NELHIN One Time Community Paramedicine Funding - December 11, 2020

North East LHIN
1164 Devonshire Ave.
North Bay ON P1B 6X7

NE LHIN File No.: 20201112_FAII1159

December 11, 2020

Lynn Foster
Chief Executive Officer
Manitoulin Health Centre
P.O. Box 640
11 Meredith Street
Little Current, ON P0P 1K0

Dear Ms. Foster,

Re: Community Paramedicine

On behalf of the North East Local Health Integration Network (NE LHIN), I am pleased to advise you that Manitoulin Health Centre will receive one-time funding in the amount of $499,900 for the fiscal year 2020/21 to support the expansion of Community Paramedicine in Algoma, Cochrane and Manitoulin-Sudbury areas.

The Integrated Capacity Plan provides the framework for the health system’s preparedness to address four interconnected challenges expected this fall:

  • Ensuring capacity exists to respond to a potential resurgence of COVID-19;
  • Preparing for influenza season;
  • Addressing waitlists and backlogs for surgeries and other healthservices; and
  • Preventing overcrowding in hospitals, long-term care homes and other congregate settings to prepare for any surges.

As both hospitals and long-term care homes will have significantly reduced bedded capacity to service patients/residents in order to maintain infection control (long-term care homes) and prepare for COVID/seasonal flu surge (hospitals), there is a need and an opportunity for home and community care to undertake an enhanced role in supporting system capacity, particularly for high needs clients.

Community Paramedicine will ensure high needs patients continue to receive timely, high quality, and safe care at home and in other community-based settings when beds are in short supply.

Your organization will act as transfer payment administrator to facilitate funding to the following organizations, to deliver Community Paramedicine services:



Project Description

Fiscal Year 2020/21 One-time Funding

Algoma District Social Services Administration Board

Jeff Pulvermacher

The program’s purpose is to coordinate with the LHIN Care Coordinator to help address seniors or other high-risk clients. This target population who would be at high risk of frequent hospital admission and re-admissions or those that were recently discharged or at risk of becoming designated Alternate Level Care. The Algoma DSSAB geographic area is vast covering 48,043 square km with many remote communities and residences that are outside any community. There are areas in Algoma that do not have many resources available locally and would be best served by CP Paramedic to have the high-risk population remain in their homes and in their home communities as opposed to being sent to other communities hospitals or LTC homes.


Cochrane District Social Services Administration Board

Jean Carriere

The program’s goal would be to support our home and community care partners in providing care of targeted patients in their homes, in order to alleviate the pressures caused by the reduced bed capacity of hospital and long-term care homes due to Covid- 19. Expansion would be to add dedicated CP personnel, mobile OTN, phlebotomy, and Palliative home care and other identified needs. Due to their complex care needs, patients identified by the care coordinator will be the focus of our High Intensity Support personnel. The early identification of frail older adults living in the Cochrane District will ensure they are able to remain in community for as long as possible.


Manitoulin- Sudbury District Social Services Administration Board

Paul Myre

By leveraging current processes, the Community Paramedics can support the High Intensity Supports at Home Program. The proposed model’s overarching purpose fosters in home assessments, future influenza/COVID- 19 vaccinations and on-going care for our marginalized and vulnerable populations. The ultimate goal is ED/Hospital admission and overcrowding avoidance by bringing health care to those who otherwise cannot have reasonable access or who are vulnerable to community spread infections. This goal can be achieved through dedicated resources and collaborative defined coordinated care plans with community stakeholders and Primary Health Care Providers.


This information is under embargo and should not be discussed with any party other than the Ministry, LHIN and service delivery partner until further notice.

If you have any questions or concerns in regards to the funding, please do not hesitate to contact

Justine Vidal, Funding and Performance Advisor at 705-522-3460 x5121 or via email at

Thank you for your leadership in advancing the system of care for the Sudbury-Manitoulin-Parry Sound Sub-Region. We look forward to working with your team to strengthen health services for our communities in the Northeast.


Terry Tilleczek, Vice President, Strategy and System Planning

Brian Ktytor
Transitional Regional Lead (Interim),
Ontario Health (North)
Chief Executive Officer, North West LHIN Chief Executive Officer, LHIN

Encl.: Appendix A – Sign-Back Form

Appendix B – Community Paramedicine Implementation Guidelines


Jeff Pulvermacher, Algoma EMS
Jean Carriere, Cochrane EMS
Paul Myre, Manitoulin-Sudbury EMS
Sudbury-Manitoulin-Parry Sound Sub-Region