Central Community Care Access Centre (CCAC) 2016-2017 Annual Report to the Community

Central CCAC 2016-2017 Annual Report to the Community 2

A Message from the Board Chair and the Chief Executive OfficerCentral CCAC’s most meaningful contribution is delivering the high quality care and services our patients and their families need, at home and in the community

On any given day in 2016-2017, Central CCAC made a meaningful contribution in the lives of 40,565 patients and their families, by delivering the high quality care and service they need, at home and in the community. Overall, we served 89,163 patients last year, an 3.6 percent increase over the previous year, which reflects the ever growing need for home and community care in our region.

The Central CCAC was pleased to receive a significant funding increase of $16.1 million from the Central Local

Health Integration Network (LHIN) last year, for investment directly into patient care. We focused on enhancing services for those patients with the highest need – including at the end of their lives when they are most vulnerable – and providing respite to help caregivers better care for themselves and their loved ones.

Some of our patient care investments this past year meant that more patients were able to be home over the holidays and families of children with complex needs received more respite. Our initiatives also benefited people transitioning from convalescent care to home, and reduced the number of school-aged children waiting for therapy services.

In total, we provided 4,035,686 hours of personal support last year – 9.6 percent more than the previous year – and significantly reduced the time high needs patients waited for service, while at the same time met the requirement to balance our budget.

This was also a year of transition and change for Central CCAC. In December 2016, the Patients First Act was passed in the Ontario Legislature, enabling the transfer of Central CCAC to the Central LHIN in June 2017. As we prepare for this transition, we thank our many health system partners for their support over the years.

Our accomplishments on behalf of patients and their caregivers would not be possible without the dedication of everyone who is an important part of our organization. From the guidance of the Board of Directors, to the leadership of the senior team and management, to the frontline employees who care so deeply about those we serve, thank you for making it possible for Central CCAC to deliver on our vision of “Outstanding Care – every person, every day.”

Board of Directors

With appreciation, we thank the following individuals who served on Central CCAC’s Board of Directors in 2016-2017:

Joyce Bailey

Eugene Cawthray

Julie Corden

Mike Dibden1

Joanne Flint

Noam Goodman2

Anne Kemp

Al Luciani

Joe Parker

Caroline Pinto

Charles Schade

Daisy Wai2

Megan Allen-Lamb3 (CEO)

1 Resigned January 2017 2 Completed term June 2016 3 Ex officio

Joe Parker Board Chair

Megan Allen-Lamb Chief Executive Officer

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“ The extra respite care CCAC provides is so appreciated because it supports me in caring for my mom at home for as long as possible. It’s just a huge help.”

Care for the Caregiver With support from the CCAC, Kathrine Pummell is able to give her aging mother a good quality of life at home in the community

At 99 years old, loving wife, mother of four and former travel agent, Laura Pummell has lived with Alzheimer’s for close to twenty years. While long-term care may be necessary in future, her family’s goal is to keep their mom in the comfort and familiarity of home as long as possible.

“Here in her own home, my mother is well-loved and gets so much personal attention. Her 13-year old cat even sleeps at the end of her bed,” says Kathrine, one of Laura’s daughters and her primary caregiver. “She has a very good quality of life. That is what’s truly important.”

According to Kathrine, the ongoing support of the Central Community Care Access Centre (CCAC) is a big benefit. Laura requires a wheelchair and is fully dependent on her caregivers for all daily living activities and personal care. Along with private caregiving arranged by the family, she receives personal support each day from the Central CCAC.

Over time, her CCAC Care Coordinator Marina Alesker has worked with Kathrine to respond to her mother’s changing needs and help Laura remain safely in the community. For example, when Laura experienced a fall, Marina arranged for an occupational therapist to assess what assistive devices would be most beneficial to reduce the risk of injury. With Marina’s encouragement and assistance, Kathrine has done some advanced care planning.

Most recently, Marina, whom Kathrine calls “extremely proactive and responsive,” put additional hours of personal support in place to assist with Laura’s daily personal care and to give Kathrine a much-needed break. The increased services were made possible by a funding investment in 2016 from the Central Local Health Integration Network (LHIN), which enabled Central CCAC to focus on enhancing care for its most complex and vulnerable patients, and on providing more respite hours to support caregivers.

Taking better care of primary caregivers, and ensuring they experience a bit of normalcy and relief in their demanding role, is something Marina calls absolutely essential.

“It is so important to look at the stress levels and wellbeing of primary caregivers,” says Marina. “They make it possible for their loved ones to keep living safely at home. Without their loving care, the entire health system simply couldn’t function.”

Kathrine, who only recently retired, says that because caring for someone in her mother’s condition is very challenging, even having a Saturday afternoon free really benefits her own mental health.

“My mother is much better off here than in a long-term care environment, and I feel fortunate to be in a position to take care of her,” says Kathrine. “The extra respite care CCAC provides is so appreciated because it supports me in caring for my mom at home for as long as possible. It’s just a huge help.”

L to R: Kathrine and Laura Pummell

L to R: Central CCAC Care Coordinator Marina Alesker with caregiver Kathrine Pummell and her mother Laura

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Helping those who need us the mostLast year Central CCAC enhanced services for our highest needs patients, and provided more respite to better support caregivers in their challenging and important role.1

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Delivering the high quality care people need at home and in the community

• Delivered care and services to 89,163 patients, up 3.6%

• Supported 40,565 patients on any given day, up 4.9%

• Provided 10,338 people with quality, specialized care at one of our community nursing clinics

• Delivered 4,035,686 hours of personal support to assist people with complex needs to manage their personal care

• Arranged the critical care and services needed by 11,685 children while attending school

• Provided 670,985 at-school and in-home nursing visits

• Delivered physiotherapy to 13,948 people of all ages

Supporting people to take good care of themselves and their loved ones

• Used technology to help 726 patients better self-manage their chronic illness through our innovative Telehomecare program

• Supported 4,782 palliative patients and their families when they were at their most vulnerable

• Assisted 2,476 people to access adult day programs

• Completed 1,682 assisted living/ supportive housing referrals

Keeping people safe as they return to the community after a hospital stay

• Safely transitioned 39,958 patients home from hospital

• Brought 2,032 hospital patients “Home First”

• Provided short-term in-home support for 3,747 people with complicated health issues, through our Rapid Response Nurses

• Supported 945 youth in schools through our Mental Health and Addictions Nurses

• Assisted 3,932 people with the emotional and difficult life change of moving into long-term care

• Placed 808 people in short-stay convalescent care so they could recuperate and then safely return home

Connecting people to care, when and where they need it

• Managed 219,123 telephone calls from people asking about care and services

• Helped 3,597 patients find a primary care provider or nurse practitioner through Health Care Connect

• Logged 674,888 visits to Centralhealthline.ca from people searching for health and community-based services close to home

Central CCAC’s audited financial statements for 2016-2017 are available at healthcareathome.ca/central1Data reflects 2016-2017 volumes and percentage increases over 2015-2016 volumes.