CAPS Guidelines Final V1.0 Jan 4 - southwestlhin.on.ca/media/sites/sw... · Version: January 4, 2011 Note: CAPS Guidelines are subject to change. The MultiSector Accountability Agreement

Version: January 4, 2011 Note: CAPS Guidelines are subject to change. The MultiSector Accountability Agreement (MSAA) takes

precedence where there is conflict between these Guidelines and the MSAA.

2011-2014

COMMUNITY ACCOUNTABILITY PLANNING SUBMISSIONS (CAPS) GUIDELINES

Community Accountability Planning Submission 2011-2014

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Table of Contents 1. Introduction ............................................................................................................................... 4

1.1 LHSIA, 2006 .................................................................................................................... 4

1.2 Overview of the CAPS/M-SAA Process ........................................................................... 5

2. Key Planning Considerations for the CAPS and M-SAA ........................................................ 6

2.1 Principles Guiding the Process ........................................................................................ 6 a. Accountability ....................................................................................................... 6 b. Funding and Allocation ......................................................................................... 6 c. Integration and Service Coordination ................................................................... 6 d. Local Health System Planning ............................................................................. 6 e. Local Community Engagement ............................................................................ 7

2.2 Planning Assumptions ..................................................................................................... 7

2.3 The 2011 – 14 Monitoring Process .................................................................................. 7

2.4 Data Quality ..................................................................................................................... 7

2.5 Timelines ......................................................................................................................... 7

2.6 Financial Penalty.............................................................................................................. 8

3. CAPS Components .................................................................................................................... 9

3.1 Part A – Description of Services ...................................................................................... 9

3.2 Part B – Service Plan ....................................................................................................... 9 a. CAPS – Part B Service Plan Narrative ................................................................. 9 b. CAPS – Part B Service Plan (Financial and Statistical) ......................................... 9

3.3 Part C – Reports .............................................................................................................. 9 3.4 Part D – Directives, Guidelines and Policies .................................................................... 9

3.5 Part E – Performance ...................................................................................................... 9

3.6 Part F – Template for Project Funding ........................................................................... 10

3.7 Other Services ............................................................................................................... 10 a. French Language Services ................................................................................... 10 b. Preschool Speech and Language Services ....................................................... 10

4. Changes Needing LHIN Approval ........................................................................................... 11

4.1 Proposing Operational Changes .................................................................................... 11

4.3 Service Reduction, Transfer or Elimination Proposal (Service Integration) .................... 11

5. Guidelines for Balanced Operating Plans .............................................................................. 13

5.1 Basic Requirement: A Balanced Operating Position ...................................................... 13

5.2 Budget Balancing Alternatives ....................................................................................... 13

6. CAPS Links to M-SAA Performance ....................................................................................... 14

6.1 The Indicator Development Process .............................................................................. 14


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a. The LHIN Performance Indicator Framework ....................................................... 14 b. Performance Dimensions ..................................................................................... 14 c. Indicator Classifications ........................................................................................ 15 d. Indicators .............................................................................................................. 16 e. Target Setting Process ......................................................................................... 16 f. Corridors ................................................................................................................ 16

7. Appendix A: Glossary ............................................................................................................. 17

8. Appendix B: Listing of Performance Dimensions and Indicators ....................................... 20

CCAC Sector Specific Indicators .............................................................................. 21 CSS Sector Specific Indicators ................................................................................. 21 CHC Sector Specific Indicators ................................................................................ 22 MH&A Sector Specific Indicators .............................................................................. 22

9. Appendix C: CAPS Key Contacts........................................................................................... 23


Community Accountability Planning Submission (CAPS) Guidelines 2011-14 January 4, 2011

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1. Introduction It is a requirement of the Local Health System Integration Act, 2006 (“LHSIA”) that Local Health Integration Networks (“LHINs”) have a service accountability agreement (SAA) in place with each health service provider (HSP) that it funds. The current 2009-11 Multi-sector Service Accountability Agreements or M-SAAs for the community health centre (CHC), community care access centre (CCAC), mental health and addiction (MH & A) and community support service (CSS) sectors expire on March 31, 2011 and thus must be replaced with new agreements that will take effect on April 1, 2011. In order to facilitate the negotiation of the M-SAAs with HSPs in the CHC, CCAC, MH & A and CSS sectors, each HSP will be required to submit a planning document known as the Community Accountability Planning Submission (CAPS). The CAPS and the new M-SAA will each cover a three year period. The purpose of these guidelines is to assist HSPs in the CHC, CCAC, CMH & A and CSS sectors to complete the 2011–14 CAPS.

