Hospital Improvement Plan Niagara Health System Staff Report December 16, Hamilton Niagara Haldimand Brant Local Health Integration Network
|
|
- Amberlynn Harrington
- 6 years ago
- Views:
Transcription
1 Hospital Improvement Plan Niagara Health System Staff Report December 16, 2008 Hamilton Niagara Haldimand Brant Local Health Integration Network
2 Question: Emergency Medical Services (EMS) The EMS stated (HNHB LHIN Board educational session) that if Fort Erie and Port Colborne are not designated as Emergency Departments, EMS will have to take the patients to either Welland or Niagara Falls. They stated they currently take approximately 4200 patients to Fort Erie and Port Colborne. EMS went on to state they will require more resources if they have to bypass these two sites. They mentioned as a minimum $3,000,000. How valid is this assumption? 1
3 Answer: EMS EMS has confirmed the cost figure was an estimate and does not reflect the impact of the Niagara Health System Hospital Improvement Plan (NHS HIP) Full financial impact will be assessed when the HIP directions are confirmed and an implementation schedule developed The costs of any additional ambulance coverage will be assessed against other enablers: e.g. offloading improvement strategies, education about ambulance utilization 2
4 Question: EMS What communication has there been to date for serious discussion with the EMS? 3
5 Answer: EMS It is too early to assess what impact any NHS service distribution changes will have on EMS. It will be necessary for EMS to participate throughout the ongoing planning and implementation processes over the next three to five years and contribute to the solutions for > patient flow e.g. ambulance destination protocols, timely ambulance offload, NHS wide patient transfer protocols among sites, reduced fire dept. accompaniment, and advanced paramedic target 4
6 Question: Funding Assumptions Re NHS funding assumptions: For the economic increase in expenses year over year, NHS appears to be using 3%, yet Joseph Brant Memorial Hospital mentions in their newsletter that costs are going up 4-5%. Which one is right? 5
7 Answer: Funding Assumptions NHS inflationary cost assumptions: 3% for salaries and wages; 3.5% for supply costs. Base funding assumption: 3% annually. 6
8 Answer: Funding Assumptions Cont d Over the term of the Hospital Service Accountability Agreement (HSAA), , inflationary pressures are outstripping funding increases. For 2008/09 NHS received about 2.5% and for 2009/10, the planning allocation is 2.2%. MOHLTC determined these adjustments. With > costs growing quicker than funding, it is challenging for a hospital to improve efficiency and service delivery processes for a balanced budget. Inflationary increases > than the assumption place > financial pressure on the hospital. 7
9 Question: Assumptions Some of the other assumptions the NHS is using to contain costs are beyond their control - how realistic are these savings? 8
10 Answer: Assumptions Comments are provided on some of the key assumptions in the NHS financial outlook. The savings of 82 inpatient beds through diversion of Alternate Level of Care (ALC) is optimistic in the short term. Although the LHIN has implemented a number of strategies to reduce ALC, it will take time to see the benefits and some of the positive results may be offset by > demand. The opening of 96 Long term care beds in 2011 should provide relief. 9
11 Question: Funds Follow Consumers? Will there be a transfer of funds from the Hamilton hospitals to NHS if Niagara residents currently being treated in Hamilton receive treatment locally? Answer: Funds Follow Consumers The Clinical Services Plan (CSPlan) will determine the appropriate distribution of health services for hospitals in HNHB LHIN. As the outcomes of the CSPlan are implemented, it will be essential that funding follows any new siting of programs or volumes. 10
12 Question: Enablers to alleviate shortfalls What specifically can be done in the short term to address the NHS shortfall-cuts in services for instance: help from MOHLTC, staffing adjustments, admin cost reductions? Will the introduction of the Health Based Allocation Model (HBAM) help? 11
13 Answer: Enablers for Shortfalls The LHIN is working closely with NHS to manage fiscal pressures. NHS is implementing the recommendations of the HCM report. Implementation will generate nearly $6 million in savings for the current fiscal year. As HIP directions and recommendations from the "Review of the Reviews" is implemented, additional savings will materialize in base operations, however, immediate savings may be offset by one-time costs to enable change. The funding formula is not a solution. Planning targets for the 2009/10 fiscal year allocation have already been communicated, approximately 2.1%. 12
14 Question: ALC Impacts What predictions can we make about the impact of Alternative Level of Care reduction strategies and the resulting cost reductions for the NHS? 13
15 Answer: ALC Impacts The LHIN, its stakeholders and the Ministry are working to identify immediate, short term and longer term strategies to alleviate ALC. Outcomes of early Aging at Home initiatives are pending Current ALC rate is approximately 21% and the LHIN and stakeholders are working to achieve 16% as per the Ministry LHIN Accountability Agreement (MLAA). 14
16 Question: Cardiac, Cancer and New Site If waiting times for cancer and cardiac treatment for Niagara residents in Hamilton are satisfactory, should the plans for the new hospital and the impact on the HIP be re-considered, especially given the apparent community satisfaction with the current situation? 15
