Top Three Accomplishments
- Implemented a a transitional bed program (operated by Helping Hands) to help alleviate acute capacity challenges.
Engaged the community in local health planning, including partnering with the City of Orillia and 211 for the Canadian Index of Wellbeing survey.
Evolved the existing community-focused Transitions in Care Committee into the Sub-Regional Planning Table, building on strong, positive partnerships and establishing multiple working groups led by local health leaders to address issues such as capacity, care transitions, seniors access/behaviours, social determinants of health, and palliative care.
Top Three Challenges in 2018-19
Chronic Disease Prevention and Management
Residents are living longer with multiple chronic conditions. With limited local access to chronic disease management resources, a shortage in human resources and personal upport services, and a lack of affordable transportation to access services, it remains difficult for them to remain well within the community. The Couchiching Seniors Access Working Group has identified two areas of focus: access to the community based Congestive Heart Failure Clinic and the need to partner with the Regional Specialized Geriatric Program to optimize local resources in the development of a local Specialized Geriatric Team.
Sub-regional availability to appropriate level of care
The average wait time for Home and Community Care clients in Couchiching waiting for priority placement into Long Term Care ranges from 20 to 28 days. In-hospital patients who are no longer acute and require a level of care that could be provided elsewhere are identified as Alternate Level of Care (ALC). On average, there are between 30 and 40 ALC patients at Orillia Soldiers’ Memorial Hospital. The root causes of these issues are broad in nature and have provincial and regional initiatives underway to address them. The Couchiching Capacity Working Group is focusing on those aspects that are within their control—specifically, physical and human resources—and are engaged in sub-regional surge planning.
Affordable housing/assisted living
There continues to be a shortage of affordable assisted living and housing options available within the sub-region. This issue requires multiple initiatives from a wide range of stakeholders across jurisdictions. The Couchiching Social Determinants of Health Working Group has been developed and has identified local housing as an area of focus. In addition, the Couchiching Family Health Team, in partnership with 211, will be implementing a Poverty Screen Tool.
Goals for 2019-22
For more information on the Couchiching sub-region, contact:
- Susan Gibb, Director, Couchiching Sub-region Planning and Integration
- Lisa Parish, Director, Couchiching Sub-region Home and Community Care
- Dr. Kim McIntosh, Couchiching Sub-Region Clinical Lead