For the past two years, the Arnprior Region & Ottawa West Health Link (AROW) has been making a difference for local patients with complex health needs. Now, an additional $234,250 in funding will ensure that the care continues. AROW helps to improve care coordination between local health care providers, ensuring that complex patients are receiving the right care, in the right place, at the right time.
“We have made great progress but there is still more to do,” noted Eric Hanna, President & CEO, Arnprior Regional Health, which leads the Health Link. “This additional funding will support the roll-out of our ambitious plan.”
Success to date has been significant. More than 100 coordinated care plans have been developed with complex clients and their care teams. Seven local health care organizations and agencies have led the collaboration with individual clients and caregivers in their homes. These efforts have demonstrated significant decreases in hospital usage and all clients have reported positive experience with Health Links.
“AROW is about bringing providers together to wrap care around patients and work with them to meet their specific goals,” explained Joshua Hambleton, Project Manager. “We have laid a strong foundation and are excited to be able to meet the needs of even more seniors and others with complex needs in our region.”
Recent patient experience surveys show that AROW is on the right track with a model that links each patient to a care coordinator. “She really listens to me and lets me voice my opinions,” commented one recipient. “She helps me to understand how I can manage to get along in my new apartment that she helped me to find. It’s more accessible and closer to a bus stop. She made it possible for me to socialize again. I love life again,” added another patient.
Health Links are funded by the Champlain Local Health Integration Network (LHIN). “This model of care is making a positive difference in the lives of people with the highest health needs, especially those who visit multiple specialists and require a number of medications,” said Chantale LeClerc, Champlain LHIN CEO. “Health Links not only benefit clients and families, but also reduce pressures on the health system due to fewer hospitalizations and emergency room visits. One of the LHIN’s goals is to fast-track the implementation of Health Links across the region, and AROW’s work will definitely help make that happen.”
Future plans include a new pilot project that will see innovative tablet technology right in the patient’s home. “The tablet is specifically designed for seniors and others with complex care needs. It will link patients with their Circle of Care and allow for one-to-one or group conference calls,” added Hambleton.
AROW Health Link – Patients with Complex Needs
2,130 high needs patients in AROW accounted for:
AROW Health Link