1.1 LHSIA, 2006 The LHSIA provides the underpinnings for the accountability relationship between LHINs and the community health service sector. The purpose of the LHSIA is to provide for an integrated health system that will improve the health of Ontarians through (i) better access to high quality health services; (ii) coordinated health care in local health systems and across the province; and (iii) effective and efficient management of the health system at the local level. LHIN Funding and the Accountability Agreement with the Ministry of Health and Long-Term Care (MOHLTC): The LHINs’ relationship to the province is set out in LHSIA and in a Memorandum of Understanding between each LHIN and the Minister of Health and Long-Term Care. Funding for the LHINs is provided by the MOHLTC on terms set out in an accountability agreement between the Minister and each LHIN (the “Accountability Agreement”). The Accountability Agreement sets out, among other items:

a. Performance goals and objectives for the LHIN and the local health system: b. Performance standards, targets and measures for the LHIN and the local health system; c. Requirements for the LHIN to report on its performance and that of the local health system; d. A requirement that the LHIN provide a plan for spending the funding that the LHIN receives

from the MOHLTC (the Annual Service Plan); and e. A progressive performance management process.

Health Service Provider (HSP) Funding and SAAs: LHSIA also permits a LHIN to provide funding to an HSP for services that the HSP provides in, or for, the geographic area of the LHIN, however if a LHIN wishes to provide funding to an HSP it must first enter into a SAA with the HSP. LHSIA requires that the SAAs terms must be terms that (a) the LHIN considers appropriate; and that (b) are in accordance with (i) the funding that the LHIN receives from the MOHLTC; (ii) the Accountability Agreement with the MOHLTC, and (iii) any other requirements that may be set out in regulations under the LHSIA.



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1.2 Overview of the CAPS/M-SAA Process

Community Accountability

Planning Submission

(CAPS)

Multi-sector Service Accountability

Agreement (M-SAA)

Quarterly Reports [Ontario

Healthcare Report

Standards (MIS)]

Remediation Negotiation,

Implementation of

Consequences

Planning Commitment Measurement Adjustment

Negotiations/Consultations Negotiations

Both the CAPS and the M-SAA promote enhanced accountability through multi-year planning and funding projections. The CAPS focuses on service planning and the measurement and evaluation of HSP services and organizational performance. Data submitted by HSPs is used to calculate targets, corridors and performance standards related to the HSP’s: Person experience;

Organizational health;

System perspective. The M-SAA focuses on accountability as an integral part of the ongoing effort to improve health sector performance and provide high-quality, client-centered care. LHINs are committed to achieving a balanced, innovative and realistic M-SAA; one that relies on negotiation and collaboration to the greatest extent possible, while meeting the requirements of the LHSIA and the Commitment to the Future of Medicare Act, 2004. Once negotiated, the LHINs and HSPs each have a role in ensuring that the terms of the signed M-SAA are fulfilled.



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2. Key Planning Considerations for the CAPS and M-SAA

2.1 Principles Guiding the Process HSPs should consider the following principles when preparing their submission and engaging their local and regional partners. a. Accountability

The CAPS is owned and managed by the HSP. The CAPS will inform the negotiation of the M-SAA between the LHIN and the HSP. The HSP’s LHINs will provide guidance, approve and monitor the performance

obligations of the M-SAA. The HSP will be accountable to the LHIN for the achievement of the HSP’s performance

obligations in the M-SAA. b. Funding and Allocation

An HSP must plan to achieve a balanced operating position for the total entity for each year of the M-SAA that is consistent with relevant ministry policy and legislation/regulation.

