Approach to Implementing the Approach to Implementing the SMHPL in a Large Health SMHPL in a Large Health

OrganizationOrganization

Site Liaison – Dr. Maggie GibsonSite Liaison – Dr. Maggie Gibson

Site Facilitator – Julia Horan Site Facilitator – Julia Horan jhoran@uwo.cajhoran@uwo.ca

St. Joseph’s Health Care, LondonSt. Joseph’s Health Care, London

BackgroundBackground

Located in London, ONLocated in London, ON One of Ontario’s leading teaching hospitalsOne of Ontario’s leading teaching hospitals Advancing health care, education and Advancing health care, education and

researchresearch Partner in London’s academic health sciences Partner in London’s academic health sciences

communitycommunity Publicly funded Catholic health care Publicly funded Catholic health care

organizationorganization

BackgroundBackground

Owned by the St. Joseph’s Health Care Society Owned by the St. Joseph’s Health Care Society of the Roman Catholic Diocese of Londonof the Roman Catholic Diocese of London

Volunteer board of directorsVolunteer board of directors 120 year legacy, advancing a ministry of 120 year legacy, advancing a ministry of

compassionate, excellent servicecompassionate, excellent service Further information see Further information see

http://www.sjhc.london.on.ca/http://www.sjhc.london.on.ca/

StrategyStrategy Create one page handout to be presented to key Create one page handout to be presented to key

contacts at SJHCcontacts at SJHC Included information re timeline of project, Included information re timeline of project,

introduction to SMHPL, and 6 discussion introduction to SMHPL, and 6 discussion questionsquestions

Email sent out to 5 contacts within SJHC Email sent out to 5 contacts within SJHC selected by site liaison with attached handoutselected by site liaison with attached handout

Set up meetings with contacts and give them a Set up meetings with contacts and give them a hard copy of the lens or link to online version hard copy of the lens or link to online version prior to meetingprior to meeting

Discussion QuestionsDiscussion Questions1.1. Have you ever heard of the SMHPL?Have you ever heard of the SMHPL?2.2. Are there any processes in place in terms of policy Are there any processes in place in terms of policy

and programs where seniors’ perspectives and values and programs where seniors’ perspectives and values are addressed?are addressed?

3.3. Are there any processes in place that would benefit Are there any processes in place that would benefit from the seniors’ mental health perspective?from the seniors’ mental health perspective?

4.4. Are you aware of any examples at SJHC where Are you aware of any examples at SJHC where consideration of seniors' mental health issues consideration of seniors' mental health issues specifically helped to shape the development of a specifically helped to shape the development of a policy?policy?

5.5. What value might be added by a specific What value might be added by a specific consideration of senior's mental health issues in consideration of senior's mental health issues in policy development?policy development?

6.6. What thoughts/recommendations do you have on how What thoughts/recommendations do you have on how a tool such as the SMHPL could be of use to St. a tool such as the SMHPL could be of use to St. Joseph's?Joseph's?

Approach to Implementing SMHPLApproach to Implementing SMHPL

Interview-style meetings, approximately 45 Interview-style meetings, approximately 45 minutesminutes Introduction of SMHPL, examples of useIntroduction of SMHPL, examples of use Brief background of contacts’ rolesBrief background of contacts’ roles Discussion questionsDiscussion questions ConclusionConclusion

Received feedback and obtained consent to be Received feedback and obtained consent to be used in projectused in project

Create table of responses for comparison Create table of responses for comparison Get references to other contactsGet references to other contacts

Contacts at SJHCContacts at SJHC Deb Wiltshire – Veterans Care leader at Deb Wiltshire – Veterans Care leader at

Parkwood HospitalParkwood Hospital Lisa Van Bussel – Psychiatrist at Regional Lisa Van Bussel – Psychiatrist at Regional

Mental Health Care, London and St. Joseph’s Mental Health Care, London and St. Joseph’s Hospital, & member of Outreach teamHospital, & member of Outreach team

