340 union street, p.o. box 3600 - south east local health...

Providence Care re: Amendment of 2011-14 M-SAA for fiscal 13/14 1/2

March 11, 2013 Dale Kenney President / Chief Executive Officer Providence Care St. Mary's of the Lake Hospital, 340 Union Street, P.O. Box 3600 Kingston ON K7L 5A2 Dear Dale Kenney: Re: 2011-14 Multi-Sector Service Accountability Agreement When the South East Local Health Integration Network (the LHIN”) and the Providence Care (the “HSP”) entered into a service accountability agreement for a three year term effective April 1, 2011 (the “M-SAA”), there was insufficient information available to complete Schedules A, B and E for the third year of the term. The LHIN would now like to update the M-SAA to include the required financial, service activity and performance indicators for fiscal year 2013-2014 to Schedules A, B and E. Subject to HSP’s agreement, the M-SAA will be amended with effect April 1, 2013, by adding the Supplemental Schedules A, B and E (the “Schedules”) that are attached to this letter, thereby incorporating the required financial, service activity and performance indicators for fiscal year 2013-2014. To the extent that there are any conflicts between the current M-SAA and this amendment, the amendment will govern in respect of the Schedules. All other terms and conditions in the M-SAA will remain the same. Please indicate the HSP’s acceptance of, and agreement to this amendment, by signing below and returning one original copy of this letter with schedules to Anne Hagerman, (the “LHIN Contact”) by April1st, 2013. If you have any questions or concerns please contact Mike McClelland at [email protected].

Please send one original signed copy with schedules to:

Attn: Anne Hagerman South East LHIN 71 Adam Street

Belleville, ON, K8N5K3

Packages must be returned in person to the LHIN or via Courier by April 1st, 2013.

71 Adam Street Belleville, ON K8N 5K3 Tel: 613 967-0196 Toll Free: 1 866 831-5446 Fax: 613 967-1341 www.southeastlhin.on.ca

71, rue Adam Belleville, ON K8N 5K3 Téléphone : 613 967-0196 Sans frais : 1 866 831-5446 Télécopieur : 613 967-1341 www.southeastlhin.on.ca

mailto:[email protected]

Providence Care re: Amendment of 2011-14 M-SAA for fiscal 13/14 2/2

The LHIN commends you and your team for your hard work and dedication during this process and we look forward to maintaining a strong working relationship with you.

Sincerely, Paul Huras Chief Executive Officer encl. AGREED TO AND ACCEPTED BY: Providence Care By: ________________________________________ Glen Wood, Chair, I have the authority to bind

Providence Care

And By: __________________________________________ Dale Kenney, President / Chief Executive Officer, I have the authority to bind

Providence Care

Detailed Description of Services

Healthcare Service Provider:

Area 1

Area 2

Area 3

Area 4

Area 5

Area 6

Area 7

Area 8

Area 9

Area 10

ALL

ES

SW

WW

HN

HB

CW MH

TC

CEN

CE

SE

CH NS

NE

NW

0 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 x 0 0 0 0 0 0 0 0 0 0 0 0 0 0CSS ABI ‐ Assisted Living Services 72 5 83 45

CSS-ABI Services 72 5 83* CSS ABI ‐ Personal Support/Independence Training 72 5 83 33

CSS IH COM ‐ Personal Support/Independence Training 72 5 82 33CSS IH COM ‐ Assisted Living Services 72 5 82 45

CSS IH COM ‐ Day Services 72 5 82 20

CSS In-Home and Community Services (CSS IH COM) 72 5 82* CSS IH COM ‐ Case Management 72 5 82 09

Health Prom/Educ & Dev ‐ Psycho‐Geriatric 72 5 50 96 76Health Promotion and Education 72 5 50 76* In‐Home Health Care ‐ Psychology 72 5 30 40 75

In-Home Care 72 5 30 40* MH Dual Diagnosis 72 5 10 76 95Clinics Programs ‐ MH Counseling and Treatment 72 5 10 76 12

