Submissions (CAPS) & Multi-Sector Service Accountability - - PowerPoint PPT Presentation

Community Accountability Planning Submissions (CAPS) & Multi-Sector Service Accountability Agreements (M-SAA)

2013/14 Refresh Education Session

October 2012

Agenda:

1. Context 2. Timelines 3. CAPS Guidelines

I. Principles Guiding the 2013/14 CAPS & M-SAA Refresh II. Planning for the 2013/14 CAPS & M-SAA Refresh

4. CAPS Components 5. Performance Indicators 6. M-SAA Refresh Content - Schedules 7. Health Service Providers Responsibilities 8. Next Steps 9. Discussion

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Context

Why a 2013/14 CAPS and M-SAA Refresh?

• The LHINs and community based Health Service Providers (HSPs)

entered into an M-SAA for a three year period effective April 1st 2011 to March 31st 2014.

• At that time, the year three (2013/14) financial, service activity and

performance indicator Schedules were indicated as “to be determined (TBD)”.

• Community Health Centre (CHC), Community Care Access Centre

(CCAC), Mental Health and Addiction (MH & A) and Community Support Service (CSS) sectors need to complete a refresh of the 2013/14 Community Annual Planning Submission (CAPS) for the final year of the 2011-14 M-SAA.

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2013/14 CAPS & M-SAA Refresh Development Structure

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CCAC representation MH&A representation MOHLTC representation

M-SAA Steering Committee

CSS representation CHC representation LHIN representation LHIN Legal representation

Health System Indicator Steering Committee CAPS / M-SAA Refresh Working Group

Context

Additional Resources for the 2013/14 CAPS

• The 2013/14 CAPS & M-SAA Refresh Guidelines (“Guidelines”)

contains important background and sector specific information to assist HSPs in completing the CAPS process.

• The 2013/14 CAPS Technical User Guide (“User Guide”) contains

step-by-step instructions on how to complete the CAPS excel based reporting tool.

• All HSPs will be provided with the CAPS forms (excel based reporting

tool), Guidelines and Technical User Guide on or before October 15, 2012.

• ***HSPs should refer to both the Guidelines and User Guide when

completing the 2013/14 CAPS.***

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Timelines

Completing the 2013/14 CAPS & M-SAA refresh

Projected Timelines Oct 1-14 HSP 2013 CAPS & M-SAA refresh webinar/education session Oct 15 LHINs to email 2013/14 CAPS file to HSPs Nov 30 Completed HSP Board approved 2013/14 CAPS submitted to the LHIN Dec - Jan LHIN review of the 2013/14 CAPS & LHIN/HSP consultations on 2013/14 M-SAA indicators Jan 31 HSP approval of M-SAA refresh April 1 Year 3 of the current 2011-14 M-SAA comes into effect

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Demonstrate Accountability between the HSP and the LHIN

• The CAPS refresh will inform the ongoing M-SAA between the LHIN and the HSP.
• The HSP will be accountable to the LHIN for the achievement of the performance
• bligations in the M-SAA.

Funding and Allocation

• HSPs are expected to plan to achieve a balanced operating position for the program

and total organization for each year of the M-SAA.

Integration and Service Coordination

• HSP planning must reflect the HSP’s ongoing responsibility to operate in an efficient

manner in both administrative and direct service areas which may include consultation with other HSPs.

Local Health System Planning

• HSP planning must be in alignment with the LHIN/Ministry priorities, reflect best

practices and based on evidence-informed decisions.

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CAPS Guidelines

Principles Guiding the 2013/14 CAPS & M-SAA Refresh

Minister’s Action Plan

• Keeps people healthy
• Focused on prevention, promotion, and self-management
• Developed strategies for priority populations
• Faster access to family health care
• Have built a strong primary care foundation, with broad access to specialty and community

services

• Right care, right time, right place
• Focused on patient-centric delivery
• Implemented standardized system-wide approach to quality management and

improvement

• Have governance models that engage clinicians and the public in decision-making,

enabling informed service provision that meets community needs in a timely way

• Developed a system structure to integrate services along the continuum of care, optimize

coordination, and foster effective partnerships

• Utilized shared electronic medical records

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LHINs’ Provincial Priorities

Pan-LHIN imperatives

• Enhancing Access to Primary Care – focused on advancing strategies to ensure

people have timely access to a primary care provider and creating enabling structures and processes to align primary care more effectively within the overall continuum

• Enhancing Coordination & Transitions of Care for Targeted Populations – e.g.

