At the Central East LHIN, Integration is defined as "improving the health care experience by creating a seamless system of care." The attached powerpoint presentation outlines how integration is achieved through the application of the Local Health System Integration Act. Health service providers who require more information on how to submit voluntary integration initiatives are asked to contact James Meloche, Senior Director, Planning, Integration and Community Engagement.
- To access the powerpoint presentation, please click here.
To access a copy of the "Central East LHIN Internal Guide for Integration Decision Making", please click here - posted January 12, 2010
INTEGRATION INITIATIVES - CURRENT
SCARBOROUGH CLUSTER HOSPITALS - FACILITATED INTEGRATION - updated August 26, 2013
On June 19, 2013, TSH and RVHS Boards of Directors, at their respective special meetings, passed motions to approve a proposed Facilitated Integration Planning Framework. The hospitals’ approved motions stated that the Boards believe that TSH and RVHS should proceed with stakeholder engagement and due diligence in order to determine what benefits a merger of two hospitals will provide to the Scarborough community. A big part of this process is listening to the community, other health service providers and health care professionals as the hospitals move forward with this facilitated integration process. For the latest information on this process, providing feedback on a possible merger between The Scarborough Hospital (TSH) and Rouge Valley Health System, please click HERE.
COMMUNITY HEALTH SERVICES INTEGRATION STRATEGY - SCARBOROUGH CLUSTER - updated November 21, 2013
The Scarborough CHS Integration Strategy process began in August 2013 with a select group of providers forming a Scarborough Integration Planning Team (IPT). For more information on this facilitated integration process, please click HERE.
COMMUNITY HEALTH SERVICES INTEGRATION STRATEGY - NORTH EAST CLUSTER - PETERBOROUGH CITY AND COUNTY - updated November 21, 2013
The Peterborough City and County CHS Integration Strategy process began in August 2013 with a select group of providers forming a Peterborough Integration Planning Team (IPT). For more information on this facilitatated integration process, please click HERE.
COMMUNITY HEALTH SERVICES INTEGRATION STRATEGY - NORTH EAST CLUSTER - HALIBURTON/CITY OF KAWARTHA LAKES - NORTHUMBERLAND COUNTY - updated November 15, 2013
The North East CHS Integration Strategy process started in January 2013 with a select group of health service providers forming a Haliburton County/City of Kawartha Lakes Integration Planning Team (IPT) and a Northumberland County Integration Planning Team (IPT). For more information on these facilitated integration processes, a recent Integration Literature Review and to submit any questions, please click HERE.
COMMUNITY HEALTH SERVICES INTEGRATION STRATEGY - DURHAM CLUSTER - updated July 24, 2013
On February 22, 2012, the Board of the Central East LHIN passed a motion supporting a Community Health Services Integration Strategy, the LHIN's facilitated integration strategy for Community Support Services (CSS) agencies and Community Health Centres (CHCs), to commence in April 2012 and be completed by 2015. Through facilitated integrations, cluster-based groups of CSS agencies and CHCs are participating in a phased process that aims to improve client access to high-quality services, create readiness for future health system transformation and make the best use of the public’s investment by identifying integration opportunities. The process started in April 2012 with ten Durham cluster-based agencies. For the latest information on the Durham Cluster process and how these integrations are moving forward, please click here.
PETERBOROUGH HEALTH LINK - updated October 25, 2013
Ontario is improving co-ordination of care for high-needs patients such as seniors and people with complex conditions through the creation of the Peterborough Health Link in Peterborough. One of 19 across the province to be initially rolled out, this new Health Link is resulting in greater collaboration and co-ordination between a patient’s different health care providers as well as the development of personalized care plans. Recently the Peterborough Health Link formed three improvement teams to begin developing improvement ideas that could be tested and ultimately implemented across Peterborough City and County. For more information, please click here.
DURHAM NORTH EAST HEALTH LINK - updated November 21, 2013
The Central East LHIN is also working with a group of health service providers in the Durham North East section of the LHIN to establish a Durham North East Health Link. For more information, please click HERE.
ORGANIZATIONAL HEALTH - SELF ASSESSMENT TOOL - posted December 15, 2010
The Central East LHIN has developed a self assessment tool for use by community support services and community mental health and addictions agencies to quickly assess their organizational health status. The LHIN considers the statements in this tool to be important for a health service provider to consider as they assess whether they are effectively and efficiently providing client/patient services in an accountable manner. Completing the assessment will allow agency boards and senior executive leaders to assess the health status of their organizations which may then suggest action, including integration opportunities, to mitigate the issues identified. To access the Self Assessment Tool, please click on the links below. To discuss the results of the Self Assessment, health service providers can contact the LHIN.
