IHSP 2010 to 2013

Cliquez ici pour renseignements en français. 

The South West LHIN is currently engaged in the process of updating its Integrated Health Service Plan (IHSP) for the 2010 to 2013 period.  The purpose of the IHSP is to identify and describe our priorities, strategies and proposed outcomes for the local health system in the South West LHIN. Our proposed priorities are:

• Improve Support for People Who Have or Who are At-Risk of Developing Chronic Disease
  • Implement chronic disease prevention and management strategies with an initial focus on the provincial diabetes strategy and spread to other chronic illnesses where relevant
  • Implement enabling technologies with an initial focus on the provincial diabetes registry and include other enabling technologies where relevant
• Provide People with the Supports they Need in their Own Homes and Communities
  • Provide appropriate, safe and effective care in the most appropriate setting with a focus on returning people back to their own homes and communities with supports
  • Increase community care and in-home service capacity
• Make Sure that Services are There for You When You Need Them
  • Strengthen and improve access to and use of emergency services
  • Improve access to and enhance capacity of mental health and addiction services

The proposed priorities build upon the work of our first IHSP and Priority Action Team recommendations, consider current Health System Trends, and align with:

• The South West LHIN’s system level goals:
  • Healthier South West LHIN community
  • Equitable access to services
  • Quality of care and services
  • Sustainable local health system
  • Integration of health care delivery
• The priorities identified by the Ministry of Health and Long-Term Care:

1. Improve Access to Emergency Department care by reducing the amount of time that patients spend in the emergency department waiting
2. Improve Access to Hospital care by reducing the amount of time that patients spend in alternate level of care beds
3. Improve Access to Diabetes care by supporting the roll out of the current provincial diabetes strategy

Our Health System Design Blueprint Project will also make a significant contribution to the content of the IHSP.  Please click here for more information on the Blueprint Project.

Community Engagement

We have substantial communications and community engagement activities planned around the update of our IHSP.  Activities include:

• Web-based questionnaire and Telephone survey
  The South West LHIN thanks all of those who provided feedback on the priorities to be included in our new IHSP by completing our web-based questionnaire or telephone survey.
• Public sessions held in July and September 2009
  The South West LHIN thanks all of those who attended our public sessions in July and September.  We sincerely appreciate your contribution and doing your part to build A Healthier Tomorrow for people in the South West LHIN. 
• Blueprint Project engagement activities
  Engagement activities conducted around the Blueprint Project have also informed the development of the IHSP.  Activities included: symposium sessions; refinement sessions with stakeholders, such as physicians, academia and existing committees; and meetings with county Wardens and Mayors of separated municipalities across the LHIN. 
• IHSP and Blueprint Project updates
  Webcast
  Update 1
  Update 2   

Please check back here regularly for updates on the IHSP 2010-2013 process.

Health System Trends

As the South West Local Health Integration Network (LHIN) embarks on setting its directions for the next three years, it is important to understand and anticipate trends that will assist us in deciding what we need to focus on in the short- and long-term. Health service providers and the public need to have an awareness of these trends in order to collectively shape strategies for building a desirable and sustainable health system. To give a sense of the trends that have been identified by international experts and to provide insights into the trends that are occurring in the province and in the South West LHIN, selected health system trends are briefly discussed below.

Demographics

The population of our LHIN is expected to reach just over 1 million residents by the year 2022. Middlesex and Elgin counties are expected to see the highest growth rate in the LHIN. Our population is aging. The 65+ age group will see the highest growth rate jumping from 15% to 21% of the population in the South West LHIN by 2022. 1 in 10 adults in the South West LHIN does not have a family doctor. The proportion of people without a family doctor or other primary care provider has increased since 2003. (Canadian Community Health Survey)

Person-Centred Care

Today, there is a shift towards empowering patients/clients in health care. We are seeing many responses to this trend on an individual level and at organizational and systems levels. At the individual level, we are seeing informed and vocal patients and patient groups, increased demand for alternative medicines and therapies, and increased patient/client expectations of the health services they receive. At the organizational level we are seeing improved facility designs and patient flow improvements. At the system level, we are seeing the need to include the public when consulting on health policy, and changes in health service delivery.

Chronic Disease Prevention and Management

Chronic diseases account for nearly 60% of all deaths worldwide and are expected to increase by 17% between 2005 and 2015. The World Health Organization (WHO) has found that 89% of Canadian deaths are due to chronic diseases. If you have a chronic disease there is a high risk of having multiple chronic conditions. Other risk factors include low economic level, lower educational attainment. Education and economic levels influence your quality of housing, food and access to leisure and physical activity. We are seeing a number of responses to this trend.  In fact, our LHIN is an early adopter for the provinces roll out of the Diabetes Strategy and Diabetes Registry. Our Partnerships for Health initiative also enhances the integration of services delivered to individuals with diabetes.

Health Human Resources Management

Of growing concern is the need to have the right number and mix of health professionals to deliver the required services. At the same time, the changing nature of practice of health professionals complicates our ability to predict our needs. The South West LHIN is not alone in our constant search for health care workers as it is a global shortage. Significant efforts have been underway to make the most of our scarce resources. Primary Care reform has expanded the use of multidisciplinary teams (e.g. Family Health Teams) and increased health promotion and self-management. Significant increases in education and training have occurred (e.g. additional 1^st year MD positions in school) and substantial recruitment efforts have been implemented through HealthForceOntario.

Mental Health and Addictions

There is increasing awareness of mental health issues and services including substance abuse and addictions, the loss of productivity associated with mental health, and the mental well-being of caregivers. The Ontario Minister of Health and Long Term Care has identified Mental Health and Addictions as a priority. A Minister’s Advisory Group has been established, in addition to a number of working groups, to develop a 10-year mental health and addictions strategy for Ontario.

