CENTRAL LHIN CEO REPORT CORRESPONDENCE

Transcription

1 140 Allstate Parkway Suite 210 Markham, ON L3R 5Y CENTRAL LHIN CEO REPORT CORRESPONDENCE

2 Central LHIN CEO Report - Correspondence Table of Contents 1.0 MINISTRY OF HEALTH AND LONG-TERM CARE May 18, 2010 Protected Funding for the Preschool Speech and Language Program (Appendix 1.1) 2.0 LHIN WIDE April 2010 LHIN Collaborative (LHINC) Health System Indicator Steering Committee Communiqué #1 (Appendix 2.1) May 2010 Hospital Service Accountability Agreement Update (Appendix 2.2) May 2010 Long-Term Care Home Service Accountability Agreement (L-SAA) External Communiqué #7 (Appendix 2.3) 3.0 CENTRAL LHIN/OTHER May 17, 2010 Memorandum to Central and Toronto Central LHIN Joint ehealth Council Members regarding the Initiation of GTA ehealth Integration and Alignment Council (Appendix 3.1) Central LHIN Board of Directors CEO Report Correspondence May 25, 2010

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6 MOHLTC MCYS Preschool Speech and City Hospital Central Toronto Metropolitan Toronto North York General Hospital Central Toronto Metropolitan Toronto Humber River Regional Hospital Central York Region Markham Markham Stoufville Hospital Central York Region Newmarket Southlake Regional Health Centre Central East Toronto Metropolitan Toronto Rouge Valley Health System Central East Toronto Metropolitan Toronto Scarborough Hospital - General Division Central West Wellington Dufferin Orangeville Headwaters Health Care Centre ** Champlain Eastern Ontario Hawkesbury Hawkesbury General Hospital Champlain Eastern Ontario Cornwall Cornwall General Hospital Champlain Ottawa Ottawa Children's Hospital of Eastern Ontario Champlain Renfrew Arnprior Arnprior Memorial & District Hospital Champlain Renfrew Renfrew Renfrew Victoria Hospital Champlain Renfrew Deep River Deep River & District Hospital Champlain Rideau Valley Carleton Place Carleton Place Hospital Hamilton Niagara Haldimand Brant Brant Brantford Brant Community Health Care System - Brantford General Site Hamilton Niagara Haldimand Brant Hamilton Hamilton Hamilton Health Sciences Hamilton Niagara Haldimand Brant Hamilton Hamilton St. Joseph's Healthcare Hamilton Niagara Haldimand Brant Niagara St. Catharines Niagara Health System * Mississauga Halton Halton-Peel Milton Milton Hospital Mississauga Halton Halton-Peel Oakville Oakville Trafalgar Memorial Hospital Mississauga Halton Halton-Peel Mississauga Credit Valley Hospital Mississauga Halton Halton-Peel Mississauga Trilium Hospital North East Algoma Elliot Lake St. Joseph's Hospital Elliot Lake North East Manitoulin Sudbury Sudbury Northeast Mental Health Centre North East Nippissing Timiskaming New Liskeard Temiskaming Hospital North Simcoe Muskoka Simcoe Barrie Royal Victoria Hospital North West Kenora Rainy River Atikoken Atikokan General Hospital North West Kenora Rainy River Fort Frances Riverside Health Care Facilities North West Thunder Bay Thunder Bay St. Joseph's Care Group Region Language Program Region South East Hastings Belleville Quinte Health Care Corporation South East Kingston Kingston Hotel Dieu Hospital South East Rideau Valley Brockville Brockville General Hospital South East Rideau Valley Perth and Smith Falls Perth-Smith Falls District Hospital South West Grey Bruce Owen Sound Grey Bruce Health Services South West Grey Bruce Hanover Hanover & District Hospital South West Huron Perth St. Mary's St. Mary's Hospital South West Huron Perth Listowel Listowel Memorial Hospital South West Huron Perth Stratford Stratford General Hospital South West Huron Perth Wingham Wingham & District Hospital South West Huron Perth Goderich Alexanda Marine & General Hospital South West Huron Perth Clinton Clinton Public Hospital South West Huron Perth Exeter South Huron Hospital South West Thames Valley Woodstock Woodstock General Hospital Toronto Central Toronto Metropolitan Toronto Hospital for Sick Children Toronto Central Toronto Metropolitan Toronto Toronto East General Hospital Toronto Central Toronto Metropolitan Toronto Toronto Western Hospital Toronto Central Toronto Metropolitan Toronto St. Joseph's Health Centre Waterloo Wellington Wellington Dufferin Fergus Groves Memorial Community Hospital Waterloo Wellington Wellington Dufferin Mount Forest North Wellington Heathcare Corporation - Louise Marshall/Palmerstone District Hospital Waterloo Wellington Wellington Dufferin Guelph St. Joseph's Health Centre * Formerly Greater Niagara General & Welland sites ** Formerly Dufferin-Caledon Health Care Corporation

