Training - Testimonials “We are ready for live implementation of QHR this week. The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do. The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs, hours, etc. The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balances.” - Sheryl Niemienen, S.E.N.A.C.A. Seniors Day Program “It is an excellent training session. It's clear a lot of work was done in preparation. It's a lot of material to cover and I feel like I've at least got a good start on the implementation.” – Susan Buono, Summit House 21
Communications • Information sessions are held across all 14 LHINs. Recently, we presented to CMH&A and CSS organizations in HNHB and South West LHINs. • Webinar presentations for organizations interested in the HRIS project (over 140 CMH&A and CSS participants registered for four webinar sessions) • Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMH&A and CSS organizations. *A Systems for Success newsletter was sent to all organizations and LHINs in March 2010
HRIS Support Centre “Live” support available 8:00 AM – 6:00 PM EST except on weekends and holidays To contact the HRIS Support Centre: CSS css.hris@ccim.on.ca 1-877-706-8094 CMH&A cmh_a.hris@ccim.on.ca 1-877-706-8095
Support - Testimonials “Thank you very much for all the help last week on our manual payment for vacation payout. I appreciate all that the support team have done for us, the support team really went above and beyond. The vacation pay also went through and all my co-workers thank the support team.” – Katalin Majoros, Seniors Life Enhancement Centres “I need to point out how excellent the Support Center is. They are very polite, with an excellent response time.” – Dipika Nayar, Hospice of Peel (HeartHouse Hospice) 24
Participating Organizations To Date • Participating organizations range in size (small, medium and large), provide a variety of services and vary in degrees of complexity • 98 CMH&A and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs • Of these , 46 CMH&A and 60 CSS have implemented the HRIS software solution, Quadrant 25
MH LHIN HRIS Summary (as of May 2010) Community Mental Health and Addictions (CMH&A)* • In total, there are 9 CMH&A organizations in the MH LHIN • 2 organizations are currently implementing the HRIS software solution, Quadrant • 4 organizations are fully implemented with Quadrant Community Support Services (CSS)* • In total, there are 33 CSS organizations in the MH LHIN • 3 organizations are currently implementing the HRIS software solution, Quadrant • 7 organizations are fully implemented with Quadrant * Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN 26
Next Steps • Talk to CMH&A and CSS organizations about their experiences implementing Quadrant • For more information or if you would like to sign-up for the HRIS project, please contact Saj • The project lead will reach out to your organization to answer any questions
Appendix • CMH&A Organizations Implemented and Implementing Quadrant • CSS Organizations Implemented and Implementing Quadrant • Number of CSS and CMH&A Organizations Currently Implementing Quadrant by LHIN • Sample list of User Defined Folders (UDFs) • Sample list of Checklists • Sample list of Reports • Case Study: St. Joseph’s Home Care 29 29
CMH& A Orgs Implemented & Implementing Quadrant in the MH LHIN (as of May 2010) Sector Organization Implemented Implementing Halton Alcohol and Drug Assessment Prevention and Treatment Halton Recovery House Hope Place Women's Treatment Centre CMH&A Summit House Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated Supported Training and Rehabilitation in Diverse Environments 30
CSS Orgs Implemented & Implementing Quadrant in the MH LHIN (as of May 2010) Sector Organization Implemented Implementing Dixie Bloor Neighbourhood Drop-In Centre Hospice Of Peel Inc. Links2care (Georgetown) Nucleus Independent Living Inc. M.I.C.B.A Forum Italia Community Services CSS Peel Cheshire Homes Inc. (Streetsville) Peel Senior Link Rehabilitation Foundation For The Disabled - Peel Region S.E.N.A.C.A. Seniors Day Program - Halton Incorporated Seniors Life Enhancement Centres 31
