Policy and Political Action

Policy & Political Action

Comments on Strengthening Care Coordinator Capacity in Primary Care Settings: Guidance to Ontario’s Local Health Integration Networks

Resource Type: 
Submission

RNAO appreciates the opportunity to provide feedback to the Ministry of Health and Long Term Care on Strengthening Capacity in Primary Care Settings: Guidance to Ontario's Local Health Integration Networks. We are pleased that Minister's Hoskins mandate letters to the LHINs specifies as a priority locating care co-ordinators in primary care settings, and that the Ministry is providing guidance to LHIN's on how to transition care coordination to primary care.

Beginning with RNAO's 2012 Enhancing Community Care for Ontarians (ECCO) report, and repeated again in RNAO's ECCO 2014, we have urged that 1) primary care be the anchoring sector to enable a high performing health system, 2) care coordination be a function of primary care, and 3) care co-ordinators be located in primary care. Primary-care based, RN-led care co-ordination for complex populations is well supported within scientific literature. Bodenheimer at al. identified comprehensiveness and care coordination as one of the 10 building blocks of high performing primary care.

We have prepared suggested revisions to this document that will enhance its effectiveness as a LHIN guideline. They relate to: definition and scope of care co-ordination; implementation of care co-ordination in primary care; LHIN accountability; and wording.

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Care Coordination in Primary Care799.54 KB