Primary Care- Clinics/Programs 72 5 10*

Providence Care

Services Provided ‐ With LHIN Funding

Service

Catchment Area ServedWithin LHIN Other LHIN Areas

Supplemental Schedule A1: 2013-2014 Detailed Description of Services

Population and Geography Narratives

Healthcare Service Provider: Providence Care

Client PopulationMembers of the community that are greater than 16 years of age that experience significant physical, cognitive and mental disabilities. These services range from assessement and consulation to direct treatment and ongoing support and care. Community teams work in collabora on with the client's family and care providers. These services can be provided in French if required.The purpose is health maintenance, improved quality of life, improved func on and assistance with ac vity of daily living.The programs provided are Community Outreach Teams, Community Treatment Order Program, Dual Diagnosis Consultation Outreach Teams, Geriatric Psychistry Outreach Programs, Endymion Support of Living Programs, Day Away Programs, Attendant Care Outreach Programs, Regional Community Brain Injury Services and Behavioural ACOP: Persons aged 16 and older, willing and able to direct own care, and in need of physical assistance with personal care.

PSOS: Older people with late onset, complex mental health, cogni ve and responsive associated behavioural needs.DDCOT: Persons aged 16 and older, with an intellectual disability or au sm or pervasive developmental disorder, with a suspected or diagnosed mental illness or behavioural disorder.CTOP: Persons aged 16 and older, with serious mental illness who voluntarily contract to receive treatment or care and supervision in the community that is less restric ve than being detained in a psychiatric facility.Hildegarde: Persons, usually over 55, with demen a and or complex care care needs, requiring a safe and s mula ng environment.RCBIS: Persons aged 18 and older with a diagnosed moderate to severe acquired brain injury. System Naviga on is any 16 or older affected by ABI.Telepsychiatry: Persons aged 18 and older with mental health issues in a ter ary se ng.PRC: Front-line staff in long-term care homes and community support agencies who provide service to older individuals with complex cogni ve/mental health needs and associated behavioural issues.

Geography ServedKingston, Frontenac, Lennox and Addington, Has ngs and Prince Edward, and Lanark, Leeds and GrenvilleOffices located as follows: ACOP: Providence Manor; 523 Portsmouth Ave, Kingston;Psychogeriatric Outreach offices: Kingston, Napanee, Belleville and Smiths FallsDDCOT: 234 Concession St., Kingston; Front Ave Resource Centre, Brockville; 600 Dundas St., BellevilleCTOP: Providence Care Mental Health Services; Leeds and Grenville Rehabilita on and Counseling Services, 25 Front Avenue, BrockvilleHildegarde: Providence Manor;RCBIS: LaSalle Mews, Kingston; Brockville Centre; Quinte Mall; 722 John Counter Blvd, Kingston;

Telepsychiatry: Equipment housed at Providence Care Mental Health Services and DDCOT in Kingston.

PRC: co-located at: 640 Cataraqui Woods Drive, Unit #2, Kingston; 600 Dundas Street E. Unit 4, Belleville; Ontario Government Building, 1809 Oxford Ave. Brockville.

Services also offered in client homes, re rement homes, acute care and long-term care facili es, community se ngs such as churches; Lanark County Mental Health; Lanark County Support

Supplemental Schedule A2: 2013-14 Population and Geography Narratives

Summary of Revenue & Expenses


LHIN Program Revenue & Expenses

Row #

Account: Financial (F) ReferenceOHRS VERSION 7.1

2013-14 Budget

REVENUE

Funding - Local Health Integrated Networks (LHIN) (Allocation)12 F 11006 $24,501,060

Funding - Provincial MOHLTC (Allocation) 13 F 11010 $0 Funding - MOHLTC Other funding envelopes 14 F 11014 $0 Funding - LHINs One Time 15 F 11008 $0 Funding – MOHLTC One Time 16 F 11012 $0 Paymaster Flow Through 17 F 11019 $284,610 Service Recipient Revenue 18 F 11050 to 11090 $0

Subtotal Revenue LHIN/MOHLTC 19 Sum of Rows 12 to 18 $24,785,670 Recoveries from External/Internal Sources 20 F 120* $0 Donations 21 F 140* $0

Other Funding Sources and Other Revenue

22 F 130* to 190*, 110*, [excl. F 11006, 11008, 11010, 11012, 11014, 11019, 11050 to 11090, 131*, 140*, 141*, 151*]

$201,625

Subtotal Other Revenues 23 Sum of Rows 20 to 22 $201,625 TOTAL REVENUE- Fund Type 2 24 Sum of Rows 19 and 23 $24,987,295 EXPENSESCompensation

