North Zone Seniors Heath Northern Health Summit, Peace River June - - PowerPoint PPT Presentation

Northern Health Summit, Peace River June 17, 2016

North Zone Seniors Heath

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

3

Continuing Care Capacity Planning

• Fifth province-wide

continuing care demand forecast / capacity planning cycle

• Four key stakeholders:

– Alberta Health – Alberta Infrastructure – Alberta Seniors & Housing – Alberta Health Services

• 1. Provincial

Committee Recommends Demand Forecast Scenarios

• 2. Executive

Confirms the Scenario

• 3. Zones Align

Capacity Plans with Demand Forecasts

• 4. Provincial

Committee Reviews Summary Report

• 5. Capacity Plans

Inform Capital Plans Annual Cycle

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)

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

6

The Alberta Population

6

7

The Alberta Demand in 20 years

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

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

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

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

• ther 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

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

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

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

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

16

Questions