Archive Performance Materials: Mental Health and Community
We work closely with the LHIN-established Community Collaboratives, the Mental Health and Addictions Planning Tables, and the Community Care Access Centre (CCAC) to ensure individuals receive the care and support they need close to home for the MLPA indicators below.
Performance for mental health, substance abuse, CCAC and case mix groups includes:
- Repeat Unscheduled Emergency Visits within 30 days for Mental Health Conditions
- Repeat Unscheduled Emergency Visits within 30 days for Substance Abuse Conditions
- 90th Percentile Wait Time from Community for CCAC In-Home Services – Application from Community Setting to First CCAC Service (excluding case management)
- Readmission within 30 Days for Selected Case Mix Groups (CMGs)
Mental Health and Substance Abuse Performance Report Cards
CCAC Performance Report Cards
Case Mix Groups Performance Report Cards
Mental Health and Substance Abuse
- It is recognized that visits to hospital emergency departments may be an appropriate point of access to care for individuals with mental health and substance abuse conditions who are in crisis. However, repeat emergency visits generally indicate premature discharge or a lack of co-ordination with post-discharge care.
- While they are measured as separate indicators, the LHIN implements strategies to address both mental health and substance abuse conditions as evidence shows a high prevalence of individuals who have an addiction also have a mental health issue.
- It is recognized that adequate community-based mental health and addiction related supports are a key factor directly impacting these two indicators. As such, the LHIN has developed strategies involving both hospital and community health service providers. Additionally, the social determinants of health such as education, housing, food security and income also play a significant role.
CCAC In-Home Services
- The CCAC can help individuals stay in their home longer by providing care in their home and by coordinating care in their community, including specialized support services.
- Services provided to individuals through CCAC include a team of quality health care professionals, such as nurses, physiotherapists, social workers, registered dietitians, occupational therapists, speech therapist and personal support workers. Together, they provide a range of care and supportive services to help support individuals at home.
- The 90th percentile wait time for CCAC in-home services is the time the ninth person out of ten waited for service in their home or in a community setting from the time they applied for service. This wait time does not include CCAC Case Management.
- A ‘hospital readmission’ is when an individual is discharged from hospital and then returns to hospital for the same medical condition and is admitted. For example, a person discharged from hospital with a primary diagnosis of diabetes and then returns to hospital within 30 days and is readmitted with a diagnosis of diabetes, would be considered a hospital readmission for diabetes.
- This indicator includes seven medical diagnoses: Stroke (age 45 and older), Chronic Obstructive Pulmonary Disease (age 45 and older), Pneumonia (all ages), Congestive Heart Failure (age 45 and older), Diabetes (all ages), Cardiac (age 40 and older) and Gastro-Intestinal Disorders (all ages).
- The number reported for this indicator is the overall percent of individuals that require a hospital readmission within 30 days of a hospital discharge for the above seven medical diagnoses.
- Individuals who have congestive heart failure or chronic obstructive pulmonary disease are more likely to require readmission to hospital within 30 days. These admissions are not always avoidable.