Deb Miller – Director of Organizational Deb Miller – Director of Organizational Development and Learning Services at SJHC Development and Learning Services at SJHC (phone interview)(phone interview)

Beth McCarthy – Director of Specialized Beth McCarthy – Director of Specialized Geriatric Services (SGS) at Parkwood HospitalGeriatric Services (SGS) at Parkwood Hospital

Lynda Martin – Mount Hope, LTC program Lynda Martin – Mount Hope, LTC program (response pending)(response pending)

Contacts at SJHCContacts at SJHC

Phyllis Brady – Patient Relations and Risk Phyllis Brady – Patient Relations and Risk Management at LHSC and SJHCManagement at LHSC and SJHC

Kendra Kasubeck – Risk Management and Kendra Kasubeck – Risk Management and Patient Safety, Policy development at LHSC and Patient Safety, Policy development at LHSC and SJHC, citywide policy, corporate developmentSJHC, citywide policy, corporate development

ResponsesResponses

1.1. Have you ever heard of the Seniors Have you ever heard of the Seniors Mental Health Policy Lens?Mental Health Policy Lens?

Deb WiltshireDeb Wiltshire -Yes, through Dr. GibsonYes, through Dr. Gibson-Have not used itHave not used it

Lisa Van BusselLisa Van Bussel -No, not until I received the email to meet-No, not until I received the email to meet

Kendra Kendra KasubeckKasubeck

-No, not until I received the email to meet-No, not until I received the email to meet

Phyllis BradyPhyllis Brady -No, not until I received the email to meet-No, not until I received the email to meet

Deb MillerDeb Miller -No, not until I received the email to meet-No, not until I received the email to meet

Beth McCarthyBeth McCarthy -No, not until I received the email to meet-No, not until I received the email to meet

ResponsesResponses

2.2. Are there any processes in place in terms of Are there any processes in place in terms of policy and programs where seniors’ policy and programs where seniors’ perspectives and values are addressed?perspectives and values are addressed?

Deb WiltshireDeb Wiltshire --InformalInformal – integrated into planning and care (more ingrained) – integrated into planning and care (more ingrained)

-Get feedback from patients one-on-one-Get feedback from patients one-on-one

--Satisfaction survey to patient and family every 2 years to get feedbackSatisfaction survey to patient and family every 2 years to get feedback

-Have no control over the content of these surveys as they are standardized-Have no control over the content of these surveys as they are standardized

Lisa Van Lisa Van BusselBussel

-Meetings with seniors and their family depending on cognition of senior-Meetings with seniors and their family depending on cognition of senior

-Use of a -Use of a templatetemplate, but not explicit, but not explicit

-Family given education with social worker in some instances-Family given education with social worker in some instances

--Evaluations/surveys to patient/caregivers every 2 yearsEvaluations/surveys to patient/caregivers every 2 years

-Mail out patient -Mail out patient satisfaction surveyssatisfaction surveys

--InformalInformal – hear experience from other areas of work and bring back to – hear experience from other areas of work and bring back to SJHCSJHC

ResponsesResponsesKendra Kendra KasubeckKasubeck

--Corporate policy manualCorporate policy manual

--Reviewed every 2 yearsReviewed every 2 years unless it’s regarding staff safety then it is every yearunless it’s regarding staff safety then it is every year

-6 months before review is due, an email is sent out as a reminder-6 months before review is due, an email is sent out as a reminder

--Template onlineTemplate online to follow for formatting and checklists to follow for formatting and checklists

-Policy development companion-Policy development companion

-Policy coaching tool-Policy coaching tool

-This can be used for -This can be used for all peopleall people, not just seniors, not just seniors

Phyllis Phyllis BradyBrady

--Corporate policy manualCorporate policy manual

--Reviewed every 2 yearsReviewed every 2 years unless it’s regarding staff safety then it is every year unless it’s regarding staff safety then it is every year