An HSP’s funding can only be used in accordance with the terms of the M-SAA. An HSP’s LHIN will also regularly monitor in-year forecasts of the financial position of

LHIN-funded services. Confirmed forecasts of un-spent LHIN funding will be recovered within the fiscal year and reallocated to address financial pressures in the LHIN’s other HSPs.

c. Integration and Service Coordination

HSP planning must reflect the HSP’s ongoing responsibility to find efficiencies in administrative and direct service areas including review and/or consultation with other HSPs.

d. Local Health System Planning

HSP planning must be in alignment with the LHIN Integrated Health Service Plan (IHSP), the government’s health care priorities, and reflect best practices, evidence-informed decisions, and the pursuit of efficiency opportunities within the HSP and in collaboration with hospitals, community partners and other HSPs.

HSP planning must integrate the HSPs obligation under s. 16(6) and s. 24 of the LHSIA. s. 16(6) Engagement by Health Service Providers each HSP shall engage the

community of diverse persons and entities in the area where it provides health services when developing plans and setting priorities for the delivery of health services.

s. 24 Identifying integration opportunities Each LHIN and each HSP shall separately and in conjunction with each other identify opportunities to integrate the services of the local health system to provide appropriate, coordinated, effective and efficient services.



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e. Local Community Engagement HSP planning must clearly include ongoing consultation and engagement by the HSP

with local health service providers and other stakeholders with a view towards closer cooperation and partnership between providers and between sectors.

2.2 Planning Assumptions In the absence of planning targets the M-SAA will be negotiated and signed using funding planning assumptions. An HSP will be provided with financial planning assumptions for three years, 2011/12, 2012/13, 2013/14 by their LHIN. An HSP must consider the planning assumptions when developing its forecasts on service volume and indicator performance. The M-SAA schedules will be refreshed in the Fall of each year of the SAA to confirm the current year’s planning assumption and to update the planning assumptions for each remaining year of the SAA.

2.3 The 2011 – 14 Monitoring Process The LHINs will review the HSP performance results against the targets outlined in the 2011–14 M-SAA on a quarterly basis. Community Health Centres (CHC) are not able to provide MIS Trial Balance positions pending publication of a CHC Ontario Healthcare Reporting Standards chapter; once the MIS coding has been established and CHC’s become MIS compliant, this source of data will be used for M-SAA monitoring. HSPs will be required to monitor their performance against variances. HSPs may be required to meet with their LHIN to review any variances, and at the discretion of the LHIN, will be required to propose an improvement plan.

2.4 Data Quality The reporting of valid and reliable health care clinical and financial/statistical data is essential. The ability of HSPs to negotiate and meet their performance targets is highly dependent on how well the historical data reflects actual HSP performance. Improvements in the quality of health care data reported from HSPs will improve the ability of HSPs, LHINs and the province to set and meet performance targets.

2.5 Timelines CAPs Forms Completion November 15th 2010 WERS Forms completion November 15th 2010 LHIN Lead Training December 9th 2010

M-SSA Indicators Finalized December 31st 2010

CAPS Live on WERS January 4th 2011

Provider Training by LHINs 1st & 2nd week of January 2011



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M-SAA Template Finalized January 31st 2011

Board approved CAPS Returned to LHIN’s February 21st 2011

LHIN Review of CAPS and preparation of M-SAA’s February – March 2011

Mutually signed 2011-14 M-SAA March 31st 2011

2.6 Financial Penalty An HSP may be subject to a financial penalty if: Its Board-approved CAPS is received by the LHIN after February 21, 2011; or The CAPS is incomplete or inaccurate; or The quarterly performance reports are not provided when due; or Financial and/or clinical data requirements are late, incomplete or inaccurate.



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3. CAPS Components The CAPS narrative provides an opportunity to incorporate context and insight into the local environment in which the HSP operates.

3.1 Part A – Description of Services The Detailed Description of Services file is separate from the main CAPS forms. Instructions for completing this file are located within the CAPS User Guide.

