MHLHIN Transportation Project Goals • Client 1stop, toll free # for transportation • Help clients stay independent longer • Red Cross chosen as transportation coordination lead • Integration through partnership with VON and ESS
Why Red Cross to lead Current Transportation Funders • MHLHIN • Region Of Peel Satellite Offices • Milton • Oakville • Etobicoke Fleet Size • 35 Vehicles plus volunteer vehicles
What’s New • Centralized intake for all of Mississauga Halton • Reduced wait times for scheduling of health and age related rides • Implementation of scheduling software better utilizing existing resources • Partner organization collaboration
CrossWheels Transportation Coordination Center is created
CrossWheels Objective To Better Serve Seniors Community Transportation Needs Through: • Better utilization of current ride capacities • Centralized scheduling and routing • Seamless one call transportation service • Shortened notice and wait times
Advantages of Central Scheduling • Staffing coverage on site • Flexibility with hours of operation • Scheduling software will provide more time for customer service support • Office staff specialize in specific geo areas and programs and are cross trained • Provides standard procedures and policies
Call Centre • Dialysis Ring all scenario • Customer will always speak with agent first Medial • Maximum wait time monitored and capped Incoming calls Incoming calls at 4 minutes PA Prog. • Soft transfer utilized for outside agencies Adult Day Prog.
The Faces of CrossWheels Tracey Liliana Dialysis North Halton Prog. & Oakville Mississauga Aisha ADP Prog. Natasha Mississauga PA Prog. Mississauga
Advantages to Satellite Offices Relief for local staff to: • Provide support to drivers and volunteers • Expand services • Community networking • Fleet management • Driver Training and recruitment
Marketing •News Paper Advertisement •Brochure and Flyers • Email Blasts •Web Site Links
Partner Phase In Issues • Overflow and Rebook • Sharing Data While Maintaining Client Information Privacy • Exploring Logistical Solutions • Efficiencies vs. Customer Satisfaction
1-877-848-0707
Rates and Fees • User fees are applicable • Rates vary with frequency of use and cross boundary distances traveled Example: One-way Return ADP’s $4.00 $8.00 Oakville/Miss. Local $5.50 $11.00 Milton to Toronto $23.00 $46.00 • Attendants requiring rides will be accommodated with pre booking • Rates are reviewed annually April 1st • Rates evaluated on a case by case basis for income restricted clients
Brochures • Please ask for a supply of brochures available today Thank you
QUESTIONS?
Summit Housing and Outreach Programs Kay Davison
SUMMIT HOUSING & OUTREACH PROGRAMS PRESENTATION PREPARED BY KAY DAVISON MARCH 2010
WHO ARE WE? Summit Housing & Outreach Programs is a charitable non-profit organization governed by a volunteer Board of Directors and is funded by the Mississauga Halton Local Health Integration Network (LHIN) and the Ministry of Health & Long Term Care. BRIEF HISTORY � In 1981 the Joseph Brant Memorial Hospital in Burlington recognized the urgent need for supportive housing for people challenged by mental illnesses. Individuals were being discharged back into the community even though they had no place to live. This recognition acted as the catalyst for the development of a supportive housing program and the first house - which provided accommodation and support 24/7 for five people - was opened in Burlington in 1982. � 61
WHO ARE WE? …Continued BRIEF HISTORY …Continued. � Today, in 2010, we provide a wide range of mental health services throughout Halton for approximately 370 people. � The overriding philosophy has always been to provide services that are designed to ensure rights, dignity and independence are maximized. The name “Summit” was chosen to reflect this philosophy – that is, to assist people to reach their full potential. 62
PRIMARY SERVICE FUNCTIONS Residential: To provide a range of housing options with � flexible rehabilitative support services designed to meet the various needs of the people we serve. Accommodation includes owned houses (4 houses, 22 tenants) and subsidized rental units allocated to Summit by the Region of Halton (51 units). Case Management: To provide community based moderate � case-management services on a flexible basis to people living in their own homes in the community (Approx. 140 participants). Justice Supportive Housing Program: To provide housing � (rental units) and supports for people who have come into conflict with the criminal justice system for low risk offences (33 participants). 63
