What's new in Mission
Across our region, we are investing in community-based care by increasing health care resources in community settings. This means patients will receive the right level of care in the right places. This is about looking at the programs and services we provide and making decisions that are in the best interests of patients and residents, decisions that will help people avoid being in hospital, get them out of hospital more quickly and support them more fully in the community and in their homes.
What we are talking about is a complex shift of resources but our goal is clear – to promote health, wellness and prevention in our communities. All of our decisions are based on what is best for the communities we serve and the people we care for.
Here are some examples of how this is happening in Mission.
Community Services in Mission
- Mission is one of three Fraser Health communities selected for the implementation of a new model of care for frail seniors to help them avoid hospitalization and help them stay in their homes longer. Working with the Ministry of Health, we are enhancing primary care opportunities for Mission physicians to support a one-stop care approach. We are redesigning the space and enhancing the services at the Mission Community Health Centre, integrating community services to help support frail services, strengthening relationships with community partners, including physicians and non-profit organizations to provide coordinated, client-centred services. We will be redesigning our clinical tools and care processes within the community to better support and respond to the emerging care needs of frail seniors. We are also adding additional staff to Home Health, the Respite Hotel, the day program for older adults and the Specialized Seniors Clinic to enhance capacity in the community.
Mental Health and Substance Use
- We established new Hospital Community Liaison teams between Abbotsford Regional Hospital Psychiatry Program and Abbotsford and Mission Mental Health and Substance Use Centres to provide enhanced support, seven days a week, for individuals who have been discharged from hospital into the care of their community mental health and substance use centre.
- We opened the Pleasant View Campus of Care, a new mental health residential campus in Mission, in 2015 to offer housing, recovery and support services to clients with mental health issues. The campus includes 19 residential care beds, 22 assisted living beds and 13 bachelor suites. It provides support services such as access to meals and light housekeeping to help clients stabilize and thrive.
- Residents of Fraser East, including Mission, can now access two additional mobile detox teams (one funded by Fraser Health, the other by First Nations Health Authority) to access support in withdrawing from substances. Clients receive a medical assessment by a physician along with regular monitoring by a nurse and health care worker during the withdrawal process, and case workers to help clients connect with community services to continue their recovery. Since the first team was launched in 2010, there has been a 67 per cent decrease in the number of service area hospital admissions among these clients and a 46 per cent decrease in the number of psychiatric emergency room visits among participants.
Mission Memorial Hospital Updates
- In 2014/15 we invested $479,000 in capital equipment for Mission Memorial Hospital, including infusion pumps.
- We are working on in-hospital initiatives that will strengthen community transitions. We’ve just opened a Patient Access and Transition Home (PATH) unit at Mission Memorial Hospital which will also serve Abbotsford Regional Hospital. The PATH unit provides specialized support to patients who require complex discharge planning to return successfully to the community.
Across Fraser Health, we are investing in:
- This program provides clients who need help to manage their health and to live safely in their homes with case management services, nursing support, older adult day programs, respite service for caregivers, and more. We have added staff to improve access to home support – bathing and medication management, for example – and other home health services – wound care and short term-physiotherapy – by clients who are either recovering at home following a hospital stay or seniors who need help to remain independent at home.
- Home First is expanding in Abbotsford with the addition of key team members to improve access to home support and other Home Health services. Home First is a program for seniors in hospital who have been assessed at the residential care level who have the potential to go home instead. They are fast-tracked to return home with the home health supports they need as well as other community supports, medical and non-medical. Nearly 1,000 patients returned home and avoided residential care placement in the first three years of Home First (2012 to 2015).
- This community program offers clients with a diagnosis of chronic obstructive pulmonary disease (COPD) home-based education to help them manage their disease and prevent flare-ups which could otherwise send them to the emergency room or result in hospitalization. A respiratory therapist works with the client and their doctor to develop a health improvement plan, and connects the client with community services such as lung rehabilitation, home supports, rehabilitation therapy and exercise programs. As of March 2016, 1,430 people are accessing the service across the region. The program is now expanding to Fraser Health residential facilities.