17 Answer: Cardiac, Cancer and New Site While the cardiac wait times for advanced cardiac services have decreased, this success was the result of a capital expansion at Hamilton Health Sciences (HHS) (new cardiac catheterization lab and operating room). HNHB LHIN population demographics and projected advanced cardiac service needs (cardiac catheterization, percutaneous coronary intervention (PCI), advanced arrhythmia services) indicate that the existing 4 cardiac cath labs at HHSC will not be sufficient to meet future demand 16
18 Answer: Cardiac, Cancer and New Site Cont d Building cardiac catheterization capacity in Niagara (over further expansion in Hamilton) brings services close to home for a significant proportion of the LHIN s population while allowing for the development of one LHIN advanced cardiac program operated at two sites (Hamilton and Niagara) to promote program quality and sustainability, optimize health human resources and expand the option of primary (PCI) for residents of Niagara. 17
19 Answer: Cardiac, Cancer and New Site Cont d The Ontario Cancer Plan supports bringing cancer services closer to home. The Functional Program for a Niagara Regional Cancer Centre, endorsed by Cancer Care Ontario and approved by the Ministry of Health and Long-Term Care, the Walker Family Cancer Centre will be a Centre of Excellence for cancer care, located at the new healthcare complex in St. Catharines. 18
20 Question: Who Does What? Are there services being provided by NHS that could/should be transferred to another provider? 19
21 Answer: Who Does What? There are questions across the Province as to the role scope for hospitals in addictions services. NHS and area addictions providers should plan together. NHS role in paediatric care and children's mental health should be planned with tertiary services in Hamilton. The respective roles of NHS and Hotel Dieu Shaver Health and Rehabilitation Centre (HDS) in rehab, complex continuing care, slow stream rehab and reactivation programs need to be more fully explored. NHS and Kitts Report concur: withdraw thoracic surgery Other opportunities may emerge in clinical services planning 20
22 Question: Maternal Newborn Services Would the maintenance of maternity services for routine births at Greater Niagara General Hospital (GNGH) and/or Welland County Hospital (WCH) and the creation of a centre for more complex cases at St. Catharine s General Hospital (SGH) be feasible and sustainable? Why is a centre for excellence for maternity not feasible at either of GNGH or WCH, given the staff's concerns about the need for a pediatric centre at SGH? 21
23 Answer: Maternal Newborn Services The case for consolidation Quality and economies of scale: 1500 births a year Space requirements: 50,000 sq. feet Existing three sites: significant renovations and considerable domino effect 22
24 Answer: Maternal Newborn Cont d The most important consideration for the maternal child program is quality. When women and children access obstetrical and paediatric care, it is critical that it be of high quality. Consolidation to the St. Catharines site is consistent with this priority (Kitts, 2008) 23
25 Question: Rehab Capacity Can Hotel Dieu Shaver handle all of the rehab needs for NHS? Answer: Rehab Capacity To be assessed pending LHIN-wide review of complex continuing care and rehabilitation 24
26 Question: Urgent Care and Evaluation Urgent Care Centres (UCCs) - In what time frame will the evaluations take place and are they guaranteed for a specific time? If they are successful will every effort be made to keep them operational? Answer: Urgent Care and Evaluation It would be appropriate for NHS to consult with other UCCs about their evaluation approaches and appropriate trend data for meaningful assessment. Likely the UCCs would remain available to the extent they are meeting level of care need. 25
27 Question: The HIP and Physician Retention Can we predict the impact on doctors' staying in their current communities if the hospital services change, particularly in Fort Erie and Port Colborne, given the prominent role family practitioners play in those hospitals? 26
28 Answer: The HIP and Physician Retention Recruitment and retention is strengthened when program and service directions are clear and committed with Centres of Excellence that support volume, equipment, coverage The HIP no impact on Family Physicians and their role with learners/students Majority of new medical graduates seek opportunities that offer quality infrastructure, professional support, and reasonable workload 27
29 Question: Inter-site Transit Inter-site transportation - In what depth has the cost of this service been explored and if so, are these costs figured into the five year budget? Answer: Inter site Transit This initiative would be addressed by NHS in an implementation plan. 28
30 Requirements of H Guidelines for Hospital Emergency Units in Ontario (1989) Guidelines developed by the MOHLTC to assist hospital boards in ensuring that emergency units are capable of providing rapid assessment and basic stabilization of patients with life, limb, or function threatening conditions, and when necessary, to admit such patients or arrange for their rapid transfer to other treatment facilities. A hospital emergency unit is considered to be a unit within a hospital that is specifically designated, staffed and equipped to care for persons requiring immediate or urgent assessment, diagnosis, and treatment of illness and injury. 29
31 Requirements of H Cont d Quality of Care The Emergency Department (ED) must be covered by a physician 24/7 and if on-call must respond within 15 minutes (most ED s have on-site physicians). Emergency unit medical/nursing personnel must possess knowledge and skills in emergency medicine sufficient to perform triage, evaluation, and resuscitation of emergency patients with life, limb, or function threatening conditions Mandatory skills include airway management; cardiac defibrillation; cardiac monitoring, initiation of critical IV solutions; administration of drugs for life threatening conditions 30
