Hospital to Home Advocating for Clients Health & Economic Needs Joan Park RN MHSc President, National Case Management Network of Canada Case Manager, St. Michael’s Hospital

National Case Management Network of Canada 2006 Non-profit federally incorporated Mandate advance excellence and professionalism among providers of Case Management 15 sectors Standards of Practice 2009 CanMEDS Case Management Roles Framework 2012

Case Management is a collaborative, client-driven process for the provision of quality health and support services through the effective and efficient use of resources supports the clients achievement of safe, realistic and reasonable goals within a complex health, social and fiscal environment Canadian Standards of Practice for Case Management 2009

Principles Case Management: Supports clients rights Is purposeful Is collaborative Supports accountability Strives for cultural competence Canadian Standards of Practice for Case Management 2009

CanMEDS Roles Framework Case Management Communicator Collaborator Navigator Manager Advocate Professional

Navigator Definition Case managers work with clients and their health and social networks to identify and address barriers to holistic care (Draft Dec 2011)

Navigator Key Competencies Case Managers are able to: Connect clients to services, ensuring that clients are treated respectfully; Follow clients through services that they are not naturally ‘eligible’ for and through a journey where they need to connect with two or more systems of care (e.g. health and cultural; or health and economic)

Advocate Definition Case Managers, in partnership with their clients, responsibly use their expertise and influence to advance the health and well being of individual clients, communities and populations (Draft Dec 2011)

Advocate Key Competencies Case Managers are able to: Identify health, social, occupational, environmental, and economic needs; Identify barriers to access and gaps in service; Recognize and balance competing interests between communities served and other populations; Within the boundaries of their role, work toward needed changes in policies, structures, procedures, organizational culture, or resource distribution that would correct barriers to access and gaps in service.

Hospital to Home Health and Economic Needs Food Housing Health Care

Funding Options OHIP Community Care Access Centres Community Support Agencies Ontario Works Ontario Disability Support Program Interim Federal Health First Nations, Inuit and Aboriginal Health Private Insurance Private Health Care Providers Long Term Disability Church Community Ethnic Community Charity

OHIP Ministry of Health and Long Term Care Wide range of medically necessary services Most Ontario health benefits are covered across Canada

Ontario Drug Benefit If you are a senior On the first day of the month after turning 65 y o, take your prescription and health card to your pharmacy. Tell the pharmacist that you are now eligible for the ODB program. Depending on income, you might be able to pay a lower payment per prescription through the Seniors Co-Payment Program If drugs costs are high relative to your income Trillium Drug Program If you live in a Long-Term Care home or a Home for Special Care, or you are enrolled in the Home Care system: Talk to Community Care Access Centres If you receive social assistance Talk to Ministry of Community and Social Services

Community Care Access Centres Ministry of Health and Long Term Care Help define needs and situation Help determine eligibility for government funded home care services Help locates providers Help apply for care Provide information on available financial subsidies

Community Support Services Community Support Services are either non-profit corporations or private companies Help to maintain safety and independence while living at home Services are delivered either in home or in different locations around the community Security checks, transportation, meal services, caregiver respite, home help, supportive housing

Ontario Works Ministry of Community and Social Services Need money right away to help pay for food and shelter, and be willing to take part in activities that will help you find a job Financial assistance to help cover the costs of basic needs (e.g. food) and housing costs Employment assistance to help prepare for and find a job Additional health benefits for self and family

Ontario Works Additional Health Benefits Prescription Drug and dental coverage Vision Care – glasses/exams Diabetic or surgical supplies and dressings Travel and Transportation for Medical Purposes Assistive Devices – remaining 25% Cost of assessment for AD

Ontario Works Additional Employment Benefits Employment Assistance Activities Expenses Child care costs FTE Benefit clothing or uniforms safety shoes or work boots tools and special equipment transportation licensing or professional fees Extended Employment Health Benefit

Ontario Works Other Benefits Transition Child Benefit Community Start Up and Maintenance Benefit you are moving to a permanent residence you are leaving an institution you are behind with your rent payment and are either being evicted or have been evicted, or you are behind with your utility or heating payment and it has been or will be disconnected Guide Dog Benefit

Ontario Disability Support Program Ministry of Community and Social Services Income Support helps people with disabilities who are in financial need pay for living expenses, like food and housing Employment Supports helps people with disabilities who can and want to work prepare for and find a job.

Assistive Devices Program Ministry of Health and Long Term Care 75% funding to residents who have long-term physical disabilities and to provide access to personalized assistive devices appropriate for the individual’s basic needs prostheses; wheelchairs/mobility aids and specialized seating systems; enteral feeding supplies; monitors and test strips for insulin-dependent diabetics; insulin pumps and supplies for children; hearing aids; respiratory equipment; orthoses; visual and communication aids; oxygen and oxygen delivery equipment Grants are provided for ostomy supplies, breast prostheses and for needles and syringes for insulin-dependent seniors

Interim Federal Health Program Citizenship and Immigration Canada Temporary health insurance to refugees, protected persons and refugee claimants, as well as to their dependants, in Canada who are not yet covered by a provincial or territorial health insurance plan

First Nations, Inuit and Aboriginal Health Health Canada Non-Insured Health Benefits Limited range of medically necessary health-related goods and services to which these individuals are not entitled through other plans and program Drugs, dental care, vision care, medical supplies, equipment, short term crisis intervention mental health counselling, and medical transportation

Veterans Affairs Canada Programs Professional Counselling Disability Family Support Health Benefits Rehabilitation Treatment Benefits Independence

Summary Case Managers advocate for the health, social, occupational, environmental, and economic needs of clients A miscellany of public and private options exist to meet these needs One size does not fit all Case Managers navigate clients through 2 systems – health and economic GOAL to exhaust public funding options prior to private funding options prior to considering “treatment loan” in order to maximize opportunity for interest recovery at settlement