Aging at Home Strategy - Year Two Call for Proposals - Update - posted April 2, 2009

AAHHealth care service providers from across the Central East LHIN submitted over 100 proposals in the fall of 2008, as part of the LHIN's "Aging at Home Strategy - Year Two Call for Proposals" process.  The proposals served as a signal to the LHIN of the many pressures in the system. They also brought to light the creativity and significant “everyday hero” efforts that many of providers make daily in contributing to a better experience for the people they serve. This is a goal shared by the board and staff of the LHIN.

During the Year Two process, the Provincial Government directed all LHINs to utilize their Year 2 Aging at Home funding to address the alternate level of care (ALC) issue in Ontario. For the Central East LHIN this meant that at least 50% of its Year 2 funding would be directed to initiatives that would have a direct impact on the ALC situation; a maximum of 35% on diverting people from emergency departments; and, 15% on ALC prevention related initiatives.   

Creativity emerged and the LHIN and its community partners took this challenge on with vigor and aligned this direction with the Central East LHIN’s ongoing Aging at Home priorities which include:

  • Community Support Services

  • Caregiver Supports and Well Being
  • Supportive Housing
  • Specialized Geriatric Services


The LHIN feels confident that the recommendations for funding based on the proposals received not only stay true to the spirit of the Call for Proposals (which was based on community engagement priorities), but will also contribute to reducing the LHIN’s overall percent ALC days. The Central East LHIN, in addition to the Aging at Home Strategy, is bringing several initiatives to bear on the ALC issue that form part of the overall ALC Strategy of the Central East LHIN.

For your information and reference, we have provided a summary of the CE LHIN Board of Directors approved proposals.  By clicking on the link below you will find the information categorized in two ways: by ALC Category (direct/diversion/prevention) and by LHIN priority area (community support services/caregiver supports/supportive housing/specialized geriatric services).

Please note that, as per every other LHIN in the province, the CE LHIN approved proposals have been forwarded to the Ministry of Health and Long-Term Care for its review process. The Ministry, in its stewardship capacity, must perform due diligence in being certain that there are no policy, regulatory and/or legislative implications related to the proposed service/programs.

The LHIN is expecting notification from the Ministry later in April 2009 as to which proposals are expected to move forward for implementation in 09/10. The LHIN will then be in contact with successful proponents. Funding for approved projects is expected to flow to agencies by July 2009.

Naturally, the next question on many people’s minds is “What is happening with Year 3 of the Strategy?” To date, this process is just being developed to ensure the best approach to this process from both the LHIN and the community’s perspectives. More details will follow in late spring.

Please contact Kate Reed, Senior Integration Consultant, Portfolio Lead for Seniors at or 905.427.5497 ext. 204, if you have any questions on the Year 2 Aging at Home allocations,

Central East LHIN Aging at Home priorities

Community Support Services - Project Charter

Year 2 Emphasis: Improving access to and the coordination and scheduling of transportation to social and medical appointments – including working with the providers of the 5 new Aging at Home vans in Central East (Community Care organizations in Haliburton, City of Kawartha Lakes, Peterborough, Northumberland and Durham Region).  This may be paid or volunteer driver services.

Caregiver Support and Well Being - Project Charter 

Year 2 Emphasis: Improving equity across the LHIN related to forms of relief and support for the caregiver such as In-Home Respite and Adult Day Programs.

Supportive Housing/Assisted Living - Project Charter

Year 2 Emphasis: Improving equity of access to supportive housing throughout Central East.  Agencies must be able to implement this service within 2009 – 2010.) 

Specialized Geriatric Services - Project Charter under development

Year 2 Emphasis: Exploring models of Community Comprehensive Geriatric Assessment (CCGA) that consider a multi-disciplinary approach to: identifying who requires an assessment, determination of the medical, psychological, social and functional capabilities of the person, development of a coordinated and integrated care plan for treatment and follow-up, and linkages to and building on existing capacity in community and facility-based services including the Geriatric Emergency Management Nurses located in various Emergency Departments across the LHIN.