7 HEALTH SYSTEM INDICATOR STEERING COMMITTEE Communiqué #1 INTRODUCTION April 2010 This communiqué is the first in a series to be distributed to health system partners including Health Service Providers, Ministry of Health and Long-Term Care, Ontario Health Quality Council, CIHI, ICES, and Local Health Integration Networks regarding progress and outcomes from the LHINs Health System Indicator Steering Committee (HSISC). HEALTH SYSTEM INDICATOR STEERING COMMITTEE The creation and launch of the HSISC is an important step towards developing a coordinated, systembased approach to indicator development, maintenance and monitoring. Under the HSISC, all LHIN indicator activities will be consolidated. Establishing relevant performance measures is a crucial enabler for evidence based decision making, accountability, and delivering high standards of care. Broad representation on the HSISC leverages existing performance management expertise and allows for a comprehensive, system focus for indicator development and maintenance. The mandate of the HSISC is to: Establish and oversee the work of LHIN initiated indicator efforts; Guide the development of system based indicators for all service accountability agreements and other LHIN initiatives as appropriate; Support a consistent approach to indicator activities, including establishing targets and corridors; and Liaise with and contribute to other provincial efforts to develop and implement indicators to advance the system by measuring performance improvements. This is an exciting initiative as health partner s work together to achieve accountability, transparency, and a high quality health system. Continuous monitoring and evaluation of health system performance will be used to measure the impact of health services against system goals and objectives. 1 of 4

8 BENEFIT FOR HEALTH SERVICE PROVIDERS AND THE BROADER HEALTH CARE COMMUNITY The creation of the HSISC brings health system partners together to create awareness and alignment in our collective pursuit to establish a coordinated, system-based approach to indicator identification, development, maintenance and reporting. The HSISC will focus on identifying and developing health system indicators. Given this is a LHIN initiated approach, primary efforts will be focused on indicators in the service accountability agreements between LHINs and health service providers. The focus will then broaden to include other LHIN initiatives as appropriate. The HSISC will rely on health service providers to help identify, develop and implement indicators through engagement and participation in the working group structures. The goal is to implement indicators that will enable system partners to measure and understand the achievement of milestones and outcomes in establishing a more coordinated, system-based approach to care. HSISC STRUCTURE AND ALIGNMENT LHIN CEOs Service Accountability Agreement Steering Committees LHIN Initiated Initiatives LHIN CEO Sponsors HEALTH SYSTEM INDICATOR STEERING COMMITTEE Liaison with Ministry of Health and Long- Term Care and Other Provincial Indicator Initiatives WORKING GROUPS* Detailed Development Tasks Indicator identification and definition Identify and assess corridors and targets Field testing and verification Technical Tasks Data integrity and availability for collection and reporting Reporting systems confirmed Technical definition and calculation methodology development and updating Ministry of Health and Long-Term Care Expertise/ Data *Existing SAA Working Groups to transition into HSISC Working Group Structure. 2 of 4

9 HSISC MEMBERSHIP The HSISC is being formed with membership from across partners that have a role at the provincial level to identify, develop, maintain and report on health system indicators. The working group structure will broaden the reach and involve health service providers and other partners. Member Title Organization Mark Brintnell (Chair) Senior Director, Performance, South West LHIN Contract and Accountability Sten Ardal Director Health Analytics Branch, Ministry of Health and Long-Term Care Martha Auchinleck Senior Director, Performance, Contract and Allocation North East LHIN Nam Bains Team Lead Health Analytics Branch, Ministry of Health and Long-Term Care Pete Crvenkovski Manager, Quality and Utilization Erie St. Clair LHIN Imtiaz Daniel Director of Research Ontario Health Quality Council Sahba Eftekhary Senior Specialist, Health System Strategic Alignment Branch, Ministry of Scorecard Health and Long-Term Care Liane Fernandes Senior Consultant LHIN Collaborative Louise Grenier Funding and Performance Champlain LHIN Consultant Bryn Hamilton Project Consultant LHIN Collaborative Kevin Holder Senior Consultant Funding and North West LHIN Performance Karey Iron Health Information Officer Institute for Clinical Evaluative Sciences Nizar Ladak Chief Operating Officer Ontario Health Quality Council Neil McIntosh Senior Consultant, Performance and Central West LHIN Contract Management James Meloche Senior Director, Planning, Integration Central East LHIN and Community Engagement Paul Pirie Manager Strategic Alignment Branch, Ministry of Health and Long-Term Care Michael Spinks Director, Knowledge Management South East LHIN Judy Switson Manager LHIN Liaison Branch, Ministry of Health and Long-Term Care Rosalind Tarrant Team Lead Performance and Hamilton Niagara Haldimand Brant LHIN Contracts Maria Van Dyk Team Lead, Planning and Negotiations LHIN Liaison Branch, Ministry of Health and Long-Term Care Greg Walsh Manager Health Analytics Branch, Ministry of Health and Long-Term Care Eugene Wen Manager, Health Indicators Canadian Institute for Health Information Sandra Hanmer, CEO, Waterloo Wellington LHIN (CEO Sponsor) Rob Cushman, CEO, Champlain LHIN (CEO Sponsor) 3 of 4

