Integrated Service Delivery Model

Recommendations for An Integrated Health System

  • Why an integrated health system? Because integration is critical in health care today. One of the reasons LHINs were created, as the name Local Health Integration Network suggests, was to find ways to integrate governance, administration, clinical services and back office services between and among service providers.
  • Implementing new partnerships and collaborations will reduce service duplication, minimize costs, and address waste in the system – allowing us to invest these savings to improve access to services and serve local populations better.
  • No hospitals are to be closed. Rather each hospital will have a part to play in the newly proposed integrated health system model laid out in the Blueprint. All health service providers will work together to organize services and delivery of care at three levels within the North West LHIN: local, district, and regional or LHIN-wide.
  • Local Health Hubs will be comprised of health service providers in and around specific communities. The local hubs will plan and provide health care services based on the unique needs of their community, to meet the health care needs of the population they serve and to support individuals in accessing care as close to home as possible. There will be 14 local health hubs corresponding to the communities with hospitals in the LHIN.
  • Integrated District Networks will exist where multiple communities share services and will include representation from Local Health Hubs, the North West Community Care Access Centre and an acute care hospital designated as a District Health Campus. The District Health Campus will provide specialist care to patients in the district through its site or through visiting clinics and/or technology. The Integrated District Network will focus on providing equitable access to health care services for the residents within the district, improving health outcomes for the population and arranging for people to receive the level of care they need closer to home. The services coordinated at the district level will include certain hospital surgeries and medical interventions.
  • There are five Districts identified in the Blueprint: District of Thunder Bay, City of Thunder Bay, District of Rainy River, District of Kenora, and Northern (Sioux Lookout and linked to the 28 First Nation northern communities with a nursing station).
  • Regional or LHIN-wide programs and services will ensure care is based on evidence and leading practice and will set the standards of care across the LHIN. Expertise and economies of scale will be leveraged through the development and delivery of complex, high impact specialty programs/services across


Local Level

Local Level

  • Local Health Hubs will plan and provide health care services to the local community
  • Local Health Hubs will focus on improved access to care for stable patients, including those with chronic conditions and mental health and addictions issues
  • Services at the local level will include:
  • Primary care
  • Community support services
  • Community mental health and addictions
  • Acute care
  • Post-acute care (rehab, complex continuing care, transitional care)
  • Long-term care


District Level

District Level

  • One hospital in each District will be designated the District Health Campus
  • The District Health Campus will provide more specialized, secondary care to the population through the District Hospital site, as well as through visiting clinics in local health hubs and technology-based services (e.g. telemedicine, tele-psychiatry)
  • The District Health Campus is expected to host a Community Care Access Centre satellite office and may host some regional programming.
  • At a district level there will also be an Integrated District Network made up of all LHIN-funded HSPs that deliver health services within the District
  • The role of the Integrated District Network is to arrange the provision of a coordinated continuum of services to the population within the District and to coordinate with regional programs
  • The Integrated District Network doesn't provide "services"



Regional Level

Regional Level

  • Regional Programs will focus on high cost, high complexity, high impact services
  • Regional Programs will enable the provision of highly specialized care within the North West LHIN
  • Within Regional Programs, some services will be delivered at the local level, with more specialized services available at a District or Regional level
  • Regional Programs will also include components of education, research, knowledge exchange, adoption of evidence-based practice and system navigation
  • Regional or LHIN-wide Programs and services will ensure care is based on evidence and leading practice and will set the standards of care across the LHIN
  • It is expected Regional Programs will be disease-based (e.g. cancer), population-based (e.g. seniors), or will enable delivery of key services across the LHIN (e.g. back-office solutions)

 


How it all Works Together

  • Local Health Hubs deliver primary care close to home
  • There is one designated District Health Campus within each District
  • The District Health Campus will provide more specialized care within the District
  • Local Health Hubs can make referrals to specialty programs at the District Health Campus and Regional Program levels
  • The Local Health Hubs and the District Health Campus is part of the Integrated District Network
  • The Integrated District Network will act like a steering committee, overseeing the coordination of care across the District, facilitating the link with highly specialized regional programs
  • Regional Programs will work closely with and support the Districts to spread best practices and deliver specialty programs and services to all populations across the LHIN