The Integrated Care Working Group is focused on integrating and coordinating patient/client care activities among all NOHT-ÉSON health and social care providers, so that services delivered to patients/clients across their lifespans can achieve the best possible outcomes. This commitment to eliminating duplication, delays and gaps in service delivery is vital to achieving the mandate given to us by the Ministry of Health to shape the future of health and social care in Ontario.

The Integrated Care Working Group meets monthly to define and develop its plan to promote integrated and coordinated care across the NOHT-ÉSON while working to meet the immediate needs of current priority populations— palliative and stroke patients/clients, child youth mental health clients— as NOHT-ÉSON progresses toward organizational maturity.

Accomplishments to Date

  • Consulted with people with lived expertise on their perspectives and experiences of integrated care.
  • Consulted with Niagara Youth Wellness Hub on defining integrated care.
  • Created an engagement plan to extend Lifespan Integrated Care Planning across systems and sectors, including Indigenous, client/family/caregiver, Francophone, youth, and primary care voices.
  • Engaged with service partners across sectors, increasing the spread and scale of the initiative to broaden NOHT-ÉSON’s connections with organizations across Niagara.
  • Collaborating with NOHT-ÉSON’s Digital Health Working Group to ensure that technology is used strategically to support equitable access to integrated care and enhance the efficiencies with transitions of data for shared clientele through Coordinated Care Planning.
  • Developed a sub-working group to engage with the Palliative Care, Dementia, and Stroke Working Groups to enhance the use of Coordinated Care Plans within these priority populations.

For further information please contact Frank Ruberto frank.ruberto@niagaramedicalgroup.com or Jenny Stranges jstranges@questchc.ca.

Integrated Care Working Group Members

Frank Ruberto

Co-Lead

Niagara Medical Group Family Health Team

Jenny Stranges

Co-Lead

Quest Community Health Centre

Liz Froese
Bethesda Services

Leah Jeffery
Bethesda Services

Martha Harvie
Developmental Services Ontario

Melanie Vaartjes
Developmental Services Ontario

Nadine Wallace
Contact Niagara for Children’s and Developmental Services

Kelly Stack
Brain Injury Community Re-entry (Niagara) Inc.

Sarah Putman
Alzheimer Society Of Niagara Region

Talia Storm
Positive Living Niagara

Jennifer Smith
Ontario Health atHome

Heather Gillespie
Canadian Mental Health Association – Niagara Branch

Paul Niesink
Community Addiction Services of Niagara

Sabrina Piluso
NOHT-ÉSON

Olga McNeill
Patient/Client/Family/Caregiver Representative

Tahera Vawda
Bridges Community Health Centre

Jennifer Butera
Niagara Region

Lisa Panetta
Niagara Region

Marty Mako
Niagara Emergency Medical Services