Mental Health and Substance Use Services
- Across the region, 226 new and redeveloped beds will become available for clients with mental health and substance use challenges in 2016/17. Of these, 96 are residential care beds (a mix of licensed residential care and assisted living); 33 are Supported Independent Living subsidies; and 97 contracted beds will provide services and supports to individuals with substance use challenges.
- Mission is one of six Fraser Health communities with an Assertive Community Treatment (ACT) team: an innovative approach to provide support for hard-to-reach adults with serious and persistent mental illness who have not connected with, or responded well to traditional mental health care. The teams are comprised of various mental health and substance use professionals including a team coordinator, psychiatrist, social workers, registered nurses, mental health care workers, occupational therapist and peer support workers. The ACT team is intended to be mobile and deliver 75 per cent of its services in settings such as a person’s home, shelters, drop-in centres, or parks. The program, which has more than 300 clients across our health region and nearly 60 in Abbotsford/Mission, reduces barriers through an outreach approach, extended hours of service, and a "housing first" philosophy.
- A state-of-the-art Child and Adolescent Psychiatric Stabilization Unit (CAPSU) for children and adolescents with urgent mental health issues is set to open this spring at Surrey Memorial Hospital. CAPSU will serve young people from across the region, aged six to 17, who need a five- to seven-day stay in hospital for stabilization. CAPSU will be home to a Snoezelen™ Room, a multi-sensory environment used to help reduce agitation and anxiety and stimulate and encourage communication, the first of its kind for children and youth in a hospital psychiatric unit in Canada.
Residential Care Services
- We provide subsidized residential care for adults who can no longer live safely or independently at home due to complex health care needs. In 2016 we will add 403 new residential care beds and we will bring 228 of our existing residential care beds up to current care standards. Across the region, with new investments this year we have a total of 8,254 residential care beds available in Fraser Health, an increase of 7.9 per cent since 2010. There is currently one Fraser Health-owned and operated residential facility in Mission. It opened in 2014 and provides 200 beds.
- We are developing patient-centered clinical tools and processes that to improve access and coordination of services to enhance outcomes.
Recent kudos for our health care providers
- Once we got there, luckily it was only a short wait and we got in very quickly ... relief. As the technician greeted us I ask her for some help, explaining my little 3-year-old has extreme autism, and if she could please help me. Right away, without hesitation, she said no problem and that she understood. She took us into a private room so my son couldn’t run away and gave him some stickers to play with. She was so excellent with both of us, was very kind, and spoke to my little guy with dignity and affection. My worries were over! (Via email@example.com)
- My 10 year old son had to take an ambulance from our home to Mission Memorial Hospital. I’m amazed at the care he received from all nurses and paramedics and the doctor. Top notch care, they acted very fast. (Via firstname.lastname@example.org)
- For Dr. Parin Patel: I graduated from the class of '58 from MHS. I note in today's Mission newspaper, in the obituary of a favorite teacher from that era, Mr. Murray Harris, that the family sent thanks for your care of Mr. Harris. With this said, I, also, would like to take this opportunity to thank you for your care of Mr. Harris, or Prune-y, as he was affectionately called by our classmates. Thank you so kindly. He will be missed at our 60th class anniversary in 2018 as he has attended every one of them every 5 years. RIP Mr. Harris and thank you Dr. Patel. (Via email@example.com)
- I just want to thank all of the care staff for loving and caring for my dad at Mission Memorial Hospital. I work as a recreation aide in a facility and have always felt comforted by the fact that you all go above and beyond in your care. I am so grateful for you and my mom is so thankful for you. My mom wanted to give special attention to Lynda and Dorraine. My mom is so thankful for your loving care - we know my dad was special to you. My mom is strong, but is missing her husband every day. You will always hold a special part in our heart. Thank you – we are grateful for your loving care. (Via firstname.lastname@example.org)