--Template onlineTemplate online to follow for formatting and stakeholders to follow for formatting and stakeholders

-Used for -Used for all peopleall people, not just seniors, not just seniors

-New, developing multidisciplinary group ex. Discharge Policy – has -New, developing multidisciplinary group ex. Discharge Policy – has representatives from different areasrepresentatives from different areas

Deb MillerDeb Miller -Clinical program for specific seniors population-Clinical program for specific seniors population

-Organizational tool for -Organizational tool for anyoneanyone

--Follow templateFollow template for quality workplace considering physical, social and mental for quality workplace considering physical, social and mental well-being not specific to mental healthwell-being not specific to mental health

--InformalInformal process process

ResponsesResponses

Beth Beth McCarthyMcCarthy

--Patient satisfaction surveyPatient satisfaction survey for out-patients and in-patients for out-patients and in-patients

-Once patients are discharged send a survey in the mail based on their -Once patients are discharged send a survey in the mail based on their experienceexperience

-Out-patient survey for new patients is -Out-patient survey for new patients is distributed monthlydistributed monthly and may and may receive phone calls about feedbackreceive phone calls about feedback

-Evaluation tool for patient and their family at workshops-Evaluation tool for patient and their family at workshops

-Review with staff re how patients get referred-Review with staff re how patients get referred

-Patients given a brochure in acute care with expectations in response to -Patients given a brochure in acute care with expectations in response to feedbackfeedback

-Upfront management is general change to health care system-Upfront management is general change to health care system

ResponsesResponses

3.3. Are there any processes in place that would Are there any processes in place that would benefit from the seniors’ mental health benefit from the seniors’ mental health perspective?perspective?

Deb WiltshireDeb Wiltshire -Don’t have an explicit checklist like this in place and may benefit from -Don’t have an explicit checklist like this in place and may benefit from using itusing it

-Do consider seniors’ needs, but make assumptions-Do consider seniors’ needs, but make assumptions

--Don’t generally ask the seniors themselves, so this may be helpfulDon’t generally ask the seniors themselves, so this may be helpful

Lisa Van BusselLisa Van Bussel -Incorporating what is learned to use in care-Incorporating what is learned to use in care

--No focus group or survey formally asking seniors what they wantNo focus group or survey formally asking seniors what they want

-Staff and caregivers make the assumptions for them-Staff and caregivers make the assumptions for them

-Would benefit from an explicit seniors’ perspective with a family council-Would benefit from an explicit seniors’ perspective with a family council

Kendra Kendra KasubeckKasubeck

-Always looking for areas of improvement and this would help -Always looking for areas of improvement and this would help

-Could be useful in stakeholder review looking specifically at policies -Could be useful in stakeholder review looking specifically at policies regarding seniors and mental healthregarding seniors and mental health

ResponsesResponses

Phyllis BradyPhyllis Brady -Not really because Mount Hope and Parkwood which are geared -Not really because Mount Hope and Parkwood which are geared toward seniors already have increased awareness about their toward seniors already have increased awareness about their perspective and needsperspective and needs

Deb MillerDeb Miller -Yes in terms of the mental health perspective, but not just seniors, -Yes in terms of the mental health perspective, but not just seniors, more generic more generic

Beth McCarthyBeth McCarthy -All programs have target group of frail seniors (over 75 years of -All programs have target group of frail seniors (over 75 years of age with more than one complex medical issue)age with more than one complex medical issue)

-Needs are critical to be met in terms of access, barriers, -Needs are critical to be met in terms of access, barriers, accessibility, and communicationaccessibility, and communication

-Seniors perspective is already addressed-Seniors perspective is already addressed

ResponsesResponses

4.4. Are you aware of any examples at St. Are you aware of any examples at St. Joseph’s where consideration of seniors’ Joseph’s where consideration of seniors’ mental health issues specifically helped to mental health issues specifically helped to shape the development of a policy?shape the development of a policy?