Self Assessment Tool - word version
Self Assessment Tool - pdf
If you choose to adopt this Self Assessment Tool for use in your own organizations, please acknowledge the Central East LHIN by noting that “This Self Assessment Tool was developed by Central East Local Health Integration Network and used with their permission.”
LHIN/HSP GOVERNANCE RESOURCE AND TOOLKIT FOR VOLUNTARY INTEGRATION INITIATIVES - posted September 12, 2008
The Central East Local Health Integration Network (LHIN) announces the release of the Local Health Integration Network/Health Service Provider Governance Resource and Toolkit for Voluntary Integration Initiatives. The toolkit was developed through a joint initiative of five Local Health Integration Networks (LHINs), associations representing the health service providers funded through the LHINs, and the Ontario Ministry of Health and Long-Term Care. The project was initiated in November 2007, in response to early consultations between the LHINs and health service providers regarding the provisions for voluntary integration in the Local Health Systems Integration Act, 2006. LEARN MORE
FACILITATED AND NEGOTIATED INTEGRATION PROCESS AND REQUIREMENTS GUIDE - posted December 3, 2010
The Central East LHIN, through the LHIN's Project Management Office, has produced a "Facilitated and Negotiated Integration Process and Requirements Guide" to support Central East LHIN funded health service providers through the process of planning and implementing a facilitated or negotiated integration.
If you choose to adopt this Faciliated and Negotiated Integration Process and Requirements Guide for use in your own organizations, please acknowledge the Central East LHIN by noting “This Guide was developed by Central East Local Health Integration Network and used with their permission.”
For current examples of Facilitated and Negotiated Integrations, please review materials posted below titled "Integration Initiatives." Health service providers who have questions or require assistance with this process can contact the Central East LHIN at firstname.lastname@example.org.
VOLUNTARY INTEGRATION PROCESS AND REQUIREMENTS GUIDE - posted June 29, 2009
The Central East LHIN, through the LHIN's Project Management Office, has produced a "Voluntary Integration Process and Requirements Guide" to support Central East LHIN funded health service providers through the process of preparing and submitting a Notice of Intended Voluntary Integration.
If you choose to adopt this Voluntary Integration Process and Requirements Guide for use in your own organizations, please acknowledge the Central East LHIN by noting “This Guide was developed by Central East Local Health Integration Network and used with their permission.”
A health service provider may take the initiative to integrate services. If the intended integration involves services that are at least partially funded by the Central East LHIN, the health service provider must provide the Central East LHIN with “notice” before taking further action toward the integration. In response to the notice, the Central East LHIN is given the authority under the Local Health Services Integration Act, 2006 (LHSIA) to decline all or part of the health service provider initiated voluntary integration if it is considered to be in conflict with the Integrated Health Service Plan (IHSP) or the public interest. Health service providers who have questions or require assistance with this process can contact the Central East LHIN at email@example.com.
BACKOFFICE INTEGRATION - posted December 7, 2010
In November 2007, four LHIN staff produced a document entitled "New Business Models for Shared Back Office Services in the Community Sector." The main thrust of the report was to fashion an Assessment Framework for back-office integration opportunities within the community sector. The project team conducted a literature search, interviewed key informants, examined some case studies and surveyed some contemporary back-office integration efforts currently underway at that time to produce the report . As a result, the team has produced not only an assessment tool, but a significant resource that hopefully will build capacity and confidence within the community sector to pursue such solutions. To access this document, please click here.
INTEGRATION INITIATIVES - PAST
SPRUCE CORNERS - FACILITATED INTEGRATION - updated May 16, 2012
Since 1993, the Board of Apsley and District Satellite Homes for Seniors (ADSHS) has provided a supportive housing service at its Spruce Corners location, 30 Simeon Crescent, Apsley. Over the years numerous people have lived in the agency's 8-unit building, supported by staff and contracted personal support workers. By providing this service, the ADSHS Board has ensured that its residents have had the ability to remain as independent as their interests allow, have received prompt effective service to meet their varying needs and have been provided with leisure time options and opportunities. Recently a number of challenges have prompted the ADSHS Board to seek out a new health service organization that would be able to take over the building at 30 Simeon Crescent and continue operating the 8-unit supportive housing service. The Central East LHIN supported the Board in this process. To learn more about this successful outcome, please click here.
