1. Community Training Day: June 6, 2017
South East LHIN Delivering on the Patients First Act
Community Training Day: June 6, 2017

2. Patients First Act, 2016
The objective is to make the system work even better by bringing parts of the health system closer together and enabling LHINs to more effectively lead the integration of health services at the regional and sub-regional levels.
Requirements assigned to LHINs under the Local Health System Integration Act, 2006 are maintained
Transfer date for the South East was May 17, 2017
The Minister’s Mandate Letter for LHINs was released May 4 and is on our website

3. Patients First Act, 2016 Implementing The Act includes:
Alignment of Home and Community Care with the LHIN
Development of Sub Regions
Building a Clinical Leadership Model
Heightened quality and performance agenda: clinical pathways
Primary Care, specifically capacity assessment and health human resource planning
Closer working relationships with Public Health Units

4. Alignment of Home and Community Care
LHINs are assuming the responsibility for delivering Home and Community Care
Focus in the short term is on maintaining existing levels of service where relevant to enable a smooth transition
Implementing the elements of ‘Bringing Care Home’ – Gail Donner Report
Continued efforts on alignment of care coordination within primary care (initiated as part of Health Links)
Collective strength of legacy LHIN and CCAC staff together to support this effort

5. LHIN Sub Regions
The Sub-Regions will serve as the focal point for population-based planning, service alignment and integration, and performance improvement.
The five Sub-Regions identified and accepted by the MOHLTC are:
Lanark, Leeds and Grenville
Kingston
Rural Frontenac, Lennox and Addington (name tentative)
Rural Hastings
Quinte

6. South East LHIN Sub Regions

7. South East LHIN Sub Region Directors
Lanark, Leeds and Grenville
Carol Ravnaas
Kingston
Darryl Tooley
Rural Frontenac, Lennox & Addington
Laurel Hoard
Rural Hastings
Jennifer Payton
Quinte
Cheryl Chapman

8. South East LHIN Organization Chart – Senior Leadership Team

9. South East LHIN Organization Chart – VP Operations Portfolio

10. South East LHIN Organization Chart – Finance & Contracts

11. Expected Impact on Patient Care
Create better understanding for alignment of care coordination efforts
Enable access to common basket of services/supports especially for primary care outside of an allied health practice
Enable patient transition so that those who no longer need acute care can return to a more appropriate care setting – leveraging all aspects of the system to do this (not just health care providers)
Decrease time to access specific surgeries and increasing choice for where and when to have the procedure
Key measure:
Improve the patient’s overall perception of their health

12. Mandate for the LHIN Moving Forward
In summary, the LHIN will strive to ensure the following key pillars are maintained and strengthened:
Promote health equity, and reduce health disparities and inequities.
Respect the diversity of communities in the planning, design, delivery and evaluation of services, including culturally safe care for Indigenous people and meeting the requirements of the French Language Services Act.
Continue to strengthen local engagement with Francophone and Indigenous communities.
Work with health service providers and communities to plan and deliver health services. (this includes a focus on vertical integration and streamlining ‘hand-offs’ between HSPs, as well as horizontal integration)

13. What Sub-Regions will do:
Incorporate a defined set of primary, home and community care services close to home and will facilitate access to address needs both within community and acute care settings as well as other care needed outside the sub-region.
Establish quality improvement plans to effect desired change according to population health and socioeconomic needs and have the ability to influence performance at organizational as well as Sub-Region levels.
Sub-Regions will focus on vertical integration activities (e.g., within the Sub-Region) but there will still be a need for horizontal integration work (e.g., implementing clinical pathways related to hospital services)

14. Next Steps
Engagement with stakeholders on operationalizing Sub-Regions (June introduction and fall kickoff)
Finalize LHIN operations through transition and work on building a strong structure to enable Sub-Region activity including:
Announce the Clinical VP and Sub-Region Clinical Leads by mid-June
Develop closer relationships between Home and Community Care and the Sub-Region Directors to better enable planning and integration in each Sub-Region
Further local data analysis throughout the summer followed by a session with the Sub-Regions to confirm priorities.