32 Requirements of H Cont d Quality of Care Cont d Equipment and supplies must be immediately available Pharmacologic interventions must be immediately available Clinical lab and diagnostic imaging should be available. 31
33 Requirements of H Cont d Quality Assurance Programs The emergency unit should have programs to evaluate the quality of care provided to patients. Examples provided include physician/nurse audits; mortality review; random chart audit; outcome reviews; specific entity review; documentation of continuing medical education 32
34 Requirements of H Cont d Patient Transfer The staff must be aware of specialized treatment centers and critical care facilities within their region. Staff should be familiar with the Provincial Guidelines for Transferring Critically Ill Patients between hospitals. Transfer of an emergency patient must not occur until appropriate evaluation has been completed and stabilization procedures have been instituted. Consultation with specialized treatment centers regarding management and/or early transfer is indicated for severe and /or multiple trauma; spinal cord injury; severe or extensive burns; acute renal failure; high risk obstetrics, etc. 33
35 Ambulance Redirects Currently Approx 284 people (CTAS 1 and 2) arrive at Douglas Memorial site by ambulance annually Approx 274 people (CTAS 1 and 2) arrive at Port Colborne site by ambulance annually Hence, the current HIP Plan suggests that approximately 274 people would be taken directly to one of three sites for emergency care (~ 23 a month) 34
36 Current Utilization CTAS 1 and CTAS 2 (6 months 2008) Apr- Sept Arrival Port Colborne Douglas Memorial CTAS 1 CTAS 2 CTAS 1 CTAS 2 EMS OPT Walk in Total Source: NHS,
37 CTAS Levels CTAS Levels Physician Reassess (RN) Level 1 Resuscitation Immediate aggressive interventions Continuous nursing care Level 2 Rapid medical intervention by physician or Every 15 minutes Emergent medical directive Level 3 Serious problem requiring Emergency Every 30 minutes Urgent intervention Level 4 Benefit from intervention or reassurance Every 60 minutes Less Urgent within one or two hours Level 5 Non-Urgent could be delayed or even referred to other areas of the hospital or health care system Every 120 minutes Source: Beveridge, R. et al CTAS-Canadian Emergency Department Triage and Acutiy Scale: Implementation Guidelines. CJEM 1999, Oct Special Supplement. 36
38 Sustainability People Assets Financial Health 37
39 Sustainability: People Health human resources - people are stretched across multiple sites Nurse (ONA) vacancy rate is 6.85%; overall vacancy rate is 5.29% (October 31, 2008) Ontario Nurses Association has censored NHS since 2002 Physician recruitment a challenge 38
40 Sustainability: Finances 39
41 Draft Financial Outlook Niagara Health System Hospital Improvement Plan (December 10, 2008 Amendment) 40
42 NHS Financial Outlook 2007/2008 Actual 2008/2009 Forecast 2009/2010 Plan 2010/2011 Plan 2011/2012 Plan 2012/2013 Plan REVENUE MOHLTC Base Allocation 284,039, ,634, ,211, ,158, ,372, ,864,000 MOHLTC Allocation - Interest Carrying Costs 2,570,000 3,055,000 3,085,000 2,985,000 MOHLTC Additional Funding 3,004,500 PCOP-New Hospital and Rehab 2,600,000 2,600,000 65,482,500 One-time payments 15,256,845 8,275,150 8,275,150 9,275,150 10,275,150 11,275,150 Paymaster 8,837,100 9,448,250 9,903,950 10,382,450 10,884,850 11,381,850 Other Revenue from MOHLTC 6,779,284 7,269,850 7,269,850 7,269,850 7,269,850 7,269,850 Sub total MOHLTC 314,913, ,627, ,230, ,740, ,487, ,262,850 Other Revenue-Patient/Differential/Recoveries/Amortization 56,580,502 54,646,850 54,924,350 55,401,850 55,879,350 56,356,850 TOTAL REVENUE 371,493, ,274, ,155, ,142, ,367, ,619,700 EXPENSE Compensation and Benefits 244,168, ,281, ,640, ,847, ,982, ,280,800 Medical Staff Remuneration 35,173,312 33,817,600 33,367,600 33,367,600 33,367,600 33,367,600 Supplies and Other Expenses incl med/surg/drugs/amortization 108,330, ,104, ,115, ,427, ,772, ,986,300 Interest - short term 1,676,789 1,900,800 2,570,000 3,055,000 3,085,000 2,985,000 TOTAL EXPENSE 389,349, ,104, ,693, ,697, ,208, ,619,700 SURPLUS/(DEFICIT) FROM HOSPITAL OPERATIONS (17,855,608) (17,830,000) (11,538,300) (8,554,700) (4,841,300) - Change in Financial Position 25,608 6,291,700 3,233,600 3,720,900 1,882,900 Ratio: Total Margin as % of Revenue -4.8% -4.8% -3.0% -2.2% -1.2% 0.0% Working Capital Deficit (116,800,000) (134,630,000) (146,168,300) (154,473,000) (159,056,800) (161,757,700) 41
43 NHS Financial Outlook LHIN Comments MOHLTC One Time Funding - $3.5 million in , the MOHLTC provided NHS with a $3.5 million one-time payment funds recorded as revenue - reducing deficit from $21.3 million if all else remained the same the deficit would be greater by this amount, hence the need to add it back to the forecast Base Funding and Economic Increase base funding % increases less than inflationary increases difference impacts hospital s deficit Interest Carrying Costs $11.71 million assumed interest cost incurred on the annual bridge financing will be funded by the LHIN on a one-time annual basis cash advances are basically interest free loans that help reduce the carrying costs of working capital deficits ministry has not funded these costs historically nor is expected to in the future hospital expected to manage costs of borrowing 42
44 NHS Financial Outlook LHIN Comments Additional Base Funding Required - $3.0 million financial outlook revised to remove savings related to inpatient and emergency services at the Fort Erie site Net impact on the deficit is $4.4 million. Revised financial position at March 31, 2013 is a deficit of $3.0 million HIP Surplus as per Addendum dated November 18, 2008 $ 1,395,500 Removal of Funding Assumed for Port & Fort ER - end state vision comprehensive primary care and monitored beds (4,900,000) Removal of costs related to Fort Erie monitored beds 500,000 Revised Deficit at $ (3,004,500) 43
