This section presents our key strategic priorities for Fiscal Years 2015-16. All of the priorities support the Council’s vision of the best possible beginnings for life long health. For more information about these and other PCMCH initiatives please visit our dedicated section for Healthcare Providers.
Complex Care for Kids Ontario
Over the past four years PCMCH and its key stakeholders have had a major focus on advancing care for children and youth who are medically fragile and/or technology dependent (MFTD) and their families. Collectively, these children comprise <1% of the paediatric patients across Ontario and account for 32% of provincial paediatric health care spending. While the amount of care they receive is substantial, the coordination of care they require is not ideal. Children who are MFTD receive services from multiple specialists, providers and organizations in a variety of settings and funded by four different Ministries.
Since its inception in 2014, the Integrated Complex Care Advisory Committee (ICC AC) has provided the strategic leadership and oversight that has enabled PCMCH and its partners to accomplish all commitments made in the 2014/15 ICC AC Action plan. As of June 2015, the multi-year funding commitment required to advance the Complex Care for Kids Ontario is in the process of being finalized. The approval of the ‘Complex Care for Kids Ontario’ (CCKO) strategy marks an exciting shift to the next phase of PCMCH’s work related advancing care for CMC and their families.
The focus for PCMCH in 2015/16 will be on the implementation and advancement of the Complex Care for Kids (CCKO) strategy. In alignment with this focus, PCMCH will transition leadership and accountability for complementary pieces of work to the system partners who have been given the responsibility for design and /or implementation by the MOHLTC.
Quality Based Procedures
Quality Based Procedures (QBP) are an integral part of Ontario’s Health System Funding Reform (HSFR) and a key component of the Patient-Based Funding. This reform plays a key role in advancing the government’s quality agenda and its Action Plan for Health Care. HSFR has been identified as an important mechanism to strengthen the link between the delivery of high quality care and fiscal sustainability.
QBPs involve clusters of patients with clinically related diagnoses or treatments. The Ministry of Health and Long-Term Care recognizes that paediatric procedures require a different set of considerations that take into account the relatively small critical mass of patients (when compared to the adult population), as well the increased complexity of certain procedures when being performed on, or delivered to, a paediatric patient.
In 2013, PCMCH undertook the first two paediatric QBPs for Hyperbilirubinemia and Tonsillectomy. In addition to the QBP Clinical Handbooks that were developed for the 2014/15 funding cohort, PCMCH also introduced several tools to assist the implementation of these QBPs across the province:
- QBP for Hyperbilirubinemia in Term and Late Pre-Term Infants (≥ 35 weeks)
- QBP for Paediatric Tonsillectomy with and without Adenoidectomy
In addition, the following QBPs are currently in development and will be rolled out for the 2016/17 funding cohort:
- QBP for Paediatric Asthma
- QBP for Sickle Cell Disease (Paediatric and Adult)
- Low Risk Birth QBP: Developing a care pathway to promote vaginal delivery in women who fall within a modified definition of Robson Group 1