Number of CSS and CMH& A Organizations Currently Implemented and Implementing Quadrant by LHIN LHIN # # of CSS # of CMH&A Total per LHIN LHIN Name Organizations Organizations LHIN 1 9 20 11 Erie St Clair LHIN 2 5 10 15 South West LHIN 3 3 4 7 Waterloo Wellington LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant LHIN 5 5 2 7 Central West LHIN 6 10 6 16 Mississauga Halton LHIN 7 10 9 19 Toronto Central LHIN 8 8 2 10 Central LHIN 9 10 17 7 Central East LHIN 10 6 5 11 South East LHIN 11 8 11 19 Champlain LHIN 12 10 4 14 North Simcoe Muskoka LHIN 13 5 10 15 North East LHIN 14 2 5 7 North West Total all LHINs: 112 98 210 32 32
Sample List of User Defined Folders (UDFs) New Hire Education – Education Funding – Benefits Enrollments – HCA Challenge Program – Code of Conduct – Regional Orientation – Criminal Records Check – Succession Planning or Staff – Employee Photo Development Plans – Letter of Offer – Foreign Workers – Reference Check Performance Management Human Resources – Arbitration – Exit Interview – Attendance Management – Increment Dates – Disciplinary Actions – Recruitment & Retention Grants – Grievance – Trial Period – Performance Review/Appraisal – Transfers – Probationary Review – Vacation Increments
Sample List of User Defined Folders (UDFs) continued… Health & Safety Leave Management – Disability Rehab – Annual Staff Immunization – Duty to Accommodate – Drug Screen – Leave of Absence – HepB Immunization – MPIC – Incident Report – Return to Work – TB Immunization – WCB/Critical Job Injury/Health & – Occ Health Form Safety Incident – Vision Testing Employer Property Service Recognition – Building Security – Rewards & Recognition Reward – Equipment Repair/Replace – Service Awards – Facility Property-Employers – Insured Driver List
Sample List of Checklists – Submit Request for Hire to HR – Confirm Orientation Completion – Schedule Orientation – Take Employee Photo – Verify Qualifications – Confirm Hire Date – Prepare & Send Offer Letter – Schedule Benefit Appointment – Approved Staffing Request Form – Enter Probationary Period – Schedule Appointments – Enter Employment Info – Hire Application in QHR – Enter Payment Info – Administer TB Tests – Enter Contact Information – Add Immunization History – Enter Position & Remuneration – Add Criminal Code UDF – Enter Deductions & Benefits – Add Probationary UDF – Complete Employee File
Sample List of Reports – Assigned Position Report – Allowances Setup Report – Banks EE Benefit Report – Banks Setup Report – Contacts Report – Chart of Accounts Report – Deleted Leave Request Report – Checklist Report – Demographic – Competencies Configuration – Direct Deduction Range Report – Deductions Setup Report – Employee Banks – Master Position Vacancy Report – Employee Birthday by Month Report – MOH Headcount – Employee Class – Notification Group Addresses – Employee Hire Report – Occupation and Pay Scales – Employee Information Report – Availability by Position Report – Employee Pension Rate Report – Available Shifts Report – Employee Status Report – Basic Schedule Filter – Employee Termination Report – Daily Staffing Analysis – Federal Provincial TD1 Report – Filter Schedule by Open Shifts – PA T4 Exception Report – EFT File Summary Report – Pension Annual Report – Employee T4 – Withholding Report – Employer T4
Case Study: St. Joseph’s Home Care, Hamilton Presented by Steve Moore, Manager, Business & Systems, St. Joseph’s Home Care
Who is St. Joseph’s Home Care? • A member of the St. Joseph’s Health System, which includes: – St. Joseph’s Villa – St. Joseph’s Healthcare Hamilton – St. Mary’s Hospital Kitchener – St. Joseph’s Health Centre Guelph – St. Joseph’s Life care Centre Brantford • Our part of the continuum of care is Home Care. • Our programs include: – Visiting, Shift, and Specialty Nursing contracts with the HNHB CCAC – PSW/ HSW Supportive Housing programs – PSW Specialty programs, such as Constant Care & Caregiver Relief
Why did w e choose to implement the Quadrant HRIS Solution? 1. Faced with OHRS Reporting 2. No existing system to track and report on earned hours or other statistics 3. Existing payroll/ HR solution high processing fees, but limited benefits 4. Hours to be paid keyed in as totals per pay period, making monthly reporting and analysis difficult. With labor being our major cost, imprecise accruals made variance reporting difficult 5. Tracking and reporting of banks, such as vacation and sick time was very manual 6. In a four union environment, seniority calculations were a real chore 7. No opportunity to import timecard data 8. Applying pay rate increases mid-pay period was a lot of work 9. Poor centralized HR functionality 10. Poor reporting on payroll/ HR data
