Central West LHIN: A Case Study

The federal government is responsible for the delivery of primary health care services on-reserve as well as for funding the province for programs and services (Lavoie, 2013). Conversely, the province is responsible for primary health care services off-reserve, as well as hospital and physician services. While these jurisdictional boundaries seem to be clear in theory, in practice, they have been proven to be ambiguous and complex, and at times even self-serving (Lavoie, 2013; Kelly, 2011). This has contributed in an alarming burden of illness among First Nations communities that have economic, political and social implications for all Canadians. A study of these ambiguities and complexities as well as their consequences first requires a scan of the historical policies that have led to the current state of affairs in the healthcare of First Nations people.

Health care expenditure accounted for an estimated 11% (214.9 billion) of Canada’s GDP in 2014 (CIHI, 2014). Canada boasts a universal, cost-effective and fair health care system to its citizens (Picard, 2010). However, despite great claims and large expenses incurred Canada’s health care system has been reported inefficient in it’s delivery to the population (Davis, Schoen, & Stremikis, 2010; Picard, 2010). As inconsistencies exist in health care delivery across the country, choosing priorities for the health of the Canadian people becomes of vital importance. In Ontario, progress toward a better health care system has been stated to be moving forward by putting the needs of the “patient’s first” (Ministry of Health and Long-Term Care [MOHLTC], 2015). This policy brief will give a background of health care issues in Canada related to Ontario. Three evidence-based priorities will be suggested for Ontario’s health policy agenda for the next three to five years. Furthermore, through a critical analysis of these issues a recommendation of the top priority issue for the agenda will be presented.

This paper will discuss the Canadian healthcare system compared to the United States healthcare system. Although they’re close in proximity, these two nations have very different health care systems. Each healthcare system has its own difficulties, and is currently trying to find ways to improve. Canada currently uses the Universal Health Care system; which provides healthcare coverage to all Canadian citizens (Canadian Health Care, 2007). The services are executed on both a territorial and provincial basis, by staying within the guidelines that have been enforced by the federal government (Canadian Health Care, 2007).

In 1967, Tommy Douglas had a great impact in establishing Canada’s universal health care system which guarantees health care to its residents regardless of factors such as race or ethnicity, religion, income, and age (Tommy Douglas: The Father of Medicare, n.d., para.1). In the 1974 Lalonde Report it emphasizes that health services were only one of the many factors that affect health (A New Perspective On the Health of Canadians, 1974). Others factors which include income, food security, the level of education, shelter, status of health, social status, employment and working conditions, and living conditions also contribute to the status of ones’ health. These factors are known as the social determinants of health or one’s socio-economic status that provide an insight to the health of Canadians.

|Healthcare – A Framework for Local Action 2007; organisational policies, local and regional guidelines for |

This group report will focus on the health integration initiatives that has been taken by the North East LHIN (NE LHIN). The information and data that has been gathered in this report are primarily from the North East LHIN official website. The North East LHIN is one out of the 14 LHINs that currently exist in Ontario. The North East LHIN is consisted of 5 sub-regions all which was proposed by the board and undertaken by the ministry in order to recognize and assess local health issues that occur in these smaller geographical locations (NE LHIN, 2017).The North East LHIN strongly believes that the quality of health care is an integral part of their prioritization efforts. The ultimate mission is to create health and wellness through an

As well the Monroe County began Health Action initiative 1995 which was instituted to convene “a group of community partners to develop a plan to improve the health” of residents in Monroe County (County, NY Monroe. Similar to the goal of the African American Health coalition, Health Action was created to improve the health outcomes of individuals in Monroe County by “aligning community resources to focus on selected priorities for action” (County, NY Monroe). Aside from this health initiative, another form in which the government is addressing the issues of health disparities regarding living environment and health conditions, specifically through healthcare is the Accountable Health Communities under the Department of Health and Human Services. This model is based on the “emerging evidence that addressing health related social needs through enhanced clinical-community linkages” will lead to improved health outcomes and reduce overall costs (ECFR). There are many tracks through this funding that offer a varied intensity to “better link beneficiaries to community services” (ECFR). The regulation title 24, housing and urban development, under chapter VIII, office of the assistant secretary for housing federal housing commissioner, department of housing and urban development, which focuses on the section 8 housing