Deb WiltshireDeb Wiltshire -No as most are corporate policies, done by the employees-No as most are corporate policies, done by the employees

-Policy is dealt with mostly by administrative people-Policy is dealt with mostly by administrative people

Lisa Van Lisa Van BusselBussel

-Patient and Family Handbook gives information on program, roles, -Patient and Family Handbook gives information on program, roles, expectations and diseasesexpectations and diseases

-Initiative Mental Health Program for recovery needs held a Christmas -Initiative Mental Health Program for recovery needs held a Christmas bazaar bazaar

-City of London and UWO put on Think Tank – a meeting that addressed -City of London and UWO put on Think Tank – a meeting that addressed mental health needs and issues and the services availablemental health needs and issues and the services available

ResponsesResponsesKendra Kendra KasubeckKasubeck

-End of Life Care policies and Palliative Care policies would involve thinking about -End of Life Care policies and Palliative Care policies would involve thinking about seniors’ needs specificallyseniors’ needs specifically

-Policy decision makers in End of Life Care-Policy decision makers in End of Life Care

--Standards for Relationships PolicyStandards for Relationships Policy development as is requires respect for all development as is requires respect for all peoplepeople

-Policy on Accessibility for Persons with Disability-Policy on Accessibility for Persons with Disability

Phyllis Phyllis BradyBrady

-Regional Mental Health Care London-Regional Mental Health Care London

-Sites with specific seniors/geriatric population (Parkwood, Mount Hope)-Sites with specific seniors/geriatric population (Parkwood, Mount Hope)

-Some involvement at St. Joseph Hospital because of the recent move the -Some involvement at St. Joseph Hospital because of the recent move the demographic in the ambulatory care program changed (more seniors now)demographic in the ambulatory care program changed (more seniors now)

Deb MillerDeb Miller -No, work more with entire population-No, work more with entire population

-There would be at program level at Regional Mental Health Care London and -There would be at program level at Regional Mental Health Care London and Specialized Geriatric Services for exampleSpecialized Geriatric Services for example

Beth Beth McCarthyMcCarthy

--Standards of Relationships PolicyStandards of Relationships Policy is framework for staff to deal with cognitively is framework for staff to deal with cognitively impaired and unpredictable behaviour patterns of patients and families that impaired and unpredictable behaviour patterns of patients and families that become agitatedbecome agitated

-Accessing Services of People with Disabilities Policy includes getting information -Accessing Services of People with Disabilities Policy includes getting information to people who are depressed or cognitively impaired and have physical disabilitiesto people who are depressed or cognitively impaired and have physical disabilities

-Not specific to mental health, but these policies involve mental health issues-Not specific to mental health, but these policies involve mental health issues

ResponsesResponses

5.5. What value might be added by a specific What value might be added by a specific consideration of seniors’ mental issues in consideration of seniors’ mental issues in policy development?policy development?

Deb Deb WiltshireWiltshire

-Policy impacts care and service, not just administrative-Policy impacts care and service, not just administrative

-Policy for standards of relationship (i.e. staff -Policy for standards of relationship (i.e. staff staff, staff staff, staff family, family family, family patient, staff patient, staff patient) patient)

--Address differences in mental health behaviour of capable vs. incapableAddress differences in mental health behaviour of capable vs. incapable

Lisa Van Lisa Van BusselBussel

--Would be valuable for everyone ofWould be valuable for everyone of all agesall ages

-High risk nowadays for mental health issues, and having information guides -High risk nowadays for mental health issues, and having information guides would prepare themwould prepare them

--People with variable capacities and the policy should reflect this People with variable capacities and the policy should reflect this (flexibility)(flexibility)

-Important for health promotion and prevention-Important for health promotion and prevention

-Seniors with mental health issues may have complex needs with functional -Seniors with mental health issues may have complex needs with functional decline and lack capacitydecline and lack capacity