PRIMARY SERVICE FUNCTIONS …cont’d. � Assertive Community Treatment Team (Summit ACTT) Services are provided by a multidisciplinary group of mental health staff including: a psychiatrist; RN’s; a social worker; an occupational therapist; a peer specialist; and addiction, vocational, dual diagnosis and rehabilitation counsellors. The Team operates 365 days/year. � Halton Homes Program: A partnership initiative between Summit (lead agency) and JBMH, HHS, NHMHC, ADAPT and Support & Housing – Halton. This collaborative relationship provides flexible and comprehensive supports for participants. 64
PRIMARY SERVICE FUNCTIONS …Cont’d. � Halton Homes Program …Continued. The Homes Program provides a wide range of affordable housing options (122 units). The accommodation consists of shared living in four owned houses and three rental houses; and two and one bedroom apartments. The services are designed to promote independent living and to enable people to take control over their lives. 65
SUMMARY Summit Housing & Outreach Programs provides recovery oriented client centered treatment and rehabilitative support services. Staff and Board Members continually work to improve the services offered by our organization and every effort is made to operate programs that are sensitive to the varying needs of the people we serve. 66
DIAGNOSTIC STATISTICS
DIAGNOSTIC STATISTICS
DIAGNOSTIC STATISTICS
MHLHIN Financial Update Paulette Zulianello and Mirella Semple
Reporting- Re-cap � 2009/10 Q3 – CAT tool reporting – was due Feb 12/10 � 0 outstanding � Great job!!! Common errors / issues to discuss : � Uploaded the wrong transition flat file into WERS. � In Variance analysis -“Report”- not explained � A follow-up from MH LHIN staff where providers are not meeting targets, showing any deficits, etc. will be occurring before Q4. Reminder – Balanced Budget as per M-SAA for Q4
... Report Recap (con’t) � 2009/10 Q3 Supplementary Reporting for Initiatives – was due Feb 12/10 � 1 – outstanding Common errors / issues to discuss : � Not all columns were completed � Please verify before submitting your report
... Report Recap (con’t) � ARR Q4 (heads-up) � The ARR will be a separate excel file that has similar functionality as CAT � Q4 data from your CAT tool will populate the data into ARR specific lines. � Edit Checks will be available to improve errors. � A user guide specific to the ARR will be provided � Stay tuned – MH LHIN will communicate to providers once we are aware of all details.
... Report Recap (con’t) Q3 In-Year Reallocation Form � Year-end preliminary forecast resulted in $1.3M in recoveries � Recoveries were re-allocated for high priority Health and Safety, transportation, accreditation costs, etc. within the CSS, Mental Health, Long Term Care and Hospital Sectors � Thank you for your commitment to keeping Healthcare funding in our LHIN
HST is coming July 1, 2010! HARMONIZED SALES TAX (HST) REVENUE COMPONENT - Most charity revenues GST-exempt GST rules apply: If no GST applies now, no HST applies � Donations, grants, most services � Hall rentals, parking, meals-on-wheels � Fundraising ticket sales � Goods sold for “direct cost”
Expense Component – Taxable Status of Goods and Services for Consumers Under HST No Change in Taxable/Exempt Status for Consumers — Examples � Basic Groceries, Furniture, Prescription Drugs, Toys, Municipal Water, Admissions to Sporting Events, Certain Medical Devices, Movie Tickets, Most Health Care Services, Restaurant Meals, � Most Educational Services, Cleaning Products (e.g., Soaps, Detergents), Municipal Public Transportation, Cell Phone Charges, Luggage, Briefcases, Bags, etc., Home Phone Services, � Child Care Services, Cable TV Service, Books, Auto Insurance, Children’s Clothing, Home Insurance, Children’s Footwear, Residential Rent, Clothing, Prepared Foods Sold for $4 or Less, Child Car Seats and Car Booster Seats, Newspapers, Vehicles and Parts, Radios, Stereos, CD Equipment and Accessories, Vehicle Repairs (Parts and Labour), TVs, DVDs and Accessories, Over-the-Counter Medication, Music Lessons, Crafting Supplies (Scissors, Yarn), Pharmacist Dispensing Fees, Home Maintenance Equipment (Lawnmowers, Snow Blowers, Sprinklers), Auto Rentals, Mortgage Interest Costs, Adult Incontinence Products, Refrigerators and Freezers, Feminine Hygiene Products, Prepackaged Computer Software, Diapers, Tailoring Change in Taxable Status for Consumers — Examples � Electricity, Personal Services (e.g., Hairstyling) Professional Services (e.g., Legal, Accounting and Real Estate Fees and Commissions), Internet Access Fees, Tobacco, Heating Fuels, Gasoline
