate Care Award goes to Michael Devanathan, Care
Coordinator, Scarborough Branch. Michael always demonstrates a professional,
understanding and caring attitude with his patients, their families and his colleagues and has
made a remarkable difference in the lives of his patients and their families. He is compassionate,
patient, hard-working and demonstrates every day that his patients matter. He is respectful
and positive in his demeanor and is consistently ready to support his colleagues when his help
is requested.
May 2016 Page 6 of 13
The Leadership Award goes to Mandy Lee, Quality Improvement Facilitator, Health
Links, Whitby Branch. Mandy has demonstrated exceptional leadership growth since taking
on the facilitator role. She is continuously reaching out to the community, building capacity
with partners and ensuring that interactions are undertaken with care and in a collaborative
spirit. Mandy sparks innovation with the partners by encouraging them to develop creative
solutions to address complex health care issues centred around the patient and caregiver. She
leads multiple meetings per week with partners to facilitate collaboration between them and is
effectively building relationships. As a result, partnerships have been developed and partners
are now working better together to coordinate care for complex patients; partners are now
coming to meetings, sharing their data and attending Coordinated Care Conferences. Mandy
was also instrumental in the development of the Central East Health Links Coordinated Care
Planning Toolkit which is recognized provincially and has been shared with the other 81 Health
Links across Ontario. Mandy will be presenting at the OACCAC Conference 2016 on the Toolkit.
The Citizenship Award goes to Khosrow Yazdanhi, Physiotherapist, Peterborough
Branch. Khosrow has supported the immigration of Syrian families to Canada by providing an
apartment in his home for the use of a Syrian Refugee family of 6 with no monetary
compensation. As they do not speak any English, Khosrow has been using a phone app to assist
with communication. He has assisted the family in obtaining clothing, furniture, household
items, taken them to cultural and community events to show them what a great place Canada
is to live and introduced the family to tobogganing, swimming, and skating. Khosrow has put
the values of the CECCAC to work in his own life by taking the responsibility for helping to house
this family and provide them with more than just a place to live.
The Individual Award goes to Debbie Orr, Operations Manager, Peterborough Branch.
Debbie embodies the values of the CECCAC in her daily interactions with her staff, the
employees across the Peterborough branch, within the management team and in any interaction
with patients of our catchment area. Debbie has demonstrated a commitment to caring and
support of her team and shows respect and compassion to all employees.
The Staff Team Award goes to the Community Palliative Care Nurse Practitioner Team,