2011-14 Multi-Sector Service Accountability Agreements (M-SAA) CE LHIN Board of Directors Meeting March 23 rd, 2011
The 2011-14 M-SAA Required under LHSIA and Ministry-LHIN Performance Agreement (MLPA), the M-SAA is a vehicle to delineate accountabilities and performance expectations. Current 2009-11 M-SAA Agreement expires on March 31 st, 2011 The Term of the new 2011-14 M-SAA Agreement will be for 3 years. In section 4.2 (i) - Limitation on Payment of Funding, the 2011-14 M-SAA clearly states that, the LHIN will not provide any funds to the HSP until the Agreement is fully executed 2
2011-14 M-SAA Content Schedules 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 stats of the HSP C Reports Identifies, describes and sets due dates for HSP reporting D Directives, Guidelines, Policies Identifies applicable MOHLTC policies for the specific sector E Performance Identifies indicators with standards, targets and local performance requirements F Template for Project Funding Permits funding for special projects (eg. Aging At Home, etc.) G Declaration of Compliance (*NEW) Form to be completed by the HSPs Board of Directors to declare that the HSP has complied with the terms of the Agreement 3
2011-14 M-SAA Indicator Types Core indicator: Required indicator relevant to all LHINs and all community sectors Sector-specific indicator: Required indicator relevant to a specified sector LHIN-specific indicator: An indicator determined locally to be relevant to a sector or HSP 4
M-SAA Indicator Classifications Accountability Included in service accountability agreements (SAAs), and are valid, achievable measures of system performance that can trigger consequences under the agreement. Will be associated with a target and corridor Explanatory Are complementary indicators to the accountability indicators and will be documented in the technical specifications of the most appropriate accountability indicator(s) Support planning, negotiation or problem-solving at the provincial or LHIN level HSPs will not be required to report on these through SAA reporting requirements Developmental Indicators that require further validation to ensure quality criteria (e.g. validity, reliability, etc.) are met prior to moving the indicators to accountability/explanatory status Will be dropped off the developmental list if the indicator is not ready to be made an accountability or explanatory indicator by the next SAA Will not be included in the SAAs 5
2011-14 M-SAA Core Accountability Indicators (Across All Sectors) Total Margin (Total Revenues Total Expenses)*100 / Total Revenue Balanced Budget (The amount by which total fund type 2 revenue exceeded or fell short of total fund type 2 expenses. HSPs are required to submit a balanced budget) Proportion of Budget Spent on Administration Variance Forecast to Actual Expenditures *Variance Forecast to Actual Units of Service *Service Activity by Functional Centre *Number of Individuals Served *Note: Developmental for CHC Sector until MIS Compliant 6
CCAC Sector Specific Accountability Indicators Accountability: Access: Wait Time 1. 50 th Percentile from Hospital Discharge to Service Initiation (Hospital clients) 90 th Percentile from Hospital Discharge to Service Initiation Access: Wait Time 2. 90 th percentile wait time from community setting to Community Home Care Services Clients with MAPLe scores high and very high living in the community supported by CCAC (average monthly count of the number of clients) Clients placed in LTCH with MAPLe scores high and very high as a proportion of total clients placed 7
CCAC Sector Specific Accountability Indicators. continued Developmental Year 1 and Accountability Year 2: Falls for long-stay home care client Medication Safety Explanatory Year 1 and Accountability Year 2: Cost per Episode 8
CHC Sector Specific Accountability Indicators Accountability: a) Cervical Cancer Screening (PAP tests) b) Colorectal Screening rate c) Inter-professional Diabetes Care Rate Until the data reporting requirements for year one accountability indicators are finalized, CHCs will report on the sector-specific indicators as currently defined in the existing M-SAA (ie: Items a, b and c only) Developmental Year 1 and Accountability Year 2: Individuals served by functional centre CHC clients hospitalized for Ambulatory Care Sensitive conditions (ACSC) Vacancy rate for NPs and Physicians Influenza Vaccination rate Breast Cancer Screening rate 9
CSS Sector Specific Accountability Indicators Developmental Year 1 & 2 and Accountability Year 3: Average # days on wait list MH&A Sector Specific Accountability Indicators Developmental Year 1 & 2 and Accountability Year 3: Number of days from referral to assessment 10
CE LHIN Engagement Strategy Three Engagement Sessions were held in the Early Fall across the Scarborough, Durham and HKPR Clusters to bring all CSS, CMHA and CHC agencies together to: Discuss revenue, expense and volume planning assumptions Educate on the agreement and process based on provincial information to date Discuss expectations, successes and opportunities around integrations 11
CE LHIN Engagement Strategy continued The LHIN conducted five webinar sessions for health service providers in January which included: a detailed review of the provincial process performance indicators particulars related to completing the CAPS submission. Attendance at each webinar was approximately 15-20 providers. 12
