Local Health Integration Network
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Local Health Integration Networks:
Better Health Care, Healthier Communities

No one organization alone can deliver all the services that people need.  The LHINs’ job is to bring local health services together around one common set of goals and one plan for patients and communities.  LHINs are the local agencies that plan and fund health services to meet the full range of people’s health care needs.

Ontario is too massive and diverse to be managed effectively by a large central government, hundreds of miles away. LHINs involve local health providers and community members in setting priorities and solving problems so local health programs reflect what’s important to communities.  

Today, more people in Ontario are getting the health services they need and the health care system is more accountable and more efficient.

How is health care changing in the Toronto Central LHIN?

People treated faster in the ER and waiting less time for surgery 

  • 40% drop in time patients are spending in the ER since April 2008
    • 79% seen within provincial targets
  • 75% reduction in wait times for cataract surgery since Aug/Sep 2005
  • 66% reduction in wait times for knee surgery since Aug/Sep 2005
  • 61% reduction in wait times for hip surgery since Aug/Sep 2005

More seniors are receiving care in their homes and communities


  • 45% drop in the number of alternate level of care patients in acute hospitals waiting for long-term care since September 2009   
  • 33% drop in the overall number of ALC patients since September 2009  
  • Aging at Home strategy has benefitted thousands of seniors through locally-driven initiatives.  Find out more »
  • Home First is helping patients safely return home from hospital and long-term care homes. Find out more » 

Better care for our most vulnerable populations

  • Toronto Community Addictions Team (TCAT) coordinates services for people with addictions
    • Clients that use the ER the most (average over 40 times/year) making 56% fewer ER visits; client use of withdrawal management cut in half

More efficient use of our healthcare resources

  • 2010 AAH announcementTC LHIN initiatives have helped thousands of people get care in a more appropriate setting and helped avoid $113 M in spending.   Examples include:
    • Home First has reduced an estimated 75,000 ALC days, allowing hospitals to reinvest $43 M annually back into services for those needing hospital care.
    • So far, Toronto Central LHIN’s long-stay ALC strategy has allowed 37 patients to leave hospital. This saved those patients from spending another 18,500 days in hospital and helped hospitals avoid about $27 million dollars in spending.
    • By keeping more seniors home and out of long-term care (LTC), there have been an estimated 235 fewer seniors applying for LTC every year allowing a reinvestment of $8.5M  annually back into LTC for other seniors.
    • By supporting seniors better at home, an estimated 2,520 ER visits and 660 hospital admissions have been avoided each year,  allowing hospitals to reinvest $4 M/year back into services for people needing acute care. 
    • Transitional care programs have helped people avoid  premature long-term care admission and leave hospital earlier (19,235 ALC days avoided), resulting in nearly $14 M to be reinvested in needed care for an aging population.

Services are more integrated and easier to access

  • Resource Matching and Referral (RM&R): Toronto hospitals, long-term care homes, CCAC and community services use one electronic system to match people with services that best meet their needs. 
    • 84 providers, 24,000 health professionals using one system
    • Over 32,000 patients have benefited
  • Community Navigation and Access Program: Toronto seniors call 1-877-540-6565 to access community support services in their neighbourhood.
    • Over 30 agencies coordinating services
  • All 28 supportive housing agencies have one wait list and system to link clients with housing.

More accountable health care system

  • LHINs have agreements with each provider that ties funding to results:
    • wait times for ERs, surgeries; hospital readmissions; access to community services. 
  • For the first time in Ontario:
    • we are measuring health care performance;
    • setting targets based on these measures;
    • holding organizations accountable for achieving these targets;
    • publicly reporting performance results; and
    • achieving targets which are improving people’s lives.
  • Watch Toronto Central LHIN CEO, Camille Orridge, share how Toronto Central LHIN monitors progress in the health care system and works with health service providers to address the challenge of alternalte level of care patients and improve access to care.