45 NHS Financial Outlook LHIN Comments HCM Initiatives - $14.3 million NHS has started to implement the recommendations from HCM expected savings in is $6.72 million these savings enable NHS to hold their deficit to $18 million - without these savings, the forecast deficit would be $24.72 million. ALC Reduction - $9.75 million as a result of the AAH initiatives $9.75 million of savings projected from the reduction in ALC beds may be overly optimistic estimate difficult to quantify a reduction in ALC beds as a result of the initiatives being implemented under AAH 44
46 Sustainability: Quality Challenges Demographic Change Health System Transformation Multiple Sites Finite Resources Quality Cooperative Meaningful Relationships 45
47 On the HIP: Response to Recent Correspondence There is no hospital closure Quality trumps cost for long-term gain War of words over emergency access and the implications for the most urgent of cases Kitts Review: Requirement for champions to step up 46
48 In Closing: Niagara Health System Responsibility Hospital Boards are required to ensure that hospital administrative and medical leadership develop plans to deal with situations that could place a greater than normal demand on the services provided by the hospital and disrupt the normal hospital routine (Public Hospitals Act) Hospitals are responsible to deliver and manage programs and services effectively and efficiently, safeguard protected services and roll out provincial strategies (HAPS Guidelines) Hospitals are required to improve access to high quality health services, coordinated health care and effective and efficient management (LHSIA) 47
49 In Closing: Niagara Health System Responsibility Cont d The LHIN requires health service providers and their partners to advance health improvement solutions that are in the public interest collaborative coordinated, and focused on the needs of residents and patients. 48
Hospital Improvement Plan Niagara Health System
Hospital Improvement Plan Niagara Health System Presentation to Hamilton Niagara Haldimand Brant Local Health Integration Network (HNHB LHIN) Board of Directors November 25, 2008 HNHB LHIN Staff Health
More informationREVIEW OF THE NIAGARA HEALTH SYSTEM HOSPITAL IMPROVEMENT PLAN
REVIEW OF THE NIAGARA HEALTH SYSTEM HOSPITAL IMPROVEMENT PLAN Dr. Jack Kitts Submitted to the Haldimand Niagara Hamilton Brant Local Health Integration Network October 28 th, 2008 Table of Contents 1)
More informationMinistry-LHIN Performance Agreement (MLPA) Patient Flow Report
Ministry-LHIN Performance Agreement (MLPA) Patient Flow Report Quality and Safety Committee Hamilton Niagara Haldimand Brant (HNHB) Local Health Integration Network (LHIN) November 21, 2012 Agenda 2012-13
More informationAccess to the Best Care Urgent Care Centre
1 Access to the Best Care Urgent Care Centre Overview Earlier this year, Hamilton Health Sciences (HHS) introduced 'Access to the Best Care.' This is a multi-faceted, four-year plan designed to ensure
More informationMINISTRY/LHIN ACCOUNTABILITY AGREEMENT (MLAA) MLAA Performance Assessment Dashboard /10 Q3
MINISTRY/LHIN ACCOUNTABILITY AGREEMENT (MLAA) MLAA Performance Assessment Dashboard - 29/1 Q3 README The 29/1 MLAA Dashboard has been designed to reflect various reporting fiscal periods as well as the
More informationService Accountability Agreements Update
Service Accountability Agreements Update Central East Local Health Integration Network Board Meeting Date: December 21, 2016 Presented By: System Finance and Performance Management Overview Context Service
More informationH-SAA AMENDING AGREEMENT. THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of October, 2016
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of October, 216 B E T W E E N: SOUTH WEST LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND St. Joseph's Health
More informationH-SAA AMENDING AGREEMENT B E T W E E N: TORONTO CENTRAL LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 216 B E T W E E N: TORONTO CENTRAL LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND WOMEN'S COLLEGE
More informationKingston Health Sciences Centre EXECUTIVE COMPENSATION PROGRAM
Kingston Health Sciences Centre EXECUTIVE COMPENSATION PROGRAM Background In 2010, the Province of Ontario legislated a two-year compensation freeze for all non-unionized employees in the Broader Public
More informationH-SAA AMENDING AGREEMENT
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 216 B E T W E E N: NORTH EAST LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND (the Hospital ) WHEREAS
More informationAn Integrated Program for Complex Care in the Hamilton Niagara Haldimand Brant Local Health Integration Network
An Integrated Program for Complex Care in the Hamilton Niagara Haldimand Brant Local Health Integration Network Final Report from the Task Group on Coordinated Strategy for Complex Care to the Hamilton
More informationAmbulance Response 90th Percentile Times
Time Perth County Paramedic Services Perth County EMS Provincial Response Time Reporting: Prior to the downloading of land ambulance services in 2000 to the upper tier municipalities (UTM) and Designated
More informationAMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2010 B E T W E E N: NORTH SIMCOE MUSKOKA LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) - and - MUSKOKA ALGONQUIN
More informationH-SAA AMENDING AGREEMENT. THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of July, 2017
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of July, 2017 B E T W E E N: CHAMPLAIN LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND University of Ottawa
More informationDUFFERIN COUNTY PARAMEDIC SERVICE
DUFFERIN COUNTY PARAMEDIC SERVICE 2015-2016 ANNUAL REPORT Table of Contents Patient Stories... 2 Vision, Mission, Values... 3 Our Service... 4 Our People... 5 System Performance... 6 Program Development...