10 HSISC MEETINGS An initial teleconference for the HSISC was held on March 26 th, Discussions highlighted the purpose and role of the Steering Committee; membership; the proposed structure to initiate the work; and the anticipated goals and outcomes of this initiative. Reporting relationships, particularly with the Service Accountability Agreement Steering Committees, and the transition of existing SAA Working Groups (including sector participation) into the HSISC Working Group Structure were also discussed. The HSISC met for the first time on April 22 nd, In focusing on system alignment, the committee examined the domains and classifications for indicators that the LHIN s currently use in comparison to the approach utilized by the Ministry of Health and Long-Term Care, Ontario Health Quality Council, Health System Performance Research Network, and the Institute for Health Improvement (Triple Aim). The team will commence the development of a LHIN indicator framework that supports system alignment and best reflects the LHINs mandate. The HSISC endorsed the need to leverage current work that has been done with respect to indicators, with a focus on moving towards system linkages to better reflect indicator integration, continuity and flow between partners within the system of care. TIMELINES Meetings for the HSISC have been set and will take place on a monthly basis during the initial phase. Work plans and specific milestone and timelines for the Steering Committee and Working Groups are currently being drafted and will be shared once finalized. NEXT STEPS The next meeting of the HSISC will be held on May 19 th, Further updates on the progress of the HSISC s work will be provided in upcoming communiqués. Communiqués will be circulated broadly using established communication channels through LHINC. For further Information, please contact: Mark Brintnell (mark.brintnell@lhins.on.ca) Liane Fernandes (liane.fernandes@lhins.on.ca LHIN Collaborative (LHINC) LHINC is a provincial advisory structure. LHINC engages health service providers, their Associations and the LHINs collectively on system-wide health issues related to the LHINs mandate. 4 of 4

11 May 2010 Hospital Service Accountability Agreement Update Introduction This is the thirteenth communiqué regarding the discussions of the H-SAA Steering Committee on the development of the Hospital Service Accountability Agreement (H-SAA) for Post-Funding Announcement Process After a break of several months, the H-SAA Steering Committee met on April 30th, 2010to discuss H-SAA implementation issues for 2010/11 in light of the Ontario government s March 25th Budget. The Committee was informed that that the Ministry of Health and Long Term Care (MOHLTC) and the LHINs are working together to establish criteria for use in allocating a portion of the 1.5% hospital sector base funding increase announced in the Budget. The OHA is advising the MOHLTC and LHINs as this criteria setting exercise takes place. The H-SAA Steering Committee members agreed that it is essential that the allocations are established quickly and in a manner that directly reflects the process already in place for 2010/11. It was also established that: To minimize administrative burden, simplicity will guide the development of form requirements; and Hospitals will not be required to submit a full HAPS for the 2010/11 Amending Agreement. The funding letter and instructions for updating the H-SAA Schedules will be provided to hospitals by early June, in advance of the expected final funding announcements. Hospitals will have a six week timeframe to submit their completed forms back to the LHINs. Following submission, the consultation process and schedule negotiation are expected to be completed and formally approved within a maximum of four months. A joint LHIN/OHA communication will take place upon announcement of the final funding targets to clarify and confirm next steps. The H-SAA Steering Committee will continue to provide regular updates. For further information please contact: Sandra Hanmer (sandra.hanmer@lhins.on.ca) Marian Walsh (mwalsh@bridgepointhealth.ca) Hospital Service Accountability Agreement Update Hospital Service Accountability Agreement Update is intended to keep senior executives in Ontario hospitals informed about the development of the Hospital Service Accountability Agreement Template, and negotiations between LHINs and hospitals towards achieving balanced budgets and signing service accountability agreements.

