Hiking Boots

Follow along on our journey to an integrated health system for Algoma residents! Check out the data below to see how we're achieving our yearly objectives.

Annual Plan + Performance Dashboard

The journey to releasing our first Annual Plan has been the culmination of two years’ work in engaging hundreds of stakeholders, including caregivers, clinicians, and patients, about how we might more effectively plan and deliver services in Algoma. 

 

This plan is our commitment to the community, not only on what we will be working on, but how we will be working together. We invite you to get involved and continue to hold us accountable for this important work.

1

Strengthening Care Closer to Home

We will integrate care to improve patient experience and access

LONG-TERM OUTCOMES:

High quality care and experience for patients, families, and caregivers:

  • 24/7 coordination and system navigation

  • Seamless transitions

  • Patient access to information (when/where they need it)

  • Deliver full continuum of care for all but the most highly specialized conditions

AOHT is actively managing health outcomes for attributed population.

SHORT-TERM OBJECTIVES (by 2022):

Healthy Aging: Care has been redesigned for community-dwelling frail older adults and their caregivers, restoring independence and improving health and well-being.

Frailty Identification and Post-Falls Pathway

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246.5

Conditions Better Managed in the Community: Improved health and social care coordination and transitions in the community for high users of hospital-based services with complex chronic conditions and underserved populations with unmet mental health and addictions issues.

COVID-19: Efficient and equitable vaccination of community members against COVID-19

Therapy Session

2

Engaging Patients and Communities in Co-design

We will use upstream engagement and ongoing connection to improve health system outcomes

LONG-TERM OUTCOME:​

 

Citizens are meaningfully engaged and are driving priority setting.

SHORT-TERM OBJECTIVES (BY 2022):

  • AOHT and partners integrate and implement citizen-initiated recommendations

  • Regional alignment and uptake of the Algoma People's Health Charter (Patient Declaration of Values)

  • Improved recognition and engagement of essential caregivers across AOHT partners and regionally 

ACTIVITIES
 

  • Convene a Citizens' Reference Panel to engage a representative sample of individuals across Algoma

 

  • Develop and operationalize a patient engagement framework

  • Test and launch Caregiver ID program

OUTPUTS (BY 2022)
 

  • AOHT and partners integrate and implement citizen-initiated recommendations

 

  • Regional alignment and uptake of the Algoma People's Health Charter (Patient Declaration of Values)

  • Improved recognition and engagement of essential caregivers across AOHT partners and regionally

OUTCOMES (AT MATURITY)

Citizens are meaningfully engaged and are driving priority setting.

ACTIVITIES

  • Operationalize collaborative decision making across stakeholders, organizational leads, and boards of directors

  • Develop a mechanism to measure performance and advance quality improvement

  • Develop a Harmonized Information Plan to guide digital priorities

OUTPUTS (BY 2022)

  • Approval of central brand, communications, joint initiatives, and strategic plan (2022-2025) for the AOHT

  • Baseline measures are in place, including a performance dashboard and a Collaborative Quality Improvement Plan (cQIP 2022)

  • Mechanisms to share information are established and digital solutions are adopted, improving clinical and patient experience

OUTCOMES (AT MATURITY)

  • AOHT single clinical and fiscal accountability framework

  • Integrated funding envelope based on care needs of attributed population

  • AOHT providing care according to the best available evidence and clinical standards

  • Digital health underpins service delivery, ongoing quality and performance improvements, and better patient experience

RESOURCES

 

  • AOHT partner organizations

  • Health and social system stakeholders

  • Aligned funding, people, and initiatives

  • Population and planning data

RESOURCES

  • Patients

  • Families

  • Caregivers

  • Community Members

RESOURCES

 

  • Leadership Council

  • Boards of Directors

  • AOHT Transformation Office

  • AOHT Action Teams

  • Implementation Funding (Ministry of Health)

  • OHT Provincial Supports and Oversight

ACTIVITIES

 

Healthy Aging

  • Implement post-falls pathway across community, hospital, and primary care

Conditions Better Managed in the Community

  • Design and launch an integrated complex chronic disease management program

  • Design and launch the Community Wellness Bus

COVID-19

  • Support community-based approaches to reduce the impact of COVID-19

OUTPUTS (BY 2022)

Healthy Aging

  • Care has been redesigned for community-dwelling frail older adults and their caregivers, restoring independence and improving health and well-being

Conditions Better Managed in the Community

Improved health and social care coordination and transitions in the community for

  • High users of hospital-based services with complex chronic conditions

  • Underserved populations with unmet mental health and addictions issues

COVID-19

  • Efficient and equitable vaccination of community members against COVID-19

OUTCOMES (AT MATURITY)

 

High quality care and experience for patients, families, and caregivers:

  • 24/7 coordination and system navigation

  • Seamless transitions

  • Patient access to information (when/where they need it)

  • Deliver full continuum of care for all but the most highly specialized conditions

AOHT is actively managing health outcomes for attributed population.

No one left behind.

An integrated health system focused on the unique needs of Algoma residents, where people receive seamless, effective care where and when they need it.

Strengthening Care Closer to Home

2

Engaging Patients and Communities in Co-design

3

Building a Foundation for Collaboration