More informationHospital Service Accountability Agreements
2017-2018 Schedule A Funding Allocation 2017-2018 [1] Estimated Funding Allocation Section 1: FUNDING SUMMARY LHIN FUNDING LHIN Global Allocation (Includes Sec. 3) Health System Funding Reform: HBAM Funding
More informationBalanced Scorecard Highlights
Balanced Scorecard Highlights Highlights from 2011-12 fourth quarter (January to March) Sick Time The average sick hours per employee remains above target this quarter at 58. Human Resources has formed
More informationINDEPENDENT ASSESSMENT COMMITTEE REPORT SUMMARY
INDEPENDENT ASSESSMENT COMMITTEE REPORT SUMMARY Employer: Lakeridge Health Oshawa, Emergency Department (Oshawa Site) Board: Chair: Leslie Vincent; ONA Nominee: Cindy Gabrielli; Employer Nominee: Susan
More informationSt. Joseph s Continuing Care Centre
St. Joseph s Continuing Care Centre March 2012 St. Joseph s Continuing Care Centre 1 Part A: Overview of Our Hospital s Quality Improvement Plan 1. Overview of our quality improvement plan for 2012-13
More informationJanuary 18, Mike Horrobin Board Chair
January 18, 2018 Dear Community Member, In 2014, the Government of Ontario began the process of developing public sector compensation frameworks to ensure a transparent and consistent approach to executive
More informationRehabilitation Activation/Restoration Short Term Complex Medical Management Long Term Complex Medical Management
June 2016 (Rev. July 2017) Introduction The Referral Options for Bedded Rehabilitative Care Programs/Services was developed by the Rehabilitative Care Alliance (RCA) to assist referrers when looking for
More informationMarch 24, Ms. Angela Robertson Executive Director Central Toronto Community Health Centres 168 Bathurst Street Toronto, ON M5V 2R4
425 Bloor Street East, Suite 201 Toronto, ON M4W 3R4 Tel: 416 921-7453 Fax: 416 921-0117 Toll Free: 1 866 383-5446 www.torontocentrallhin.on.ca March 24, 2016 Ms. Angela Robertson Executive Director Central
More informationFocused Organizational Analysis of Hôtel- Dieu Grace Hospital, Windsor & Windsor Regional Hospital
Focused Organizational Analysis of Hôtel- Dieu Grace Hospital, Windsor & Windsor Regional Hospital Final Report June 2002 HayGroup Table of Contents Section Page EXECUTIVE SUMMARY...I 1.0 INTRODUCTION...1
More informationExecutive Compensation Policy and Framework BLUEWATER HEALTH
Executive Compensation Policy and Framework BLUEWATER HEALTH 1. Background The Province of Ontario introduced The Broader Public Sector Accountability Act in 2010 (BPSAA), which introduced controls on
More informationOptimizing Operating Room Utilization Across a Multi-Site Organization
Patty Welychka, Executive Lead Perioperative Program, CNO, Welland, Port Colborne, Douglas Memorial Sites, Niagara Health System Niagara Health System The Niagara Health System (NHS) is one of the largest
More informationSt. Mary's General Hospital Hospital Improvement Plan. Submission date: November 11, 2011
St. Mary's General Hospital Hospital Improvement Plan Submission date: November 11, 2011 Board Approval: November 4, 2011 Preface The Hospital Improvement Plan (HIP) was undertaken as a self correcting
More informationCE LHIN Board Ontario Shores Update January 19, Glenna Raymond, President and CEO
CE LHIN Board Ontario Shores Update January 19, 2010 Glenna Raymond, President and CEO Ontario Shores: The Journey Begins 2 Divestment from Government March 27, 2006 a standalone public hospital Creation
More informationUnderstanding and Identifying Target Populations for Integrated Care
Understanding and Identifying Target Populations for Integrated Care W.Wodchis, X.Camacho, I. Dhalla, A. Guttman, B.Lin, G.Anderson Leveraging the Culture of Performance Excellence in Ontario s Health
More informationRECOMMENDATION STATUS OVERVIEW
Chapter 2 Section 2.01 Community Care Access Centres Financial Operations and Service Delivery Follow-Up on September 2015 Special Report RECOMMENDATION STATUS OVERVIEW # of Status of Actions Recommended
More informationHealth System Performance and Accountability Division MOHLTC. Transitional Care Program Framework
Transitional Care Program Framework August, 2010 1 Table of Contents 1. Context... 3 2. Transitional Care Program Framework... 4 3. Transitional Care Program in the Hospital Setting... 5 4. Summary of
More informationMarch 28, 2018 For Decision Board of Directors Item 9.0 Comprehensive Regional Cardiac Program Plan
BRIEFING NOTE March 28, 2018 For Decision Board of Directors Item 9.0 Comprehensive Regional Cardiac Program Plan PURPOSE To provide the WWLHIN Board of Directors with a recommendation to endorse the proposed
More information1.0 CALL TO ORDER/REVIEW OF AGENDA. 2.0 NEW BUSINESS/INFORMATION/APPROVALS 2.1 Chair s Remarks
Item 1.1 LONDON HEALTH SCIENCES CENTRE OPEN MEETING OF THE BOARD OF DIRECTORS Held, Wednesday, March 25, 2014 @ 1500 hours in the Victoria Hospital Board Room C3-401 Board Members Present: B. Bird, V.
More informationH-SAA AMENDING AGREEMENT. THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2017
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2017 B E T W E E N: CHAMPLAIN LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND Deep River and District
More informationTHE SARS COMMISSION PRESENTATION. William Osler Health Centre
THE SARS COMMISSION PRESENTATION William Osler Health Centre Presentation Elements On May 27th, William Osler Health Centre Etobicoke Hospital Campus became responsible for the assessment and treatment
More informationHealth. Business Plan to Accountability Statement
Health Business Plan 1997-1998 to 1999-2000 Accountability Statement This Business Plan for the three years commencing April 1, 1997 was prepared under my direction in accordance with the Government Accountability
More informationH-SAA AMENDING AGREEMENT. THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2016
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2016 B E T W E E N: CHAMPLAIN LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND Pembroke Regional Hospital
More informationHealth System Funding Reform: Driving Change using Technology Presentation to Canadian Health Informatics Association
Health System Funding Reform: Driving Change using Technology Presentation to Canadian Health Informatics Association April 2014 Ministry of Health and Long-Term Care V2.4 (2014-04-28) Session Objectives
More informationQUALIFICATIONS AND EXPERIENCE
2016 QUALIFICATIONS AND EXPERIENCE Hay Group Health Care Consulting 2016 QUALIFICATIONS AND EXPERIENCE Health Care Consulting HAY GROUP HEALTH CARE CONSULTING Hay Group Health Care Consulting is part of
More informationSupporting Best Practice for COPD Care Across the System
Supporting Best Practice for COPD Care Across the System May 3, 2017 Health Quality Ontario The provincial advisor on the quality of health care in Ontario Overview Health Quality Ontario background QBP
More informationGender. Age DEMOGRAPHICS POINTS OF DISTINCTION COMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES STATE OF FLORIDA BRAIN AND SPINAL CORD PROGRAM
POINTS OF DISTINCTION 89-bed Acute Adult Inpatient Rehabilitation Unit, All private rooms 4 th largest Rehabilitation provider in the state of Florida Admitted 2157 patients from April 2017 through March
More informationMINISTRY OF HEALTH AND LONG-TERM CARE
THE ESTIMATES, 1 The Ministry provides for a health system that promotes wellness and improves health outcomes through accessible, integrated and quality services at every stage of life for all Ontarians.
