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Mississauga Halton LHINMississauga Halton LHINCSS and MH&A CSS and MH&A

Quarterly Sector Meeting

September 28 2011September 28, 2011

AgendaWelcome and Agenda Review Angela Jacobs 5 minNew Staff Introductions Narendra Shah 5 minCommunity Provider Portal Andrew Hussain 15 minCommunity Provider Portal Andrew Hussain 15 minMississauga Halton LHIN Decision Making and Priority Setting Framework

Liane Fernandes 20 min

Behavioural Supports Ontario Rob Low 20 min

Finance Mirella Semple 15 min

Accreditation Training -- Common Client Satisfaction Survey

Metamorphosis 20 min

“6 Minute Updates” Selected HSPs (7) 40 min

Regional CHA Implementation Lisa Gammage, Nucleus 10 minClosing Angela Jacobs

Next Meeting: December 14, 2011

New Staff IntroductionsNew Staff IntroductionsNarendra Shah

Community Provider PortalCommunity Provider PortalAndrew Hussain

Implementation of Priority Setting & Decision Making Frameworkg

Community Support Services and Mental Health & Addiction Community Support Services and Mental Health & Addiction Quarterly Sector Meeting

Liane FernandesDirector, Health System Development and Community EngagementSeptember 28,2011

Background

MandateTo set priorities and making decisions about how best to meet

i h l h d i h f icommunity health needs in the context of competing system goals, multiple stakeholder interests and limited resources.

Priority Setting & Decision Making Framework Toolkit Priority Setting & Decision Making Framework Toolkit

LHIN Collaborative (LHINC) developed and Board approved Decision Making ToolkitDecision Making Toolkit

Implementation of Priority Setting & Decision Making Framework ~ 6

Implementation of Priority Setting &

•Clear understandable

Decision Making Framework

Transparency –Audit trail

•Reducing time spent making decisions

•Clear, understandable, and objective criteria

•Obtaining buy-in from stakeholders

making decisions

•Aligning decisions with objectives

•Defending results –Justify decision

•Communicating -Everyone on “same page”

Increase Accountability

Implementation of Priority Setting & Decision Making Framework ~ 7

Implementation of Priority Setting &

4 t i th i it tti

Decision Making Framework

4 steps in the priority setting and decision making process:

I C li SI. Compliance Screen

II. Using the LHIN Priority Setting and Decision Making Tooland Decision Making Tool

III. Cost-benefit Analysis

IV. System Readiness Screen

Implementation of Priority Setting & Decision Making Framework ~ 8

Implementation of Priority Setting &

S t Ali t

Decision Making Framework

System Alignment• Determines alignment with both ministry

and local priorities

System Performance System Performance• Contributes to the meeting of system goals

and objectives

System Value System Value• Ensures local and system wide attributes

are being met including equity innovation and community engagement

Population Health• Determines contribution to the improvement

of the overall health of the population

Implementation of Priority Setting & Decision Making Framework ~ 9

Call for Proposals Templatep p

Implementation of Priority Setting & Decision Making Framework ~ 10

Next Steps

Gain experience from usage

p

Obtain and evaluate feedback from users

Expand to complex projects utilize advanced Expand to complex projects, utilize advanced features such as allocation

Will b i t t d i t d t d ti iti i Will be integrated into day-to-day activities in the longer term

Implementation of Priority Setting & Decision Making Framework ~ 11

Questions?

Implementation of Priority Setting & Decision Making Framework ~ 12

Behavioural Supports OntarioBehavioural Supports OntarioRob Low

Behavioural Supports Ontario ~ 14

Background and ContextBackground and Context

Behavioural Supports Ontario ~ 15

Behavioural Supports System ModelBehavioural Supports System Model

Behavioural Supports Ontario ~ 16

Moving Forward: Leveraging Existing Success Moving Forward: Leveraging Existing Success to Integrate the System

Behavioural Supports Ontario ~ 17

Actions Designed to Move the System ForwardActions Designed to Move the System Forward

Behavioural Supports Ontario ~ 18

Behavioural Supports Ontario Phase 2Behavioural Supports Ontario Phase 2

Behavioural Supports Ontario ~ 19

Behavioural Supports Ontario Phase 2 Cont’dBehavioural Supports Ontario Phase 2 … Cont d

Behavioural Supports Ontario ~ 20

Project Reporting and AccountabilityProject Reporting and Accountability

Behavioural Supports Ontario ~ 21

Project Support and Knowledge Transfer FrameworkProject Support and Knowledge Transfer Framework

Behavioural Supports Ontario ~ 22

The LHIN-wide Action PlanThe LHIN-wide Action Plan

Behavioural Supports Ontario ~ 23

LHIN Reporting and AccountabilityLHIN Reporting and Accountability

Behavioural Supports Ontario ~ 24

Knowledge Transfer / ExchangeKnowledge Transfer / Exchange

Behavioural Supports Ontario ~ 25

Timeline for the LHINTimeline for the LHIN

Behavioural Supports Ontario ~ 26

Actions Required / Next StepsActions Required / Next Steps• Establish MH LHIN Steering Committee• Identify current resource inventory