Our Implementation Process • Initial contact with CCIM – March, 2009 • Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutions • Decided to proceed with HRIS (Quadrant) solution first • Implementation consultants assigned and project plan created – June/ July, 2009 • Go Live target set for first pay period in 2010 • First training HR and Payroll – Project Lead – Steve Moore – June, 2009 • Main training for three staff HR and Payroll – September, 2009 • HR Suite Training – Project Lead – Steve Moore – November, 2009 • Configuration complete by Mid-November, 2009 • Parallel testing complete by Early December, 2009 – Simulated parallel run. Actual payroll from old system re-processed in Quadrant on an off-week. • Go Live successful on target!! • Report writer 1 training – Project Lead – Steve Moore – February, 2010
What is next? • Implement HR Suite functionality: – Competencies – User Defined Folders – Checklists – Notifications • QHR Net, which provides for: – Internet access for employees to pay statements – Opportunity to allow employees to update their own demographics • Demonstration on Training and Scheduling modules • Advanced Report Writer training • Ongoing membership in HRIS Advisory Working Group
Challenges • TIME !! • Chart of Accounts: – OHRS Restrictions – Understanding the algorithms used in Quadrant processing – Because Dynamics GP not implemented first, there was a need to negotiate back and forth between HRIS and MIS Implementation teams • Lack of Configuration training up front • Lack of technical documentation
Rew ards • Trainers are experienced and excellent and the training materials used were actually produced by those same trainers • Trainers use “Parking Lots” when they cannot answer questions, then they get the answers and provide them in class, or if necessary, via email if the class has already finished • Strong implementation Teams – Some you meet – Some you don’t • Experienced implementation teams bring strong actual experience and methodologies • Very good help desk. Support personnel strong on payroll & HR processes, with available more technical support when needed
Summary • Our entire list of concerns over our old solution have been resolved with Quadrant, but specifically: – Of 290 employees, we efficiently import payroll data for all but 6 – We have vastly improved payroll related controls, thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant – We can now easily apply mid-pay period rate increases • We expect to Go Live with Dynamics GP in late summer • We look forward to working with features of Quadrant that will be a bonus for us: – HR Suite – QHR Net – Training module – Scheduling module – Other modules that may come – Advanced Report Writer training
Contact Information • You will find that CCIM has a strong HRIS implementation and training team, however, if I can be of any assistance: • I am an active member of the HRIS Advisory Working Group • You can also contact me at: – smoore@stjhc.ca – Phone (905) 522-6887, ext 2254
Thank You
Mississauga Halton LHIN ReCharge Program Kristina Hall
Break 15 Minutes
CSS – Common Assessment Project (CAP) Ashim Rizki Allen Flaming
Presentation for CSS & MH&A Sector Meeting June 11 th , 2010
CSS CAP Project
CSS CAP Project
CSS Cap Project
CSS CAP Project Project Team for Community Care Information Management (CCIM) • Ashim Rizki, Project Lead – MH & CW LHINs • Allen Flaming, Implementation Lead – MH LHIN LHIN Project Team • Judy Bowyer, MH LHIN • Priti Patel, MH LHIN • Steering Committee – MH LHIN CSS Providers