More informationHay Group Health Care Consulting
2011 Qualifications and Experience Health Care Consulting Hay Group Health Care Consulting Hay Group Health Care Consulting is part of Hay Group, one of the world s preeminent consulting firms focusing
More informationProvincial Dialysis Capacity Assessment Executive Summary. April 2012
Provincial Dialysis Capacity Assessment 2011-2020 Executive Summary April 2012 Table of Contents Introduction... 2 Planning Process... 2 Methodology... 3 Dialysis Planning Support Model... 3 Data... 3
More informationApproved Executive Compensation Policy and Framework Feb. 28, 2018 Executive Compensation Policy and Framework WOODSTOCK HOSPITAL
Approved Executive Compensation Policy and Framework Feb. 28, 2018 Executive Compensation Policy and Framework WOODSTOCK HOSPITAL Organization (Full Name): Woodstock Hospital General Trust Last Name: Ziegler
More information2016 Ontario Hospitals Maternal-Child Services Report LHIN-level Indicators
216 Ontario Hospitals Maternal-Child Services Report LHIN-level Indicators TAB Intro Population IP ED MH OBS LHIN map, the list of acronyms, and key definitions 1. Paediatric Population Overview Ontario
More informationOutstanding Care No Exceptions! Zero Based Budgeting Project Summary
Outstanding Care No Exceptions! Zero Based Budgeting Project Summary Contents 1.0 INTRODUCTION... 2 1.1 EARLY ADOPTER OF CHANGE AND WORKING CAPITAL DEFICIT... 2 1.2 UNPRECEDENTED GROWTH... 2 1.3 ACCOUNTABILITY
More informationHôtel-Dieu Grace Healthcare Strategic Operating Plan 2015/ /18
Hôtel-Dieu Grace Healthcare Strategic Operating Plan 2015/16 2017/18 2015/16 2017/18 HDGH Strategic Operating Plan Page 1 Table of Contents Executive Summary... 4 Background... 5 Environmental Considerations...
More informationAPPENDIX 7C BENEFITS REALISATION PLAN
APPENDIX 7C BENEFITS REALISATION PLAN 150804 Shropshire Future Fit SOC v2.2 Appendices APPENDICES Draft Benefits Realisation Plan V0.9 150415 FutureFit Benefits Realisation Plan V0.9 Page 1 The purpose
More informationAppendix B: Formulae Used for Calculation of Hospital Performance Measures
Appendix B: Formulae Used for Calculation of Hospital Performance Measures ADJUSTMENTS Adjustment Factor Case Mix Adjustment Wage Index Adjustment Gross Patient Revenue / Gross Inpatient Acute Care Revenue
More informationTransforming Health Care For Seniors in the Mississauga Halton LHIN Right care, right time, right setting, right cost
Transforming Health Care For Seniors in the Mississauga Halton LHIN Right care, right time, right setting, right cost Narendra Shah COO MH LHIN September 29, 2010 1 Implications of Alternate Level of Care
More informationReport on Provincial Wait Time Strategy
Hôpital régional de Sudbury Regional Hospital Report on Provincial Wait Time Strategy May 2007 Provincial Wait-time Strategy Announced by Minister of Health in November 2004 Focus is to increase access
More informationPOLICY TITLE HIGHER LEVEL OF CARE (HLC) AND/OR LIFE, LIMB AND THREATENED ORGAN (LLTO)
Page 1 of 10 POLICY TITLE 1.0 PURPOSE Patients requiring higher level of care and/or life, limb and threatened organ care will be guaranteed access without exception to an acute care facility that has
More information2016/17 Emergency Department Pay-for-Results Program (Year 9)
2016/17 Emergency Department Pay-for-Results Program (Year 9) Central East LHIN Board of Directors May 25, 2016 Presented By: Brian Laundry, Senior Director, System Design and Integration Overview Background
More information4.09. Hospitals Management and Use of Surgical Facilities. Chapter 4 Section. Background. Follow-up on VFM Section 3.09, 2007 Annual Report
Chapter 4 Section 4.09 Hospitals Management and Use of Surgical Facilities Follow-up on VFM Section 3.09, 2007 Annual Report Background Ontario s public hospitals are generally governed by a board of directors
More informationThe Regional Cardiac Care Program at Southlake
The Regional Cardiac Care Program at Southlake The Future Vision of Regional Cardiac Services Serving the Populations of York, Simcoe, Muskoka, and Dufferin Regions Copyright 2009. Southlake Regional Health
More informationSAFE STAFFING GUIDELINE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline title SAFE STAFFING GUIDELINE SCOPE 1. Safe staffing for nursing in accident and emergency departments Background 2. The National Institute for
More informationRepatriation Guide. Critical Care Services Ontario February 2014
Repatriation Guide Critical Care Services Ontario February 2014 This document is a product of Critical Care Services Ontario (CCSO) The Repatriation Guide is the result of a collaborative effort between
More information2014/15 Quality Improvement Plan (QIP) Narrative
2014/15 Quality Improvement Plan (QIP) Narrative 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop a quality improvement plan.
