Overview of Legislations Overview of Legislations Governance to - - PowerPoint PPT Presentation

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Overview of Legislations Overview of Legislations Governance to - - PowerPoint PPT Presentation

Overview of Legislations Overview of Legislations Governance to Governance Sessions May 11 to 20, 2011 y , Juanita Gledhill, Chair Key Legislations There are four key legislations that are common to Governors of all Health Service


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SLIDE 1

Overview of Legislations Overview of Legislations

Governance to Governance Sessions May 11 to 20, 2011 y , Juanita Gledhill, Chair

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SLIDE 2

Key Legislations

  • There are four key legislations that are common to

Governors of all Health Service Providers:

  • Local Health System Integration Act, 2006
  • Excellent Care For All Act, 2010

Excellent Care For All Act, 2010

  • Broader Public Sector Accountability Act, 2010
  • Public Sector Compensation Restraint to Protect

Public Services Act, 2010.

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SLIDE 3

Local Health System Integration Act, 2006 (LHSIA)

  • Section 16 (6) of LHSIA outlines the Health Service

Providers responsibility for Community Engagement.

  • Section 27 of LHSIA outlines the process and

responsibilities of a Voluntary Integration by Health Service Providers.

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SLIDE 4

LHSIA – Impact on Health Service Provider

  • Accountability
  • Integration and Service Coordination
  • Integration and Service Coordination
  • Funding and Allocation
  • Local Health System Planning
  • Local Community Engagement
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SLIDE 5

Efficient and S t i bl Responsible Collaboration Sustainable Systemic Issues Responsible Decision Making Engagement Responsibility

Role of the

Creativity and Innovation Accountability

Health Service Provider

Co-operation Acknowledgement Influence of the Public being served

Provider

Best Practices g and Acceptance of Cultural Differences served eHealth

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SLIDE 6

Excellent Care for All Act, 2010 (ECFAA)

  • ECFAA became law on June 8, 2010
  • Establishes a number of requirements for health

Establishes a number of requirements for health care organizations, starting first with hospitals and moving out to other sectors

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SLIDE 7

ECFAA continued ECFAA continued

Months Years Many Years

Excellent Care for All Act implemented by all hospitals Excellent Care for All Act expanded beyond hospitals

Client-

Funding for patient episode across the care continuum

ilestones

Initial roll-out of patient-based payment policy

Centered Care Across Continuum Culture of Q lit d It

Encourage Providers to form networks to organize and deliver care across continuum

Actions/M

Launch of provincial initiatives to improve transitions in care Expanded OHQC operational

Quality and Its Continuous Improvement Sustainable H lth

A sults

Compliance with ECFAA Measureable improvements across a range of quality/safety indicators Initial set of system enablers in place

Healthcare System

Quality counts – strong business case for quality within organizations / across

  • rganizations

Res

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SLIDE 8

ECFAA continued

  • What can you do to help:
  • Engage in dialogue

Engage in dialogue

  • Support new and challenging roles

W k t th t

  • Work together as one system
  • Identify opportunities to consolidate and

ti l ti d rationale reporting and processes

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SLIDE 9

Broader Public Service Accountability Act, 2010 (BPSAA)

  • The Broader Public Sector Accountability Act, 2010 provides

the authority for the Management Board of Cabinet to issue directives governing the procurement of goods and services by designated broader public sector organizations.

  • The Broader Public Sector (BPS) Procurement Directive

provides consistent procurement practices for BPS

  • rganizations to:
  • improve accountability and transparency for procurement

decisions and processes and decisions and processes, and

  • maximize the value that BPS organizations receive from the

use of public funds.

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SLIDE 10

Hospitals Local Health Organizationr i i

BPSAA

Integration Networks (LHIN’s) eceiving greater than $10M in public funding

BPSAA Impacts

School Boards, Colleges Community Colleges and Universities y Care Access Centres Children’s Aid Society

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SLIDE 11

BPSAA continued

Organization Lobbyist Rules Expense Rules Procurement Consultant Public Posting Compliance Freedom of

Chart of Effective Dates

Organization Lobbyist Rules Expense Rules Procurement Rules Consultant Reporting Public Posting

  • f Expenses

Compliance Attestations Freedom of Information and Protection of Privacy Act (FIPPA) Applies Designated broader public sector

  • rganizations

(Named in BPSAA) Effective January 1, 2011 Effective April 1, 2011 Effective April 1, 2011 Possible in future by regulation. Possible in future by regulation. Possible in future by regulation. No, unless the

  • rganization was

already subject to FIPPA. ( ) Hospitals (private and public) Effective January 1, 2011 Effective April 1, 2011 Effective April 1, 2011 Effective April 1, 2011 Effective April 1, 2011 Effective April 1, 2011 January 1, 2012 Classified Agencies Effective January 1, 2011 Existing OPS rules apply Existing OPS rules apply None None None Many agencies are already covered under FIPPA. FIPPA was not amended to make any new agencies subject to the act. Local Health Integration Networks Effective January 1, 2011 Existing OPS Rules apply Existing OPS rules apply Effective April 1, 2011 Effective April 1, 2011 Effective April 1, 2011 Already covered under FIPPA. the Government of Ontario Effective January 1, 2011 Effective April 1, 2011 Effective January 1, 2012 Possible in future by regulation. Possible in future by regulation. Possible in future by regulation. No, unless the

  • rganization was

already subject to FIPPA. Publicly funded

  • rganizations

Possible in future by regulation Non‐mandatory guidelines will be None at this time. Guidelines may None Possible in future by regulation Possible in future by regulation No, unless the

  • rganization was
  • rganizations

receiving under $10M by regulation. guidelines will be issued on April 1, 2011 Guidelines may be issued at a later date. by regulation. by regulation.

  • rganization was

already subject to FIPPA.

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SLIDE 12

Public Sector Compensation Restraint to Protect Public Services Act, 2010 (PSCRPPSA)

  • The Public Sector Compensation Restraint to Protect Public

Services Act, 2010, sets out measures which are part of the government’s plan to protect services for the public. The Act received Royal Assent on May 18, 2010.

  • Health Service Providers are included in the PSCRPPSA if:

$

  • they receive at least $1,000,000 in funding from the

Government of Ontario in 2009, as determined for the purposes of the Public Sector Salary Disclosure Act, 1996; and 1996; and

  • it does not carry on its activities for the purpose of gain or

profit to its members or shareholders.

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SLIDE 13

PSCRPPSA continued

  • The legislation prohibits increases to rates of pay, pay ranges,

The legislation prohibits increases to rates of pay, pay ranges, benefits, perquisites and other payments that were in effect on March 24, 2010 before the beginning of April 2012, except in specified circumstances.

  • Under the legislation, there are certain conditions specified which

will allow for salary increases for employees, within an existing pay range, providing these were part of an organization’s compensation plan as it existed on March 24, 2010. These conditions include:

  • the employee’s length of time in employment or office
  • assessment of performance
  • the employee’s successful completion of a program or course
  • f professional or technical education.
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SLIDE 14

PSCRPPSA continued

  • Compliance Reporting
  • The PSCRPPSA requires that each employer

subject to the Act must provide the Minister of subject to the Act must provide the Minister of Finance with a compliance report which includes a signed statement from the highest ranking administrative person (ED or CEO) concerning compliance with the Act.

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SLIDE 15

Questions