CE LHIN Engagement Strategy continued Subsequent to the release and final approval of the M-SAA Agreement, two additional webinars were held to review the agreement with an emphasis on: The legislative context of the M-SAA Agreement The process leading to the development of the agreement Changes in comparison to the 2009-11 agreement. Particularly with respect to CEO Performance Plans and Declaration of Compliance requirements. Performance indicators CE LHIN process to execute agreements with HSPs by March 31 st, 2011 13
Negotiations Several agencies were contacted to clarify and negotiate their CAPs submissions and terms of the M-SAA Agreement, based on the following criteria: Material (i.e.: >10%) planned/reported variances (in service volumes or financial status) in 2011/12 or 2012/13 Chronic issues with management/reporting Integrations affecting service volumes 14
Motion Whereas CCACs require a signed 2011-14 Multi-Sector Accountability Agreement (M-SAA) to continue receiving funding following March 31, 2011; and; Whereas staff have reviewed and accept the data submitted by the CE CCAC and prepared the M-SAA for the CEO and Chair of the Board of the CE CCAC to sign and submit to the LHIN Board; Be it resolved that the Board authorize the Chair and CEO to execute the signed 2011-14 M-SAA for the Central East Community Care Access Centre 15
Motion Whereas Community Health Centres (CHC s) require a signed 2011-14 Multi- Sector Accountability Agreement (M-SAA) to continue receiving funding following March 31, 2011; and Whereas staff have reviewed and accepted the data submitted by the CHC s and prepared the M-SAA s for the CEO and Chair of the Board of the CHC s to sign and submit to the CE LHIN Board Be it resolved that the Board authorize the Chair and CEO to execute the signed 2011-14 M-SAA s for the following CHC s : Brock Community Health Centre Barbara Black Centre For Youth Resources (oa The Youth Centre) Community Care City Of Kawartha Lakes Scarborough Centre for Healthy Communities Port Hope Community Health Centre Oshawa Community Health Centre TAIBU Community Health Centre 16
Motion Whereas Community Mental Health Agencies (CMHA s) require a signed 2011-14 Multi-Sector Accountability Agreement (M-SAA) to continue receiving funding following March 31, 2011; and Whereas staff have reviewed and accepted the data submitted by the CMHA s and prepared the M-SAA s for the CEO and Chair of the Board of the HSP to sign and submit to the CE LHIN Board Be it resolved that the Board authorize the Chair and CEO to execute the signed 2011-14 M-SAA s for the following CMHA s : Alzheimer Society of Durham Region Campbellford Memorial Hospital Canadian Mental Health Association - Durham Branch Canadian Mental Health Association -Peterborough Branch Canadian Mental Health Association Kawartha Lakes Chinese Family Services of Ontario Durham Mental Health Services... Continued on next page 17
Motion continued Four Counties Addiction Services Team Inc. Governing Council of Salvation Army in Canada, Toronto (Salvation Army Harbour Light Central) Haliburton Highlands Health Services Corporation Hong Fook Mental Health Association Lakeridge Health Corporation Northumberland Hills Hospital Peterborough Regional Health Centre Ross Memorial Hospital Rouge Valley Health System The Scarborough Hospital Ontario Shores Centre for Mental Health Sciences 18
Motion Whereas Community Support Service Agencies (CSS s) require a signed 2011-14 Multi-Sector Accountability Agreement (M-SAA) to continue receiving funding following March 31, 2011; and Whereas staff have reviewed and accepted the data submitted by the CSS s and prepared the M-SAA s for the CEO and Chair of the Board of the CSS s to sign and submit to the LHIN Board Be it resolved that the Board authorize the Chair and CEO to execute the signed 2011-14 M-SAA s for the following : Activity Haven Senior Centre (Peterborough) Inc. Alderville First Nations, Health and Social Services Alzheimer Society of Peterborough, Kawartha Lakes, Northumberland and Haliburton Apsley & District Satellite Homes for Seniors Inc. Branch 133, Legion Village Inc.... Continued on next page 19
Motion continued Campbellford Memorial Multicare Lodge Faith Place Four Counties Brain Injury Association Head Injury Association of Durham Region Hospice Durham Hospice Peterborough Kawartha Participation Projects St. John s Retirement Home Inc. St. Paul s L'Amoreaux Centre Sunrise Seniors Place (Oshawa-Durham) Inc. Supportive Initiatives for Residents in the County of Haliburton The Canadian Hearing Society (Peterborough Region) Canadian National Institute for the Blind HKPR... Continued on next page 20
Motion continued The Canadian National Institute for the Blind Durham District Carefirst Seniors & Community Services Association Centre for Information and Community Services of Ontario Community Care Durham Community Care Haliburton County Community Care Northumberland Community Care Peterborough Community Counseling & Resource Centre Curve Lake First Nation Lovesick Lake Native Women's Association Momiji Health Care Society Oshawa Senior Citizens Centre Participation House - Toronto Parent Association... Continued on next page 21
Motion continued Personal Attendant Care Inc. Regional Geriatric Program of Toronto, Sunnybrook Health Sciences Centre Rehabilitation Foundation for the Disabled Transcare Community Support Services The Regional Municipality of Durham, Senior Services (Fairview Lodge) Victorian Order of Nurses -Toronto -York Region Branch Victorian Order of Nurses for Canada, Ontario Branch (through Peterborough, Victoria, Haliburton Site) Victorian Order of Nurses for Canada, Ontario Branch (through Durham Site) Yee Hong Centre for Geriatric Care 22