Community Care Information Management (CCIM) Program Local Health Integration Networks (LHINs) CCAC CSS CMH&A LTCH CHC SCCH interRAI Common Intake Community Assessment Health Ontario Resident Tool Assessment Common Assessment Assessment Assessment Instrument Long Stay Projects of Need MDS 2.0 Screening Assessment Capability Software Integrated Assessment Record Integrated Data Strategy Management Management Management Management Information Information Information Information Systems Systems Systems Systems Management Management Business Information Information Systems Systems Systems Human Human Human Human Resources Resources Resources Resources Information Information Information Information Systems Systems Systems Systems Infrastructure & Operations Standards Security, Privacy & Risk Management Transition Initiation stage Pilot stage Currently rolling out Completed and transitioned 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
CSS CAP project scope Out of SCOPE Referral Screener Tool Self administered or org administered More intensive services Less intensive services Supportive Housing Meals Delivery Adult Day Program Transportation Drop-in Centre Need for a comprehensive assessment Data Management In SCOPE Data Data Reports Outcomes Sharing Submission Service Planning Right Service for Right Client
How we are working in partnership Information Management Alliance CSS CAP Steering Committee LHIN Implementation Steering Working and Reference Groups Committees Consent Management Aboriginal Mississauga Halton LHIN Data Mgmt Mobility LHIN n Shared Ax Reports Best Practices -DQ Education etc. Screener Cross Sector Common Assessment PROJECT TEAM Project Management Communications Implementation BusinessProcess Education
CSS CAP implementation model
CSS CAP Project – Next Steps
CSS CAP Project
CHOICES – ALL @ Same Time
CHOICES – GROUPS @ Differing Times
Take Away Considerations
Take Away Considerations
MHLHIN Financial Update Paulette Zulianello, Senior Lead Funding and Allocation
Q4 CAT Reporting and ARR TRAINING Took place June 4 th to June 10 th 2 more in case you have missed out CMH&A – June 15 th 12:00 to 1:30 pm CSS – June 16 th 9:30 to 11:00 am Last Chance
Tips and Tools Reminder – Follow each step in sequence Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete) Use CAT version 2.5 not 2.1 Print entire report not each page Community Analysis Tool (CAT User Guide 3.0) (troubleshooting pg 61) CAT Q4 Reporting Quick Guide (pg 4 all 16 steps) ARR HSP Guide V1.1 • `
...Tips and Tools (cont’d) Auditors can print Auditor’s Report on own Letterhead No exception in 2009/10 – all must procure Audit’s Report Accrual information not required No ARR statistics – only Q4 CAT Make sure required variances are explained
...Tips and Tools (cont’d) Technical contact – Kim.Hewitt@ontario.ca CMH&A ARR contact – Vivian.Tsang@ontario.ca CSS ARR contact – Kelvin.Wong@ontario.ca Mirella and myself Q4 and ARR – due June 30 Supplementary Reporting for Initiatives- June 30 th
HST is coming July 1, 2010! Harmonized Sales Tax Simple Comparison Today July 1 Sale $100.00 $100.00 GST 5% 5.00 PST 8% 8.00 HST 13% 13.00 Total $113.00 $113.00
Example: PST-Taxable Purchase Today July 1 Purchase $100.00 $100.00 GST 5% 5.00 PST 8% 8.00 HST 13% _______ 13.00 Total $ 113.00 $113.00 GST Rebate 50% (2.50) (2.50) HST Rebate 82% _______ (6.56) GST/HST rebate (2.50) (9.06) NET COST $110.50 $103.94
Example: PST-Exempt Purchase Today July 1 Purchase $100.00 $100.00 GST 5% 5.00 PST 8% HST 13% ________ 13.00 Total $ 105.00 $113.00 GST Rebate 50% (2.50) (2.50) HST Rebate 82% ________ (6.56) GST/HST rebate (2.50) (9.06) Net cost $ 102.50 $103.94
Combined Rebate Factor: Ontario July 1 Purchase $100.00 HST 13% 13.00 x 69.69% = 9.06 Total $113.00 GST Rebate 50% (2.50) HST Rebate 82% (6.56) GST/HST rebate (9.06) Net cost $103.94
Net impact of HST (Incremental Effect) PST- taxable: • 110.5 → 103.94 6.56% decrease PST- exempt: • 102.5 → 103.94 1.44% increase
What's Taxable Under the HST and What's Not? Clothing and Footwear GST-taxable PST-taxable before Is there a change to the before July 1,2010 amount of tax payable July 1, 2010 under the HST? Adult Clothing 5% 8% No (remains 13%) Children's Clothing 5% No PST No (remains 5%) Shoe Repair Service 5% 8% No (remains 13%) Children's Footwear 5% No PST if $30 or less No for footwear up to size 6 (remains 5%) Tailoring Services 5% 8% No (remains 13%) Dry Cleaning Service 5% No PST Yes (changes to 13%) Dry Cleaning Service 5% No PST Yes (changes to 13%)
