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North Zone Seniors Heath Northern Health Summit, Peace River June 17, 2016 Presented by: Robyn Maddox Executive Director, Seniors Health, North Zone, Alberta Health Services Outline 1. Capacity Planning for Continuing Care options 2.


  1. North Zone Seniors Heath Northern Health Summit, Peace River June 17, 2016 Presented by: Robyn Maddox Executive Director, Seniors Health, North Zone, Alberta Health Services

  2. Outline 1. Capacity Planning for Continuing Care options 2. Continuing Care placement process 3. Continuing Care Access service 4. Palliative Care program planning 2

  3. Continuing Care Capacity Planning • Fifth province-wide continuing care demand 1. Provincial Committee forecast / capacity planning Recommends Demand Forecast cycle Scenarios • 5. Capacity Plans 2. Executive Four key stakeholders: Inform Confirms Capital Plans the Scenario – Alberta Health Annual – Alberta Infrastructure Cycle – Alberta Seniors & Housing 4. Provincial 3. Zones Align – Alberta Health Services Committee Capacity Plans Reviews with Demand Summary Report Forecasts 3

  4. Scope of Continuing Care Capacity Planning • Core Continuing Care Sectors – Long-Term Care (LTC) – Supportive Living Level 4D (SL4D) – Supportive Living Level 4 (SL4) – Supportive Living Level 3 (SL3) – Long-Term Homecare (LTHC) • Stand-Alone Sectors (not currently included in this planning process) – Hospice – Short-Term Homecare (STHC) – Adult Day Program (ADP) 4

  5. Capacity Planning Step 1. Provincial Demand Forecast Scenarios • Forecast Drivers – Population growth – Population age mix – Disease leading to CC usage (expert panel) – Waitlist reduction (expert panel) – Utilization rate per adjusted capita (expert panel) – Desired mix of health services (expert panel) • Based on forecast drivers, forecast scenarios are created 5

  6. The Alberta Population 6 6

  7. The Alberta Demand in 20 years 7 7

  8. Capacity Planning Step 2. Executive Confirms Scenario • Forecast scenarios informed by forecast drivers are presented to the Steering Committee • The Steering Committee reviews and approves the forecast scenario • Forecasts are created based on the approved forecast scenario 8

  9. Capacity Planning Step 3 – Zone Validation • The demand forecast forms the basis of Zone capacity planning, however the math is only one part of the process – Demand forecasts at the sub-zone service area level need to be validated with front-line knowledge and experience • Capacity planning flows from validated demand forecasts at the sub-zone service area level • The final product of the validation process is the Continuing Care Capacity Needs Assessment binder 9

  10. Capacity Planning Step 4. Provincial Steering Committee Review • The CCCNA binder is tabled again at the Provincial Steering Committee • The Steering Committee reviews and approves the final binder 10

  11. Capacity Planning Step 5. Implementation • Based on these projections: – Capital priorities are determined – Priorities include potential Infrastructure projects, grant funded projects, Lodge Program projects, and other capital funding sources • Capacity changes are tracked on an ongoing basis on the Continuing Care Capacity Net New Dashboard • Capacity changes throughout the year feed into the next round of CCCNA planning 11

  12. Continuing Care Placement Provincially: • Alberta released the “Access to a Designated Living Option in Continuing Care” policy in 2015 – Client choice and person centredness are key priorities in the policy – Transparent and consistent process – Clients preferred choice can be anywhere in Alberta – Approval dates in one zone apply to other zones – Uses the RAI HC as the standard assessment tool in all zones – Increased movement of clients to their preferred choice 12

  13. Continuing Care Placement - continued In the North Zone: • North Zone created a centralized placement team in 2014 – Previously there were 3 separate teams, 3 separate policies, 3 separate processes – Increased access to services for clients – Strong advocacy for the zone on provincial committees – Consistent processes across the zone in delivering services – Creation of partnerships with other Zones – Emergency response improvement – Ability to learn from each other, and create program improvements – Ability to ensure clients are treated equally regardless of geography 13

  14. North Zone Continuing Care Access 1-855-371-4122 • North Zone staff provide information, navigation, access and intake into continuing care • 7 day per week staffed with RN’s • Inquiries for information or entry to the health system for home care, supportive living or long term care • Consistent assessment tool used when working with getting the client access to the services they need 14

  15. Palliative Care in the North • Program planning to develop a palliative care program to support clients across the zone • Key goals: – Allow clients the opportunities to make choices – Support service empowering front line care – Front line education will be a key feature • Model in development 15

  16. Questions 16

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