E-Health

E-health is seen as a key component of health care that will assist health service providers and recipients of care to access information to manage health care needs. Developing electronic health records is seen as the ultimate goal. Other e-health initiatives include web-based self-management programs, online pharmacist care, automated physical activity programs (e.g. WII), and Telemedicine.

Public and Population Health

Public and population health are important because, “Improving population health would be more than a statistical accomplishment. It could enhance the productivity of the workforce and boost the national economy, reduce health care expenditures, and most important, improve people's lives". Growing challenges include lifestyle associated diseases, infectious disease and globalization effects, and climate change effects on health. Various initiatives in Europe and North America are aimed at promoting healthy lifestyle choices such as physical activity and diet to address lifestyle associated diseases. Internationally, organizations and programs have been established to research and monitor infectious diseases such as West Nile Virus, Influenza, etc. like we are seeing today with the H1N1 virus.

For more details on Health System Trends, please read the Ministry of Health and Long Term Care report titled “Externally-Informed Annual Health Systems Trends Report: An Input for Health System Strategy Development, Policy Development and Planning” – January 2009:  click here 

PSSI 2010-2013

Le RLISS du Sud‑Ouest actualise actuellement son Plan de services de santé intégrés (PSSI) pour la période allant de 2010 à 2013. Le PSSI a pour but de cerner et de décrire nos priorités et nos stratégies et de présenter les résultats prévus pour le système de santé local du Sud‑Ouest. Les priorités que nous proposons sont les suivantes :

• Améliorer le soutien offert aux personnes qui ont contracté ou risquent de contracter une maladie chronique
  • Mettre en œuvre des stratégies de prévention et de gestion des maladies chroniques en mettant d’abord l’accent sur la Stratégie ontarienne de lutte contre le diabète puis en focalisant d’autres maladies chroniques, le cas échéant
  • Mettre en place des technologies habilitantes en nous concentrant tout d’abord sur le registre des cas de diabète puis en ajoutant d’autres technologies, le cas échéant 
• Fournir aux gens le soutien dont ils ont besoin à domicile et dans la collectivité
  • Dispenser des soins appropriés, sûrs et efficaces dans le milieu le plus approprié pour permettre aux gens de réintégrer leur propre domicile et leur collectivité avec les soutiens requis
  • Renforcer la capacité des soins communautaires et des services à domicile
• Faire en sorte que les services soient disponibles lorsque les gens en ont besoin
  • Renforcer et améliorer l’accès aux services d’urgences et l’utilisation de ces services
  • Améliorer l’accès aux services de santé mentale et de lutte contre la toxicomanie et la capacité de ces services.

Les priorités proposées misent sur notre premier PSSI et sur les recommandations de l’équipe d’intervention sur les priorités, tiennent compte des tendances actuelles du système de santé et concordent avec ce qui suit :

• Les objectifs systémiques du RLISS du Sud‑Ouest : 
  • Une collectivité en meilleure santé dans le RLISS
  • Un accès équitable aux services 
  • Des soins et des services de qualité 
  • Un système de santé local viable 
  • La prestation intégrée des services de santé

• Les priorités cernées par le ministère de la Santé et des Soins de longue durée : 

1. Améliorer l’accès aux départements des urgences en réduisant les temps d’attente à l’urgence pour les patients
2. Améliorer l’accès aux services hospitaliers en réduisant la durée de séjour des patients qui occupent un lit en attendant d’autres niveaux de soins
3. Améliorer l’accès aux traitements contre le diabète en appuyant la mise en œuvre de la Stratégie ontarienne de lutte contre le diabète.

Nous aimerions recevoir vos commentaires concernant ces priorités. 

Veuillez cliquer ici si vous voulez remplir notre questionnaire en ligne.  

Participation communautaire

Nous avons planifié un grand nombre de projets de communication et de participation communautaire concernant l’actualisation de notre PSSI. En voici quelques‑uns :

• Questionnaire articulé sur le Web
  Remplissez notre questionnaire en ligne entre le 26 août et le 26 septembre pour partager vos idées concernant le système de soins de santé dans le RLISS du Sud‑Ouest et présenter vos commentaires sur les priorités que notre PSSI devrait inclure. Pour remplir ce questionnaire, cliquez ici.
• Sondage téléphonique
  En septembre, le RLISS effectuera un sondage téléphonique pour inviter les résidents de sa région à partager leurs idées sur le système de santé dans le Sud‑Ouest et à fournir des commentaires sur les priorités que notre nouveau PSSI devrait inclure. 
• Séances publiques devant avoir lieu en septembre 2009 
  En septembre, le RLISS a tenu six séances publiques, dont une entièrement en français. La consultation francophone a eu lieu le 22 septembre 2009 au Centre communautaire régional de London, au 920, rue Huron, à London. Les participants ont partagé leur point de vue du système de santé en préparation à l’élaboration de notre nouveau plan stratégique. . 
• Séances publiques tenues en juillet 2009
  Le RLISS du Sud-Ouest remercie toutes les personnes qui ont assisté à ses séances publiques en juillet. Nous apprécions sincèrement votre contribution et votre apport à l’édification d’Un avenir plus sain pour la population de la région.
• Activités de participation dans le cadre du projet 'Blueprint' 
  Les activités de participation entreprises dans le cadre du projet 'Blueprint' étaieront également l’élaboration du PSSI. Ce sont, notamment : symposiums; séances de mise au point avec les intervenants tels que médecins, professeurs et comités actuels; et rencontres avec les directeurs de comtés et les maires de diverses municipalités du RLISS.