Local Health Integration Network
Text size:

Twitterhelp

Be a Donor

Thanks Doc

CE Health Line Logo

BSO button

Northumberland PATH

CSP icon final

Triple Aim Icon

Project Management Icon

HSIP

Health Care Connects

Health Care Options

Wait Times

Patient Safety Icon

Planning

The following documents and enablers assist the Central East LHIN - its Planning Partners and health care service providers - in developing plans to create a stronger, more integrated public health care system.

Central East LHIN Integrated Health Service Plan (IHSP) 2013-2016

Across the province, Local Health Integration Networks (LHINs) have worked with their local stakeholders CF Logoon the development of their third Integrated Health Service Plans or IHSPs.  Here in the Central East LHIN, the 2013-16 IHSP will once again be the local road map guiding the activities and accountabilities of local health service providers leading to better health, better care and better value-for-money for the residents and health service providers in the Central East region. To learn more about the 2013-2016 IHSP, please click here.

Expanding Physiotherapy for Seniors and Patients - updated May 24, 2013

On April18, 2013 the Ministry of Health and Long Term Care announced that more than 200,000 additional seniors and patients across the province will benefit from improved access to high-quality physiotherapy, exercise and fall prevention classes.  The Central East LHIN looks forward to taking an active role in this important work for seniors, patients and their families. To learn more about how each of the 14 LHINs is working closely with the Ministry’s teams to put into action each of the five areas of focus and the current call for Expressions of Interest related to the delivery of Exercise and Falls Prevention Classes, please click  HERE.

Ontario’s Seniors Care Strategy - updated September 19, 2012

Ontario is moving forward in developing its Seniors Care Strategy, which will help older Ontarians (age 65 and older) stay healthy, live at home longer and receive the right care, at the right time and in the right place. To support the development of this strategy, Dr. Samir Sinha, Expert Lead, Seniors Care Strategy, has asked all Ontarians, but especially older Ontarians, their families and caregivers, and health and social care professionals for their input.   

The Central East LHIN organization - staff and board members - along with a representative group of health service providers met with Dr. Sinha on September 10th to provide him with information from a Central East LHIN perspective.  To view a copy of the information presented, please visit the Speakers' Bureau page.

In late 2012, Dr. Sinha provided recommendations to the Minister of Health and Long-Term Care and will work with the health care sector to implement the strategy, once approved.     

Transitions in Care - updated June 7, 2012

The Central East LHIN has embarked on exciting new initiatives to further improve transitions of care for area residents.  Building from past and current success – such as Home First – the Central East LHIN has enhanced the strategic and operational coherence of various quality improvement initiatives that aim to improve patient/client flow through the health system with the establishment of a Central East Transitions in Care Steering Committee and applicable Tier 1 and 2 Committees.  For more information, please click here  

Behavioural Supports Ontario (BSO) project updated February 6, 2013 

BSO photoThe Central East Local Health Integration Network, in partnership with all Ontario Local Health Integration Networks (LHINs), is investing in the enhancement of services to improve care for seniors who exhibit behaviours associated with complex and challenging mental health, dementia or other neurological conditions by investing in local initiatives.  The $40 million provincial investment, which includes $1.6 million for the Central East LHIN in the current fiscal year and $4.06 million on an annual basis, will allow local health service providers to hire new staff – nurses, personal support workers and other health care providers – and train them in the specialized skills necessary to provide care for these patients with dignity and respect.  For more information on this project and how it is being implemented in the Central East LHIN, please click here.

Integrated Provincial Falls Prevention Framework & Toolkit - posted August 31, 2011  

Stay Up, Keep Up!

Falls reduce quality of life for our seniors, impacting their mobility, health and independence.  Falls also cost the Ontario health-care system billions of dollars, resulting in avoidable visits to the Emergency Department, hospitalizations, high Alternate Level of Care rates, and all too often, admission to long-term care homes. 

In the fiscal year 2009: 

  • 50% of injury-related hospitalizations were due to falls;
  • more than 90% of all hip fractures were due to falls;
  • 55 per 1,000 seniors visited the ED due to a fall; and
  • 13 per 1,000 seniors were hospitalized due to a fall.

