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

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

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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

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SLIDE 1

Project Update

February 25, 2017

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SLIDE 2

OUR ST ORY T O T ODAY…

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 3

The Health System in Muskoka…

  • 2013: Co lla b o ra tive

Pa rtne r Ste e ring Co mmitte e F

  • rme d
  • 2013- 14: Co mmunity
  • utre a c h, e ng a g e me nt

a nd input into Busine ss Pla n

  • E

ar ly 2014:

Imple me nta tio n c o mme nc e d with a ppro val b y MOHL T C a nd NSM L HIN

  • T

ar ge t: Be tte r c o o rdina te

c a re to me e t the ne e ds o f individua ls living with c o mple x a nd c hro nic c o nditio ns tha t re q uire hig he r vo lume s a nd c o sts

  • f c a re

Muskoka Community He a lth L ink

  • 2012- 13: Co mmunity o utre a c h,

e ng a g e me nt a nd insig ht to sha pe a “Ma de in Musko ka So lutio n”

  • 2013: L

inke d a nd pa rtne re d with He a lth L ink Busine ss Pla n sub missio n with fo rma tio n o f Musko ka He a lth Hub s Imple me nta tio n Co mmitte e

  • L

ate 2014: Appro va l re c e ive d b y

MOHL T C, 3 ye a r de mo nstra tio n

  • 2015: Imple me nta tio n a nd

Ope ra tio na liza tio n c o mme nc e d

  • T

ar ge t: E

nha nc e a nd e xpa nd a c c e ss to prima ry c a re , c o mmunity a nd so c ia l se rvic e s a c ro ss Musko ka , re a c hing mo re iso la te d a nd vulne ra ble po pula tio ns.

Muskoka Community He a lth Hubs

  • 2012 – 15: Pla nning ,

c o mmunity e ng a g e me nt,

  • utre a c h, & c o mple tio n o f

Ma ste r Pla n / Ma ste r Pro g ra m

  • Oc t. 2015: MAHC Pre -

Ca pita l Sub missio n e ndo rse d b y NSM L HIN

  • Nov. 2015: NSM L

HIN a ppro ve d e sta b lishme nt with first me e ting o f the MAHC Ca pita l Pla nning T a sk F

  • rc e
  • Nov. – May 2016: T

a sk F

  • rc e c o ntinue d to me e t

fo r purpo se o f de fining a c o mmo n future visio n fo r a c ute c a re se rvic e s

Muskoka Alg onquin He a lthc a re

2012 - 2016

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SLIDE 4

Reframing our Story…

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SLIDE 5

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

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SLIDE 6

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
  • versee a grassroots design process that engages

health, social services and community stakeholders across the continuum of care

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SLIDE 7
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SLIDE 8

MAHST General Council

  • Chair: Don Mitchell *
  • Special Advisor and

Co-Chair: Dr. Adalsteinn Brown *

  • Charlane Cluett *
  • Gar

y F r

  • ude *
  • David Mathie s, MD*
  • Philip Matthe ws*
  • Sve n Miglin*
  • L

ar r y Saunde r s*

  • John Sisson*
  • Executive

Committee Members

  • Rob Ale xande r

: Munic ipa l – No rth

Are a

  • Natalie Bube la: Ac ute Ca re
  • Dr

. Ke ith Cr

  • ss: Physic ia n
  • Chr

istine F itc he tt: Nurse Pra c titio ne r

  • Vale r

ie Johnston: Me nta l He a lth a nd

Addic tio n

  • Sue Ke lly: Co mmunity a nd Ho me Ca re
  • John Klinc k: Munic ipa l – Distric t
  • Colle e n Nisbe t: Pub lic He a lth
  • L

ynn Shar e r / She lly Van de n He uve l (sha re d a ppo intme nt): Prima ry

Ca re T e a ms

  • Gr

aydon Smith: Munic ipa l – So uth

Are a

  • Ric k Williams: L
  • ng T

e rm Ca re a nd So c ia l Se rvic e s

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SLIDE 9

Pr imar y Car e L e ade r ship

  • Dr. She e na Bra nig a n
  • 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
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SLIDE 10

What is the Vision?

Cost of not acting now is too great for safety of citizens accessing health care services within Muskoka and Area 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

Present State

Transformation Changes / Improvements

Future State

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SLIDE 11

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 he alth syste m tr ansfo r matio n fo r Musko ka

a nd Are a inc luding a se t o f pr

e liminar y r e c o mme ndatio ns fo r lo c a l he a lth syste m

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

  • gr

e ss r e po r t o n tasks r e maining a nd

pro je c te d time fra me to c o mple te pro je c t

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SLIDE 12
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SLIDE 13

BUIL DING ON WHAT T HE COMMUNIT Y SAID…

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 14

WE ST ART E D A CONVE RSAT I ON…

Muskoka He alth L inks Community E ngage me nt 2013- 14

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SLIDE 15

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

Spe c ialize d Ge r iatr ic Se r vic e s pro g ra m

pla nning in

– F

  • 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
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SLIDE 16
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SLIDE 17

PROGRE SS T O DAT E

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 18

Dime nsions of a Qua lity He a lth Syste m

Be tte r He alth for Population Be tte r Value for Syste m Be tte r Car e for Pe r son Be tte r E xpe r ie nc e for Pr

  • vide r

s

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SLIDE 19

Our Pr

  • c e ss to Date

Ste p Ac tion De live r able

1 Ge ne ra l Da ta Colle c tion Ke y Issue s De sig n E le me nts 2 T a rg e te d Da ta Colle c tion 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 ra nsforma tiona l Cha ng e s Re quire d T he Vision F uture Sta te De sig ning 5 Ac tion Pla nning T he T ra nsforma tiona l Pla n

