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Aboriginal Working Group (AWG)Community Mental Health Common Assessment Project
(CMH CAP)
OCAN Aboriginal Support Validation Information for Board Members
<Insert Date>
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What you need to know
• What is Ontario Common Assessment of Need (OCAN?
• What is happening with OCAN today?• What is the OCAN Aboriginal Support
Validation?• What is happening with the validation today?• What does it mean to participate in the
validation?
Note: Slides with gray background are provided for your reference, but can be presented as needed.
What is Ontario Common Assessment of Need (OCAN?)
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Community Care Information Management (CCIM)
CCAC CSS CMH&A LTCH CHC SCCH
Local Health Integration Networks (LHINs)
Integrated Data Strategy
AssessmentProjects
Business Systems
Common IntakeAssessment
Tool
Long Stay Assessment
Software
ManagementInformation
Systems
Human Resources Information
Systems
ManagementInformation
Systems
Human Resources Information
Systems
Management Information
Systems
HumanResourcesInformation
Systems
ManagementInformation
Systems
Human Resources Information
Systems
InterRAI Community
Health Assessment
Ontario Common
Assessment of Need
Resident Assessment Instrument
MDS 2.0
Management Information
Systems
Completed and/or transitionedInitiation stage Currently rolling out
CCAC = Community Care Access Centres CSS = Community Support Services CMH&A = Community Mental Health and Addictions
LTCH = Long-Term Care Homes SCCH = Small & Complex Continuing Care Hospitals CHC = Community Health Centres
Management Information
Systems
Integrated Assessment Record
Screener forthe CHA
Infrastructure & Operations IT Implementation & Support Security, Privacy & Risk Management Transition
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CMH CAP Vision
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What is OCAN?
Ontario Common Assessment of Need (OCAN) is a standardized, consumer-led decision making tool that allows key information to be electronically gathered in a secure and efficient manner.
• Assists client-led decision-making at an individual level
• Identifies individual needs and helps match these to existing services and identifies service gaps
• Provides aggregate data to inform organizational, regional and provincial level planning and decision making that is consistent with a recovery approach
• Further facilitates inter-agency communication through common data standards
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Phase 1 – Initiation (with stakeholder representation)
• Analysis of many assessments tools
• Selection of a core tool – Camberwell Assessment of Need
• Province-wide consultations to introduce the tool
• Formation of working groups
Phase 2 - Pilot
• Piloting of the automated OCAN in 16 CMH organizations
• Early learnings gatherings
• NE LHIN Implementation pilot (NE LHIN OCAN Aboriginal Evaluation)
Phase 3 - Implementation
• Provincial roll-out
• Formation of Aboriginal Working Group
• OCAN Aboriginal Support Validation
• Integration with a changing CMH landscape
• Powerful reporting to drive enhanced consumer-centered service and system planning
2006
2008
Project Overview and Development
2010
2009
2011
2012
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OCAN at a Glance
What (are your needs)
Who (are you)
Where (do you receive services)
Consumer Self- Assessment
Staff Assessment
Consumer Information Summary
Mental Health Functional Centre Use
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Types of OCAN 2.0
There are three (3) “types” of OCAN:
• The CORE OCAN consists of the Consumer Information Summary and the Mental Health Functional Centre Use
• The CORE + Self OCAN consists of the Consumer Information Summary elements, the Consumer Self-Assessment and the Mental Health Functional Centre Use
• The Full OCAN consists of the Consumer Information Summary, the Consumer Self-Assessment, the Mental Health Functional Centre Use and the Staff Assessment
Consumer Self- Assessment
Staff Assessment
Consumer Information Summary
Mental Health Functional Centre Use
Consumer Self- Assessment
Staff Assessment
Consumer Information Summary
Mental Health Functional Centre Use
Consumer Self- Assessment
Staff Assessment
Consumer Information Summary
Mental Health Functional Centre Use
• The CORE OCAN consists of the Consumer Information Summary and the Mental Health Functional Centre Use
• The CORE + Self OCAN consists of the Consumer Information Summary elements, the Consumer Self-Assessment and the Mental Health Functional Centre Use
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Functional Centre Use of OCANFull OCAN Core OCAN
• Assertive Community Treatment
• Case Management
• Clubhouse
• Early Intervention
• Social Rehabilitation/ Recreation
• Support within Housing
• Short-term Residential Crisis Support Beds
• Peer/Self-help Initiatives
• Crisis Intervention
• Community Mental Health Clinic
• Eating Disorders
• Day/Night Care
• Counseling and Treatment
• Diversion and Court Support
• Dual Diagnosis
• Psychogeriatric
• Forensic
• Vocational Employment
• Concurrent Disorders
The Provincial Consumer Working Group recommends the use of Core + Self OCAN for Peer/Self-help Initiatives as a peer-to-peer recommendation
!