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
Charity & NPO Rebates (%) Sector GST OHST BCHST Ontario HST BC HST Rebate Rebate Rebate Cost Cost Municipality 100 78 75 1.76 1.75 University / College 67 78 75 3.41 3.40 Schools 68 93 87 2.16 2.51 Hospitals 83 87 58 1.89 3.79 Charities and 50 82 57 3.94 5.51 Qualifying NPOs
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 13.00 x 69.69% = 9.06 HST 13% Total $113.00 GST Rebate 50% (2.50) HST Rebate 82% (6.56) (9.06) GST/HST rebate Net cost $103.94
Net impact of HST • PST- taxable: 110.5 → 103.94 6.56% decrease • PST- exempt: 102.5 → 103.94 1.44% increase
Expense Component – Taxable Status of Goods and Services for Consumers Under HST No Change in Taxable/Exempt Status for Consumers — Examples � Basic Groceries, Furniture, Prescription Drugs, Toys, Municipal Water, Admissions to Sporting Events, Certain Medical Devices, Movie Tickets, Most Health Care Services, Restaurant Meals, � Most Educational Services, Cleaning Products (e.g., Soaps, Detergents), Municipal Public Transportation, Cell Phone Charges, Luggage, Briefcases, Bags, etc., Home Phone Services, � Child Care Services, Cable TV Service, Books, Auto Insurance, Children’s Clothing, Home Insurance, Children’s Footwear, Residential Rent, Clothing, Prepared Foods Sold for $4 or Less, Child Car Seats and Car Booster Seats, Newspapers, Vehicles and Parts, Radios, Stereos, CD Equipment and Accessories, Vehicle Repairs (Parts and Labour), TVs, DVDs and Accessories, Over-the-Counter Medication, Music Lessons, Crafting Supplies (Scissors, Yarn), Pharmacist Dispensing Fees, Home Maintenance Equipment (Lawnmowers, Snow Blowers, Sprinklers), Auto Rentals, Mortgage Interest Costs, Adult Incontinence Products, Refrigerators and Freezers, Feminine Hygiene Products, Prepackaged Computer Software, Diapers, Tailoring Change in Taxable Status for Consumers — Examples � Electricity, Personal Services (e.g., Hairstyling) Professional Services (e.g., Legal, Accounting and Real Estate Fees and Commissions), Internet Access Fees, Tobacco, Heating Fuels, Gasoline
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 � MORE at our June quarterly meeting
Key due Dates � Q4 MIS – due May 31, 2010 � ARR CAT Tool reporting – due June 7, 2010 � Q4 Supplementary Reporting for Initiatives- due June 7 th as well
Accreditation Update Ray Applebaum
Break! 15 Minutes
MH LHIN Strategic Investments Monita O’Connor
MH LHIN Aging at Home Strategic Approach MH LHIN Aging at Home Strategic Approach Right Care, Right Place, Right Time Transitional Capacity LTC MLC Restore ‐ 26 MLC Restore ‐ 26 H beds beds Convalescent Convalescent Program Post Inn ‐ 20 Program Post Inn ‐ 20 beds beds Objectives Sheridan Villa Sheridan Villa Objectives Behavioural Unit ‐ 19 � LOS Behavioural Unit ‐ 19 � Demand Transitional Beds in Transitional Beds in � ALC Hospitals – 41 beds Hospitals – 41 beds � Right Persons � Admission CCAC Enhanced CCAC Enhanced Avoidance SDL SDL 1,602 spaces 1,602 spaces 27 Homes ABI Outreach ABI Outreach 4,100 Beds E Enhanced Palliative Enhanced Palliative R Objectives Capacity Enhancement in � ER Use � Treatment Time Transportation Home/Community 24/7 24/7 Dementia Dementia Crisis Home Crisis Home & Chronic Hom Chronic Hom & Geriatri Urgent Response Specialize Adult Urgent Response Continenc Help/ Psycho ‐ Geriatri Continenc Specialize Adult Help/ Psycho ‐ NP’s NP’s Enhance e Alzheimer Disease Enhance Alzheimer Disease e Falls c to d Day Maint. geriatric c Falls to e d e Day Maint. geriatric In d In Care ’s s d ’s s Care Progra Mental System Mgmt Geriatric Program Home Outreac System Progra Mental Geriatric Mgmt Program Home Outreac LTC Respite Outreach CHF/ LTC Respite by Outreach CHF/ by Mgmt. m Health & Outreach m 75+ s Makin h Mgmt. Health & Outreach s Makin h 75+ & Day COPD CCAC COPD CCAC & Day 75+ Addictio Addictio g 75+ g Programs Programs n n CCAC CSS CMHA $116M $22M $28M
MH LHIN – – Transformation of LTC MH LHIN Transformation of LTC Sector Sector 220 bed LTC Facility at Trillium (CSS & CMHA with LTC West Toronto – 5.4% � Integration 4,100 Beds Quality Improvement Sector) Psychogeriatric @ 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 Pre ‐ LHIN LHIN – February 2010
