2018-2019 COMMUNITY ACCOUNTABILITY PLANNING SUBMISSIONS (CAPS) & MULTI-SECTOR SERVICE ACCOUNTABILITY AGREEMENTS (MSAA) Educational Materials October 5, 2017
Contents A. MSAA Schedule Refresh Structure B. Context Why a 2018-19 CAPS & MSAA Schedule Refresh? Key Differences for 2018-19 C. Timelines D. NSM LHIN Contacts E. Additional Resources F. MSAA Schedule Refresh G. Completing the CAPS for 2018-2019 2
A. MSAA Schedule Refresh Structure Comprehensive Consultation through Multiple Tables MSAA Advisory Committee MSAA Indicators Work Group MSAA Planning & Schedules Work Group SRI Forms Work Group MSAA INDICATOR SUPPORT: HEALTH SYSTEM INDICATOR INITIATIVE MSAA LEGAL COUNSEL SUPPORT: LHIN LEGAL SERVICES BRANCH MSAA SECRETARIAT SUPPORT: Health Shared Services Ontario LOCAL MSAA IMPLEMENTATION: LHIN MSAA LEADS 3
B. Context Why a 2018-2019 CAPS and MSAA Schedule Refresh? The LHINs and community based Health Service Providers (HSPs) entered into an MSAA for a three year period effective April 1, 2014 to March 31, 2017. The agreement is now being extended for a second additional year to March 31, 2019. MSAA Schedules for the budgeted financial data, service activities and performance expectations for 2018-2019 of the current agreement will need to be confirmed or revised as necessary. MSAA Schedules include the following: A. Detailed Description of Services B. Service Plan C. Reports D. Directives, Guidelines, Policies & Standards E. Performance F. Project Funding Agreement Template G. Compliance 4
B. Context Key differences for 2018-2019 Financial Tab Additional line added to all Financial tabs - Row 68 Other administrative expense This row is used to capture administrative expenses that do not fit in the other four administrative categories. However, this is not a M-SAA indicator. It is suggested to report expense under this line only if necessary. 5
C. Timelines Key Requirements All HSPs are required to submit a planning document known as the Community Accountability Planning Submission (CAPS) on or before November 30, 2017. Board approval not required at that time. All HSPs are required to submit a Board approved Community Accountability Planning Submission (CAPS), on or before January 31, 2018. The information provided in the CAPS by the HSP will be used to populate the MSAA and associated Schedules for 2018-2019. HSP signed MSAAs returned to LHIN on or before March 26, 2018. LHIN approval of the MSAA is required in order to retain the integrity of the existing MSAA agreement and associated schedules by March 31, 2018. 6
C. Timelines 2018-2019 CAPS & MSAA Schedule Refresh Activity Target Dates CAPS 60 Day Notice to HSPs September 29, 2017 CAPS SRI site is available for HSPs October 2, 2017 Education & Training Materials Available October 6, 2017 Guiding Principles & Indicator Targets Available November 17, 2017 CAPS submission due to LHIN (submitted via SRI) November 30, 2017 LHIN Review, Final Negotiations of Indicator Targets & Population of Schedules January 1 31, 2018 Board Approved CAPS submission due to LHIN (submitted via SRI) January 31, 2018 LHIN endorsement of funding, volumes & performance targets February 1-28, 2018 Final MSAA with Refresh Schedules issued to Community HSPs for Board approval February 1-28, 2018 HSP-signed MSAAs returned to the LHIN March 26, 2018 Finalized & Executed MSAA is in place effective April 1, 2018 March 31, 2018 7
D. NSM LHIN Contacts Health Service Provider Sector Community Support Services Community Mental Health & Addictions Community Health Centres Contact Information Brenda Drinkle, Senior Advisor 1-866-903-5446 extension 3210 Brenda.Drinkle@lhins.on.ca Allan Marion, Senior Advisor 1-866-903-5446 extension 3211 Allan.Marion@lhins.on.ca 8
E. Additional Resources CAPS User Guide CAPS Guidelines Community Quarterly Report User Guide. Community Financial Policy NOTE: Timelines and contact references provided in CAPS Guidelines and/or User Guides are provincial, and have been modified for the NSM LHIN. 9
F. MSAA Schedule Refresh 10
MSAA Schedule Refresh 2018-2019 Schedule Title Description A 1. Description of Services *OPTIONAL Schedule refresh for 2018-2019 2. Population & Geography *OPTIONAL Schedule refresh for 2018-2019 Describes the services delivered by the HSP Describes the HSP client populations and geography served B 1. *Total LHIN Funding Service Plan 2. *Clinical Activity Summary *If making changes to 2018-2019 CAPS, Schedule refresh required Describes the financial and statistical status of the HSP. C D Reports *Mandatory Schedule refresh for 2018-2019 Directives, Guidelines, Policies & Standards *To be confirmed by Ministry Identifies and sets due dates for HSP reporting Identifies applicable MOHLTC policies. Changes for 2018-2019 will include : To be confirmed 11
MSAA Schedule Refresh 2018-2019 (cont d) Schedule Title Description E 1. Core Indicators *If making changes to 2018-2019 CAPS, Schedule refresh required 2a. Clinical Activity Detail *If making changes to 2018-2019 CAPS, Schedule refresh required 2b. CHC Sector Specific Indicators 2c. CMH&A Sector Specific Indicators 2d. CSS Sector Specific Indicators 3a. Local Indicators & Obligations *OPTIONAL Schedule refresh for 2018-2019 Identifies indicators, standards and local performance requirements F Project Funding Agreement Template Template used for funding special projects G Compliance *Update for new time period Form completed by the HSPs Board of Directors to declare that the HSP has complied with the terms of the Agreement 12