ResponsesResponsesKendra Kendra KasubeckKasubeck

-Strengthen policy development -Strengthen policy development

--Allow you to considerAllow you to consider all age groupsall age groups

-Helpful to all -Helpful to all stakeholdersstakeholders to use as a guide and follow a checklist when to use as a guide and follow a checklist when they are reviewing a policythey are reviewing a policy

-Filling in the gaps of policies-Filling in the gaps of policies

Phyllis BradyPhyllis Brady -Would be valuable as mental health now affects 1 in 4 people (more -Would be valuable as mental health now affects 1 in 4 people (more prevalent)prevalent)

-Useful to Regional Mental Health Care London and the Family and Patient -Useful to Regional Mental Health Care London and the Family and Patient CouncilCouncil

Deb MillerDeb Miller -Allow groups to meet at a deeper level fulfilling SJHC Catholic mission-Allow groups to meet at a deeper level fulfilling SJHC Catholic mission

-Group learning together combining intelligence-Group learning together combining intelligence

-Broaden knowledge-Broaden knowledge

Beth McCarthyBeth McCarthy -Provide a framework to meet the needs of seniors at Parkwood-Provide a framework to meet the needs of seniors at Parkwood

-In a larger perspective, other hospitals that aren’t targeted to seniors may -In a larger perspective, other hospitals that aren’t targeted to seniors may find this useful in case they miss somethingfind this useful in case they miss something

-SJHC preadmission clinic may not consider things so this would act as a -SJHC preadmission clinic may not consider things so this would act as a reminderreminder

ResponsesResponses

6.6. What thoughts/recommendations do you What thoughts/recommendations do you have on how tool such as the Seniors’ have on how tool such as the Seniors’ Mental Health Policy Lens could be of use to Mental Health Policy Lens could be of use to St. Joseph’s?St. Joseph’s?

Deb WiltshireDeb Wiltshire -Meet with leaders/directors of groups who are directly influenced -Meet with leaders/directors of groups who are directly influenced by policyby policy

--The process heightens awarenessThe process heightens awareness

-E-learning tool would increase awareness and can be used for -E-learning tool would increase awareness and can be used for program development – program development – keep it short, simple and easy to keep it short, simple and easy to operateoperate

-Create 4 or 5 cue cards or a poster to be placed on back of ID or a -Create 4 or 5 cue cards or a poster to be placed on back of ID or a brochure that identifies a checklist of keywords as a reminder on a brochure that identifies a checklist of keywords as a reminder on a daily basis daily basis

-Example – deck of cards of fire safety reminders is an easy way to -Example – deck of cards of fire safety reminders is an easy way to reach more people and less formal reach more people and less formal

-Key is keeping it in the forefront and integrated into daily use -Key is keeping it in the forefront and integrated into daily use

ResponsesResponses

Lisa Van BusselLisa Van Bussel --Talking through is beneficial in itselfTalking through is beneficial in itself

-Perhaps make it bilingual if that hasn’t been done already-Perhaps make it bilingual if that hasn’t been done already

-Create a one page template, similar to what is already in place and -Create a one page template, similar to what is already in place and keep it simplekeep it simple

-Target at the managers level-Target at the managers level

-Provincial LHIN (Local Health Integration Networks) just developed -Provincial LHIN (Local Health Integration Networks) just developed an Aging at Home policy – have they considered needs of seniors an Aging at Home policy – have they considered needs of seniors with mental health issues? (follow-up opportunity)with mental health issues? (follow-up opportunity)

-CCAC is another large organization that may be contacted-CCAC is another large organization that may be contacted

-Knowledge web based practice SHRTN AKE mechanisms, may -Knowledge web based practice SHRTN AKE mechanisms, may discuss/use the SMHPL (follow-up opportunity)discuss/use the SMHPL (follow-up opportunity)

Kendra Kendra KasubeckKasubeck

-Be of use to -Be of use to stakeholdersstakeholders who work directly with mental health who work directly with mental health

