The Central East Local Health Integration Network (Central East LHIN) is developing its fourth Integrated Health Service Plan (IHSP), a document that sets out shared goals for the organizations and service providers who make up the local health care system including hospitals, community support service agencies, community health centres, the community care access centre, community mental health and addiction agencies and long term care homes.

As the LHIN works with its planning partners to develop IHSP 4, we also want to hear from health care service providers about the challenges you face in delivering coordinated and comprehensive care to your patients, clients, consumers, residents and their family/caregivers and opportunities you see in better supporting them to live healthier lives in their homes and their communities and how that can be achieved.

We’ve been talking to a lot of you over the years and hearing from patients and their caregivers and everyone agrees that living healthier at home means receiving the right information, the right care and the right services so that local residents only have to go to the hospital or move to a long-term care home when living in their own home is no longer the safest option or their situation requires specialized or acute care.

Your support in completing the brief survey below to help us determine where we can make the biggest difference with the next IHSP is very much appreciated.

Please know that all of your feedback will be reviewed and considered before the IHSP is submitted to the Central East LHIN Board at the end of October
Q1-3: Who are you?
To help us in our review of the results of this survey, please take a minute to answer the following question to help us understand your perspective. (*requires an answer for the survey to be valid)

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* 1. What sector do you work/volunteer in? (Please check all that apply)

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* 2. What is your role as a health care service provider? (Please check all that apply)

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* 3. In which Central East LHIN cluster do you/your organization provide health care services? (check all that apply)

Q4- Q16: Challenges to providing co-ordinated care

Below is a list of challenges that health care service providers have identified in providing care in a co-ordinated and comprehensive way. Based on your experiences, how often do you face the same challenges when working to serve the needs of your patients and their caregivers?

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* 4. Challenges - Transitions between different health care settings or providers.

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* 5. Challenges - Complexity of health needs of patient.

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* 6. Challenges - Health needs of family/caregiver.

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* 7. Challenges - Social support needs of patient and/or family.

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* 8. Challenges - Communication between providers within the same organization

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* 9. Challenges - Communication between providers from different organizations.

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* 10. Challenges - Communication with patient’s primary care/family medicine provider.

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* 11. Challenges - Sharing of information on patient health and needs with other providers.

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* 12. Challenges - Timely access to primary care/family medicine .

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* 13. Challenges - Access to home care.

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* 14. Challenges - Access to community supports.

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* 15. Challenges - Access to social services.

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* 16. Challenges - Differences in service standards between service providers.

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* 17. Challenges - Other – please specify:

Q18- 30: Actions to better provide co-ordinated care
Below is a list of opportunities that health care service providers have identified as potential actions that would improve their ability to provide care in a co-ordinated and comprehensive way. Based on your experiences, how valuable do you believe the following actions would be in supporting your patients to live healthier lives in their homes and communities?

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* 18. Actions - Patient and family/caregiver goals are known.

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* 19. Actions - Services delivered are aligned with achieving patient goals.

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* 20. Actions - The ability to offer choices to patients and family/caregivers is improved.

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* 21. Actions - Patient medical needs and care/treatment information is easily accessible to all care team members.

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* 22. Actions - All providers involved in the patient’s care are able to co-ordinate care planning and delivery of care.

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* 23. Actions - Patients and family/caregivers have the knowledge and opportunity to participate in their own care.

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* 24. Actions - Patient and family/caregiver wishes for end of life care are known (i.e. Advanced Care Planning/Directives)

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* 25. Actions - In-home health monitoring technology or clinic based video conferencing (telemedicine) is made more available.

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* 26. Actions - Adequate time is available at patient visits to ensure time for understanding care options.

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* 27. Actions - Provider is able to offer care in languages other than English

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* 28. Actions - Provider is competent in cultural needs of patient and family/caregiver

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* 29. Actions - Non health care providers such as social services were included in care planning

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* 30. Actions - Other – please specify:

Q31-60: Specific actions to better provide co-ordinated care for specific populations

Please rate the value of the following opportunities that health care service providers have identified as potential actions that would improve their ability to provide care in a co-ordinated and comprehensive way for specific populations.