3.2 Part B – Service Plan a. CAPS – Part B Service Plan Narrative The Service Plan Narrative file is separate from the main CAPS forms. Instructions for completing this file are located within the CAPS User Guide.

b. CAPS – Part B Service Plan (Financial and Statistical) The financial and statistical reporting template will be used to: Promote reporting consistency across all community sectors. Provide HSP’s with a single uniform community MIS compliant budget submission template. Provide a means to evaluate the consistency between the narrative and the financial service

information. Enable the calculation of the performance indicators. Set a baseline against which actual performance may be measured. Provide information to reflect the financial and service implications of the proposed

operating plan. Assess the level of value added to the health system through the use of allocated funds. Reflect multi-year funding targets. Promote full entity reporting including LHIN and Ministry Managed Programs.

3.3 Part C – Reports A reporting schedule will be set out in the M-SAA which will apply to financial and performance and other reporting requirements during the term of the M-SAA beginning April 1, 2011.

3.4 Part D – Directives, Guidelines and Policies A schedule will be set out in the M-SAA which will list all the mandatory directives, guidelines and policies applicable to HSPs during the term of the M-SAA beginning April 1, 2011.

3.5 Part E – Performance To assist the HSP to achieve ongoing performance improvement, a performance indicator framework together with a series of performance indicators has been developed for inclusion in Schedule E to the M-SAA. Section 6.1 of this document describes the framework and the



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process to select performance indicators in more detail while Appendix B provides a portfolio of the performance indicators. A detailed guide to calculating the performance indicators and corridors of performance is available in a Technical Specifications document. This document, developed in consultation with sector representatives, will be made available to HSPs by the LHIN in January 2011 and posted on each LHINs website.

3.6 Part F – Template for Project Funding Schedule F, "Project Template" allows the LHIN to fund an HSP to undertake projects for the LHIN during the term of the SAA, without the need to negotiate a separate project funding agreement. The Project Template builds on the existing terms of the SAA between the LHIN and the HSP, and allows a quick start to projects.

3.7 Other Services

a. French Language Services If an HSP is required to provide services to the public in French the HSP will be required to submit the following reports to the LHIN and the MOHLTC:

Accessibility report Integration report Service report (Implementation or Designation Plan) - if the current plan was prepared in

2006 or earlier, an update is required. HSPs that are not required to provide services to the public in French are required to provide an outline (within the Service Description Form) to the LHIN on how the HSP will address the needs of the local Francophone community. A list of designated agencies can be found at: http://www.health.gov.on.ca/english/public/program/flhs/identified_mn.html

b. Preschool Speech and Language Services These services are funded by the Ministry of Health and Long-Term Care and managed by the Ministry of Children and Youth Services. Any changes or reductions in these services must be negotiated and approved under the terms of the HSP’s agreement with the Ministry of Children and Youth Services.



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4. Changes Needing LHIN Approval

4.1 Proposing Operational Changes

Certain types of operational changes will require pre-approval from the LHIN before the proposed change can be incorporated into the HSP’s CAPS. These would include any changes affecting funding or service levels, the reduction, elimination or transfer of a service and other integration activities.

4.2 Adding New Services, Service Enhancement Guidelines and templates for the development of a pre-proposal, detailed proposal and business case to support a new or enhanced service will be provided by the individual LHIN. It is recommended that the LHIN be contacted prior to beginning work on a pre-proposal to determine any local variations or specific issues the LHIN wishes to see addressed. The CAPS should be prepared to maintain service levels within the planning assumptions provided by the LHIN. Service enhancements that can be accommodated within the planning assumptions can be included in the CAPS. New service proposals (supported by business case submissions) that are approved by the LHIN will be incorporated into the M-SAA. HSPs that wish to reduce or eliminate services or transfer them to another HSP must follow the steps set out in Section 4.3 of these guidelines.

4.3 Service Reduction, Transfer or Elimination Proposal (Service Integration) Access to community health services is an important priority for the government, LHINs and HSPs. As a result, any proposed reduction, transfer or elimination of a service should be consistent with the overall goal of an integrated health system that provides access to high quality health services and coordinated health care in an effective and efficient manner. The LHIN must be provided with lead time (at least 60 days) to ensure that essential levels of service (both quality and quantity) are maintained. A service reduction, transfer or elimination proposal should include: Rationale for the service change and alternative measures considered during the decision

making process.