-Leaders -Leaders delegate to committees delegate to committees

Phyllis BradyPhyllis Brady --Short, snappyShort, snappy

-Implemented in -Implemented in stakeholder reviewstakeholder review

Deb MillerDeb Miller -Make available in broader quality workplace initiative-Make available in broader quality workplace initiative

-Organizational tool for all staff-Organizational tool for all staff

ResponsesResponses

Beth McCarthyBeth McCarthy -SMHPL Resource would be helpful to senior-friendly hospitals-SMHPL Resource would be helpful to senior-friendly hospitals

-Trying to make hospitals a good experience for people, specifically -Trying to make hospitals a good experience for people, specifically seniors, and this tool would help consider their needsseniors, and this tool would help consider their needs

-Approach Ontario Hospital Association (-Approach Ontario Hospital Association (http://www.oha.cahttp://www.oha.ca) which is ) which is involved in setting policies to be used at all hospitals in Ontarioinvolved in setting policies to be used at all hospitals in Ontario

-Each hospital must follow the standard template policy as outlined by -Each hospital must follow the standard template policy as outlined by OHAOHA

-Approach Communications department at SJHC and get approval by -Approach Communications department at SJHC and get approval by senior leadership to have SMHPL Resource placed in SJHC website senior leadership to have SMHPL Resource placed in SJHC website References sectionReferences section

What We LearnedWhat We Learned

Majority of responses included use of Majority of responses included use of standardized policy template at SJHC, but not standardized policy template at SJHC, but not explicitexplicit

Process of going through SHMPL would be Process of going through SHMPL would be valuable to gain clarity, gain seniors’ valuable to gain clarity, gain seniors’ perspectives, and consider things that were perspectives, and consider things that were missed in policy/program development missed in policy/program development

Keep it short, simple, and in plain languageKeep it short, simple, and in plain language Be directed to individuals of different capacitiesBe directed to individuals of different capacities Valuable resource for people of all agesValuable resource for people of all ages

Next StepNext Step

Create a one-page version of the SMHPL that is Create a one-page version of the SMHPL that is similar to the processes in place at SJHC, similar to the processes in place at SJHC, providing a shortened version for efficient use providing a shortened version for efficient use

Take questions directly from Part II: Assessing Take questions directly from Part II: Assessing Policy/Program Content because Part I: Process Policy/Program Content because Part I: Process Factors are already accounted for at SJHCFactors are already accounted for at SJHC

Follow-up email to contacts with the Seniors’ Follow-up email to contacts with the Seniors’ Mental Health Policy Lens Resource attachedMental Health Policy Lens Resource attached

FeedbackFeedback Online survey of questions to gain feedback Online survey of questions to gain feedback

based on the following questions:based on the following questions:1.1. Is the purpose of this resource clear? If not, Is the purpose of this resource clear? If not,

can you explain what is needed?can you explain what is needed?2.2. Is the wording of each item clear? If not, which Is the wording of each item clear? If not, which

items need to be re-worked?items need to be re-worked?3.3. Is the follow up action listed at the bottom of Is the follow up action listed at the bottom of

the page clear? If not, can you comment on the page clear? If not, can you comment on what is needed?what is needed?

4.4. Where would you see this resource being Where would you see this resource being housed in the organization?housed in the organization?

5.5. Who would you see using this resource?Who would you see using this resource?6.6. Do you have any suggestions as to how to Do you have any suggestions as to how to

increase visibility and use of this resource?increase visibility and use of this resource?

