Niagara Health (NH) and the Hamilton Niagara Haldimand Brant (HNHB) Local Health Integration Network (LHIN) are committed to ensuring patient centered transitions comprising of a coordinated, interdisciplinary approach from the time of admission through to discharge to the community. NH and the HNHB LHIN have a joint responsibility to the community to optimize the appropriate use of hospital resources ensuring acute care and specialized rehabilitation beds/services are available for patients requiring such levels of care. Establishing a NH & HNHB LHIN interdisciplinary team to carry out early discharge planning processes optimizes patient centered care and facilitates a timely and seamless transition from hospital to the community.
Congruent with the mission, vision and values of both Niagara Health & HNHB LHIN Integrated Manager of Transitions in Care is committed to providing Extraordinary care - Every person, Every Time and will embrace the shared values of respect, integrity, caring innovation, accountability, transparency and optimism.
With joint accountability to the NH Site Executive Lead and CNO and the HNHB LHIN Director of Home and Community Care , the Integrated Manager of Transitions in Care (3 positions) will provide operational leadership in the effective transition/discharge of patients from the NH hospital sites to the community.
The NH /HNHB LHIN Integrated Manager of Transitions in Care will directly lead identified staff whose function focuses on the scope of discharge planning and transitions in care from hospital. She/he will be the link connecting the two organizations to embed the philosophy of Home First in all relevant processes supporting seamless and timely transitions between hospital and community.
Day to Day Operational Management
Coach, Mentor and Act as Resource to Staff
Monitors Quality and Utilization
Lead Process Improvements and Act as Change Agent
Strategy and Building Systems in Partnership with Others