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OCAN Domains
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Five Additional Questions
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Consumer Self-Assessment
Rating need
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Staff Assessment
What is happening with OCAN today?
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LHIN EngagementMILESTONE ESC SW WW HNHB CW MH TC C CE SE CH NSM NE NW
LHIN ENGAGEMENT INFORMATION SESSION
EXECUTIVE LEAD FORUM N/A »
KICK-OFF (%) 83% 94% 89% 95% 100% 100% 73% 71% 78% 91% 74% 50% 100% 65%
PRE GO-LIVE EDUCATION » » GO-LIVE (%) » » 9% » 33% 39% 41% 6% 82% 42% 50% 46% 17%
IAR GO-LIVE (%) » » » » » » » » 21% 50% » 17%
DATA SUBMISSION (%) » » » » » » » » 21% 50% » 17%
POST GO-LIVE EDUCATION » » » » » » » 25% »IMPLEMENTATION COMPLETE (%)
5% 8% 4%
Last updated: October 27, 2011
COMPLETE » IN PROGRESS OCAN/IAR
What is the OCAN Aboriginal Support Validation?
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Aboriginal Working Group Vision
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OCAN Benefits in Aboriginal Settings
• Recognizes Aboriginal cultures, values and beliefs by incorporating “wholistic” approaches to wellness and recovery, while allowing consumers to participate in the process
• Assists with better continuity of services through integrated data collection and reporting across community mental health
• Encourages ownership of OCAN and its related processes through engagement with Aboriginal representatives
• Potential to help address jurisdictional issues (federal and provincial)
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Why the OCAN Aboriginal Support Validation?
• The Evaluation of OCAN in Aboriginal Programs in the North East LHIN (Sutherland/Maar) recommended improvements to the use of OCAN in Aboriginal settings.
• An Aboriginal Working Group was formed to address the evaluation findings.
The Evaluation of OCAN in Aboriginal Programs in the North East LHIN is available online at www.ccim.on.ca
!
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Recommendations
• The Aboriginal Working Group developed recommendations related to the following categories*:
– Aboriginal Engagement
– Education and Training
– Administrative Supports and Processes
The Aboriginal Working Group Report is available online at www.ccim.on.ca
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Recommended OCAN Aboriginal Supports
• The OCAN Aboriginal supports include:
– Aboriginal-specific training materials, such as case studies, training binders, consumer pamphlet, etc
– Aboriginal Education Specialist to deliver training and support to validation participants
– Aboriginal Subject Matter Expert to address questions pertaining to Aboriginal landscape and issues
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What is the OCAN Aboriginal Support Validation?
• The purpose of the OCAN Aboriginal Support Validation is to evaluate the recommended OCAN Aboriginal supports to determine their impact on the cultural appropriateness of OCAN delivery within Aboriginal populations
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Guiding Principles for the Validation
• Culturally appropriate– Respects Aboriginal culture and incorporates the principles of cultural
competency and cultural safety
• Consumer-centred– Acknowledges the Aboriginal consumer’s role in the assessment
process; takes a ‘wholistic’ approach
• Flexible to accommodate cultural diversity– Aware of the distinctiveness of each Aboriginal population (e.g., First
Nations, Inuit and Métis; on-reserve and off-reserve; urban, rural and remote)
• Collaborative – Guided by Aboriginal Health Service Providers and transparent to the
Aboriginal population in general; respects the spirit of principles related to ownership, control, access and possession of data (OCAP)
What is happening with the validation today?
