1. Providing Safe, Quality Care in Ontarios Long Term Care Homes

2. 2 Safe, Quality Care for Ontarios Long Term Care Residents Two priorities to help long term care provide a safe, healthy environment for Ontarios seniors once they can no longer be cared for in their home: 1. Deliver safe, quality care. To do so, were asking for a $200 million for investment in care to meet the needs of our current residents. 2. Maintain the future capacity of our homes to deliver safe, quality care through the implementation of a viable capital renewal program.

3. 3 A Win for the Whole Health Care System Adequate resources that match the increasing complexity of care required by Ontarios residents means a win for the whole health care system. The right mix of staff and skills in long term care helps avoid unnecessary trips to the emergency room due to specialized resident care needs, preventable injury or for end of life care. Resourcing a better link between long term care and seniors in the community and primary care will contribute to our seniors' ability to age safely at home. Long term care is a cost-effective solution for those residents that require 24 hour nursing care or access to complex care. Long term care doesn't just provide care; we reduce isolation and provide wellness services like diet, nutrition and social activities that produces a better quality of life and outcomes for long and short-stay residents.

4. 4 A Fundamental Shift in Complexity The success of Ontarios aging at home strategy is shifting the needs of Ontarios long term care residents. By the time Ontario seniors require care that can only be delivered in long term care homes, they are frailer and more complex than in the past. The trend is set to continue. Ontario seniors entering long term care homes will continue to have more complex needs than ever before, making the provision of care even more difficult. Source: OACCAC 2012 Percentage of Residents with High or Very High Care Needs 2008200920102011

5. Ontario Long Term Care: Resident Profile Residents today are more frail and complex than ever. 83% of those admitted to long term care in 2010/11 had high or very high care needs compared to 72% in 2007/08. 92.8% of new residents have 2 or more chronic illnesses like diabetes, COPD and chronic heart failure 38% are being monitored for an acute condition 60% have a dementia diagnosis, but only 17% are in an Alzheimer's or dementia care unit 29% have severe cognitive impairment 47% show aggressive behaviour, 67% show some level of depressive symptoms 77% require extensive assistance or are totally dependent for help with activities of daily living »Source: www.cihi.ca 5

6. Maintaining the Future Capacity of our Homes to Deliver Safe, Quality Care Ontario has more than 35,000 beds in 329 homes that are in need of renewal. In 2009, the government announced its intent to provide a program for operators to redevelop these homes over a 15 year period, but less than 4,000 beds have been approved to date. OLTCA has participated in a number of committees looking at challenges in the redevelopment program and has presented solutions that we believe would allow operators to redevelop. Redevelopment needs to get underway as soon as possible so that safe, quality care is provided to increasingly acute, complex residents and to protect the capacity of long term care to provide high quality care into the future. 6

7. Safer Care A better physical environment has a therapeutic effect. Current design standards can reduce aggressive behaviours, improve infection control, promote quality of life at end of life and prevent workplace injuries. 7 1972 Design StandardsCurrent Design Standards Basic Room 1972 Design StandardsCurrent Design Standards

8. Who We Are OLTCA is a solutions-oriented organization committed to providing safe, quality care to Ontarios seniors. We are the largest long term care provider association in Ontario, representing the full spectrum of long term care homes: not-for-profit, charitable, ethnic, municipal, hospital, and private. Our members operate 439 long term care homes in communities throughout Ontario, providing care to over 50,000 residents. 8