Salaries and Wages (Worked + Benefit + Purchased) 27 F 31010, 31030, 31090, 35010, 35030, 35090 $13,495,961 Benefit Contributions 28 F 31040 to 31085 , 35040 to 35085 $3,125,561 Employee Future Benefit Compensation 29 F 305* $0 Nurse Practitioner Remuneration 30 F 380* $0 Medical Staff Remuneration 31 F 390*, [excl. F 39092] $1,571,412 Sessional Fees 32 F 39092 $877,717

Service CostsMed/Surgical Supplies and Drugs 34 F 460*, 465*, 560*, 565* $0 Supplies and Sundry Expenses (excl. Med/Surg Supplies & Drugs)

35 F 4*, 5*, 6*, [excl. F 460*, 465*, 560*, 565*, 69596, 69571, 72000, 62800, 45100, 69700]

$5,502,147

Community One Time Expense 36 F 69596 $0 Equipment Expenses 37 F 7*, [excl. F 750*, 780* ] $396,379

Amortization on Major Equip and Software License and Fees38 F 750* , 780* $26,322

Contracted Out Expense 39 F 8* $0 Buildings and Grounds Expenses 40 F 9*, [excl. F 950*] $0 Building Amortization 41 F 9* $18,118

TOTAL EXPENSES Fund Type 2 42 Sum of Rows 27 to 41 $25,013,617 NET SURPLUS/(DEFICIT) FROM OPERATIONS 43 Row 24 minus Row 42 ($26,322)

Amortization - Grants/Donations Revenue 44 F 131*, 141* & 151* $26,322 SURPLUS/DEFICIT Including Amortization of Grants/Donations 45 Sum of Rows 43 to 44 $0 FUND TYPE 3 - OTHER

Total Revenue (Type 3) 47 F 1* $0 Total Expenses (Type 3) 48 F 3*, F 4*, F 5*, F 6*, F 7*, F 8*, F 9* $0

NET SURPLUS/(DEFICIT) FUND TYPE 3 49 Row 47 minus Row 48 $0 FUND TYPE 1 - HOSPITAL

Total Revenue (Type 1) 51 F 1* $0 Total Expenses (Type 1) 52 F 3*, F 4*, F 5*, F 6*, F 7*, F 8*, F 9* $0

NET SURPLUS/(DEFICIT) FUND TYPE 1 53 Row 51 minus Row 52 $0 ALL FUND TYPES

Total Revenue (All Funds) 55 Line 13 + line 32 + line 35 $25,013,617 Total Expenses (All Funds) 56 Line 28 + line 33 + line 36 $25,013,617

NET SURPLUS/(DEFICIT) ALL FUND TYPES 57 Row 55 minus Row 56 $0 Total Administration Expenses Allocated to the TPBEs

Undistributed Accounting Centres 59 82* $0 Administration and Support Services 60 72 1* $3,781,822 Management Clinical Services 61 72 5 05 $0 Medical Resources 62 72 5 07 $0

Total Administrative & Undistributed Expenses (Included in fund type 2 expenses above) 63

Sum of Rows 59-62 (included in Fund Type 2 expenses above $3,781,822

Providence Care

Supplemental Schedule B1: 2013-14Budget Allocation

Activity Summary


Service Category 2013-2014 Budget OHRS Framework Level 3

Visits F2F, Tel.,In-House, Cont. Out

Not Uniquely Identified Service Recipient Interactions

Hours of Care In-House & Contracted Out

Inpatient/Resident Days

Individuals Served by Functional Centre

Attendance Days Face-to-Face

Group Sessions (# of group sessions- not individuals)

Meal Delivered-Combined

Mental Health Sessions

Group Participant Attendances (Reg & Non-Reg)

Service Provider Interactions (All Time Intervals)

Service Provider Group Interactions (All Time Intervals)

Total COM Primary Care 72 5 10 31,180 0 0 0 2,194 0 0 0 0 0 0 0

Sub-Total COM In-Home Health Care 72 5 30 40 1,225 0 0 0 290 0 0 0 0 0 0 0

Total In-Home Care 72 5 30 1,225 0 0 0 290 0 0 0 0 0 0 0

Total COM Health Promotion and Education 72 5 50 3,268 0 0 0 6,408 0 0 0 0 0 0 0

Total CSS In-Home and Community Services (CSS IH COM) 72 5 82 835 0 52,681 4,745 240 5,432 0 0 0 0 0 0

Total CSS-ABI Services 72 5 83 0 0 6,861 2,184 196 0 0 0 0 0 0 0

Total Activity- LHIN Managed 2013-2014 36,508 0 59,542 6,929 9,328 5,432 0 0 0 0 0 0

Providence Care

Supplemental Schedule B2: 2013-14 Service Category Budget Summary

Core Indicators‐ All Sectors


TargetPerformance

Standard

0.00 >=0%

$0 0

15% < 18%

0% < 5%

0% < 5%

> No negative variance is accepted for Total Margin> Fund Type 2- Balanced Budget: HSP's are required to submit a balanced budget.