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Validation Timeline
ReflectivePractice
Mar 2012
Validation Ends
Oct Nov Jan 2012
(20/21)Kick-off /
Business Process Workshop
(4 days)Tool
Train-the-Trainer
(3 days)Supported Tool
Training
Dec
Evaluation Activities (surveys, focus groups)
Begin Using OCAN
(Go Live) ReflectivePractice
Mar 2012
Validation Ends
Oct Nov Jan 2012
(20/21)Kick-off /
Business Process Workshop
(4 days)Tool
Train-the-Trainer
(3 days)Supported Tool
Training
Dec
Evaluation Activities (surveys, focus groups)
Begin Using OCAN
(Go Live)
What does it mean to participate in the validation?
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As participants in the validation, you will…
• Contribute to the development of Aboriginal-specific training materials and supports for OCAN
• Guide recommendations for future OCAN implementation in Aboriginal settings
• Network with other community mental health organizations providing service to the Aboriginal community
• Take advantage of the implementation supports available through CMH CAP
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Who is participating in the validation?LHIN HSP Name
South West • Southwest Ontario Aboriginal Health Access Centre
Hamilton Niagara Haldimand Brant
• Six Nations of The Grand River• De Dwa Da Dehs Nye>s Aboriginal Health Access Centre
Toronto Central • Anishnawbe Health Toronto
Champlain • Wabano Centre for Aboriginal Health• CMHA Champlain East
North Simcoe Muskoka
• Enaahtig Healing Lodge and Learning Centre• Muskoka-Parry Sound Community Mental Health Service
North East • Mamaweswen, The North Shore Tribal Council• Noojmowin Teg Health Centre• Weeneebayko Area Health Authority• Shkagamik-kwe Health Centre
North West • Dilico Anishinabek Family Care• Gizhewaadiziwin Health Access Centre• Sioux Lookout Meno-Ya-Win Health Centre• Kenora Chiefs Advisory
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What we’ve heard...
“We’ve been involved with the implementation of OCAN for well over a year as a pilot. It wasn’t easy, but we really appreciated the support we received. We are participating in the validation to see whether the work we had done regarding the OCAN Aboriginal support will make it easier in terms of implementation… to see if we have made a difference in making the support even more supportive. We are happy to be a part of it.”
Germaine ElliottMental Health Program Coordinator
Enaahtig Healing Lodge and Learning Centre
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Your Validation Change TeamExecutive Lead• “champions” OCAN• provides direction• makes decisions• removes roadblocks
Technical Lead• implements automated solution• manages vendor relationship• validates functionality• works collaboratively
Coordinator/ Back-up
• becomes OCAN educator/expert• trains OCAN users• provides support• facilitates information flow
Clinical Lead• attends OCAN education sessions• provides on-site support• addresses clinical issues• ensures accurate use of OCAN
Consumer Lead• attends OCAN education sessions • provides input on decisions• represents the consumer community • facilitates consumer engagement
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Project Support for the ValidationGetting prepared
Information sessions and kick-off
Accessing resources
CCIM website
Reaching the project
CMH CAP Support CentreValidation Support Team
Staying updated
Regular touch points – teleconference/WebEx
Getting together
On-site support as required and available
Training and education
Aboriginal educator(s) to train on a series of education
modules
Specific helpSubject matter experts in
business process, technology, clinical issues, communications, consumer strategy, privacy/security,
Aboriginal landscape
Common Assessment
User
Regional support
Aboriginal education specialist(s) Implementation leads
Business implementation analysts
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Thank you!
Project Support CentreTelephone: 1-866-909-5600 Hours: 8:30 a.m.-4:30 p.m. weekdaysEmail: [email protected]: www.ccim.on.ca