More informationChildren s Hospital of Eastern Ontario
Children s Hospital of Eastern Ontario April 1, 2011 Children s Hospital of Eastern Ontario 1 Part A: Overview of Our Hospital s Quality Improvement Plan 1. Overview of our quality improvement plan for
More informationPublication Year: 2013
THE INITIAL ASSESSMENT PROCESS ST. JOSEPH'S HEALTHCARE HAMILTON Publication Year: 2013 Summary: The Initial Assessment Process (IAP) was developed collaboratively by the emergency physicians, nursing,
More informationEXECUTIVE COMPENSATION PROGRAM
EXECUTIVE COMPENSATION PROGRAM 2 Background In 2010, the Province legislated a two-year compensation freeze for all non-unionized employees in the Broader Public Sector (BPS) which prohibited increases
More informationPO Box 1132 Station F Toronto, ON M4Y 2T8
Doris Grinspun Chief Executive Officer Registered Nurses' Association of Ontario (RNAO) 158 Pearl Street, Toronto, Ontario M5H 1L3 Dear Doris: Thank you for giving the Green Party of Ontario the opportunity
More information2015 Ontario Hospitals Maternal-Child Services Report LHIN-level Indicators
215 Ontario Hospitals Maternal-Child Services Report LHIN-level Indicators TAB Intro Population IP ED MH OBS LHIN map, the list of acronyms, and key definitions 1. Paediatric Population Overview Ontario
More informationAgenda Information Item Memo
Agenda Information Item Memo April 20, 2018 TO: FROM: Board of Trustees Ishwari Venkataraman/ VP Strategy and Business Planning Donna Carey/ Interim Chair, Department of Pediatrics SUBJECT: Agenda Item:
More informationThe Canadian Healthcare System and Reimbursement Environment. Ryan Clarke and Paul Bradley Tuesday, March 6, 2018
The Canadian Healthcare System and Reimbursement Environment Ryan Clarke and Paul Bradley Tuesday, March 6, 2018 Overview Overall Structure Role of the Federal Government Role of the Provincial/ Territorial
More informationExecutive Update. Driving Standardization to Advance Patient Care. In this issue. Feature Story. Issue 21 Fall 2015
Issue 21 Fall 20 The Access to Care Executive Update is produced by CCO s ATC Business Effectiveness Team. For more information, contact us at ATC@cancercare.on.ca In this issue 1 Driving Standardization
More informationJoseph Brant Memorial Hospital 1230 North Shore Blvd., Burlington, Ontario L7S 1W7
Joseph Brant Memorial Hospital 1230 North Shore Blvd., Burlington, Ontario L7S 1W7 This document is intended to provide public hospitals with guidance as to how they can satisfy the requirements related
More informationThunder Bay Health Services Restructuring Report
HSRC HEALTH SERVICES RESTRUCTURING COMMISSION Thunder Bay Health Services Restructuring Report October 4, 1996 Table of Contents INTRODUCTION...1 GOVERNANCE...2 ACUTE INPATIENT UTILIZATION...3 EMERGENCY
More informationEmergency Medical Services
Statement of Purpose Essex Windsor Emergency Medical Services is committed to providing the highest quality Emergency Medical Services to the citizens of the County of Essex, the City of Windsor and the
More information2016/17 Quality Improvement Plan "Improvement Targets and Initiatives"
2016/17 Quality Improvement Plan "Improvement Targets and Initiatives" Queensway-Carleton Hospital 3045 Baseline Road AIM Measure Quality dimension Objective Measure/Indicator Unit / Population Source
More informationDepartment of Health and Wellness Emergency Care Standards April 2014
Background In September 2009, the Nova Scotia government appointed Dr. John Ross as its provincial advisor on emergency care. Dr Ross s report, The Patient Journey Through Emergency Care in Nova Scotia
More informationSafe staffing for nursing in A&E departments. NICE safe staffing guideline Draft for consultation, 16 January to 12 February 2015
Safe staffing for nursing in A&E departments NICE safe staffing guideline Draft for consultation, 16 January to 12 February 2015 Safe staffing for nursing in A&E departments: NICE safe staffing guideline
More informationToronto Central LHIN 2016/2017 QIP Snapshot Report. Health Quality Ontario The provincial advisor on the quality of health care in Ontario
Toronto Central LHIN 2016/2017 QIP Snapshot Report Health Quality Ontario The provincial advisor on the quality of health care in Ontario INTRODUCTION Purpose To give each Local Health Integration Network
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 4/1/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationBSO Funding Enhancement
BSO Funding Enhancement Update to HISST February 28, 2017 Objectives Background on BSO funding from MOHLTC Information update on BSO program additions Discuss areas of areas of opportunity Education Funding
More informationWe are growing to better serve you
We are growing to better serve you Message from Robert L. Lord, Jr. Martin Health System President and CEO Founded in 1939, Martin Health System has a rich history of providing care to residents of the
More informationExecutive Compensation Policy and Framework ALEXANDRA HOSPITAL INGERSOLL / TILLSONBURG DISTRICT MEMORIAL HOSPITAL
Executive Compensation Policy and Framework ALEXANDRA HOSPITAL INGERSOLL / TILLSONBURG DISTRICT MEMORIAL HOSPITAL Front Page for Ministry Submission: Organization (Full Name): Last Name: Job Title: Address:
More informationTelemedicine in Central East LHIN
Telemedicine in Central East LHIN Status Report May 28, 2014 Jeanne Thomas, Lead System Design Shelley Morris, Regional Coordinator, OTN What is OTN Telemedicine? OTN is one of the largest Telemedicine
More informationHÔTEL-DIEU GRACE HOSPITAL HIGHLIGHTS OF THE BOARD OF DIRECTORS MEETING
HÔTEL-DIEU GRACE HOSPITAL HIGHLIGHTS OF THE BOARD OF DIRECTORS MEETING September 24, 2008 FINANCE COMMITTEE REPORT Mr. Allison Mr. Allison reviewed the August 2008 Operating Results and noted that for
More informationCanadian MIS Database Hospital Financial Performance Indicators, to Methodological Notes
Canadian MIS Database Hospital Financial Performance Indicators, 1999 2000 to 2008 2009 Methodological Notes Revised July 2010 Who We Are Established in 1994, CIHI is an independent, not-for-profit corporation
More informationWait Time Information in Priority Areas: Definitions
Wait Time Information in Priority Areas: Definitions 1 Background In 2004, Canada's first ministers agreed to work towards reducing wait times for five priority areas: cancer treatment, cardiac care, diagnostic
More informationWhere We Are Now. Three Key Areas for Investment
Where We Are Now Everyone deserves the chance to live independently in their own home or community for as long as possible. For decades, Ontario s not-for-profit home and community support providers have
More informationThe goal of Ontario s Wait Time Strategy launched in
Special Report Evaluating Outcomes in Ontario s Wait Time Strategy: Part 4 Joann Trypuc, Alan Hudson and Hugh MacLeod The goal of Ontario s Wait Time Strategy launched in November 2004 was to improve access
More informationRoss Memorial Hospital. Ross Memorial Hospital
Presentation to CE LHIN Board of Directors July 21 st, 2009 Presentation Overview 1. Background 2. HAPS 2009/10 3. 2008/09 Cost Saving / Revenue Strategies 4. 2009/10 Cost Saving / Revenue Strategies 5.