Anticipated funding adjustments, i.e. expected decrease or increase in funding associated with the service change.

Impact on performance obligations. Human resource impact, e.g. staff reduction or re-assignment.



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Strategy for mitigating any anticipated client impacts of the service change. Consultation process and outcomes with health care partners and the community. Communications plan to communicate to both internal and external audiences. Please note that section 27 of LHSIA requires an HSP to notify the LHIN of any integration with another person or entity that relates to services that are funded in whole or in part by the LHIN. The templates and process for proposing a service reduction, elimination, or transfer are posted to each LHIN’s web site.



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5. Guidelines for Balanced Operating Plans

5.1 Basic Requirement: A Balanced Operating Position An HSP seeking funding from the LHIN is expected to submit a CAPS that demonstrates the HSP has achieved a balanced operating position for the total entity and will achieve and maintain a balanced operating position during each year of the M-SAA. A balanced operating position for the total entity is where the total expenses are less than or equal to all sources of revenue.

5.2 Budget Balancing Alternatives HSP managers have always strived to maintain or enhance service levels within the confines of the available budget. The CAPS should be prepared to maintain service levels within the planning assumptions provided by the LHIN. The LHIN will expect HSPs to first consider all possible cost savings alternatives in lieu of reducing service levels such as: a. Back office integration (combining with other HSPs to reduce the cost of administration, e.g.

shared accounting service).

b. Increase supplementary (non-LHIN/MOHLTC) revenue. c. Program efficiencies, e.g. review of best practices in operations and service delivery. d. Technology and automation, e.g. use of laptops/Personal Digital Assistants (PDAs) to

reduce time spent on paperwork. e. Enhanced community support, e.g. increased use of volunteers and contributions in kind. f. Program consolidation (combining or linking programs internally or reducing the number of

sites). g. Combining with another organization to achieve economies of scale and scope. h. Effectiveness reviews – directing limited resources to the most effective programs and/or

most vulnerable clients.



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6. CAPS Links to M-SAA Performance

6.1 The Indicator Development Process

a. The LHIN Performance Indicator Framework The LHIN Performance Indicator Framework was developed as a tool for LHINs to identify indicators to monitor the performance of HSPs. As a tactical and operational tool, the goal of the framework is to allow LHINs and HSPs to work together to identify and monitor indicators that support the achievement of provincial priorities. The framework focuses on the components of and enablers to the delivery of quality health care services (across the continuum of care) to the people of Ontario. Designed to support organizational and system performance measurement, the framework encourages HSPs to work together in support of improved outcomes and experiences.

The framework aligns with the (draft) provincial Health System Scorecard and aims to focus attention on the key priority areas identified by the LHINs in their Integrated Health Service Plans. It is a dynamic tool; one that may need to be adjusted in response to the conceptualization of quality and/or significant changes in the strategic direction of the Ministry of Health and Long-Term Care. For now, the framework serves as mechanism to help LHINs and HSPs to better coordinate and organize the delivery of quality health care.

b. Performance Dimensions The components of and enablers to providing quality care are identified within the framework in three key areas of focus:

PERSON EXPERIENCE – focusing on the needs of the client, caregiver and family, ensuring Ontarians not only receive the high quality health care they need, when they need it, but that they are involved in their health care plans and can make informed decisions about the health services they receive. Preventative measures/initiatives are also put in place to support keeping people healthy throughout their life.

Indicator Components/Enablers: ACCESS, EFFECTIVE, SAFE, PERSON-CENTERED ORGANIZATIONAL HEALTH – focusing on the health of the organization to support a healthy, sustainable health care system; ensuring the best use of health care resources and value of health care investment.

Indicator Components/Enablers: EFFICIENT, APPROPRIATELY RESOURCED, EMPLOYEE EXPERIENCE, GOVERNANCE SYSTEM PERSPECTIVE – focusing on working with health care partners and communities to help integrate health services, to support a high quality health care delivery system that is better coordinated and more efficient.