Falls are a leading cause of injury and death among seniors. And yet, most falls are avoidable with proper education, awareness, screening, assessment, intervention and prevention.

To address this, Ontario’s Local Health Integration Networks (LHINs) and Public Health Units partnered to develop an Integrated Provincial Falls Prevention Framework & Toolkit to improve quality of life for Ontario seniors aged 65 years and over, and to lessen the impact of falls on the health care system by reducing the number and impact of falls.   Please click on the links below to access this Toolkit and other resources:

The Central East LHIN, in partnership with our Public Health Units, will be implementing a LHIN-wide Integrated Falls Prevention Strategy, with flexibility to ensure local needs are addressed appropriately.  This strategy aligns with government and LHIN priorities to reduce Alternate Level of Care and Emergency Department wait times as well as the province’s Excellent Care for All Act and public health’s Injury Prevention and Healthy Communities strategies.

Many organizations are already doing great work to reduce falls among seniors. This framework and toolkit pulls together leading practices, programs and resources to create a coordinated, consistent approach to measure the effectiveness of falls prevention interventions across the province.

Regional Specialized Geriatric Services - updated February 19, 2013

The Central East Local Health Integration Network (Central East LHIN) is committed to building a network of services to meet the needs of its rapidly growing and aging population of seniors. As such, the Central East LHIN has been investing in care for seniors since 2007/08.    

There will be a 19% increase in the number of seniors aged 65+ in the Central East LHIN by 2019, and a 47% increase in the number of seniors aged 85 and older. This growth will include 42,449 frail seniors with significant health care needs – an increase of 36%. The impact of these demographic trends will be profound. For example, the current population of seniors in the Central East LHIN aged 75+ is 6.5%, yet they utilize 45% of all acute hospital days and 70% of all Alternate Level of Care (ALC) days. The latter already represents a 128% increase over the last five years.  

Continuing with this focus, the Central East LHIN is continuing to improve the system of Specialized Geriatric Services  inclusive of psychogeriatrics. This is being achieved in part through a LHIN-wide regional approach to coordinating, organizing and governing existing and new specialized geriatric services.  To learn more about the LHIN's ongoing support of the Central East Regional Specialized Geriatric Services entity and to find out how you can join the entity's Goverance Authority, please  click HERE.    

Senior Friendly Hospitals - updated May 25, 2012   

Ontario’s Local Health Integration Networks (LHINs) are leading a Senior Friendly Hospital strategy – an initiative to improve seniors’ health and prevent their physical and mental decline in hospital.  By acting together, hospitals can improve the experience and outcomes of older adults in Ontario hospitals.  For more information on this pan-LHIN initiative, please click here. 

Decision Making Framework/Health Equity Impact Assessment 

Across the province, LHINs have adopted a consistent "Priority Setting and Decision Making Framework" that will continue to guide the 14 organizations, as they engage with local stakeholders, to set local health care priorities and make decisions. The Framework was developed by a work group comprised of representatives from the LHINs, provincial health care associations including the Ontario Medical Association and Ontario Health Centres and front line providers from the long term care sector, the community care access sector,  mental health and addictions and community care. 

Eight Guiding Principles are contained in the Framework to ensure that processes are transparent and publically accessible, that decisions are based on reasons that are relevant to fair-minded people and that decisions can be revisited and refined if more information becomes available.

In addition, LHINs are beginning to use a Health Equity Impact Assessment (HEIA) Tool, a decision support tool which has been demonstrated to reduce health disparities and improve targeting of health care investments. 

To access these documents, please click on the links below:

LHIN Priority Setting & Decision Making Framework Toolkit- pdf

Cadre d’établissement des priorités et de prise de décision des RLISS- pdf

Health Equity Impact Assessment (HEIA)- pdf

Évaluation de l’impact sur l’équité en matière de santé (EIES)- pdf

Health Equity Impact Assessment (HEIA)- weblink

Évaluation de l’impact sur l’équité en matière de santé (EIES)- weblink

Health Service Providers are encouraged to use these resources to guide their own organizations.  Questions about these resources can be directed to the Central East LHIN via email at centraleast@lhins.on.ca.

