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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 on 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.

Mental Health and Addictions Strategy: Implementation Approach - posted February 24, 2014

On April 1, 2013, the Central East LHIN began work on its 2013-2016 "Community First" Integrated Health Services Plan.  One of the Strategic Aims of the IHSP is to “Strengthen the system of supports for people with Mental Health and Addictions issues so they spend 15,000 more days at home in their communities by 2016.”  Since 2006, the Central East LHIN has worked with its Mental Health and Addictions Service Providers to achieve positive partnerships and outcomes.  Together, our shared aim has been to improve and strengthen the Mental Health and Addictions Service System in the Central East LHIN on behalf of those people receiving services.  The LHIN is now taking a number of key steps to implement its 2013-16 Mental Health and Addictions Strategy.   To learn more about how you can get involved, please click HERE.

Seniors Care Network/Regional Specialized Geriatric Services - updated June 18, 2014

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. This is being achieved in part through a LHIN-wide regional approach to coordinating, organizing and governing existing and new specialized geriatric services in partnership with the Seniors Care Network, previously known as the Central East LHIN's Regional Specialized Geriatric Services entity. To learn more the Seniors Care Network and the work being done by the system to care for Frail Seniors, please click HERE.     

Expanding Physiotherapy for Seniors and Patients - updated May 5, 2014

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 LHIN is continuing to work with the Ministry and local health service providers to ensure that patients continue to have access to this vital service.  An important part of this work is engaging stakeholders through various means as the implementation rolls out.   The LHIN is using a Physiotherapy webpage to share information and keep our communities, providers and partners as up-to-date and informed as possible.  To access this page, please click HERE.

Ontario’s Seniors Care Strategy - updated December 20, 2012

Ontario is continuing to move 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, 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.

On December 20th, Dr. Sinha provided recommendations to the Minister of Health and Long-Term Care.  To access a copy of the report, please click HERE.        

Behavioural Supports Ontario (BSO) project updated August 12, 2014BSO photo

The 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  

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.

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. 

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 

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.

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 July 21, 2014

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