2016/17 Annual Business Plan Update

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1 2016/17 Annual Business Plan Update Central East LHIN Bard f Directrs December 21, 2016 Brian Laundry, Senir Directr System Design and Integratin, Central East LHIN

2 Agenda Backgrund Annual Business Plan (ABP) 2016/ /17 ABP and Integrated Health Service Plan (IHSP 4) Strategic Aims Direct Care Pririties Health System Enablers Priritizatin f Initiatives Bard Apprval Cnsideratins (April 2016) Review f ABP and Current Pririties Current State Dispsitin f Initiatives Significant New Initiatives Recmmendatins & Next Steps 2

3 Backgrund Annual Business Plan (ABP) 2016/17 The Annual Business Plan: is a Bard-apprved plan as required by the Lcal Health System Integratin Act (LHSIA); and peratinalizes the Central East LHIN s Integrated Health Service Plan (IHSP) by prviding detailed gals and bjectives fr implementing the IHSP ver a three year perid. 2016/17 ABP was apprved by the Central East LHIN Bard f Directrs and was submitted t the Ministry in April /17 ABP was psted as a public dcument in Octber

4 2016/17 ABP Implementing IHSP 4 4

5 IHSP 4: Strategic Aims Cntinue t supprt frail lder adults t live healthier at hme by spending 20,000 fewer days in hspital and reducing Alternate Level f Care days fr peple age 75+ by 20% by Cntinue t imprve the vascular health f peple t live healthier at hme by spending 6,000 fewer days in hspital and reducing hspital readmissins fr vascular cnditins by 11% by Cntinue t supprt peple t achieve an ptimal level f mental health and live healthier at hme by spending 15,000 fewer days in hspital and reducing repeat unscheduled emergency department visits fr reasns f mental health r addictins by 13% by Cntinue t supprt palliative patients t die at hme by chice and spend 15,000 fewer days in hspital by increasing the number f peple discharged hme with supprt by 17% by

6 IHSP 4: Direct Care Pririties As essential parts f the current lcal health care system, IHSP 4 identified Direct Care Pririties and assciated activities. Health Links and Primary Health Care Patient and Family Caregivers Hme and Cmmunity Care Supprted Living Envirnments Health Equity Diversity and Building Cultural Cmpetency Child and Family 6

7 IHSP 4: Health System Enablers Health System Enablers are identified that weave thrugh all strategies and actins, and will ultimately lead t achievement f the Central East LHIN verarching gal. Pursuing Quality and Safety thrugh Access and Transitin System Design and Integratin Enabling Technlgies and Integratin (Electrnic Health Infrmatin Management) Health System Funding Refrm 7

8 Priritizatin f Initiatives 119 initiatives priritized fr implementatin Size, scpe and resurce requirement was cnsidered in priritizatin prcess: Pririty Level Pririty Definitin Pririty fr Cntinued Actin necessary t supprt system transfrmatin and advance integrated systems f care. Secndary Fcus imprtant t system transfrmatin but culd be delayed r LHIN staff level f invlvement culd be decreased. Mnitr and Supprt culd be deferred, led by thers and has lwer impact n system transfrmatin. 46 (39%) Pririty 1 initiatives; 35 Pririty 2 (29%); 38 Pririty 3 (32%) 8

9 Bard Apprval Cnsideratins (April 2016) cnsideratin was als given t the ptential impact f Patients First: elements related t the prpsed health system transfrmatin are expected t require significant LHIN invlvement and human resurces. may require flexibility in the timing and implementatin f the initiatives utlined in the 2016/17 ABP. All Central East LHIN activities/initiatives identified in the 2016/17 ABP have been priritized accrdingly. 9

10 Review f ABP and Current Pririties Prcess t review: Detailed staff review: Estimated percent cmplete; Cnsidered new and emerging initiatives; and Recmmended a dispsitin f each initiative. Senir team cnsideratin f recmmendatins: a. What is cntinuing as part f the wrk plan, including new initiatives? b. What is better implemented after transitin (deferred activities)? c. What activities require further prject supprt t cntinue? d. What initiatives are best addressed within a LHIN renewal wrk stream? Percent cmplete (the degree t which 2016/17 targets have been cmpleted t date) All initiatives = 58.5% Pririty 1 = 61.4% 10

11 Number f Initiatives Current State Dispsitin f Initiatives (as f December 5, 2016) % 29.4% 31.9% 0 P1 % P2 % P3 % Ttal % Cntinuing - Wrkstream Cnsultant OR Prject Supprt Deferred Cntinuing Cmpleted SUB-TOTAL Pririty

12 Significant New Initiatives (Pririty 1) Hspital Integratins (Scarbrugh and Durham) Gvernance and Leadership Master Planning - Clinical Service Plan review BSO Expansin Ministry funding Residential Hspice Expansin (26 New) Ministry initiative Nurse Practitiners in LTCHs Ministry initiative LTC Hme Redevelpment LTC Hme Capacity Planning City f Trnt Central East LHIN Renewal Gvernance and Prject Management LHIN/CCAC integratin Sub-regin (i.e. planning and develpment, primary care, hme and cmmunity care) 12

13 Recmmendatins & Next Steps That the ABP update be received n the dispsitin f initiatives as utlined - including the implementatin f new initiatives. An update n ABP prgress will be prvided in the Annual Reprt (June 2017) 13

14 Mtin Be it reslved that the 2016/17 Annual Business Plan update be received fr infrmatin. 14

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