Develop a standardized regional strategy for HPC education for stakeholders
Expand the use of e‐health/tele‐health and other technologies to support care
delivery and education, particularly in rural and remote regions
Supporting Recommendations:
• Improve linkages with community support agencies to better integrate these services and to ensure individuals have earlier access to HPC services.15
• Seek out opportunities to provide HPC education to other provider groups that have HPC clients, but may not have the specific HPC expertise.
• Provide education on changing practices/regulations (e.g. fee structures for family physicians).
• Develop strategies to link with other research bodies in Champlain and translate knowledge to practice (e.g. adapt heart institute technology)
• Identify research priorities for the region
10. PROGRAM IMPLEMENTATION
Workplan
There are a number of important steps that need to take place in order to move us closer to the establishment of a Regional Hospice Palliative Care Program for Champlain. The implementation work plan outlined in this section of the document focuses on a number of key objectives that need to be addressed within the first year. A draft gantt chart and budget outlining anticipated costs for operationalizing the Program follows. Objectives for Year 1 include:
To manage the transition as we move to the proposed Regional Program
To establish a Leadership Council for the new Regional Program
To begin to address priority recommendations as outlined in the Regional Plan
To address the current crisis issue related with residential hospices
To develop a strategic and longer‐term workplan to advance the recommendations put forward in the Regional Program Plan
15 The CSS sector has been providing services to HPC clients and those with chronic illness as part of the
routine services offered to all clients. There has not been a formal consideration regarding how to provide these services in the context of HPC. This would require a shift in resources and education of staff, volunteers and others involved in these services.
Objective #1: To manage the transition to the new Regional Program (Months 1‐4)
Action Steps/Activities Considerations Timeline
Establish a Transition Group
Member competencies will include:
Knowledge of health care systems
Knowledge of /experience with Program Development
Membership:
Clinical representation with knowledge of HPC system
Representation with experience in regional program development
Medical representation
Representatives from the Planning Council
Le reseau
Aboriginal Health Circle
Objectives would include:
To develop Terms of Reference for the Leadership Committee
To develop job description for Program positions
To identify competencies and proposed inaugural membership of the new Program Leadership Committee
To develop a draft agreement between the Leadership Committee and the LHIN
To obtain targeted feedback regarding the transition process
To ensure the functional essence of the current Network (what is working well) is not lost
To manage other transition related issues
June 2010 – September 2010 Objective #2 To establish a the Leadership Committee for the new Regional HPC Program (Month 5)
Action Steps/Activities Considerations Timeline
Secure membership for the new Leadership Council and organize initial meeting
As per the recommendations of the Transition Group October 2010
Objective #3
To identify priorities for the new Regional Program and begin implementation (Month 6‐12)
Action Steps/Activities Considerations Timeline
Approve TOR for Leadership Committee October
Establish the Regional Program Office November
Establish TOR, membership and
workplans for ‘communities of practice’ subcommittees
December
Develop program budget December
Finalize accountability Regional Program agreement with the LHIN
January
Establish a plan for ongoing stakeholder engagement
January
Initiate website development February
2011 Continue to build on the environmental
scan for HPC in Champlain
February
2011 Identify system standards and
performance indicators aligned Program objectives /recommendations
March 2011
Recommend elements related to HPC that should be incorporated into existing HSP accountability agreements with the LHIN
Elements might include:
Agreement in principle with objectives of the Program
Performance indicators
Recognition and support for service standards including service provider competencies
April 2011
Initiate the process to develop standards in each HPC element Ongoing Objective #4 To address the current crisis issue related with residential hospices (immediate and ongoing)
Action Steps/Activities Considerations Timeline
To establish an integration plan for hospice beds in Ottawa.
This would include developing a proposal for consideration by the LHIN re: residential hospice in the Ottawa area
May –August 2010
To examine residential hospice needs including service gaps in the rest of Champlain and make recommendations accordingly
September – December
To be involved in ongoing planning for residential hospice beds across
Champlain
Objective #5
To develop a 3year strategic workplan for the Regional Program ( ongoing)
Action Steps/Activities Considerations Timeline
Conduct a review of priority and supporting recommendations as outlined in the Regional Program Plan
October
2010– May 2011 Finalize a 3 yr workplan to guide the
activities of the Leadership Committee and the Communities of Practice
May 2011
Estimated Program Management Budget
Human Resources1 Estimated Cost Considerations
Program Manager2 $90,000 Full‐time
Administrative Support $40,000 Full‐time
Medical Lead $40,000 Part Time
Informatics Technician $65,000 Web development as well as exploring and implementing e‐learning, tele‐consulting and other new media for
information flow
Decision Support $65,000 Data collection and analysis
expertise
Operating Expenses Estimated Cost Considerations
Purchased Services $50,000 Funds for expert services on an as needed basis
Translation $40,000
Meeting Expenses $5,000
Travel expenses $10,000 Champlain‐wide Program
Office Rental $20,000 Estimates ‐ To be negotiated
with ‘host’ agency Phone, fax, computers,
photocopiers etc.
$8,000
Office supplies $7,000
Total $440,000
Education Current resources available in the system
1 Estimated costs for Program staff are based on a FTE and do not include benefits.
2 This would be supported with the $80,000 received from the MOHLTC for the Champlain HPEOLC Network Coordinator position.