Seniors Strategy: focus on seniors have individualized plans of care that allow them to receive the care they need, when and where they need it; and the transitions post-acute are smooth and coordinated

• Implementing Evidence Based Practice to Drive Safety - focused on high priority

safety issues that require consistent, coordinated responses to ensure that patents are safe and that adverse events are minimized/eliminated

• Holding the Gains – focused on ensuring that new initiatives will not cause previous

gains to be eroded (e.g., ER/ALC, ER Wait Times, and access to care, coordination amongst providers, enhanced focus on accountability)

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CAPS Guidelines

Planning for the 2013/14 CAPS & M-SAA Refresh The 2013-14 Refresh will require the HSP to prepare (and consult with the LHIN on) the following Schedules:

• Schedule A1. Description of Services and A2. Population and

Geography Served;

• Schedule B1. Summary of Revenue and Expenses and B2. Activity

Summary;

• Schedule E. Performance Indicator targets and corridors; and
• LHIN specific performance requirements (where applicable).

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• Note: The MOHLTC has not announced an annual incremental

funding allocation adjustment for 2012/13 or 2013/14. HSPs are required to plan and submit a budget based on a 0% funding adjustment. An HSP must consider this planning assumption when developing its forecasts on service volume and indicator performance.

• All AAH funding whether base or one time recurring should be

included in the CAPS refresh.

• CAPS Refresh budget 2013-14 should not include any new

funding for projects recently approved under the 4% Community Funding Allocation.

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CAPS Guidelines

Planning for the 2013/14 CAPS & M-SAA Refresh

M-SAA Refresh Content - Schedules

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Schedule Title Description

A

Description of Services Describes the services delivered by the HSP, client populations and geography served

B

Service Plan Describes the financial and statistical status of the HSP

C

Reports Identifies, describes and sets due dates for HSP reporting

D

Directives, Guidelines, Policies Identifies applicable MOHLTC policies

E

Performance Identifies indicators, standards and local performance requirements

F

Template for Project Funding Permits funding for special projects

G

Declaration of Compliance Form to be completed by the HSPs Board of Directors to declare that the HSP has complied with the terms of the Agreement (Due to the LHIN at Q2 and Year End)

CAPS Components

Identification

• In Step 1 HSPs are required to complete the Identification screen. LHINs will use this

information during review to send inquiries about the submission.

13 All users must complete the instructions for Excel provided in the User Guide in order to begin working in the file.

CAPS Components

Service Plan – 2013/14 Financial & Service Activity

• To update the 2013/14 financial and service activity, HSPs are required to complete

Steps 2, 3 and 4 in the CAPS excel based reporting tool.

• The HSP should prepare the financial budget and service activity budget based on the

historical activity for the organization, adjusted for planned changes in service activity and/or changes recently implemented.

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CAPS Components

Service Plan – 2013/14 Financial & Service Activity

STEP 2 – Financial & FTE Program Plans

Note: HSP’s will have to manually enter their “adjusted budget” for 2012-13 and their 2012-13 forecast taken from their 2012-13 Q2 report.

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CAPS Components

Service Plan – 2013/14 Financial & Service Activity

• STEP 3 – Service Selection Page

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CAPS Components

Service Plan – 2013/14 Financial & Service Activity

• STEP 4 – Activity Planning Page

Note: If the HSP are experiencing a variance of any kind the HSP should include an explanation in the comments section to alert the LHIN to the potential changes in 2013-14.

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CAPS Components

Service Plan – 2013/14 Financial & Service Activity

• The data provided in steps 2,3 and 4 as outlined above will automatically generate

Schedule B1 (Summary of Revenue & Expenses) & Schedule B2 (Activity Summary) *Shown for information only under Step 5.*

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CAPS Components

Detailed Description of Services

• To update the detailed description of services for 2013/14, HSPs are required to

complete Step 5 in the CAPS excel based reporting tool.

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CAPS Components

Detailed Description of Services

• STEP 5 – Detailed Description of Services
• Update Schedule A1- Detailed Description of Services. If service areas have not

changed since last CAPS, please indicate this by simply checking off “No Change” Note: Catchment Areas will be pre-populated by the LHIN.