12 Long-Term Care Home Service Accountability Agreement (L-SAA) External Communiqué #7 INTRODUCTION This communiqué is the seventh in a series distributed to Ontario long-term care (LTC) homes regarding the development of the long-term care home service accountability agreement (L-SAA). The LTC Home Sector Consultation Team met on April 30 th, 2010 and held a teleconference on May 7 th, This communiqué summarizes key messages and actions resulting from those meetings. S ECTOR CONSULTATION FEEDBACK A letter was sent on behalf of the Ontario Long-Term Care Association (OLTCA), Ontario Association of Non-Profit Homes and Services for Seniors (OANHSS), Ontario Hospital Association (OHA), Association of Municipalities of Ontario (AMO) and City of Toronto to the Co-Chairs of the L-SAA Steering Committee, Deborah Hammons and Leela Prasaud on April 15 th, In response to the concerns raised, a joint LHIN Ministry meeting was held with the Sector Consultation team on April 30 th, Legal representation from all parties were present, to assist in reviewing draft v10 of the template agreement and schedules. The feedback received from the sector Associations on the template agreement and schedules was reviewed thoroughly. The LHIN and Ministry teams worked diligently to respond to the comments and concerns made by the Associations. An updated draft v 11.0 of the template agreement and schedules was shared with the Association representatives in advance of the teleconference meeting on May 7 th. The Associations expressed their sincere appreciation for the stellar efforts of the LHIN and Ministry team members in responding positively to the concerns that they raised, and agreed to endorse support for the L-SAA template and schedules with their respective members. L-S AA TEMPLATE AND S CHEDULES The L-SAA template agreement and schedules have been finalized. The documents have been sent to the LHINs, who will populate the schedules with specific information by home. The consultation and negotiation process will commence in the next few days. L-SAAs must all be signed and in place by June 30 th, 2010, as they take effect on July 1 st, COMPLIANCE INDICATOR Compliance status is the sole performance indicator for the L-SAA in The compliance status indicator will be grounded in the new Compliance Inspection Process, which begins July 1, The full definition for the compliance status performance indicator is currently under review. The L-SAA Indicator Working Group is working with the Ministry and sector Associations to finalize this definition. Further information will be shared with the LHINs and LTC homes in the upcoming weeks. May 12, 2010

13 Long-Term Care Home Service Accountability Agreement (L-SAA) External Communiqué #7 COMMUNICATIONS The sixth external communiqué was circulated to LTC home Associations as well as individual homes on April 12 th, An L-SAA Frequently Asked Questions (FAQ) document Version 4 was provided to all LHINs on May 12, 2010 and will be shared with all LTC homes. As LHINs work with their respective homes, additional questions will be collected and further versions of FAQs will be distributed in support of a consistent approach to the L-SAA consultation process. NEXT S TEPS The next meeting of the L-SAA Steering Committee will be held at the call of the Chairs. For further information please contact: Deborah Hammons (Deborah.hammons@lhins.on.ca) Mimi Lowi-Young (Mimi.Lowi-Young@lhins.on.ca) May 12, 2010

14 MEMORANDUM Date: May 17, 2010 To: From: Subject: Central and Toronto Central LHIN Joint ehealth Council Members Kim Baker, Chief Executive Officer, Central LHIN Bonnie Ewart, Interim Chief Executive Officer, Toronto Central LHIN Initiation of the GTA ehealth Integration and Alignment Council, and the Toronto Central and Central LHIN ehealth Program This April, a GTA ehealth Integration and Alignment Council was formed. A Memorandum of Agreement (MOA) to formalize this Council has recently been approved and signed by ehealth Ontario and the five GTA LHINs (Central West, Mississauga Halton, Toronto Central, Central, and Central East). The purpose of this council is to facilitate the coordination and alignment of ehealth across the LHINs; facilitate the alignment of projects with the LHINs integrated health service plans; and assist ehealth Ontario with the review of projects and the resolutions of issues. This council will be comprised of the CEOs from each of the participating LHINs, and a Senior Vice President from ehealth Ontario. Ultimately the objective of the council will be to work cooperatively and collaboratively to successfully facilitate delivery of information technology and innovation across the GTA. With this new structure in place, and several significant GTA regional ehealth projects initiated, the separate partnership between Toronto Central and Central LHINs including the Joint ehealth Office and Joint ehealth Council is no longer required. As per the Memorandum of Understanding, this memorandum is to provide notice within the suggested 60 day timeframe. We would like to thank you as Joint ehealth Council Members for your dedication and support to both the Central and Toronto Central LHINs during these foundational years building the ehealth portfolio. Through your work as a council you developed a Joint ehealth Strategy for the two LHINs, made recommendations on ehealth project evaluation considerations, highlighted the importance of privacy issues for community-based sectors, assisted in the development of the LHINs Integrated Health Service Plan 2, and participated in a successful call from proposal process from ehealth Ontario as representatives of the LHIN community and as advisors to the LHIN. Your expertise and efforts have been critical to the ehealth successes that have been experienced in both LHINs over the past two and a half years, and provided the foundation for ehealth collaboration across the GTA. Best Regards, Kim Baker Chief Executive Officer Central LHIN Bonnie Ewart Interim Chief Executive Officer Toronto Central LHIN c. Rachel Solomon, Director, Decision Support and Design Richard Huffman, Senior Consultant, ehealth