Indicator Components/Enablers: INTEGRATION, COMMUNITY ENGAGEMENT, eHEALTH



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c. Indicator Classifications The following indicator classifications have been developed for use in all service accountability agreements, including the M-SAA: Accountability Indicators*

Are included in service accountability agreements and may trigger consequences under the agreement

Will be associated with a target and corridor or at a minimum, have a benchmark (e.g. current level of service must be maintained/decreased, etc.)

May be tied to dedicated funding from the Ministry of Health and Long-Term Care Are valid, feasible measures of system performance Allow for comparability across like organizations and/or regions

Explanatory Indicators*

Are complementary indicators to the accountability indicators and will be documented in the technical specifications of the most appropriate accountability indicator(s)

Support planning, negotiation or problem-solving at the provincial, LHIN level or agency level

Support transparency and enable planning discussions Support of improving and sustaining health system quality, effectiveness and efficiency Are indicators where data may already be provided through existing reporting systems,

and as such health service providers will not be required to report on these through SAA reporting requirements

Will not trigger consequences under the agreement (unless otherwise specified in Performance Improvement Plan or new funding obligations)

Developmental Indicators

Existing indicators that require further validation (review/testing) to ensure quality criteria (e.g. validity, reliability, etc.) are met prior to moving the indicators to accountability or explanatory status in the next agreement*

Will be dropped off the developmental list if the indicator is not ready to be made an accountability or explanatory indicator by the next SAA

Will not be included in the SAAs

*Technical specifications for all accountability and explanatory indicators have been developed in alignment with the ministry Resource for Indicator Standards (RIS). More information on RIS is available at: http://www.health.gov.on.ca/en/pro/programs/ris/alpha_indicators.aspx

Within the M-SAA, indicators have also been designated as: Core Indicators: a required indicator relevant to all LHINs and all community sectors; Sector Specific Indicators: a required indicator relevant to a specific sector; LHIN Specific Indicators: an indicator determined locally to be relevant.



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d. Core Indicators The core indicators (those required for reporting across all sectors) include:

Person Experience (Access, Effective, Safe, Person-Centered)

Client Experience (Developmental)

Organizational Health (Efficient, Appropriately Resourced, Employee Experience, Governance)

Total Margin (Accountability) Balanced Budget (Accountability) Proportion of Budget Spent on Administration (Accountability) *Service Activity by Functional Centre (i.e. encounters by functional centre)

(Accountability) *Variance Forecast to Actual Units of Service (Accountability) *Number of Individuals Served (Accountability) Variance Forecast to Actual Expenditures (Accountability) *Cost per Unit Service (by Functional Centre) (Explanatory) *Cost per Individual Served (by program/service) (Explanatory) Turnover Rate (Explanatory)

System Perspective (Integration, Community Engagement, eHealth)

Repeat Unplanned Emergency Visits within 30 Days for Mental Health Conditions (Explanatory)

Repeat Unplanned Emergency Visits within 30 Days for Substance Abuse Conditions (Explanatory)

Percentage of ALC Days (Explanatory)

* Note: CHC Sector “Developmental” until MIS compliant

e. Target Setting Process Following the submission of the CAPS, LHINs and HSPs will negotiate the accountability indicator targets appropriate to the organization and local circumstance. Targets are expected to reflect on continuous improvement. Where provincial indicator targets or clinical benchmarks exist, the LHIN and HSPs will take these into consideration.

f. Corridors All targets established through negotiations between the HSPs and the LHIN will have an associated performance corridor. A corridor is a range around an indicator target that is established for variance reporting purposes. The corridor takes into account expected variation such as statistical and seasonal fluctuations and other factors that affect an accountability indicator. Variances any time during the year that are outside the performance corridor will require a provider report to the LHIN. The report will include the amount of variance, the likely cause, identification of any related risks and the strategies being implemented to address those risks and the overall performance.