• Update Schedule A1- Detailed Description of Services if you have added MIS

Functional Centers. If there are no changes, please click “No Changes”.

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CAPS Components

Population & Geography Narratives

• STEP 5 – Population & Geography Narratives
• Update Schedule A2- Population and Geography Narratives if you have had changes

in geography and population served. If there are no changes, please type “no change” in each section.

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CAPS Components

Verify Edit Checks

• After completing Steps 1-5, HSPs will verify the entry and check for errors or
• missions in Step 6.
• Happy faces indicate successful edit checks. Sad faces indicate failed edit

checks, which must be corrected prior to submitting to the LHIN.

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Performance Indicators

2013/14 M-SAA Indicators

• Community Sector Advancing Health System Priorities: To assist the HSP to

achieve ongoing performance improvement, the Health System Indicator Initiative (HSII) has refreshed the listing of indicators to ensure alignment with the Ministers Action Plan and the four pan-LHIN system imperatives (see slides 20 & 21).

• Rigorous Indicator Selection Process: HSII consists of nearly 30 members

including representation from 10 LHINs, MOHLTC Health Analytics Branch and Health Quality Branch, LHIN Liaison Branch, Health Quality Ontario, the Canadian Institute for Health Information, Cancer Care Ontario, the Institute for Clinical Evaluative Sciences and Health System Performance Research Network. Strong sector engagement and consultation throughout the indicator refresh process has been a critical success factor for establishing relevant performance measures.

• Indicators Endorsed By Sector Associations and M-SAA Steering

Committee: The final listing of indicators is expected to be endorsed over the next few

weeks by the M-SAA Steering Committee** (comprised of representatives from OACCAC, OANHSS, CMHA, AOHC, MOHLTC, OFCMHAP, sector representatives) and approved by the LHINs.

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Performance Indicators

2013/14 M-SAA Indicators

• The final listing of indicators, technical specifications, target/corridor setting

guidelines and Schedule E - Performance templates, will be provided on November 30, 2012. The technical specifications document will be posted on all LHIN websites. A draft listing of core and sector specific indicators is available in the Guidelines.

• Following the submission of the November 30 CAPS, LHINs and HSPs will

consult on the accountability indicator targets appropriate to the organization and local circumstance.

• The LHIN will also provide historic data, where necessary, on certain

indicators and this will be the starting point for the discussion of targets for the 2013/14 M-SAA Schedule E.

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HSP Responsibilities

• Each HSP Board must approve the 2013/14 CAPS prior to submission

as this serves as the basis for the preparation of the 2013/14 M-SAA Schedule refresh.

• HSPs will be required to provide the LHIN with documentation

verifying Board approval of the 2013/14 CAPS Refresh at the time of the CAPS Refresh submission.

• HSP’s are expected to work within the timelines posted for a

successful submission.

• Failure to meet the timelines outlined is a contravention of your M-

SAA and the LHIN will take necessary performance improvement steps to rectify the non-compliance, as available in the M-SAA, up to and including termination.

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Next Steps

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Website

• Webinar presentation will be posted on HNHB LHIN website.
• 2013/14 CAPS Guidelines, User Guide and CAPS forms to be posted
• n the on HNHB LHIN website on or before October 15, 2012.
• HSP’s to submit their Board Approved CAPS Refresh to the following

e-mail address no later than November 30, 2012 - hnhb.submissions@lhins.on.ca.

• LHINs will review 2013/14 CAPS submissions and follow-up with HSPs
• n any questions and clarifications needed.

Next Steps (continued)

• 2013/14 M-SAA amendment letter to be available November

30, 2012.

• Final Indicator Listing, Technical Specifications and

Performance Schedules to be available November 30, 2012.

• Agencies with questions should check the updated FAQs and

provincial communiqués on the HNHB LHIN website.

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LHIN Contact Information

• Jim Borysko, Advisor, Quality and Risk Management at

jim.borysko@lhins.on.ca or 905 945-4930 ext. 4219

• Ashley Bolduc, Program Assistant, Quality and Risk

Management at ashley.bolduc@lhins.on.ca

• HNHB LHIN Website

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Discussion/Questions?

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