What's Taxable Under the HST and What's Not…cont’d Food and Beverages GST-taxable PST-taxable before Is there a change to the before July 1,2010 amount of tax payable July 1, 2010 under the HST? Basic Groceries (e.g., Dairy, No GST No PST No HST Meat, Vegetables, Canned Goods) Snack Foods (e.g., Chips, 5% 8% No (remains 13%) Pop) Qualifying Prepared Food and 5% No PST No (remains 5%) Beverages Sold for $4.00 or Less Restaurant Meals for More 5% 8% No (remains 13%) than $4.00 Alcoholic Beverages 5% 10-12% HST 13%[1]
What's Taxable Under the HST and What's Not…cont’d Home Services GST-taxable before PST-taxable before Is there a change to the amount of tax July 1, 2010 July 1,2010 payable under the HST? Cable Television Services 5% 8% No (remains 13%) Cell Phone Services 5% 8% No (remains 13%) Municipal Water No GST No PST No HST Home Maintenance Equipment 5% 8% No (remains 13%) Home Phone Services 5% 8% No (remains 13%) Home Service Calls to Repair Free- 5% 8% No (remains 13%) Standing Appliances such as Stoves, Refrigerators, Washers, Dryers, and Televisions Home Insurance No GST 8% No (remains 8%) Electricity and Heating (e.g., Natural 5% No PST Yes (changes to 13%) Gas/Oil for Home) Internet Access Services 5% No PST Yes (changes to 13%) Home Service Calls by 5% No PST Yes (changes to 13%) Electrician/Plumber/Carpenter to Maintain or Repair Furnace, Leaky Faucets, Bathtub, Toilet, Electrical Wiring, etc. Landscaping, Lawn-Care and Private Snow 5% No PST Yes (changes to 13%) Removal
What's Taxable Under the HST and What's Not…cont’d Accommodation, Travel and Passenger Transportation Services GST-taxable before PST-taxable before Is there a change to the amount of tax July 1, 2010 July 1,2010 payable under the HST? Luggage, Briefcases, Bags, etc. 5% 8% No (remains 13%) Municipal Public Transit No GST No PST No HST GO Transit No GST No PST No HST Air travel originating in Ontario and terminating in 5% No PST No (remains 5%) the U.S.[2] Air travel originating in Ontario and terminating No GST No PST No HST outside of Canada and the U.S.[3] Rail, boat and bus travel originating in No GST No RST No HST Ontario and terminating outside of Canada Hotel Rooms 5% 5% Yes (changes to 13%) Taxis 5% No PST Yes (changes to 13%) Campsites 5% No PST Yes (changes to 13%) Domestic Air, Rail and Bus Travel 5% No PST Yes (changes to 13%) originating in Ontario
What's Taxable Under the HST and What's Not…cont’d Motorized Vehicles GST-taxable before PST-taxable before Is there a change to the amount July 1, 2010 July 1,2010 of tax payable under the HST? Vehicle Parts 5% 8% No (remains 13%) Short-Term Auto Rentals 5% 8% No (remains 13%) Lease of a Vehicle 5% 8% No (remains 13%) Child Car Seats and Booster Seats 5% No PST No (remains 5%) Auto Insurance No GST No PST No HST Labour Charges to Repair Vehicle 5% 8% No (remains 13%) Oil Change 5% 8% No (remains 13%) Tires 5% 8% No (remains 13%) Window Repair 5% 8% No (remains 13%) Purchase of Vehicle from Dealer 5% 8% No (remains 13%) Boats 5% 8% No (remains 13%) Snowmobiles 5% 8% No (remains 13%) Recreational Vehicles 5% 8% No (remains 13%) Private Resale of Car (including No GST 8% Yes[4] (changes to 13%) Registration) Gasoline/Diesel 5% No PST Yes (changes to 13%)
What's Taxable Under the HST and What's Not…cont’d Professional and Personal Services GST-taxable before PST-taxable before Is there a change to the amount July 1, 2010 July 1,2010 of tax payable under the HST? Child Care Services No GST No PST No HST Legal Aid No GST No PST No HST Coffins and Urns Purchased Separately 5% 8% No (remains 13%) from a Package of Funeral Services Fitness Trainer 5% No PST Yes (changes to 13%) Hair Stylist/Barber 5% No PST Yes (changes to 13%) Esthetician Services (e.g. Manicures, 5% No PST Yes (changes to 13%) Pedicures, Facials) Funeral Services 5% No PST Yes (changes to 13%) Legal Fees 5% No PST Yes (changes to 13%)
HARMONIZED SALES TAX - Conclusion No affect on Revenue- since GST rules apply Taxable expenses 6.56% decrease Non-taxable expenses 1.44% increase 1.44% increase applies to services and energy costs that were previously PST exempt Slight changes to OHRS account description not the account numbers
MH LHIN Strategic Investments: Aging at Home Update Narendra Shah
Aging At Home Peer Exchange Forum May 10-11, 2010 MH LHIN
