Aging at Home
On August 28, 2007, the Government of Ontario announced the Aging @ Home initiative, a program which will invest $702 million into local services throughout Ontario that help seniors live independently and healthy in their homes. The Erie St. Clair Local Health Integration Network (LHIN) is receiving approximately $31 million, over three years, to support the local needs of senior citizens in Chatham-Kent, Sarnia/Lambton and Windsor/Essex.
Year 3 - All LHINs have received guidelines from the Ministry of Health and Long-Term Care for Year 3 funding allocations. Our Year 3 budget is $5.6 million and there is a 25% holdback by the province ($107M province-wide) to be allocated to priority areas (e.g. Long-Term Care / Supportive Housing Beds). The ESC LHIN is currently assessing gaps in the system and is evaluating programs to best meet our goals. Additionally, we anticipate funding a fourth year of the Aging at Home program to include $1.6 million base budget with a 25% hold back.
Year 3 - Goals:
- Reduce Emergency Department (ED) wait times
- Reduce Alternate Level of Care (ALC) Days
- Additional temporary bed capacity
- Admission avoidance/timely discharge initiatives (hospital process enhancements)
- Enhanced home care (building community-based services)
- Outreach teams
- Reach MLAA Targets (2009/10)
Year 3 - Priorities:
Primary strategy for Year 3 is to address previous funding commitments and advance Regional Outreach Teams; including:
- Rehab Teams in all counties (start up in Windsor/Essex via Community Health Centre)
- End-of-Life Team in all counties
- Rapid Response Seniors Chronic Disease Management Team
Other initiatives include:
- System navigation (regional)
- Ambulation teams in acute care settings
- Falls prevention strategy
2010 - 2011 Funding
Year 2 - In September 2008, all LHINs received direction from the Ministry of Health and Long-Term Care that Year 2 Aging at Home funds were required to be linked to improved patient flow, with a focus on a) alleviating ALC levels and, b) emergency department diversion. We have developing a comprehensive ALC alleviation and ED diversion strategy to meet our ALC targets.
Year 2 - Priorities:
- Supportive Housing
- Geriatric/Psycho Geriatric Specialized Services
- Home Maintenance and Repair
- Adult Day Programs
- Friendly Visits
- Respite and Care Giver Support Services
2009 - 2010 Funding
Year 1 - Funding for the Year 1 (2008-09) Aging at Home initiatives flowed in August 2008, and many were funded on a one-time recurring basis, to allow for some evaluation prior to committing funds to base. Evaluation occurs on a quarterly basis by tracking the initiatives performance measurement targets. Decisions about reallocation are ongoing.
Aging @ Home Planning Teams
The Aging @ Home Advisory Network was created specifically to examine services and healthcare practices and provide expert input regarding community support services for seniors. The network’s membership consists of local health care leaders and practitioners and is reflective of Erie St. Clair’s three regions. The network represents the Erie St. Clair LHIN’s commitment to engaging our community and stakeholders to help guide our planning process.