With the focus on these five areas, Governments in each country are creating health systems that aim to provide services that are affordable, equitable and accessible. To achieve a sustainable health system, cooperation and participation of all health care providers is vital. This will work towards WHO’s goal of achieving “better health for all”

As Executive Director, I will provide staff leadership for Better Health Association. Our goal for the company is to improve the well-being of individuals. Audiences of all ages will be able to take part in learning about living a healthy lifestyle and developing the skills needed to make healthy choices to prevent diseases and ameliorate conditions for those already afflicted with illnesses. Over the course of the following year, it is my responsibility to develop and lead the staff, management structure, dedicated to achieving the mission for Better Health Care Organization. I plan to make significant changes to our organization, to help guide individuals in Central Ohio, to living a better and healthier lifestyle. My goal is to empower the staff with the training needed to meet our company’s standards.

     In the past, Canada’s government-funded, universally accessible, health care system has been praised and admired both at home and abroad as one of the finest in the world. A great source of pride and comfort for many Canadians is that it is based on five fundamental principles. Principles that are a reflection of the values held by Canadian citizens since the formation of Medicare in 1966. These principles were reinforced in the Canada Health Act, (CHA), of 1984 and state that the Canadian system is universal, accessible, portable, comprehensive and non-profit.

The aim of the health care system is to improve patient outcomes through the delivery of medical services by influencing the conveyance of preemptive and primary healthcare services (Lathrop & Hodnicki, 2014, p. 1). Communal health is the development of health outcomes for the entire population through health promotion and disease prevention. For that reason, I believe integrating these two entities will prove to be beneficial in reducing disjointed care, cost, and eliminate inadequate care in the nation’s health care system.

The North Eastern Local Health Integration Network is responsible for integration amongst different health care establishments and providers within towns such as Sudbury, Timmins, North Bay and a few more. These towns are relatively rural communities and an reoccurring issue in rural communities is not having the same opportunities as those living in urban communities or in the city. Living in rural communities, limits the access that residents have to the care they need because of a lack of these care facilities and providers and it also limits the quality of care that these residents can receive because of a lack of resources and specialists. Unlike in Toronto and surrounding towns, many people have access to primary care, specialists, rehabilitation and more. North eastern LHIN and supporting organizations such as Health Science North and Rural Health pub work to implement integration initiatives to help increase the access to quality health care services to residents of rural communities in northeastern Ontario. One of the programs

The purpose of this needs assessment is to identify areas where enhancements in the health care delivery system can improve both the accessibility of care as well as guide preventive health services for those most at risk for poor health outcomes. While needs assessments bring attention to the underlying factors associated with good or poor health status and sufficient access to care, LSCC is uniquely positioned as a FQHC serving almost 80,000 Central Texas residents to improve population health by forming strategic partnerships and innovative collaborations with not only other health care providers and health-related organizations, but local and state governments and community-based organizations as well. The following section identifies

In 2001 Kevin Cowan took over the almost bankrupt St Michael’s Health Centre (SMHC) and revitalized it. This dysfunctional organization had about 300 workers, no capital assets, a large deficit (CAD$350,000), and an annual budget of CAD$ 10 million. Cowan had charisma, perseverance, and courage. Cowan’s exemplary, innovative, and servant leadership style turned around SMHC’s finances, changed broken relationships, and feud over funding arrangements with Chinook Health Region (CHR) into a strategic alliance. Equally, the RN union was angry because LPN’s were used for some tasks rather than RNs (Vanderpyl, 2012).

The organization and structure of public health at Island Health is comprised of numerous teams and professionals. The Island Health MHOs play an integral role in promoting and protecting the health of the population. The MHOs legislated mandates on disease control and health protection come from the BC Public Health Act (2008). Along with responsibilities around advocating, consulting, and management, MHOs are responsible for monitoring and assessing the health and well-being of the population via collecting data, and analyzing health and health-related trends and issues affecting communities, and developing associated reports, briefs, and profiles (Province of BC, 2018). This year, the MHOs have decided to focus population reporting on the