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* 31. PEOPLE WITH MENTAL HEALTH and ADDICTIONS NEEDS - Improved access to appropriate housing and supports in housing

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* 32. PEOPLE WITH MENTAL HEALTH and ADDICTIONS NEEDS - Improved access or involvement of primary care

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* 33. PEOPLE WITH MENTAL HEALTH and ADDICTIONS NEEDS - Improved access to community based health and social services

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* 34. PEOPLE WITH MENTAL HEALTH and ADDICTIONS NEEDS - Improved access to home care

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* 35. PEOPLE WITH MENTAL HEALTH and ADDICTIONS NEEDS - Improved co-ordination of care among various providers

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* 36. PEOPLE WITH MENTAL HEALTH and ADDICTIONS NEEDS - Other:

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* 37. SENIORS - Improved ability of family caregivers to help care for and support patient

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* 38. SENIORS - Relief of caregiving duties and support (respite)

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* 39. SENIORS - Improved access to community based health and social services

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* 40. SENIORS - Improved access to home care

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* 41. SENIORS - Improved co-ordination of care among various providers

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* 42. SENIORS - Other:

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* 43. PEOPLE WITH VASCULAR HEALTH/CHRONIC DISEASE/DIABETES CARE NEEDS - Rehabilitation services as close to home as possible

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* 44. PEOPLE WITH VASCULAR HEALTH/CHRONIC DISEASE/DIABETES CARE NEEDS - Improved access to community based health and social services

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* 45. PEOPLE WITH VASCULAR HEALTH/CHRONIC DISEASE/DIABETES CARE NEEDS - Improved access to home care

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* 46. PEOPLE WITH VASCULAR HEALTH/CHRONIC DISEASE/DIABETES CARE NEEDS - Improved co-ordination of care among various providers

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* 47. PEOPLE WITH VASCULAR HEALTH/CHRONIC DISEASE/DIABETES CARE NEEDS - Other:

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* 48. PEOPLE WITH PALLIATIVE and END OF LIFE CARE NEEDS - Having early conversations about wishes (Advanced Care Planning)

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* 49. PEOPLE WITH PALLIATIVE and END OF LIFE CARE NEEDS - Bereavement support for family/caregiver

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* 50. PEOPLE WITH PALLIATIVE and END OF LIFE CARE NEEDS - Improved access to community based health and social services

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* 51. PEOPLE WITH PALLIATIVE and END OF LIFE CARE NEEDS - Improved access to home care

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* 52. PEOPLE WITH PALLIATIVE and END OF LIFE CARE NEEDS - Improved co-ordination of care among various providers

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* 53. PEOPLE WITH PALLIATIVE and END OF LIFE CARE NEEDS - Other:

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* 54. CHILDREN - Improved access to mental health services

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* 55. CHILDREN - Standardized developmental assessments

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* 56. CHILDREN - Prevention and management of childhood obesity

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* 57. CHILDREN - Improved access to community based health and social services

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* 58. CHILDREN - Improved access to home care

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* 59. CHILDREN - Improved co-ordination of care among various providers

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* 60. CHILDREN - Other:

Q61–66: Confidence in the System/Looking to the future

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* 61. How would you rate the current ability of health care service providers to respond as a COORDINATED SYSTEM to meet patient needs?

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* 62. Has the ability to respond as a coordinated system to patient needs changed in the last three years?

To what extent do you agree or disagree with the following statements:

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* 63. “Service providers are working together to create a coordinated health system that improves outcomes and meets the goals of patients with complex health care needs.”

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* 64. “Patients and caregivers are working hand in hand with their care team to achieve better health, better care, better value.”

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* 65. How confident are you that your patients and their family/caregivers can access the health care services they need at the right place, at the right time, and receive the right care?

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* 66. Please use the space below if you would like to add any additional comments to your survey response.

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* 67. Contact Information - Optional
Please know that your feedback will be summarized and included as an appendix to the IHSP but we will NOT be publishing the names and/or contact information of any survey respondents.

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