To provide a high level overview and obtain feedback on the Central East Regional Palliative Care Strategic Priorities for 2017 2019 2
Provincial Strategy and Direction The Ontario Palliative Care Network (OPCN) Central East Regional Palliative Care Steering Committee Central East Regional Palliative Care Strategic Priorities Discussion 3
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In March 2016, the Ministry of Health and Long-Term Care announced the creation of the Ontario Palliative Care Network (OPCN). Led by LHINs, Cancer Care Ontario, Health Quality Ontario, and the Quality Hospice Palliative Care Coalition of Ontario developing a coordinated, standardized approach for delivering palliative care services in the province. OPCN is developing a 3-year Action Plan, which is expected to be finalized in December 2017. 5
As OPCN indicators are finalized, coordination of local strategies, initiatives and indicators will be reviewed to ensure strategic alignment. 7
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Inaugural meeting in January 2017 Joint accountability to the Central East LHIN Chief Executive Officer and the Central East Regional Cancer Program Regional Vice President (similar across all 14 LHINs) Competency-Based Membership: Includes members from each of the seven Central East LHIN subregions, and across sectors. Includes individuals with the following areas of expertise: Clinical Leadership; Program Leadership; System Expertise; Research/Academic Expertise; Quality and Performance Improvement; Enabling Technology and Integration; Change Management; Indigenous Expertise; Francophone Expertise; and Caregiver Expertise. 9
Mandate: Advance high quality, integrated, patient-centred hospice palliative care across all sectors based on best practices in accordance with Ontario Palliative Care Network (OPCN) direction, and in alignment with both the Central East LHIN Integrated Health Service Plan (IHSP) and the Central East Regional Cancer Program Strategic Plan. 10
Central East LHIN Integrated Health Service Plan (IHSP): Continue to support palliative patients to die at home by choice and spend 15,000 fewer days in hospital by increasing the number of people discharged home with support by 17% by 2019 Central East Regional Cancer Program Strategic Plan: Quality of Life and Patient Experience to deliver responsive and respectful care that optimizes quality of life for patients across the cancer continuum Integrated Care collaborating and working together to develop stronger links with primary care providers Safety adherence to evidence-based best practice guidelines with respect to all treatment protocols Equity promote health equity and better access to all patients receiving services in the region Sustainability continue to provide cancer care options for care close to home, ensuring resources are optimally allocated and utilized Effectiveness to ensure the provision of cancer care services are delivered based on best evidence across the entire cancer journey 11
Purpose: To be the principal advisor within the Central East Region to: Provide leadership and structure to facilitate the development of a high-quality, comprehensive, integrated and coordinated system of hospice palliative care informing Central East LHIN and Central East Regional Cancer Program decision-making; and, Support the Ontario Palliative Care Network (OPCN) vision and direction for hospice palliative care as outlined in Advancing High Quality High Value Palliative Care in Ontario; A Declaration of Partnership and Commitment to Action (Declaration). 12
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Two half-day facilitated sessions (Feb 28 th and April 6 th ) of the Central East Regional Palliative Care Steering Committee Identification of 11 priorities/themes Survey developed and sent to stakeholders to prioritize the 11 priorities/ themes 117 local stakeholders were targeted 31% return rate Four priorities identified and draft high-level action plans created 14
1. Establish common and consistent palliative care terminology to be utilized across Central East region. 2. Establish a purposeful and deliberate coordination of care process at points of transition across all care settings. 3. Establish and implement an Advance Care Planning Strategy. 4. Review and continue implementation of an education strategy for health service providers 15
Adoption of the Ontario Palliative Care Network (OPCN) Key Palliative Care Concepts & Terms document to ensure consistency across the Central East LHIN and alignment with the province. Next steps: Spread and implementation of the document.
Utilization of the Ontario Palliative Care Network (OPCN) Journey Mapping Exercise. Future action items: Establish a Coordination of Care Working Group Review current state and identify sub-set of priorities for focus Consider coordination of care at all points of transition Hospital, community, long term care, hospice, other 17
Establish an Advance Care Plan (ACP) working group Review current state and existing resources Hospice Palliative Care Ontario (HPCO) ACP information and tools Speak Up Campaign Goals of Care resources Existing Central East LHIN community/hospital initiatives Other LHINs Provincial organizations (e.g., Ontario Renal Network) 18
Align with existing palliative care education funding Learning Essential Approaches to Palliative Care (LEAP) Fundamentals, Comprehensive Advanced Palliative Care Education (CAPCE) Utilization of Palliative Pain and Symptom Management (PPSMC) resources 4 in Central East region 2 in Scarborough North and South sub-regions 1 in Durham West and Durham North East sub-regions 1 in Northumberland County, Peterborough City/County and Haliburton County and City of Kawartha Lakes sub-regions Education needs assessment/gap analysis 19
1. Within the 4 identified Strategic Priorities, what area of focus will be important for the Steering Committee to focus its work? For example: Which points of transition should be prioritized? Target audience for advance care planning and provider education? 2. How can you or your organization utilize the OPCN Key Palliative Care Concepts & Terms document? 3. What contributions can or should your organization/group make to ensure there is success in the implementation of these strategic priorities? 20
The webinar slide deck and recording will be posted on the Central East LHIN website. Opportunity for input/feedback will be open until December 8, 2017. Continued communication from the Steering Committee on the Central East LHIN website, including 3 key messages from each Steering Committee meeting and the OPCN Key Palliative Care Concepts & Terms document. http://www.centraleastlhin.on.ca/priorities/palliativeandendoflife.aspx 21
Thank you. 22