Health Bulletin

This document was published under a previous government.

Update: Health System Integration

May 19, 2017

We are pleased to share this update on the work supported by the Patients First Act, 2016.

You can count on regular emails like this as your source of ongoing information and updates, which can also be shared with staff members, local stakeholders and other stakeholders and colleagues.

Implementation Updates

Patients First Act, 2016: Implementation Milestones

Recent Accomplishments:

Coming Up Next:


On May 10, 2017, Hamilton Niagara Haldimand Brant CCAC successfully transferred to Hamilton Niagara Haldimand Brant LHIN. Here is what Donna Cripps, LHIN CEO, said about the transition:

“Throughout the transition process, our top priority has remained sharply focused on ensuring the continuity of patient care and experience. Thanks to the incredible hard work and dedication to the people we serve, our staff - both LHIN and legacy CCAC - as well as our system partners ensured a seamless patient experience and overall successful transition. Our executive team was encouraged by the show of support with many staff dressing in purple, our LHIN signature colour, on transition day. Now, moving forward as one organization with a continued focus on patients, families and caregivers, we have shifted our attention from transition to health system transformation. I am confident our team, together with our health system partners, will create a health care system where people have timely access to high quality care, when and where they need it.”
 —Donna Cripps, CEO, HNHB LHIN

Spotlight On: Integrated Funding Models

Bundled care is designed to promote greater integration in health care delivery, drive high-quality, efficient care and improve health outcomes and experiences for patients. It provides a single payment to cover the care needs of an individual patient across multiple settings.

Current Status and Recent Accomplishments:

St. Joseph’s Health System’s Integrated Comprehensive Care Demonstration Project (ICCP) pioneered the bundled care model in Ontario, and a commitment to test and spread bundled care was articulated in Patients First: A Roadmap to Strengthen Home and Community Care. Since September 2015, six cross-provider teams have been piloting bundled payment models for patients who require short-term care at home after leaving hospital. Early self-reported data from the Bundled Care (Integrated Funding Model) pilots show that patients are transitioning more smoothly out of hospital and into their homes. Patients have shorter lengths of stay in hospital; have fewer emergency department visits; and are less likely to be readmitted to hospital. Additionally, patients and providers are feeling a real, positive difference. With the recent passing of the Patients First Act, 2016, bundled care presents an opportunity to make the commitments of this Act come to life.

Coming up Next:

Reflecting on the learnings from the bundled care pilot sites and advice received from key thought leaders, the ministry has committed to a voluntary expansion of bundled care in 2017/18, along two streams:

  1. Preparing to scale standardized bundled care models, using the Quality Based Procedures (QBP) model as a foundation:
    1. Hip and Knee Replacement Surgery: The ministry has confirmed a voluntary, phased approach to move forward with standardized bundled payments for hip and knee replacement surgery, building from the existing QBP.
    2. Assisted Peritoneal Dialysis: Under the leadership of the Ontario Renal Network, a plan to develop Integrated Dialysis Care (IDC) models for Assisted Peritoneal Dialysis is being put in motion, building from the existing chronic kidney disease QBP.
  2. Continuing to pilot innovative bundled care models: Building on the experience of the six pilot sites, bundled payment models will evolve to address the continuous care needs of chronic disease, focusing first on Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF).

Groups of representative stakeholders are advising the ministry on the standard parameters for the patient cohort, price and outcomes to be tracked as part of the expansion of bundled care. LHINs will be offered the option to identify cross-provider teams to participate in the voluntary bundle with planned implementation for 2018. More information will follow in the summer as this work progresses.

You can find this update archived and some Frequently Asked Questions.

For More Information

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