Providence Care

Accountability Indicators 2013-2014

% Total Margin

Fund Type 2- Balanced Budget

Proportion of Budget Spent on Administration

Variance Forecast to Actual Expenditures

Variance Forecast to Actual Units of Service

Explanatory Indicators

Cost per Unit Service (by Functional Centre)

Cost per Individual Served (by program/service)

Supplemental Schedule E1: 2013-14CORE INDICATORS- All Sectors

Service Activity Indicators‐ All Sectors


*$3,781,822 N/ACOM Clinics/Programs - MH Counseling and Treatment 72 5 10 76 12

*117.49 N/A29,135 27970 - 303002,036 1832 - 2240

*$15,138,711 N/ACOM Clinics/Programs - MH Dual Diagnosis 72 5 10 76 95

*8.00 N/A2,045 1841 - 2250158 126 - 190

*$1,164,691 N/ACOM In-Home Health Care - Psychology 72 5 30 40 75

*1.30 N/A1,225 1103 - 1348290 232 - 348

*$178,493 N/ACOM Health Prom/Educ.& Com. Dev. - Psycho-Geriatric 72 5 50 96 76

*3.00 N/A3,268 2941 - 35956,408 6088 - 6728

*$312,740 N/ACOM IH - Case Management 72 5 82 09

*3.20 N/A835 710 - 96015 12 - 18

*$397,749 N/ACOM IH - Day Services 72 5 82 20

*8.29 N/A136 109 - 163

5,432 5160 - 5704*$514,971 N/A

COM IH - Personal Support/Independence Training 72 5 82 33

*28.54 N/A52,681 51101 - 54261

76 61 - 91*$1,319,229 N/A

COM IH - Assisted Living Services 72 5 82 45

*9.97 N/A4,745 4271 - 5220

13 10 - 16*$428,054 N/A

COM CSS ABI - Personal Support/Independence Training 72 5 83 33

*16.39 N/A6,861 6518 - 7204190 152 - 228

*$1,332,645 N/ACOM CSS ABI - Assisted Living Services 72 5 83 45

*7.83 N/A2,184 1966 - 2402

Full-time equivalents (FTE)Inpatient/Resident Days

Total Cost for Functional Centre

Hours of Care In-House & Contracted OutIndividuals Served by Functional Centre

Full-time equivalents (FTE)

Individuals Served by Functional CentreTotal Cost for Functional Centre

Full-time equivalents (FTE)Inpatient/Resident Days


Hours of Care In-House & Contracted OutIndividuals Served by Functional Centre



Individuals Served by Functional CentreAttendance Days Face-to-Face



Full-time equivalents (FTE)Visits F2F, Tel.,In-House, Cont. Out

Total Cost for Functional CentreIndividuals Served by Functional Centre



Visits F2F, Tel.,In-House, Cont. OutIndividuals Served by Functional Centre


Total Cost for Functional CentreIndividuals Served by Functional Centre





2013-2014

OHRS Description & Functional CentreTarget

Performance Standard

Providence Care

Administration and Support Services 72 1

Supplemental Schedule E2a: 2013-14Service Category Detailed Indicators- All Sectors

*FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators.

Service Category Detail Page 1 of 2

Service Activity Indicators‐ All Sectors


2013-2014

OHRS Description & Functional CentreTarget

Performance Standard

Providence Care

Supplemental Schedule E2a: 2013-14Service Category Detailed Indicators- All Sectors

*FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators.