G. Completing the CAPS for 2018-2019 13
Improving the CAPS Incorporating feedback from previous CAPS processes Stakeholder feedback identified the following high level themes: Simplify forms. Reduce errors through early testing. Updated OHRS functional centres. Additional reporting lines under Administrative Expenses as per MSAA indicators. 14
Completing the CAPS Community Accountability Planning Submission Tool 1. Go to https://www.sri.moh.gov.on.ca/userregistration/faces/login/index.jsp If you are already registered, you can follow the red arrow and click SRI Submissions. If not, you can follow the purple arrow and click Register for a new account 15
Checking Out your CAPS 2. Click Submissions in the top left, and then from that drop down menu click Create New Submission 16
Checking Out your CAPS (cont d) 3. Select the applicable report then click the create button 17
Checking Out your CAPS (cont d) 4. The report now should be listed under In Progress. It may take a few minutes to appear, so please be patient. It should be noted that when traffic is at its highest (for instance, closest to the due dates), it will take longer to appear. If it is taking a very long time, you can select refresh, however, doing so will slow down the system. 18
Checking Out your CAPS (cont d) 5. Select the report that you want to prepare by clicking the blue hyperlink. 19
Checking Out your CAPS (cont d) 6. Click Check Out and Download Now the file is stored in your local drive. The file is ready to be edited. 20
Main Page When the CAPS file is first launched the following Menu Page will display. This page provides links to each form contained within the CAPS. First, when opening the report, if the yellow bar appears, make sure you enable editing and content. 21
Main Page (cont d) Note: Please go to the Identification tab to select your respective LHIN. Column B is added in 2018-2019 CAPS to check for changes from the previous CAPS. As part of the audit process to understand changes, the icon in the example beside will help LHINs identify which sheets of the CAPS submission has any difference between the 2017-2018 budget column and the 2018-2019 column. 22
Refreshing the Information All data from the 2017-2018 CAPS has been carried over to the new 2018-2019 CAPS. The 2018-2019 Budget column will show the 2017-2018 Financial/Service data from the previous CAPS. The 2018-2019 column will be pre-populated based on the 2017-2018 Updated Budget column. A column is added to show by an x if there is a change to a budget/target line. If there are no changes to make for HSPs from the 2017-2018 updated budget, the file simply needs to be checked out and checked in (with no additional changes made). 23
Commenting in your CAPS Comments: The Comments column should be used to explain differences between the budgets across the years. The comments provide clarification and will help the LHIN understand why reallocations have been made between functional centers and understand why budget changes are being made by the HSP. 24
Additional Reporting Lines under Administration In 2015-2016, four new explanatory indicators were added to your MSAA. These are the four main areas that make up Administration & Support Services. In 2017-2018, a new line was added to the Administration & Support Services that is not an explanatory indicator. Please enter your information into each of the following lines to populate Administration & Support Services : Plant Operations; Volunteer Services; Information Systems Support; General Administration and Other Administrative Expense (Added in 2017-2018) 25
Indicate TPBE in the Service Selection Screen To select the functional centres for your programs, please go to the Service Selection Screen. Just put an x next to the functional centres you provide (in the column marked off with a blue arrow). Then, next to that functional centre (in the column titled TPBE ) with the black arrow, select what Transfer Payment Business Entity that functional centre belongs to. 26
Turn a reporting row visible in the activity summary tab In the previous CAPS, the mandatory statistics were not in alignment with the most updated OHRS guidelines. Also, the column indicating whether a statistic was Mandatory was not visible; lines where prior information were entered, but not mandatory were not shown, causing prior incorrect information to be added to the totals. The example below shows FTE in totals, but nothing under Functional Centers. 27
Turn a reporting row visible in the activity summary tab In the 2018-2019 CAPS, a reporting row is visible when it is mandatory under the updated OHRS guidelines or if a number exists/is entered in either the 2017-2018 Budget or 2018-2019 Budget. Column Mandatory is now shown, but is locked for editing and is for reference only. This should help cue providers as to the correct lines to report under and thereby standardize data across the province. 28
Checking In your CAPS After entering all information and passed the edit checks, the CAPS file is ready to upload SRI again. Checking In the CAPS into SRI is similar to Checking Out the CAPS from SRI. Select the file that you would like to upload. Click the Check In button. Find the report in your local drive, and it will be uploaded. Afterward, click on the button Submit For Approval. 29