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7. Appendix A: Glossary Terms used throughout these guidelines are defined below. The terms that appear in a single section or part are defined there for ease of reference. Accountability Agreement means the accountability agreement that must be signed between the LHINs and the Minister pursuant to the terms of the LHSIA. Further information can be found at s.18 of the LHSIA. Annual Balanced Budget / Balanced Operating Position means that, in a given fiscal year, the total expenses of an entity are less than or equal the total revenue, from all sources, for the entity. CAPS means Community Accountability Planning Submission which is a document used to negotiate a three year service accountability agreement between the LHIN and HSP. CMFA means the Commitment to the Future of Medicare Act, 2004. The CMFA contains provisions applicable to SAAs. Further information can be found in Part III of the CFMA. Link to Act: http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_04c05_e.htm FLS means French Language Services. FLSA means French Language Services Act. Link to Act: http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_90f32_e.htm HSP means health service provider as that term is defined in the LHSIA. IHSP means the Integrated Health Service Plan developed and published by each LHIN pursuant to s.15 of the LHSIA. A copy of a LHIN’s IHSP is available through the LHIN’s office or on its web site. Integration has the same meaning as is set out in part 1 of the LHSIA, specifically: “integrate” includes (a) to co-ordinate services and interactions between different persons and entities; (b) to partner with another person or entity in providing services or in operating; (c) to transfer, merge or amalgamate services, operations, persons or entities; (d) to start or cease providing services; (e) to cease to operate or to dissolve or wind up the operations of a person or entity; and “integration” has a similar meaning. Further information on integration can be found in Part V of the LHSIA. LHIN means Local Health Integration Network. The LHINs are 14 networks established by the LHSIA across the province. Specific information about geographic parameters and contact information can be found at www.lhins.on.ca. LHSIA means the Local Health System Integration Act, 2006. LHSIA is the legislation that established the LHINS, and sets out the terms by which the LHINs may exercise the powers devolved from the Minister in respect of planning, funding and integration of their local health system. Link to the Act: http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_06l04_e.htm



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M-SAA means Multi-sector Service Accountability Agreement. The M-SAA is the service accountability agreement that the LHINs are required to enter into with the HSPs pursuant to the terms of LHSIA. More information on the service accountability agreement can be found in s. 20 of LSHIA and Part III of the CFMA. Minister means the Minister of Health and Long-Term Care. MIS means Management Information System. MIS is the term used to identify and report data organized in a format consistent with Ontario Health Care Reporting Standards. MOHLTC means the Ministry of Health and Long-Term Care. Multi-year Funding Targets means an allocation for the first fiscal year of the agreement and funding targets for up to two additional years, consistent with the term of the agreement. Funding targets are to be used for planning purposes only and may be revised upward or downward at the discretion of the LHIN. OHRS means Ontario Healthcare Reporting Standards. The OHRS is a set of reporting standards and chart of accounts consistent with national health care reporting standards. SAA means a Service Accountability Agreement as that term is defined in the CFMA. SAAs are executed between LHINs and HSPs and include Hospitals (H-SAA), Long-Term Care Homes (L-SAA) and Multi-Sector (M-SAA). TPBE means Transfer Payment Business Entity. TPBE is a sector within the overall funding envelope, e.g. Community Support Services, Community Mental Health, etc. TPBE TPBE Description ABI Acquired Brain Injury AO Attendant Outreach ASTHMA ASTHMA CCAC Community Care Access Centre CH Charitable Homes CHC Community Health Centres CHCX CHCX CMH Children’s Mental Health CMHP Community Mental Health Program CMHSH Community Mental Health Supportive Housing CSS Community Support Services DP DP EPC Elderly Persons Centres HNSA Homemaking & Nurses Services Act HOSP Operation of Hospitals IB Interim Beds TPBE TPBE Description MH Municipal Homes NH Nursing Homes OMHF Ontario Mental Health Foundation



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OSTEO OSTEO PALC Palliative Care PG Problem Gambling PHOSP Private Hospitals POMS Psychiatric Outpatient Medical Salaries PSW Personal Support Work – Training Grants SAP Substance Abuse Program SH Supportive Housing SPH Specialty Psychiatric Hospital WERS means Web Enabled Reporting System. It can be found at www.mohltchb.com.