6 5 - 7*$444,512 N/A

TOTAL FUNCTIONAL CENTRES & CHC

*204.01 N/A36,508 35048 - 3796859,542 57756 - 613286,929 6583 - 72759,328 8862 - 97945,432 5160 - 5704

*$25,013,617 N/ATotal Cost for Functional Centre

Hours of Care In-House & Contracted OutInpatient/Resident DaysIndividuals Served by Functional CentreAttendance Days Face-to-Face



Service Category Detail Page 2 of 2

Sector Specific Indicators‐ Mental Health & Addictions


TargetPerformance

Standard

9.46% <10.41%

18.9% <20.79%

16.5% <18.15%

Client Experience

Providence Care

2013-2014

Accountability Indicators

Percentage ALC Days

Repeat Unscheduled Emergency Visits within 30 days for Mental Health Conditions

Repeat Unscheduled Emergency Visits within 30 days for Substance Abuse


Average Number of Days Waited from Referral/Application to initial Assesment Complete

Average Number of Days Waited from Initial Assessment Compete to Service Initiation

Supplemental Schedule E2c: 2013-14Mental Health & Addictions Sector Specific Indicators

Sector Specific Indicators‐ CSS Sector


TargetPerformance

Standard

9.46% <10.41%

Repeat Unscheduled Emergency Visits within 30 days for Mental Health Conditions

Repeat Unscheduled Emergency Visits within 30 days for Substance Abuse Conditions

Number of Persons Waiting for Service (by functional centre)

Providence Care

2013-2014

Accountability Indicators

Percentage ALC Days


Supplemental Schedule E2d :CSS Specific Indicators

LHIN Local Indicators‐ LHIN Specific


Supplemental Schedule E3: 2013-14 Local Indicators- All Sectors

South East LHIN Health System Local Obligations/Indicators

Name and Description Objective to be

achieved/demonstrated (desired outcome)

Measure (How will we know the

outcome has been achieved?)

Data

Source/Reporting Protocol

Progress target for each year of the agreement (as applicable)

Clinical Services Roadmap (CSR) – Development of a regional , integrated system of health care that will improve access, quality of care and efficiency within the dollars currently available

Community agencies will work collaboratively with hospitals, LTCH, primary care providers and the LHIN to implement approved CSR initiatives

Milestones/deliverables within each initiatives’ implementation plan are achieved (detail will be provided to the HSPs when approved)

Quarterly reports on CSR initiatives from the Clinical Work Teams.

2012/2013 Continue implementation and participate in Phase 2 as applicable 2013/2014 Participate in Phase 2 CSR as applicable.

Clinical Services Roadmap: Coordinated Access

The CSR-CA team will identify a common Intake Assessment Form and a Standardized Referral Form. The HSP commits to implementing the common Intake Assessment Form and Standardized Referral Form.

Select deliverables identified in the CSR-CA work plan are achieved. These deliverables may include: Develop/adopt an inter-

MHA agency referral form that utilizes common language

Monthly report on progress to be submitted to the CSR PMO from the CSR team.

2012/2013 100% of HSP’s in HPE utilizing a common Intake Assessment Form and a Standardized Referral Form 2013/2014 100% of all HSP’s utilizing a common Intake Assessment Form and a Standardized Referral Form.









Data



Clinical Services Roadmap: Health Human Resources

The CSR-HHR team will finalize the core competencies, finalize the competency framework and identify appropriate training for the core competencies.

Deliverables identified in the CSR-HHR work plan are achieved. These deliverables may include: Develop a framework of

competencies including a change management and sustainability plan for MH & A in the SE LHIN. Regulated professional competencies to be embedded in an appendix.

Monthly report on progress to be submitted to the CSR PMO from the CSR team.

2012/2013 CSR-HHR to finalize the core competencies and finalize the competency framework. 2013/2014 Develop and source training to facilitate competency training for HSP’s.

Clinical Services Roadmap: Emergency Department

1) The CSR-ED team will develop a common consent form to facilitate sharing of patient sharing among relevant HSP’s within the circle of care.

2) The CSR-ED team will

engage with the SE LHIN to develop the model, budget and staffing plan for the transitional intensive client management program to provide smoother transitions for patients from the hospital to the community.

1) Select deliverables identified in the CSR-ED work plan are achieved. These deliverables may include:

Develop a common consent/privacy form.

2) Complete business case

developed by the CSR-ED team.

1) Monthly report on progress to be submitted to the CSR PMO from the CSR team.

2) Submission of

business case, budget and staffing plan to the SE LHIN.

1a) 2012/2013 Confirm the wording of the common consent form.

1b) 2013/2014

100% of HSP’s utilizing common consent form.