Aging at Home Strategy - updated August 31, 2010    

The Central East LHIN is committed to enabling the system to provide the right care in the right place at the right time. Through innovative solutions and a tangible opportunity to change the way services and supports are delivered, health care service providers are better able to respond to the needs of our diverse, aging population.  This is aligned with the government's Aging at Home Strategy. 

The Central East LHIN acknowledges the tremendous efforts of all who are working hard to bring person-centred, innovative and collaborative ideas forward with a common goal of improving care for seniors in the Central East LHIN.

Since 2007-08, the Central East LHIN has invested over $12 million to assist seniors to live at home with dignity and independence as part of the Strategy.  Now in its third year, the LHIN, working in partnership with local hospitals, the Central East Community Care Access Centre and community support service agencies, is investing in new projects that are aligned  with the Ministry of Health and Long-Term Care’s priorities and the LHINs’ pressures provincially. Therefore, the focus of the Strategy’s third year is on projects/services that “demonstrate quantifiable contributions to reducing time spent in emergency departments and optimizing inpatient capacity by reducing Alternate Level of Care days.”

An announcement on August 31st detailed the new programs being launched in Year Three and existing programs that will continue to be funded.  To access the Year Three information, please click here.

Backgrounders detailing Investments made in Year Two and Year One can be accessed by clicking on the links below.

Year One 

Year Two 

MOHLTC/LHIN Joint Review Framework for Early Capital Planning Stages - updated November 4, 2011

In November 2010, the Ministry of Health and Long-Term Care and all Ontario LHINs released a new Joint Review Framework for early capital planning. Under this Framework, LHINs play a critical role in advising on, and endorsing, the program and service elements of all capital projects in the early capital planning stages. 

The new Joint Review Framework has been developed to fulfill provisions of the Ministry/LHIN Accountability Agreement (MLAA) which requires local needs and LHIN advice to be considered in the review of capital planning submissions.  It will place an emphasis on local health system needs as the primary driver for capital initiatives.

The Framework was developed by the MOHLTC/LHIN Capital Working Group in consultation with stakeholders. The Capital Working Group will continue to work with and support stakeholders as they implement and apply the new Framework.

Health Service Providers eligible under the Ministry of Health & Long-Term Care’s health capital program include:

  • Public hospitals (including own funds projects as per legislation)
  • Community Health Centres
  • Community-Based Mental Health Programs
  • Community-Based Substance Abuse (Addiction) Programs
  • Long-term Care Supportive Housing Providers (typically supporting programs for the frail elderly, acquired brain injury, physically disabled and HIV/AIDS)

For additional information about the framework, please click on the links below:

For more information about the Capital Planning Process in the Central East LHIN, please contact Jeanne Thomas at jeanne.thomas@lhins.on.ca. 

e-Health - updated February 22, 2012

eHealth is a term we use to describe the application  of information and clinical technologies to health care, and acts as  a key enabler of systemic change in Ontario. eHealth harnesses the power of information and technology to improve patient care & safety and  enable information access across the health care continuum.  Engaging with and supporting a number of governance committees (e.g. eHealth Steering Committee, IM/IT Advisory Committee), the Central East LHIN eHealth team focuses on the Provincial and LHIN's clinical and foundational priorities.  For the latest information on Central East LHIN e-Health initiatives and strategies, please click here.  

Project Management

The Central East LHIN has adopted a project management philosophy and processes as Planning Partners (collaboratives, networks, task groups, project teams) and Health Service Providers develop and implement priority projects designed to enhance and strengthen health care delivery in the Central East region.  To learn more about Project Management and the Central East LHIN Project Management Office (PMO), please click here. 

H-SIP form - updated March 25, 2011

We are continuing to accept Health System Improvement Pre-Proposal (H-SIP) submissions from Health Service Providers in the Central East LHIN.

The Health System Improvement Pre-Proposal (H-SIP) process has been developed collectively by Ontario Local Health Integration Networks (LHINs) to facilitate and standardize the way health system improvement requests are submitted to LHINs. It allows for a simplified summary of the proposed initiative, while minimizing the time and resources required by health service providers in the early stages. 

Please click on the link below for more information on submitting an H-SIP.  

Health System Improvement Pre-Proposal (H-SIP) form