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8. Appendix B: Listing of Performance Dimensions and Indicators



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CCAC Sector Specific Indicators

Person Experience (Access, Effective, Safe, Person‐Centered)

Access: Wait Time 1. From Hospital Discharge to Service Initiation (Hospital Clients) (Accountability)

Access: Wait Time 1. From Hospital Discharge to Service Initiation (High Risk Populations – Long Stay Complex, Short Stay Acute, Short Stay Rehab clients) (Explanatory)

Access: Wait Time 2. 90th percentile wait time from community setting to home care services (Accountability)

Clients with MAPLe scores high and very high living in the community supported by CCAC (Accountability)

Clients placed in LTCH with MAPLe scores high and very high as a proportion of total clients placed (Accountability)

Falls for long‐stay home care client (Developmental Yr 1; Accountability Yr 2)

Medication Safety (Developmental Yr 1; Accountability Yr 2)


Cost per Episode (Explanatory Yr 1; Accountability Yr 2)


‐

CSS Sector Specific Indicators


‐


Average number days on wait list (Accountability)

Number persons waiting for service (by functional centre) (Explanatory)


‐



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CHC Sector Specific Indicators


Cervical Cancer Screening (PAP tests) (Accountability)

Colorectal Screening rate (Accountability)

Influenza Vaccination rate (Accountability)

Breast Cancer Screening rate (Accountability)

Inter‐professional Diabetes Care rate (Accountability)

Periodic Health Examination (Accountability)

Individuals served by functional centre (Developmental Yr 1; Accountability Yr 2)

CHC clients hospitalized for Ambulatory Care Sensitive conditions (ACSC) (Developmental Yr 1; Accountability Yr 2)


Vacancy rate for NPs and Physicians (Developmental Yr 1; Accountability Yr 2)


‐

MH&A Sector Specific Indicators


Number of days from referral to assessment (Developmental Yr 1&2; Accountability Yr 3)

% of clients satisfied with services received (Developmental Yr 1&2; Explanatory Yr 3)


‐


‐



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9. Appendix C: CAPS Key Contacts

LHIN Contact Name Email Phone Central Cheuk, Winston [email protected] (866) 392-5446 x233

Central East

Hunter, Nancy [email protected] (866) 804-5446 x231

Van de Klippe, Emily [email protected] (866) 804-5446 x213

Wyers, Lindsay [email protected] (866) 804-5446 x232

Central West Buchert, Michael [email protected] 866-370-5446 x206

Champlain

Lachowsky, Nadia [email protected] 866-902-5446 x2047

Partington, Eric [email protected] 866-902-5446 x2027

Erie St. Clair Harper, Stephanie [email protected] 866-231-5446 x219 Keeler, Brad [email protected] 866-231-5446 x206

Hamilton Niagara Haldimand Brant

Ciccarelli, Patricia [email protected] 866-363-5446 x4236

Lawrence, Shannon [email protected] 866-363-5446 x4227

Mississauga Halton

Semple, Mirella [email protected] (905) 337-4894

Paulette , Zulianello, [email protected] (905) 337-5954

North East Lajeunesse, Barry [email protected] 866-906-5446 x204

North Simcoe Muskoka

Feng, Philip [email protected] 866-903-5446 x223

Huizer, Lynn [email protected] 866-903-5446 x231

North West Ball, Byron [email protected] (807) 472-4187

South East

Giajnorio, Rick [email protected] 866-831-5446 x223

Tooley, Darryl [email protected] 866-831-5446 x2211

South West

Chambers, Scott [email protected] (519) 640-2578

Ridley, Carolyn [email protected] (519) 640-2581

Salisbury, Laura [email protected] (519) 640-2575

Toronto Central

Del Rizzo, Nello [email protected] 866-383-5446 x224

Pajaro, Tessie [email protected] 866-383-5446 x254

Waterloo Wellington

Alexander, Ted [email protected] 866-306-5446 x231

Gerber, Susan [email protected] 866-306-5446 x218

Documents

CAPS Guidelines Final V1.0 Jan 4 - southwestlhin.on.ca/media/sites/sw... · Version: January 4, 2011 Note: CAPS Guidelines are subject to change. The MultiSector Accountability Agreement