2) 2013/2014

SE LHIN will confirm the model, budget and staffing plan for a

*transitional intensive client management program









Data



Back Office integration Project- agencies from CSS, CMH&A, and CHC continue to implement LHIN Board approved BOIP initiatives including: Human Resources, Finance, Information Technology, and Purchasing.

The back office integration project is designed to maximize the amount of funding spent on direct patient care by the community in the South East through ensuring back office functions are as efficient, effective, and practical as possible. Providers will implement the LHIN board approved system level solutions (with the exception of those agencies who have received an exemption from the LHIN board.

Common policies and purchasing arrangements for the purchasing function.

Regional HR Training model implemented and focusing initially on legislative training requirements.

Regional Knowledge Management solution for shared model of HR policies

Implementation of Host/customer finance model.

Development and implementation of shared benefits model.

Development and implementation of shared IT management model.

Detailed project plans are currently available through the BOIP PMO and detailed implementation plans will be developed by BOIP Leads by end of 2010-11

Reporting through BOIP PMO on Quarterly basis.

2011/12 *Implemented HR Training, Purchasing, Finance and Knowledge Management regional models 2011/13 *Implemented HR Shared Benefits and IT model *Unless an exemption has been approved by the LHIN Board







Measure (How will we know the outcome has

been achieved?)

Data


Progress target for each year

of the agreement (as

applicable) Reduction of ER Demand – reducing the number of ER visits that could have been avoided or managed elsewhere to enable ER clinicians to focus on patients with urgent or emergent needs and reduce the associated wait times.

To reduce residents presenting for care to hospital through ER. Examples include: Family/patient no longer coping at

home Lack of access to support within

the community sector Deterioration of patients with

chronic conditions requiring hospitalization including those patients with Mental Health or Addictions needs.

To improve the access to ER care for those clients who require urgent and emergent care. Improve the quality or ER care by allowing ER resources to be focused on urgent and emergent care in a timely manner

1. Rate of unscheduled ER visits per quarter per 1,000 population.

2. ER Wait Times for non-admitted patients (90th percentile)

Data provided monthly by MOHLTC

2011-12 1. TDB 2. a) 6.6 Hrs

b) 3.9 Hrs 2012-13 1. TDB 2. a) 6.6 Hrs

b) 3.9 Hrs 2013-14 1. TDB 2. a) 6.6 Hrs

b) 3.9 Hrs




Name and

Description

Objective to be achieved/demonstrated (desired outcome)



Data Source/Reporting Protocol

Excellent Care for All Act- All HSPs will eventually have to meet the requirements of the Excellent Care for All Act, 2010.

The Act requires the creation of Quality Committees, annually prepared and publically available Quality Improvement Plans (QIPs), the implementation of patent, client and caregiver satisfaction surveys, as well as employee and care provider surveys; a patient relations process as well as a patient declaration of values for all HSPs; starting with hospitals. Quality is a driver of health system efficiency. The LHIN wishes to accelerate portions of ECFAA beyond the hospital sector. To this end, HSPs would review and commence planning and implementation of “short form” Quality Improvement Plans (QIPs) for their organizations. This approach will increase understanding and capacity of QIP development, the inter-relationship of quality among providers, and expedite provincial implementation

Where an HSP has both an HSAA and an MSAA, the HSP is required to submit just one QIP as well as one annual report to the LHIN for all of the services and programs provided under these agreements.

HSP submission and self-reporting Minimum core indicators: ‐ HAI (CDI, hand hygiene) ‐ ALC ‐ Patient satisfaction ‐ Provider surveys (pending)





Name and Description

Objective to be achieved/demonst

rated (desired outcome)



Data Source/Reporting

Protocol


eHealth/Information Technology Compliance- To ensure consistent and standardized eHealth/IT solutions across the LHIN

The HSP agrees to comply with any standard related to architecture, technology, privacy and security set for health service providers by the MOHLTC, eHealth Ontario, or the LHIN with the timeframes set by the MOHLTC or the LHIN.

Development and implementation of the Shared Regional IT Management model, as described in the BOIP. Components of which are: 1. Develop a Model for

Strategic IT Planning. 2. Develop a Disaster Recovery

Standard/Approach 3. Develop a Model for Central

Support of the InterRAI CHA

4. Shared IT Operations 5. Standard policies and

procedures 6. Shared Connectivity and

Access 7. Collaborate to provide

equitable IT training for all agencies

8. Simple, affordable standard IT procurement.

Regular report on progress from BOIP IT working group HSP to provide timely identification of potential IT infrastructure or software conflicts as applicable.

