Hamilton Urban Core Community Health Center Update Hamilton - - PowerPoint PPT Presentation
Hamilton Urban Core Community Health Center Update Hamilton Niagara Haldimand Brant Local Health Integration Network Board of Directors August 28, 2013 1 Presentation Outline: Pre-Capital Submission March 2013 Review and
Hamilton Niagara Haldimand Brant Local Health Integration Network Board of Directors August 28, 2013
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MLPA M-SAA H-SAA L-SAA MOHLTC LHIN HNHB LHIN Health Service Providers
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Local Health Integration Network) working with HUC CHC (Hamilton Urban Core Community Health Centre) on pre-capital submission.
physical condition of the facilities in order to meet the current program and service delivery needs of the organization.
facility, and double the current staffing and operating budget.
was there a source of funding available.
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services component of the HUC CHC pre-capital submission, based
levels in order to provide appropriate facilities for current operations.
data (volumes, staffing and projections).
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HNHB LHIN staff have consistently reinforced the same key messages to HUC CHC:
served.
CHC (Community Health Centres) programs and services;
current budget and FTEs (full time employees); and,
(Ministry of Health) and HNHB LHIN has prevented approval of the next stage of the capital project.
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LHIN that they will not revise their pre-capital submission to the ministry in order to align with their current budget and FTE’s; rather they will be seeking a “Minister’s intervention” to get their current proposal approved.
management plan for the continuity of service, given the recent flood and the condition of HUC CHC’s current building.
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“We are very committed to providing quality services to the clients and populations accessing Hamilton Urban Core and appreciate your commitment also. Over the years we have developed procedures for ensuring client service and safety in emergency situations such as the flood and continue to exercise due diligence.”
LHIN’s Chief Executive Officer to discuss remediation issues resulting from the flood that occurred at HUC CHC.
Remediation and restoration work taking place over the next few weeks with no impact on patients or services.
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March 2013.
1.5 FTEs funded by HNHB LHIN for primary care (as per the Multi- Service Accountability Agreement) to fund 5.65 unfunded FTEs for non-primary care activities.
recruitment of primary care professionals.
(PIP) from HUC CHC as per its authority under the MSAA (Multi- Service Accountability Agreement) be provided to HNHB LHIN by June 30, 2013.
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That HNHB LHIN requires HUC CHC to prepare and implement a PIP by June 30, 2013 that requires:
Director Performance plan), if not currently in place;
with which it is not currently complying within 30 days;
HNHB LHIN;
by the Board Chair before submission to HNHB LHIN;
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Practitioner and 1.0 FTE Data Analyst to be used for these positions
HUC CHC leadership to determine the best implementation date for this during the fiscal 2013/14 year;
administrative costs.
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PIP Requirement HUC CHC PIP Possible Next Steps 10.3(b) of the M-SAA to be fulfilled within 30 days (Executive Director Performance plan), if not currently in place. HUC CHC indicated that a plan is in place. HNHB LHIN to request Executive Director Performance Plan A report from HUC CHC’s Board within 30 days identifying all M-SAA
not currently complying. HUC CHC identified three areas not in compliance: 1. Report on community engagement and integration 2. Late reporting 3. Providing copies of renewed insurance certificates 1. See Below 2. See Below 3. Providing HNHB LHIN with certificates of insurance. No actions required
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PIP Requirement HUC CHC PIP Possible Next Steps On-time and accurate quarterly reporting in a format acceptable to the HNHB LHIN Accuracy of reporting to be signed off by the Executive Director and by the Board Chair before submission to HNHB LHIN. HUC CHC will make every effort to ensure the accuracy and timeliness of reports to HNHB LHIN. HUC CHC has developed a sign-off process for reports to HNHB LHIN as most of the current reporting mechanisms do not have accommodations for sign-off. The Executive Director and Board Chair will review and sign-off on reports to the HNHB LHIN prior to their submission.
staff identified issues with inconsistent reporting of client service activity by
address this issue.
CHC on the impact of this policy in improving the timeliness and accuracy of clinical reporting of client data.
staff indicated that the organization has a wait list for services.
CHC on their wait list per service and strategies in use to manage access to programs and services.
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PIP Requirement HUC CHC PIP Possible Next Steps Funding designated for the 1.0 FTE Physician, 0.5 FTE Nurse Practitioner and 1.0 FTE Data Analyst to be used for these positions
HNHB LHIN. HNHB LHIN staff to work with HUC CHC leadership to determine the best implementation date for this during fiscal 2013/14. HUC CHC will ensure that funding designated for the positions identified will be used for those positions unless otherwise approved through HNHB LHIN prescribed processes. All contracts to improve access and support the provision of client services using in-year salary surplus during the period ending March 31, 2013 were terminated at March 31, 2013. There has been no further use
the current fiscal year. On July 19, 2013, HUC CHC Executive Director reported that they have received favourable responses to recruitment efforts and anticipate adding to the primary health care staff shortly, most likely first with a Nurse Practitioner. Funding for unfilled Primary Care FTEs (including 1.0 FTE Physician and 0.5 FTE Nurse Practitioner) will be re-allocated in Q3 (Quarter 3) if the positions remain unfilled. This funding will be reallocated to provide primary care services.
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PIP Requirement HUC CHC PIP Possible Next Steps An investigation of community integration
reduce administrative costs. HUC CHC continues to explore and examine opportunities to reduce administrative costs. As at March 31, 2013 the administrative cost was reduced by 2% to 14% rather than the previous 16%. Further analysis and investigation of community integration opportunities will be used to continue to make every effort to reduce administrative costs. HNHB LHIN requests an annual report of integration activities due sixty days after the end of the fiscal year 2013-2014.
retain primary care professionals (physicians and nurse practitioners).
patients’ timely access to primary care.
Physician and 0.5 FTE Nurse Practitioner) will be re-allocated in Q3 if the positions remain unfilled.
position has now been given base funding so that FTE can be included in future capital submissions
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Chair sign off on the accuracy of data presented, the Year End financial reports submitted by HUC CHC in June 2013 did not match funding as per HNHB LHIN records.
information to correct outstanding errors.
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ensuring client service and safety in emergency situations” by September 11, 2013. HNHB LHIN will evaluate these documents based on their enterprise risk management principles so as to ensure that client safety and service continuity are not compromised as a result of the physical environment.
and 0.5 FTE Nurse Practitioner) will be re-allocated in Q3 if the positions remain unfilled. This funding will be reallocated to provide primary care services.
as a follow up to their PIP (Appendix C) by September 30, 2013.
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Thank you Questions?
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