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Continuing Care
There’s No Place Like Home
#carewhereyoulive
Celebrating Personhood - ASNS Conference
Susan Stevens, Senior Director
October 22, 2019
Continuing Care
Patient, Family & Public Advisors
Continuing Care
Patient, Family & Public Advisors
Western Zone
CC Quality
Council
Northern Zone
CC Quality
Council
Eastern Zone
CC Quality
Council
Central Zone
CC Quality
Council
Provincial CC
Quality
Council
Project & Research
Working Groups
Sharing Stories
Ad hoc Advice
Continuing Care
Our Patient, Family & Public Advisory Council was
formed in the fall of 2016 to advise senior leaders,
health care providers, staff and physicians on
policies, practices, planning and delivery of patient
and family-centered care. It is a place to ensure
patients, families and communities are meaningful
partners at all levels of service planning, allowing
their perspectives to be heard and thoroughly
considered in decision making.
Patient, Family & Public Advisory Council
http://www.nshealth.ca/get-involved/patient-family-public-advisory-council
Continuing Care
http://www.nshealth.ca/get-involved
How You Can Get Involved
Satisfaction Surveys
• Client & caregiver surveys
• NSHA Intake & Care Coordination
• Home Support
• VON & NSHA Nursing
• Developed by Dr.
MacDonald & Dr. Weeks,
Dalhousie University
• Involved clients, families
and public advisors
• Involved NSHA and home
care agency staff
Satisfaction Surveys
• Did you receive competent care?• How were you treated?• How many different care providers
were involved?• Were missed visits an issue?• Did you receive timely responses?• Were your concerns or complaints
addressed?• Are you fearful about raising
concerns or complaints?• What other supports and services
do you need?
Continuing Care
Priority AreasFinancial Sustainability
Health Human Resources
Integrated Service Planning
Mental Health and Addictions
Ortho – Hips and Knees
Patient Flow
Population Health
Primary Care & Chronic Disease Management
Research
System Wide Improvement Initiatives & Major
Infrastructure Projects
Emergency Care, Acute Medicine, Continuing Care
Client & Caregiver Surveys
Home Support Waitlists
Long Term Care Placement
Service Provider Contracts
Research Projects
Information Transfer
Safety Risk Assessment
Continuing Care Priorities
Continuing Care in Nova Scotia
1.1 million
nursing
visits
$1.1B
10,000+
FTEs
175+
providers
41,000
clients
Residential Care FacilityNursing Home
Specialized EquipmentOvercost Funding
OxygenUnder 65 PharmacareBehaviourial Health
AssessmentCase Management
Home SupportSelf Managed Care
Supportive CareNursingOxygen
Bed LoanWheelchair Loan
Personal AlertFacility Based Respite
Caregiver BenefitBehaviourial Health
IADL FundingHome First Funding
InformationReferralIntake
1-800-225-7225
#carewhereyoulive
Continuing Care
Care where you live.
Home First
Care Where You Live
NSHA supports an evidenced-based,
person-centered philosophy called
Home First.
When a person is admitted to hospital,
we start planning for discharge by
asking “What can we do to help this
person return home?”
We know most people want to live at
home with family and friends as long as
possible. Our goal is to make that
happen for more people.
Care where you live.
Home First
• Supports individuals to return and stay home whenever
possible
• Involves individuals and families in setting realistic care plans
• Supports decision making about life-changing options, such as
a move to long-term care, from home
• Allows individuals to wait at home for long term care placement
to their preferred facility, reducing transfers
• Reduces risk of hospital-acquired infections and deconditioning
through timely discharges
Care where you live.
Care where you live.
Everyone’s needs are different and
change over time. There is a range of
supports and services that provide care
where you live.
You have questions about Home Care.
Let’s explore the answers – together.
Your Input
1. What programs and services are working well?
2. What programs and services are missing?
3. How can we support individuals and families better?
4. Is there anything else you want to share to with us?
“The system will never be perfect
because we are all human beings,
but it can be better if we were
all treated like human beings.”
- very wise woman
Susan Stevens, BSW, MEd, RSW, CHE
Senior Director, Continuing Care
Mumford Professional Centre
6960 Mumford Road, Suite 2069
Halifax, NS B3L 4P1
Office: 902-487-0811
Fax: 902-423-8929
Email: susan.stevens@nshealth.ca
www.nshealth.ca/continuing-care
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