Peterborough Council on Aging Discussion paper series – #7, 2015 Community Support and Health Services “Accessible and affordable community and health services are crucial in keeping seniors healthy, independent and active. This involves an appropriate supply of aged care services conveniently located close to where older people live and trained health and social workers to provide these services.” (1) The topic of community support and health services spans a wide variety of programs and services offered in a community. These include primary health services offered by family doctors or nurse practitioners, alternative services such as those offered by naturopaths and community-based services that support aging at home and promote healthy living through education and activities. Having good physical and mental health enables older adults to continue participating in their community well into older age, a key feature of an agefriendly community. Health Indicators Preventing injury from falls is a significant public health priority for older adults. Rates of ER visits for falls related injuries are consistently higher in Peterborough than Ontario as a whole. Older women in Peterborough are far more likely to end up in the ER from a fall related injury as compared to older men (2). Oral health is an important part of overall health. Dental insurance coverage rates are significantly lower for older adults in Peterborough, with only 48.1% of people over the age of 65 reporting access to dental insurance. However, this figure is still higher than the provincial average which sits at 34.8% (3). Health Service Coordination In Ontario, Community Care Access Centres (CCACs) work to connect patients with in-home and community-based health care services. The Peterborough region is served by the Fast Facts: Of individuals over 65 years of age in the Peterborough region: 66% report having good to full functional health (4). 78% report having very good or excellent mental health (4). 98% have access to a regular family doctor (4). Page 1 of 4 Community Support and Health Services Central East Community Care Access Centre (CECCAC). The CECCAC has seven local branches, of which Peterborough is one (local phone: 705-743-2212). The CECCAC provides information, health care referrals, and direct access to qualified health care providers. In Peterborough there are 11 health care providers contracted to provide care through the CECCAC (5). Contracted Service Provider Partners, Peterborough Branch Central East Community Care Access Centre, 2014 Victorian Order of Nurses WeCare Nightingale Nursing CarePartners Nursing provider Nursing & Personal Support Worker provider Nursing & Personal Support Worker provider Personal Support Worker provider Kawartha Therapy Closing the Gap Therapy provider Therapy provider Five Counties Children’s Centre Gail Leblanc Jane Groom Karren Fisher Therapy provider Therapy provider (Nutrition) Therapy provider (Speech) Therapy provider Karen Jibb Therapy provider SOURCE: CENTRAL EAST COMMUNITY CARE ACCESS CENTRE, 2014. PERSONAL COMMUNICATION In the 2013 fiscal year (April 2013 to March 2014) the Peterborough branch of the CECCAC created 5464 discharge care plans for patients transitioning from the hospital back to their homes. In this same period 7537 Did You Know? A recent study by the LHIN found that 75% of seniors with complex conditions who are discharged from hospital, receive care from 6 or more physicians, 30% get their drugs from 3 or more pharmacies. Health Links are local health care networks consisting of patient, caregivers, health care providers and community support agencies committed to working together. This is now being piloted in Peterborough and County(6). For more information email ce.healthlinks@ccac-ont.ca or call 1-800-263-3877 Ext. 5871. Page 2 of 4 Community Support and Health Services patients were referred to receive home care services, and 6414 received in-home care supports (5). The CECCAC also manages a searchable database of local health services, the Central East Health Link Did You Know? (www.centraleasthealthlink.ca). This database can be used to search for information about a variety of In Ontario, the Health Care health care options, services, and topics. Hospital Services There is one regional hospital located in the Peterborough region: The Peterborough Regional Health Centre (PRHC). PRHC has an operating capacity of 494 beds and an annual budget of $250 million (7). connect program is designed to help individuals find a family health care provider(9). Call: 1-800-445-1822 In addition to running an emergency department and offering various screening and treatment services, PRHC also houses a number of clinics that offer specialized geriatric services including the GAIN geriatric assessment clinic and the Psychiatric Assessment Services for the Elderly (PASE) (7). PRHC is also one of many participating Ontario hospitals who offer Geriatric Emergency Management (GEM) services. A GEM nurse provides specialized frailty focused nursing services to older adults in the Emergency room and is linked with the Geriatric Assessment Intervention Network (GAIN) clinic at the hospital (8). Community Support Services A number of community-based organizations provide support services for older adults in the Peterborough Region. The Peterborough Victoria Haliburton branch of the Victorian Order of Nurses (local phone: 705-745-9155) provides community-based health services for older adults in Peterborough region. Of particular significance are their adult day programs which provide social, recreational, and therapeutic activities for older adults who are frail, cognitively impaired, or isolated (10). The local branch of the Azheimer Society (local phone: 705-748-513) and Hospice Peterborough (local phone 705-742-4042) also provide community-based support services and offer volunteer home visitors. Did You Know? Telehealth Ontario is a free service you can call to get information and advice from a Registered Nurse (11). Call: 1-866-797-0000 TTY: 1-866-797-0007 Page 3 of 4 Community Support and Health Services Community Care Peterborough also provides a variety of services that enable older adults to live safely at home. These include transportation services, meal delivery services, and friendly visiting programs (11). Community Care Peterborough operates eight offices in the Peterborough region. Community Care Peterborough, Local offices Peterborough City and County, 2015 Office Name Apsley Office Address 68 Burleigh St, Apsley Phone Number 705-656-4589 Chemung Office 549 Ennis Rd, Ennismore 705-292-8708 Harvey Office Havelock Office 1937 Lakehurst Rd, Buckhorn 107 Concession St N., Havelock 705-657-2171 705-778-7831 Lakefield Office 40 Rabbit St, Lakefield 705-652-8655 Millbrook Office Norwood Office 22 King St E., Millbrook 2368 King St E., Norwood 705-932-2011 705-639-5631 Peterborough Office 185 Hunter St E., Peterborough 705-742-7067 SOURCE: COMMUNITY CARE PETERBOROUGH , 2015. References: (1) (2) (3) (4) (5) (6) (7) (8) (9) World Health Organization, 2015. [Age-friendly World Webpage] Peterborough County-City Health Unit, 2012. Falls among seniors in Peterborough. Peterborough County-City Health Unit, 2013. Oral Health in Peterborough. Statistic Canada, 2012. Table 105-0502. [Statistics Canada health Indicator Profile Table Webview] Central East Community Care Access Centre, 2014. Personal Correspondence. Ministry of Health and Long-Term Care, 2012. [About Health Links Webpage] Peterborough Regional Health Centre, 2014. [Peterborough Regional Health Centre Website] Peterborough Regional Health Centre, 2015. Personal Correspondence. Ministry of Health and Long-term Care, 2015. [Health Care Connect webpage] (10) Victorian Order of Nurses, 2015. [Victorian Order of Nurse Website] (11) Ministry of health and Long-term Care, 2015. [Telehealth Ontario Webpage] (12) Community Care Peterborough, 2015. [Community Care Peterborough Website] Contact: Sarah Cullingham Age-friendly Coordinator scullingham@peterborough.ca www.peterboroughcouncilonaging.ca
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