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Visioning Session on Seniors and Geriatric Services (Sample Presentation Slide Deck) Date Time Venue. 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. - PowerPoint PPT Presentation
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Visioning Session on Seniors and Geriatric Services
(Sample Presentation Slide Deck)
Date
Time
Venue
2
Session Outline
1. Welcome and Introductions
2. Where are we today?• Our LHIN • Our Hospital
3. Impetus for Change
4. Best Practices
5. Where do we want to be in 3 years?
6. Next Steps
3
Purpose of the Session
To create the hospital’s ‘vision’ for achieving excellence in services for seniors, including specialized geriatric services
4
Relevant Hospital Strategic Goals/Priorities
Where are we today?
• Our LHIN
• Our Hospital
6
Our LHIN’s IHSP Priorities
7
Status of Planning for Seniors in Our LHIN
8
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
Impetus for Change
10
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+)
11
Seniors account for 63% of all acute inpatient days and 43% of all provincial health expenditures in Ontario
12
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).
13
Ontario Case Costing Data, 2005/06
Comparison of Total Cost Per Case for Elderly Patients and All Patients
$9,269
$14,440
$8,437
$6,530
$7,768$7,464
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
Fracture of Femur or Pelvis Pneumonia Severe Depressive Episode without PsychSymptoms
Av
era
ge
To
tal C
ost
Per
Case
Age 70+ All Patients
14
Ontario Case Costing Data, 2005/06
Comparison of Average Length of Stay for Elderly Patients and All Patients
13
24.5
11.5
7.1
14.5
9
0
5
10
15
20
25
30
Fracture of Femur or Pelvis Pneumonia Severe Depressive Episode without PsychSymptoms
Len
gth
of
Sta
y (
Day
s)
Age 70+ All Patients
Best Practices
16
Health Care Services for Seniors
Specialized Geriatric Services
17
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.
18
Benefits of Specialized Geriatric Services
• Decreased acute readmissions• Reduced rate of emergency department
admission• Decreased length of stay • Improved survival • Improved functional status
19
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.
20
Best Practices in Senior Friendly Hospitals
• Processes of Care• Emotional and Behavioural Environment• Ethics in Clinical Care and Research• Organizational Support• Physical Environment
Where do we want to be in 3 years?
22
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
Narrow Scope Broad Scope
Generalists Centre of Excellence
Status Quo Transformational Change
Contributor/Partner Leader
23
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
24
Small Group Reports
25
This is where you are today
This is where you are going
• Program Design• Implementation
Plan• Organizational
Change
People - Staff
People -Leadership
Organization
Structure
Organizational Culture
Technology Facilities Processes
26
Organizational Capacity Needs Barriers
People
• Staff
• Leadership
Organizational Structure
Organizational Culture
Technology
Facilities
Processes
Next Steps
28
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?
29
Next Steps – Timelines for Deliverables
Deliverables Estimated Timeline for Completion
Organizational Assessment Report
Program Design Report
Business Case