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SLIDE 20

ST E P 1 – GE NE RAL DAT A COL L E CT ION MAHST DE SIGN PRINCIPL E S

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 21

MAHST – Ke y De sign E le me nts

Gove r nanc e & Str ate gy

  • I

nte g ra te d g o ve rna nc e

  • Stro ng link b e twe e n he a lth a nd

so c ia l se rvic e s in pla nning

  • I

nte g ra te d a dministra tive struc ture

  • Org a niza tio na l de sig n tha t re ta ins

a nd re dire c ts funding within Musko ka

  • Qua lity a nd Va lue me a sure me nt

a nd ma na g e me nt

  • Sta nda rds fo r sa fe , hig h q ua lity a nd

susta ina b le Ca re

  • Stro ng c o mmunity e ng a g e me nt in

syste m pla nning a nd susta ina b ility

  • Stro ng c linic a l g o ve rna nc e a nd

pro vide r e ng a g e me nt in syste m ma na g e me nt

  • 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

De live r y of Car e

  • Ca re Na vig a to rs (pe rso n-c e ntre d

c a re )

  • Wa y-finding a nd tria g e fo r pa tie nts

a nd pro vide rs

  • E

ffe c tive lo c a tio n o f urg e nt a nd e me rg e nc y c a re se rvic e s with fo c us

  • n q ua lity
  • Quic k a nd e ffe c tive prima ry-c a re

b a se d ma na g e me nt o f c a re tra je c to ry

  • I

T Po rta l to E mpo we r Se lf- Ma na g e me nt

  • Re duc tio n o f Wa ste a nd Duplic a tio n

(at lo we r le ve l o n the c are de live ry side

Ge ne r ate d by MAHST Exe c utive Co mmitte e

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SLIDE 22

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 IDE NT IF ICAT ION

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 23

Our Wor kstr e ams

Pr

  • gr

ams & Se r vic e s

  • De sig n F

uture Sta te Mo de l o f Ca re (Wha t it lo o ks like – siting / sizing )

  • De ve lo p the re c o mme nde d De live ry o f

Ca re Me c ha nisms (ho w it’ ll o pe ra te – c o o rdina tio n, a c c e ss, c o nsiste nc y, c a pa c ity, e duc a tio n)

Gove r nanc e & F unding

  • Cre a te the ne w ma na g e me nt struc ture s

(g o ve rna nc e & a dministra tio n)

  • E

sta b lish struc ture s & re c o mme nda tio ns fo r inte g ra tio ns o f b a c k o ffic e & func tio na l suppo rts, syste m pe rfo rma nc e , HR, funding mo de ls, c o rpo ra te struc ture , e tc .

Infor mation Manage me nt & T e c hnology Stake holde r Re lations Ide alize d Re de sign Wor kshop

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SLIDE 24

Cluste ring Up of Proble m Sta te me nt Are a s

Ranking Or de r Pr

  • ble ms Ar

e as

1

Coor dination

2

Ac c e ss

3

Gove r nanc e

4

E duc ation (pub lic , individua ls, c a re g ive rs & pro vide rs)

5

Capac ity

6

Infor mation Manage me nt & T e c hnology (c o mmunic a tio n)

7

Consiste nc y

7

F unding

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SLIDE 25

ST E P 3 – ANAL YSIS CURRE NT ST AT E

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 26

How ar e things wor king?

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SLIDE 27
  • Mo ving fr
  • m a dise a se a nd ho spita l c e ntric syste m
  • T
  • a pe rso n-c e ntre d a nd prima ry c a re c e ntric

syste m

CURRE NT ST AT E T O F UT URE ST AT E

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SLIDE 28
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SLIDE 29
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SLIDE 30

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

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ST E P 4 – IDE NT IF ICAT ION OF T RANSF ORMAT IONAL CHANGE S RE QUIRE D T HE VISION - F UT URE ST AT E DE SIGN

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 32

OUR CURRE NT ST AT E

Musko ka a nd Are a He a lth Syste m T ra nsfo rma tio n

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SLIDE 33

Mode l e xplor ation

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SLIDE 34

Ide as Disc ussion

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SLIDE 35

Our Unique ne ss…

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SLIDE 36

Br ainstor ming

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SLIDE 37

Ne w Mode l Ide as E volving

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SLIDE 38

Sta ke holde r & Community E ng a g e me nt

F e b Ma r Apr Ma y Jun

Pr e liminar y De sign Validation / F inal De sign

Public / Patie nt

Upda te s / me dia inte rvie ws

Pre vio us lo c a l e ng a g e me nt a c tivitie s (le ve ra g e input)

+ gaps ide ntifie d today

Pr

  • vide r

s

Wo rk stre a ms me mb e rs

Wo rksho ps (pre limina ry de sig ns)

Pre vio us lo c a l e ng a g e me nt a c tivitie s

+ gaps ide ntifie d today

Politic al

Are a a nd Distric t Co unc ils

Bo a rds

F

  • unda tio ns

Public / Patie nt

Upda te s / me dia inte rvie ws

Infor mation se ssions / sur ve ys for br

  • ade r

public

Patie nt & c ar e give r foc us gr

  • ups to

validate mode l

Pr

  • vide r

s

Wo rk stre a ms me mb e rs

Wo rksho ps (imple me ntation planning)

Pr

  • vide r

F

  • c us gr
  • ups to validate mode l

and imple me ntation planning

Politic al

Are a a nd Distric t Co unc ils

Bo a rds / F

  • unda tio ns

Re le vant Ministr ie s / Age nc ie s

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SLIDE 39

How Can You Help?

– E

ng a g e in the de sig n proc e ss by pa rtic ipa ting in Work Stre a ms a nd Workshops

– Sta y informe d:

www.muskoka .on.c a / MAHST

Thank You!