REGIONAL CARDIOVASCULAR REHABILITATION SERVICES - VOLUNTARY INTEGRATION - posted August 2, 2011
Patients in Durham Region and Scarborough will now have greater access to co-ordinated cardiovascular rehabilitation services after the Board of the Central East LHIN approved $1 million in funding to support the integration of the cardiovascular rehabilitation programs at Rouge Valley Health System (RVHS) and Lakeridge Health. The two hospitals will work together to deliver a groundbreaking regional cardiovascular rehabilitation and secondary prevention program, which will provide services annually to an additional 680 patients per year, or a total of 1,980 residents in their communities. For more information, please click here.
CANADIAN MENTAL HEALTH ASSOCIATION - NORTH EAST CLUSTER - FACILITATED INTEGRATION -updated May 1, 2013
The Canadian Mental Health Association, Haliburton, Kawartha, Pine Ridge (CMHA HKPR) Branch launched April 1, 2013, with the amalgamation of its Peterborough and Kawartha Lakes Branches. The new organization now services the counties of Peterborough, Northumberland, Haliburton, City of Kawartha Lakes and the Township of Brock, and covers an area equal to the size of Prince Edward Island - that’s 12,000 km2 - making it one of the largest branches in Canada, geographically. To more about the facilitated integration process that led to this outcome, please click here.
CONSUMER SURVIVOR INITIATIVE (CSI) CITY OF KAWARTHA LAKES - FACILITATED INTEGRATION - updated March 24, 2011
Potential problems with financial controls at the Survivors Psychiatric Advocacy Network (S.P.A.N.), a Central East LHIN-funded health service agency that provides peer support and other community-based services to mental health consumers/survivors in the City of Kawartha Lakes area, had prompted its Board to work on a facilitated integration with the Canadian Mental Health Association (CMHA) – Peterborough Branch.
At the March 23rd open board meeting, the Board of the Central East LHIN issued a decision to support the facilitated integration of Survivors Psychiatric Advocacy Network (S.P.A.N.) in Lindsay with the Peterborough Branch of the Canadian Mental Health Association. With this decision, consumer survivor services, previously provided by S.P.A.N. will now be integrated into the services provided through CMHA-Peterborough.
For more information on this facilitated integration, please click here.
CONSUMER SURVIVOR INITIATIVE (CSI) DURHAM - FACILITATED INTEGRATION-updated January 27, 2011
At its January 26th open board meeting, the Board of the Central East LHIN issued a decision to support the facilitated integration of Peer Support services in Durham Region. With this decision, Peer Support services, which were being provided by United Survivors Support Centre (USSC), a Consumer Survivor Initiative in Oshawa, will now be provided by Durham Mental Health Services (DMHS) as the lead agency, with the Canadian Mental Health Association (CMHA) – Durham branch as a service delivery partner. Both DMHS and CMHA-Durham have offices and satellite locations across Durham Region which will ensure that mental health consumers/survivors and their families will have access to local peer supports, as close to home as possible.
Please click on the links below to review the documents related to this integration:
Integration moves forward after board approvals - News Release
Integration Plan - Consumer Survivor Initiatives (Durham)
Presentation to CE LHIN Board
CITY OF KAWARTHA LAKES HOSPICE SERVICE - FACILITATED INTEGRATION - updated December 22, 2010
Hospice Kawartha Lakes (HKL) will now be integrated with Community Care City of Kawartha Lakes (CCCKL) by March 31, 2011 after the Boards of HKL, CCCKL and the Central East LHIN approved a plan to integrate hospice services into the services currently provided by Community Care. An Integration Planning Team, comprised of representatives from HKL, CCCKL and the LHIN met over the late fall to develop an implementation plan which has now been approved by their respective boards.
To review a copy of the approved Integration Plan and the presentation that was made to the Board of the Central East LHIN at their December 22nd open board meeting, please click on the links below:
Integration Plan - City of Kawartha Lakes Hospice Service
Presentation to CE LHIN Board
NORTHUMBERLAND HOSPICE SERVICES - FACILITATED INTEGRATION - updated November 15, 2010
The Central East LHIN partnered with Hospice Northumberland Lakeshore and Palliative Care Campbellford on a facilitated integration that will now see hospice services, currently provided by these two agencies, integrated into the group of services provided by Community Care Northumberland by December 15, 2010. An Integration Planning Team, comprised of representatives from Hospice Northumberland Lakeshore, Palliative Care Campbellford, Community Care Northumberland and the LHIN met over the summer to develop an implementation plan which has now been approved by their respective boards.
To review a copy of the approved Integration Plan and the presentation that was made to the Board of the Central East LHIN at their September 22nd open board meeting, please click on the links below:
Integration Plan - Northumberland Hospice Services
Presentation to CE LHIN Board
To view a recent news story on the impact of the Facilitated Integration, please click here - permission to post link provided by Northumberland Today.