Visioning Session on Seniors and Geriatric Services

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• Visioning Session on Seniors and Geriatric
  Services
• (Sample Presentation Slide Deck)
• Date
• Time
• Venue

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Session Outline

• Welcome and Introductions
• Where are we today?
• Our LHIN
• Our Hospital
• Impetus for Change
• Best Practices
• Where do we want to be in 3 years?
• Next Steps

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Purpose of the Session

• To create the hospitals vision for achieving
  excellence in services for seniors, including
  specialized geriatric services

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Relevant Hospital Strategic Goals/Priorities
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• Where are we today?
• Our LHIN
• Our Hospital

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Our LHINs IHSP Priorities
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Status of Planning for Seniors in Our LHIN
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Serving Seniors at our Hospital Current State

• List current programs that specifically target
  seniors
• List any committees/task forces/working groups
  that are specifically focused on seniors issues

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• Impetus for Change

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Seniors in Our LHIN

• Insert bar graph showing current and projected
  seniors population in the LHIN
• A stacked bar graph can be used to illustrate the
  different age cohorts within the seniors
  population (i.e. 65-74, 75-84, 85)

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• Seniors account for 63 of all acute inpatient
  days and 43 of all provincial health
  expenditures in Ontario

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Quality Concerns for Seniors in Acute Hospitals

• 2-fold risk for adverse events and surgical
  complications
• 50 of all nosocomial infection
• 15-20 will develop hospital acquired delirium
• Longer lengths of stay
• High rates of re-admission
• Loss of the capacity for independent living
• More costly care (see next slide).

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Ontario Case Costing Data, 2005/06
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Ontario Case Costing Data, 2005/06
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• Best Practices

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• Specialized Geriatric Services

• Health Care Services for Seniors

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What are Specialized Geriatric Services?
Range of health care services, which diagnose, treat and rehabilitate frail elders with complex and multiple medical, functional and psychosocial problems Provided on a consultative basis by an interdisciplinary team of health professionals Provided in a variety of home, ambulatory, acute care, long-term care and rehabilitation hospital settings Aimed at reducing the burden of disability by detecting and treating reversible conditions and recommending optimal management of chronic conditions.
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Benefits of Specialized Geriatric Services

• Decreased acute readmissions
• Reduced rate of emergency department admission
• Decreased length of stay
• Improved survival
• Improved functional status

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Best Practices in Specialized Geriatric Services

• Outreach
• Outpatient Geriatric Clinics
• Geriatric Day Hospitals
• Acute Geriatric Units
• Geriatric Rehabilitation Units (GRU)
• Geriatric Assessment And Treatment Units (GATU)
• Internal Consultation Teams
• Psychogeriatric Services
• Geriatric Emergency Management
• .

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Best Practices in Senior Friendly Hospitals

• Processes of Care
• Emotional and Behavioural Environment
• Ethics in Clinical Care and Research
• Organizational Support
• Physical Environment

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• Where do we want to be in 3 years?

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Small Group Discussion (15 minutes)

• Group 1 Hospital Role
• What should role should we play in seniors and
  geriatric services in our LHIN? What should we
  offer?
• Examples of strategic choices
• Please pick someone to provide a 5 minute
  synopsis of your discussion

Status Quo
Transformational Change
Contributor/Partner
Leader
Generalists
Centre of Excellence
Narrow Scope
Broad Scope
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Small Group Discussion (15 minutes)

• Group 2 Organizational Fit
• How can services for seniors and the geriatric
  population best be organized relative to other
  programs at our hospital?
• Examples of strategic choices
• Please pick someone to provide a 5 minute
  synopsis of your discussion

Separate
Integrated
Ad hoc
Coordinated
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Small Group Reports
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This is where you are going
This is where you are today

• Program Design
• Implementation Plan
• Organizational Change

People - Staff People -Leadership Organization Structure Organizational Culture Technology Facilities Processes
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Organizational Capacity Needs Barriers
People Staff Leadership
Organizational Structure
Organizational Culture
Technology
Facilities
Processes
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• Next Steps

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Next Steps Developing the Business Case

• Distribute Scorecard Questionnaire
• What are the most important criteria for a
  successful business case for moving forward with
  our vision for seniors and geriatric services?

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Next Steps Timelines for Deliverables
Deliverables Estimated Timeline for Completion
Organizational Assessment Report
Program Design Report
Business Case