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: Right-size Capacity and Minimize Institutionalization (LTC and Hospital) Support Higher Need “At Risk” Seniors Support Higher Need “At Risk” Seniors CSS Performance Additional Performance Requirements Requirements Pre-LHIN 2007/08 2010/11 � # Clients Supportive Housing Reform of SH to � Balanced Budget � High Risk Seniors (MAPLe 3+) Most clients MAPLe 1,2s Supports for Daily � Client � Clients taken from Hospitals, No 24/7 support Satisfaction Community and LTC Sectors Limited integration with hospitals Living � Integral part of Joint Discharge Process in hospitals and CCAC Client Focus on Reducing LTC Needs s 350 24/7; Integrated Approach Adult Day Services LHIN-wide Mobile Capacity Extensive Interaction with Hospitals and Most clients MAPLe 1,2s 185 CCAC ABI Client Residential with Community Outreach s 740 Respite Care Day-To-Day Caregiver Relief Adult Day Services � All referrals from CCAC Stand-alone Transportation Services � Higher Needs – MAPLe 3 Home Making/Maintenance � Reduce LTC Demand Support more “at risk” Seniors Other CSS 385 � Expand to Support difficult cases in $34.3M ABI Hospitals and LTCHs; � Clients assisted to avoid Significant outreach to Hospitals and LTCHs ER/Hospiital � Reduce ALC Enhanced Respite Care � Reduce LTC/ER Demand +270 � Use of Care Giver Stress (CGS) Block of Time Tool Integrated Transportation � LHIN-wide Approach Integrated Home Making/Maintenance +600 Other CSS $51.3M (Estimate/Planning) SILO � Integrated Approach SILO � Integrated Approach
How well have we performed? LHIN Priorities With Respect to System Expectations • Reduce ALC (Alternate Level of Care) in hospitals – 10% each year • Reduce wait times in ED – 10 % each year • Reduce ED visits for CTAS 4, 5 (less of a concern for MH LHIN) How? • All HSPs in LHIN have enhanced ALC/ER as their top priority too • Community providers have stepped up to care for elderly with complex needs • Divert reliance on hospitals to service the needs of seniors and for palliative care patients • Integrated ‐ LHIN ‐ wide approach to investments • Engagement of all HSPs to work in an integrated manner
Community Service Provider Portal Demonstration Andrew Hussain Saib Baig
1. Background 2. The Team 3. Architecture 4. Oversight 5. Membership 6. Funding 7. Go Live Date
Fall of 2008 LHIN facilitated full day workshop CCAC • Community Services Representation • Physician • Hospital • Discharge Planner • Mental Health & Additions • MH LHIN: Director of Health Systems Development • MH Regional CIO • IBM • Facilitator •
Architecture W eb Based Access CSP Centralized Infrastructure • One SLA @ CW CCAC • MoU with each agency • Web Based Access • Websphere Full Mobility • Secured Connectivity • THC Portal Infrastructure iCARE One Mail •
CW & MN LHIN DRAFT Oversight Model Formal Agreements held by CW CCAC on Behalf of CSP Business CSP Business Steering DRAFT Participation on the Governance Body Committee for both LHINs MH LHIN & CW LHIN ( 2 representatives – 1 from • each LHIN) MH CCAC & CW CCAC (2 representatives – 1 • from each LHIN) CSP Business Lead Service, Accountability MH & CW Community Support Services – (2 • and Escalation representatives – 1 from each LHIN representing CSP User Group the CSS Sector) Hospitals – ( 5 representatives – 1 representative • per hospital) Long Term Care Homes – ( 2 representatives – 1 Issues & Change • User Management from each LHIN) Ops metrics Requests and reports Mental Health and Addictions – (2 representatives • – 1 from each LHIN) Business Lead for the CSP Portal • THC Technology Third Party CSP End User infrastructure, IT Software Vendors DRAFT Total # of representatives on the Operations governance body - 16
Functioning Principals • Should be made available to every agency in order to increase value and have information accessible that is valuable to all • Fair and Equitable Access for ALL • Adoption must be shown
Number of Organizations – MH LHIN • MH Community Care Access Centre - 1 • Community Support Services – 34 • Hospitals - 3 • Long Term Care Homes - 26 • Mental Health and Addictions - 12 Total # of possible participating organizations - 76
Costing Principals • Fair and Equitable Access for ALL • Each MH & CW LHIN funded organization has a chance to participate • No one is excluded • LHIN Subsidized • Will not be cost prohibitive • Working with the Finance departments from both CW and MH LHIN • Final approval is the LHIN CEOs
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