More informationSouth East Local Health Integration Network Integrated Health Services Plan EXECUTIVE SUMMARY
South East Local Health Integration Network Integrated Health Services Plan DISCUSSION DRAFT July, 2006 1.0 Background and Objectives The Government of Ontario has established the South East Local Health
More informationPlans for urgent care in west Kent:
Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/29/2017 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationH-SAA AMENDING AGREEMENT. THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2016
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2016 B E T W E E N: CHAMPLAIN LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND Queensway Carleton
More informationNorth East Regional Non-Urgent Patient Transportation System
North East Regional Non-Urgent Patient Transportation System Community Transportation Webinar Presentation January 2018 Martin Lees, Project Manager, NE NUPT Introduction Martin Lees, Project Manager,
More informationH-SAA AMENDING AGREEMENT. THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 2016
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 216 B E T W E E N: CHAMPLAIN LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND Cornwall Community Hospital
More informationNiagara-on-the-Lake healthcare update
Niagara-on-the-Lake healthcare update SEPTEMBER 22, 2014 Today marks the beginning of a new approach to developing healthcare services for Niagara-On-The-Lake residents. Niagara Health System (NHS) and
More informationThis profile provides an overview of the services provided at the Royal Inland Hospital in the areas of:
Facility Profile This profile provides an overview of the services provided at the in the areas of: Inpatient Cases & Days Inpatient Surgery & Surgical Day Care Emergency Department The information provided
More informationCommunity and. Patti-Ann Allen Manager of Community & Population Health Services
Community and Population Health Services Patti-Ann Allen Manager of Community & Population Health Services October 2017 Community and Population Health Services-HHS ALC Corporate Planning Site Admin Managers
More informationCauses and Consequences of Regional Variations in Health Care Resources in Ontario
Causes and Consequences of Regional Variations in Health Care Resources in Thérèse A. Stukel, Ph.D. DA Alter, R Saskin, DM Rothwell Institute for Clinical Evaluative Sciences, Health Services Restructuring
More informationJanuary 29, Andria Spindel President / Chief Executive Officer March of Dimes Canada 6 Glenwood Place Unit 6 Brockville, ON, K6V 2T3
71 Adam Street Belleville, ON K8N 5K3 Tel: 613 967-0196 Fax: 613 967-1341 Toll Free: 1 866 831-5446 www.southeastlhin.on.ca 71 rue Adam Belleville, ON K8N 5K3 Téléphone: 613 967-0196 Télécopieur: 613 967-1341
More informationMINISTRY OF HEALTH AND LONG-TERM CARE. Summary of Transfer Payments for the Operation of Public Hospitals. Type of Funding
MINISTRY OF HEALTH AND LONG-TERM CARE 3.09 Institutional Health Program Transfer Payments to Public Hospitals The Public Hospitals Act provides the legislative authority to regulate and fund the operations
More information2013 Physician Inpatient/ Outpatient Revenue Survey
Physician Inpatient/ Outpatient Revenue Survey A survey showing net annual inpatient and outpatient revenue generated by physicians in various specialties on behalf of their affiliated hospitals Merritt
More informationHamilton Niagara Haldimand Brant LHIN. Appendix XII: Strategic Health System Plan: Current State Synopsis
Hamilton Niagara Haldimand Brant LHIN Appendix XII: Strategic Health System Plan: Current State Synopsis Table of Contents Introduction... 4 Environmental Scan Summary... 5 Provider Survey Summary...
More informationRebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO
Rebalancing the Cost Structure: Progressive Health Systems, Inc. Bob Haley, CEO Steve Hall, CFO THE MARKET & PHS S POSITION 2 Progressive Health Systems, Inc. (dba Pekin Hospital) Pekin, IL 3 4 5 Nearby
More informationTransforming the Delivery of Operative Anesthesia Services in Ontario
Transforming the Delivery of Operative Anesthesia Services in Ontario Report & Recommendations of the Operative Anesthesia Committee May 2006 TABLE OF CONTENTS SUMMARY OF RECOMMENDATIONS... 1 EXECUTIVE
More information