Boards Confirm Proposed Plan for Facilitated Integration
The Scarborough Hospital (TSH) and Rouge Valley Health System (RVHS) Boards of Directors, at their respective special meetings on June 19, have passed motions to approve a proposed Facilitated Integration Planning Framework. The Planning Framework, developed by the Integration Leadership Committee (ILC), provides the focused direction for the steps that TSH and RVHS will take over the next four months to prepare a preferred integration plan.
The development of the proposed Planning Framework is in response to a Central East Local Health Integration Network (Central East LHIN) Board motion passed on March 27 directing the two hospitals to work together on a facilitated integration process to identify how the two hospital corporations can develop an integrated and coordinated model to support the delivery of high-quality, accessible and safe hospital programs and services for the residents of Scarborough. The proposed Facilitated Integration Planning Framework will be considered at the Central East LHIN’s Board of Directors meeting on June 24, in Open Session.
The hospitals’ approved motions state that the Boards believe that TSH and RVHS should proceed with stakeholder engagement and due diligence in order to determine what benefits a merger of the two hospitals will provide to the Scarborough community.
The ILC discussed a variety of approaches to integration. After exploring the value of various integration options, the rationale for focusing on this option is to:
- Develop a long term vision for hospital services for the Scarborough communities
- Develop a solution that will make the Scarborough hospitals more competitive in response to changes in how the government is changing the funding model
- Develop a solution that has the potential to maintain access and maintain or improve quality while dealing with a decline in available financial resources
- Ready the two hospital corporations for continuing health system transformation by developing a platform for better connecting with other sectors, like primary care and community agencies.
This approach was chosen because the ILC is of the unanimous view that these benefits cannot be fully achieved without a clear accountability structure represented by a single governance and leadership model.
If approved by the Central East LHIN Board, the facilitated integration planning process includes:
- looking at integrated leadership and governance for both hospital corporations at all four sites
- looking at back office integration opportunities for all four sites
- exploring the patient care service integration opportunities in Scarborough at the Birchmount, General and Centenary sites.
The integration planning process will not include patient care services currently delivered in the Durham cluster at the Rouge Valley Ajax and Pickering site.
A key component to the planning process is an inclusive and robust stakeholder engagement that includes Scarborough and Durham stakeholders.
“While no final decisions have been made at this point, RVHS, TSH and the Central East LHIN recognize that the status quo is not an option,” said Joan Wideman, RVHS Board Chair. “As health system leaders, it is our responsibility to ensure that local residents have access to high-quality and safe hospital care, while using tax dollars efficiently and effectively.”
“Our two hospitals must work together to identify actions that support a coordinated and integrated approach to delivering care for the residents we serve. To fully transform our system to one that is focused on the patient, we are committed to working in partnership with community health care agencies and organizations,” added Stephen Smith, TSH Board Chair.
Situated in the most diverse community in Canada, The Scarborough Hospital (TSH) delivers innovative, high‐quality patient care at two hospital campuses , Birchmount and General, and six satellite sites. The Scarborough Hospital is a regional centre for dialysis and is renowned for its sexual assault care centre and mental health programs. Affiliated with the University of Toronto, TSH is also a referral centre for vascular surgery, pacemakers and cataract surgery.
Rouge Valley Health System is an excellent acute care community hospital with many programs, including 24/7/365 emergency, obstetrics, paediatrics, surgery, mental health and regional cardiac care. Rouge Valley consists of several health sites, including two community hospital campuses: Rouge Valley Centenary in east Toronto; and Rouge Valley Ajax and Pickering in west Durham.