Survey FeedbackSurvey Feedback

Clarity of purposeClarity of purpose Yes – I found the introductory overview very Yes – I found the introductory overview very

helpful. Clearly presented using the helpful. Clearly presented using the handout/booklethandout/booklet

Wording of each itemWording of each item Yes – The framework is clearYes – The framework is clear Have the questions be positive or negative Have the questions be positive or negative

but not both (consistency)but not both (consistency) Change wording of #3 – “Handicaps” to Change wording of #3 – “Handicaps” to

“Barriers“Barriers

Survey FeedbackSurvey Feedback Clarity of follow-up actionClarity of follow-up action

Yes – It provides a great way to evaluate how Yes – It provides a great way to evaluate how "senior friendly" the policy is and an "senior friendly" the policy is and an opportunity to understand how to improve opportunity to understand how to improve (and validate) the draft(and validate) the draft

Location for potential use of resourceLocation for potential use of resource Policy formulation as it is drafted by the writer Policy formulation as it is drafted by the writer

and then a "checklist" for use by a and then a "checklist" for use by a committee/workgroup as a last lens/feedbackcommittee/workgroup as a last lens/feedback

Use of the resourceUse of the resource Anyone drafting a policy or participating a Anyone drafting a policy or participating a

review of a policyreview of a policy

Survey FeedbackSurvey Feedback

Suggestions to increase visibilitySuggestions to increase visibility Get to senior leadership of organizations to Get to senior leadership of organizations to

incorporate into the development/approval incorporate into the development/approval process for policiesprocess for policies

New Ontario Act and Regulations is clear that New Ontario Act and Regulations is clear that accessibility must be considered when accessibility must be considered when policies are developed/revised and this policies are developed/revised and this reference could be addedreference could be added

ChallengesChallenges

Because SJHC is a large organization directed Because SJHC is a large organization directed to seniors’ needs, they have procedures in place to seniors’ needs, they have procedures in place and are committed to making facilities senior-and are committed to making facilities senior-friendly alreadyfriendly already

Standardized policy templates are city-wide – Standardized policy templates are city-wide – not a lot of flexibilitynot a lot of flexibility

Not explicit use of templates – used as a general Not explicit use of templates – used as a general reminderreminder

Availability of contacts for scheduling meetingsAvailability of contacts for scheduling meetings

Follow-up OpportunitiesFollow-up Opportunities

Collecting and analyzing feedback from survey Collecting and analyzing feedback from survey Approach SHRTN AKE (Seniors Health Approach SHRTN AKE (Seniors Health

Research Transfer Network, Alzheimers Research Transfer Network, Alzheimers Knowledge Exchange) which is a web-based Knowledge Exchange) which is a web-based practice in Ontario as recommendedpractice in Ontario as recommended

Approach provincial LHIN (Local Health Approach provincial LHIN (Local Health Integration Networks) to review Aging at Home Integration Networks) to review Aging at Home PolicyPolicy

Develop plain language version of lens as a Develop plain language version of lens as a companion to the Patient and Family Handbook companion to the Patient and Family Handbook used at SJHCused at SJHC

Follow-up OpportunitiesFollow-up Opportunities

Approach Ontario Hospital Association (OHA) to Approach Ontario Hospital Association (OHA) to get their feedback and approval of lens as get their feedback and approval of lens as province wide recommendationprovince wide recommendation

Approach Communications department at SJHC Approach Communications department at SJHC to increase visibility of SMHPL Resource on to increase visibility of SMHPL Resource on websitewebsite

ConclusionConclusion In order to implement a policy template into a In order to implement a policy template into a

large organization, the best approach is to be large organization, the best approach is to be used as a companion resource to what is used as a companion resource to what is already in placealready in place

Not a lot of flexibility in terms of what is usedNot a lot of flexibility in terms of what is used Meeting with leaders in different areas helps Meeting with leaders in different areas helps

represent the broad perspective at SJHCrepresent the broad perspective at SJHC Interview style was time efficient, to the point, Interview style was time efficient, to the point,

and helped eliminate problems in scheduling and helped eliminate problems in scheduling meetingsmeetings

Positive response to the content of the lens; Positive response to the content of the lens; perhaps different format such as the SMHPL perhaps different format such as the SMHPL ResourceResource