502
Redesigning the Brain Injury Landscape in Ontario - HHS partners with CONNECT
Mr. John Zsofcsin1
1Hamilton Health Sciences, Hamilton, Canada
Hamilton Health Sciences is doing something different for people after Acquired Brain Injury (ABI) and stroke. Partnering with a private BC company CONNECT, a new resource opening in 2019 promises to help people redesign their lives – while redesigning the health system. 
HHS would like to present a poster about this unique partnership and its intentions to transition people from hospital to home after ABI and stroke. A public/private partnership we feel will be replicated in other LHINs in Ontario and for other patient populations. After a successful RFP bid in 2016 CONNECT Hamilton will be opening in April/May 2019 and will focus on an alternative manner to support clients and their families.

Purpose and Culture:
This partnership has promoted respect for each other's culture and strengths, breaks down silos in traditional medical models and changes the way we talk to and coach our clients to promote success

Along with these significant outcomes, three other notable achievements of the partnership are:
1. The creation of the Life Redesign ModelTM:
•	A culture of personal accountability, support risk taking, social capital and meaningful community participation
•	Services planned around what the person wants more of in life. Participation in relevant life situations drives the residents’ goals
•	Leveraging neuroplasticity by pursuing resident goals in real-life, non-institutional settings
•	A “doing-with” coaching approach with blended job roles and a multi-professional coaching team

2. Leading Practice – Accreditation Canada
The Life Redesign ModelTM was deemed Leading Practice by Accreditation Canada in 2016 under client and family centred care for acquired brain injury services.

3. Proven Outcomes
10 years into a partnership with Interior Health in British Columbia, CONNECT has:
•	Transitioned 165 individuals through with an average LOS is 278 Days 
•	75% of residents move out to a lower-cost environment for years to come;
•	Generating an estimated system savings of $85M and climbing, or an ROI of 553%.

Together CONNECT Lake Country and IH have filled a significant system gap for folks with ABI, providing an opportunity for people after ABI and stroke in BC to redesign their lives. The partnership has allowed many individuals to avoid long-term care and institutionalization, with 75% of people going home and to the community after CONNECT. Most importantly, the partnership has built a huge number of powerful individual stories that can inspire change and have positive influence for the individual and others. 

Measuring Success  
We want to share and develop this partnership as an example of what’s possible from Hospital to Community and will measure success through:

Goal-attainment scaling
Wait times
Occupancy Rates
Length of Stay
Quality of Life
Move-out destination
Once we can prove it’s working and successful, we want to share it!