North East LHIN: Addressing Rural Health

Louise Paquette

Chief Executive Officer

• 400,000 km2

• 560,000 people• Population is dispersed, declining and

aging• 10% Aboriginal• 24% Francophone• 17% aged 65 plus; in 20 years – 30% • More symptoms of poor health• Higher than provincial average of smokers,

heavy drinkers, obesity and chronic disease

• Shortage of health care professionals• More people hospitalized• Over 200 health service providers

The North East LHIN

Location Population Geography Health Service Providers

Nipissing (North Bay, Sturgeon Falls,

Mattawa)87,000 19,000 km 2

3 hospitals5 LTC8 community support services14 community mental health & addictions1 community health centres

Sudbury/Manitoulin (Espanola, Chapleau)

200,0050,000 km 2

5 hospitals10 LTC26 community support services15 community mental health & addictions 2 community health centres

Algoma (SSM, Blind River, Elliot Lake, Wawa, Hornepayne)

121,000 52,000 km 2

5 hospitals8 LTC21community support services20 community mental health & addictions

Temiskaming(Kirkland Lake, Englehart,

Haileybury, Earlton)34,0000 14,000 km 2

3 hospitals5 LTC2 community support services5 community mental health & addictions 1 community health centres

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Location Population Geography Health Service Providers

James and Hudson Bay Coasts

10,118 216,000 km 2

2 hospitals 5 community support services 4 community mental health & addictions

Cochrane(Timmins, Hearst,

Kapuskasing, Iroquois Falls, Smooth Rock Falls)

80,000 51,000 km 2

7 hospitals8 LTC9 community support services15 community mental health & addictions 2 community health centres

Parry Sound42,000 10,000 km 2

1 hospital4 LTC9 community support services5 community mental health & addictions

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The LHIN – A Three Fold Mandate

PlanIntegrated

Health Service Plan

(2010-2013)

Fund Accountability

Agreements (HSAA, MSAA, LSAA)

Integrate200 plus Health

Service Providers

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The BudgetOntario• $46.1 billion • .46 cents of every dollar is spent on health

care. :The government’s goal is to hold annual health sector spending increases to 3% by 2012-2013.”(March 25, 2010).

NE LHIN • $1.2 billion • $9 million for special initiatives such as:

aging at home and urgent priority funding

What’s left? • $883,000 in discretionary funding for

integration initiatives

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Caring for ALC People

A range of options…

• supportive housing • home care support services • complex continuing care bed• convalescent care bed• palliative care bed• rehabilitation bed• transitional care bed• group home• mental health beds• retirement home• long-term care home

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Benefits of Integration… • Brings different elements of a system closer together• Focuses organizations on the people they serve• Promotes system efficiency• Enhances collaboration• Changes old patterns of fragmented services• Creates more interdependence among independent

stakeholders• Removes command and control• Promotes responsibility and funding• Strengthens the connections among Northerners• Encourages a more integrated system of care.

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Single biggest impediment to integration…

Resistance to change

“Change is 20% inspiration and 80% perseverance, persistence and hard work”

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Thank You

Health and wellness

for all.

Santé etmieux-êtrepour tous.

Wii-mino-bimaadiziiyang

kino

www.nelhin.on.ca