2011-12 Development of Shared Regional IT Management model 2012-13 Implemented shared regional IT management model 2013-14 Continue to explore opportunities to expand as they arise.





Name and Description

Objective to be achieved/demonstrated (desired

outcome)

Measure (How will we know

the outcome has been achieved?)

Data Source/Reporting

Protocol

Progress target for each year of the agreement (as

applicable)

Integration Activities Reporting- all integration activity follows LHSIA protocol and is publicly identified

The Local Health System Integration Act, 2006 requires the LHIN and health service providers to identify and report integration opportunities. Health service providers may voluntarily integrate services. HSPs must advise the LHIN prior to proceeding and follow the LHIN’s process for this, as described on the LHIN website.

Health service providers will submit identified integration opportunities semi-annually, as described on the LHIN website. HSPs will follow the process for voluntary integration activities set out by the LHIN.

Compliance with statute Submission of opportunities semi-annually Appropriate use of LHIN process for voluntary integration activities.

2011-12 Full compliance 2012-13 Full compliance 2013-14 Full compliance



Supplemental Schedule E3: 2013-14 Local Indicators- CSS Sector

South East LHIN Health System Local Obligations/Indicators – CSS SECTOR SPECIFIC





Data Source Reporting

Protocol


applicable)

Consistent application of InterRAI CHA by CSS providers

Evidence of the utilization of the InterRAI CHA tool to assess client service needs through a standard approach. Availability of assessment data from the CSS sector to support evidence based decision making for the sector.

Quarterly submission of assessment data.

CSS agencies submit quarterly anonymized InterRAI CHA assessment data to the LHIN.

2011-14 100% reporting compliance by all CSS organizations using the InterRAI CHA.



Supplemental Schedule E3: 2013-14 Local Indicators- CMHA Sector

South East LHIN Health System Local Obligations/Indicators – MENTAL HEALTH & ADDICTIONS SECTOR SPECIFIC






Protocol


applicable)

Stigma Reduction in South East Ontario- 3 Year Strategic Plan.

The HSP commits to participating in the implementation of the Strategic Plan for Stigma Reduction in South Eastern Ontario

Milestones/Deliverables identified in the Strategic Plan are achieved. These milestones may include: Staff Training

Semi-annual and Annual report to be received from the project team.

2011-12 100% of staff successfully completed the standardized 2012-13 Two scheduled stigma reduction sessions to accommodate “new hires” since the workforce was trained in 11-12 were successfully completed during this period. A total of 102 people were trained. 2013-14 It is proposed to provide semi-annual sessions (April and October) for people newly employed in HSP’s in SE.

Roll-out of the OPIOID Program: Coordinating Care for Pregnant and Parenting Women with Opioid Dependence

MH & A HSP’s commit to assisting in the roll-out of the OPIOID program.

MH & A HSP’s to partake in information sharing, communication and engagement with the CHC’s to roll-out the OPIOID Program.

Progress report on OPIOID Program roll-out to be submitted by CHC OPIOID Project Lead. Input towards this progress report to be provided by the MH & A HSP’s.

2013/2014 Initiate roll-out of OPIOID Program.



Supplemental Schedule E3: 2013-14 Local Indicators- French Language Services

South East LHIN Health System Local Obligations/Indicators – FRENCH LANGUAGE SERVICES- Designated Agencies






Protocol


French Language Services (FLS) Identified organizations of Kingston Requirements - As the HSP is identified by the South East LHIN to provide services in both Official Languages (English and French) in a designated area under the French Language Services Act, and therefore must implement the designation work plan in order to work towards the intention of the designation under the Act.

The HSP will actively participate in activities designed to support the implementation of their FLS plan and designation work plan, including working with the Réseau and the LHIN. The HSP will: - Set up a FLS working group with representation from the Réseau (Q1), that will actively meet at least three times a year; - Set objectives and timelines in the FLS work plan (Q2).

Annually report to the LHIN an update on their progress with respect to their FLS plan.

a) in a format provided by the LHIN (Q4), or

b) WERS/SRI (on hold pending provincial review).

2013/14: March 31st 2014

340 union street, p.o. box 3600 - south east local health...

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