Health Bulletin

This document was published under a previous government.

Update: Health System Integration

May 26, 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:


“Like others who have gone before us, our priority throughout this transition has and continues to be the patients of the South East LHIN. Last week marked a major milestone for our organization. It was a big day, and one that will mark a moment in history for the South East LHIN. We will now begin the process of building on the exceptional work that has been done to date in delivering home and community care to the residents of the South East LHIN; to develop plans to fulfill our new mandate and to build a truly integrated system of care that puts our patients first. Both myself and our executive team are excited for this next chapter and I know our new team will achieve great things together”
– Paul Huras, CEO, South East LHIN

“The value of our organizations coming together was demonstrated on day one. On transition day, I had the chance to visit and meet with staff at 11 of our sites. Meeting with our teams, like our Rapid Response Nurses who provide front-line clinical care to extremely complex patients coming out of hospital or our Mental Health and Addiction Nurses who provide care to some of the most complex, vulnerable patients in our health system, I have been incredibly impressed with our teams’ clinical expertise and patient-centred focus. The opportunities to work closer together to put patients first are endless. I am so proud of all of our staff who have embraced transition and are focused on transforming the local health system to improve the patient experience.”
– Bruce Lauckner, CEO, Waterloo Wellington LHIN

Spotlight On: Implementing LHIN Sub-Regions

LHINs are implementing sub-regions to support improved integration and patient experience at the local level. The following are three examples that illustrate the various approaches being taken – all with patient experience and care integration in mind. All 14 LHIN are engaged in this important work.
An earlier edition of this update covered the rationale for and overview of the 76 LHIN sub-regions.

Engaging Patients and Providers

In planning to implement sub-regions, LHIN must be strongly rooted in engagement. The South West LHIN has embarked on a robust strategy and purposeful work to engage local leaders.

The LHIN’s engagement included over 20 facilitated sessions and meetings with health care leaders, primary care physicians, the South West Aboriginal Health Committee, and Medical Officers of Health.
The LHIN also held a focus group with patients and caregivers, and evening networking sessions for the public, providers and governors to seek advice on system-wide priorities and drive change locally.

Sub-region integration tables, comprised of both providers and patients, will plan and make recommendations for local priorities. The Health System Renewal Advisory Committee will advise on implementing Patients First and future South West LHIN strategic priorities – with patient/family partners and provider members from each integration table sitting on the committee.

The South West LHIN is finalizing recruitment for these groups, with orientation of members over the summer, and the first meeting scheduled for early fall.

Quality Improvement and Population Health

In Toronto Central LHIN, the sub-region planning approach supports collaborative local planning around population need, to improve population health. The path to improving health will be different for the diverse communities and population groups throughout the urban neighbourhoods of the Toronto Central LHIN. Planning in sub-regions has involved efforts to understand health needs on a neighbourhood by neighbourhood basis, with a focus on improving equity in health.

Since May 2016, the Toronto Central LHIN has held several meetings of “Local Collaboratives” within its sub-regions. Health service providers have come together with citizens, primary care leads, and partners from Toronto Public Health, to form these Local Collaboratives in each sub-region planning area.

In early meetings of these Local Collaboratives, teams reviewed data and patient stories, and identified initial starting points for local quality improvement in each sub-region. In the next meeting of these Local Collaboratives, a Collaboration Agreement will be shared that will outline deliverables to be achieved in 17/18, which will include a focus on service alignment and integration as well as sub-region quality improvement.

Service Integration

The North West LHIN has been working with local Health Service Providers from all sectors of the health care system and other key stakeholders in the region, including patients, clients and other ministries, to build an integrated health system through the North West LHIN Health Services Blueprint model, initiated in 2012.

The North West LHIN’s Health Services Blueprint is a 10-year strategy for an integrated health system.
It is a person-centred model in which all health service providers will work together to organize services and delivery of care at three levels within the North West LHIN – the local level, the district level and the regional level – to better meet the needs of the population served.

Within this strategy, five Integrated District Networks (IDNs), now formally known as the LHIN’s five sub-regions, were created to focus on population health planning with a goal towards equitable access to health care services for the residents within the district, improving health outcomes for the population and arranging for people to receive the level of care they need closer to home. The North West LHIN Health Links are aligned to these same geographies.

The North West LHIN’s sub-region planning approach leverages the work to date in the development and evolution of sub-regions (IDNs) to advance the goals of Patients First. Work is underway, in collaboration with stakeholders, to align existing collaborative tables that have been in place to advance Local Health Hub planning, district and regional-level service planning and Health Links to continue to support collaborative local planning around population need.

Next Steps

What’s next? In the coming months, all LHINs will undertake these key steps around engaging the local communities within LHIN sub-regions to develop plans and priorities for service integration, performance improvement, and improved population health. Contact your local LHIN to get involved in this important work.

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

For More Information

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