Mississauga Halton LHIN’s Strategic Approach to A@ H Strategic Objectives: I. Reduce ALC days and LOS in hospitals II. Reduce demand (wait list) for LTC homes III. Reduce unnecessary ER visits How? I. Invest in Seniors with Complex Needs (usually 75+ age) in the community II. Invest in LTC homes to reduce ER/hospitalization of 4,000+ residents; and , increase LTC homes capacity to care for “higher need” seniors III. Use proven common set of assessment/eligibility tools (RAI family) across all sectors-home care, SDL, ADP, LTC and CCC to ensure right care, right setting, at the right time and right cost
MH LHIN Trend in ALC Day & Patients 2008-09-2010 Pre-A@H Impact of A@H Pre-A@H Impact of A@H %Change to 09/10 Acute Care FY 07/08 FY 08/09 FY 09/10 (1) FY 07/08 FY08/09 Total Days 354,055 372,563 355,182 0.3% -4.7% Growth 2.7% Total Pts 60,864 61,408 63,077 3.6% Avg LOS 5.82 6.07 5.63 -3.2% -7.2% Total ALC Days 35,844 47,650 32,918 -8.2% -30.9% Total ALC Pts 2,174 2,432 2,623 20.6% 7.8% Results -23.9% -35.9% Avg ALC LOS 16.49 19.59 12.55 %ALC 10.10% 12.80% 9.27% -8.2% -27.6% 3.53% absolute point reduction in ALC Days in 09/10 Despite growth we have good results (1) Q4 09/10 Projection using average Q4 proportion of 07/08 and 08/09 and Q3 YTD year-over-year average growth
6 Month Average: 151 67 Source: MH LHIN Daily ALC Census
Transformation of CSS Sector to Focus on Frail Elderly Transformation of CSS Sector to Focus on Frail Elderly to Stay at Home Safely to Stay at Home Safely Objective: Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector) Support Higher Need “At Risk” Seniors Support Higher Need “At Risk” Seniors Additional Performance CSS Performance Requirements Requirements 2010/11 Pre-LHIN 2007/08 # Clients Supportive Housing Reform of SH to Balanced High Risk Seniors (MAPLe 3+) Budget Most clients MAPLe 1,2s Supports for Daily Clients taken from Hospitals, Client No 24/7 support Community and LTC Sectors Satisfaction Limited integration with hospitals Living Integral part of Joint Discharge Process in hospitals and CCAC Focus on Reducing LTC Needs $13.5M 24/7; Integrated Approach Adult Day Services LHIN-wide Mobile Capacity Extensive Interaction with Hospitals and Most clients MAPLe 1,2s $5.5M CCAC New ABI Clients Residential with Community Outreach $3.6M $24.7M 740 Respite Care $2.9M Day-To-Day Caregiver Relief All referrals from CCAC Adult Day Services $1.5M Stand-alone Transportation Services Higher Needs – MAPLe 3 Reduce LTC Demand $1.0M Home Making/Maintenance Support more “at risk” Seniors $6.3M Other CSS $8.4M 385 Expand to Support difficult cases in $34.3M Hospitals and LTCHs; ABI Clients assisted to avoid Significant outreach to Hospitals and LTCHs $4.9M ER/Hospiital Reduce ALC Enhanced Respite Care Reduce LTC/ER Demand $3.9M 270 Block of Time Use of Care Giver Stress (CGS) Increase of Tool Integrated Transportation $1.9M LHIN-wide Approach $19.4M Integrated Home Making/Maintenance $2.2M Other CSS $7.7M • Free Existing Hospital Capacity $53.7M SILO Integrated Approach SILO Integrated Approach • Right Placements in LTC Sector by CCAC
MH LHIN – – Transformation of LTC Sector MH LHIN Transformation of LTC Sector 220 bed LTC Facility at Trillium (CSS & CMHA with LTC West Toronto – 5.4% Integration 4,100 Beds Psycho Quality Improvement Sector) Geriatrc @ 27 homes Outreach ABI Outreach Quality Improvement with OHQC – 8 Homes NP 4,100 Beds Program @ 27 homes Dialysis at 2 homes Dialysis at 2 homes (with Hospitals & Specialization Behavioural Unit – Sheridan Integration Behavioural Unit – Sheridan CCAC) Villa Villa Restore Program ‐ MLC Restore Program ‐ MLC Convalescent Care Program Convalescent Care Program Convalescent Care Program Convalescent Care Program Post Inn Post Inn Post Inn Post Inn 99 Pre ‐ LHIN LHIN – February 2010
Impact of A @ H Initiatives on MH LHIN Allocation By Sector (in Millions) LHIN Allocation: 2007/08 2009/10 Note 1 % Change (Actual) (Q4 Forecast) Pre-Aging @ Home Hospitals $713,531.3 $769,863.9 7.89% Long Term Care Homes 146,611.2 162,921.5 11.12% CCAC 101,685.3 116,037.9 14.11% Community Support Services 17,162.0 22,274.2 29.79% Supportive Housing & SDL 13,499.1 21,629.4 60.23% Community Mental Health 21,436.2 23,966.6 11.80% Addictions Program 3,825.6 4,253.1 11.17% ABI 3,623.6 4,892.3 35.01% Total 1,021,374.3 1,125,838.9 10.2% 100 Note 1 09/10 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec. 2009.
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