• LTC / Community / HospitalId tif i / t iti• Identify service gaps / opportunities

• Model development and identify lead HSPs to host project• Finalized model and action plan submitted for approval

Behavioural Supports Ontario ~ 27

MH LHIN Financial UpdateFinancial Update

September 28, 2011Finance Team – MH LHIN

Mirella Semple – Chadash Sungur

L2

Finance Update – MH LHIN Funding and Allocation TEAM

Paulette Zulianello - Manager, Finance and Risk

Mirella Semple Senior Lead Funding and Allocation Mirella Semple - Senior Lead Funding and Allocation (CSS including SH, and LTC Homes)

Chadash Sungur - Senior Lead Funding and Allocation (Hospital and MH &Addictions)

Chak Lee - Finance Clerk

MH LHIN Financial Update ~ 29

Finance Update

Q2 Reporting Deadline dates MIS due October 31/11 MIS due October 31/11

Quarterly WERS due November 7 /11

MH LHIN Financial Update ~ 30

Aging at Home Supplemental Report on WERS:

Th t t ill b i d b LHIN/Mi i t• The current report will be reviewed by a LHIN/Ministry working group. Target date is Q4 fiscal 2011-12

Th t AAH l t l t WERS h• The current AAH supplemental report on WERS has been discontinued for Q2 and Q3.

P id bli t d t ti t t AAH d t• Providers are obligated to continue to report AAH data separately for any analysis required by the LHIN.

MH LHIN Financial Update ~ 31

MH LHIN Financial Update ~ 32

Finance Update

• SRI – Self Reporting Initiative Update

• Community Analysis Tool (CAT)Community Analysis Tool (CAT)

MH LHIN Financial Update ~ 33

Introduction toIntroduction to

MH LHIN Financial Update ~ 34

What is CATLite

• Reporting tool for Community providers to report their MSAA requirements for fiscal 2011-12

• Similar to the CAT Tool from prior fiscals

• Temporary measure for 2011-12 until SRI is p ylaunched

MH LHIN Financial Update ~ 35

What is CATLite … Cont’d

• The file is smaller and less resource intensive(only 2 files required in the folder)

• LHIN and MINISTRY reporting are now in separate files. (Agencies who have both, will complete 2 files).

• Edit Checks are still present• Edit Checks are still present.

• The button is gone from the Reporting Screens.

MH LHIN Financial Update ~ 36

What is CATLite … Cont’d

• CAPs Budgets are loaded automatically through the main menu.

• Only 2 Forecast Methods – Manual and running rate –MH LHIN wants all providers to use Manual.

• Schedule E1 indicators as per MSAA is now in the CATLite file – Mostly populated by your submission. Areas in yellow require your input. y q y p

MH LHIN Financial Update ~ 37

What is CATLite … Cont’d

• The Quarterly Transition File has been eliminated; you can upload your file directly to WERS.

• A new CATLite is completed each quarter – YTD Quarterly and Budget numbers only.

• Mental Health Sessions have been added – The number of full sessions provided using psychiatric sessional fees are now available for reporting on the p gactivity page

• OHRS Help screens for every service

MH LHIN Financial Update ~ 38

Getting Started

• On WERS there will be two packages posted:

• Download the CATLite_LHIN and CATLite_MIN to _ _the local computer.

• CATLite User Guideline

• From WERS, download the CAPS 2011-13 Transition File and save it with the CATLite file

MH LHIN Financial Update ~ 39

Identification ScreenIdentification Screen

MH LHIN Financial Update ~ 40

Main MenuMain Menu

MH LHIN Financial Update ~ 41

Budget AdjustmentsBudget Adjustments

MH LHIN Financial Update ~ 42

Reviewing VariancesReviewing Variances

MH LHIN Financial Update ~ 43

Edit ChecksEdit Checks

MH LHIN Financial Update ~ 44

Schedule E1 IndicatorsSchedule E1 Indicators

MH LHIN Financial Update ~ 45

CATLite Key Contact Information

• Mirella Semple (For CSS Agencies & CCAC)

• 905-337-7131 ext. 205

• mirella.semple@lhins.on.ca

• Chadash Sungur (For MH & Addictions Agencies)

• 905-337-7131 ext. 220

• chadash.sungur@lhins.on.ca

MH LHIN Financial Update ~ 46

Questions?Questions?

MH LHIN Financial Update ~ 47

Break! Break! 15 Minutes

Accreditation Training Common Client Common Client

Satisfaction SurveySatisfaction SurveyMetamorphosis Group

MH LHIN CSS/MH&A

Quarterly MeetingQuarterly Meeting

September 28, 2011

2010‐2011 Results2010 2011 Results

• Benchmarks of Excellence – 18 HSPsBenchmarks of Excellence  18 HSPs

• Accreditation Learning Circles – quarterly meetings COHI – 1 and CARF ‐ 3

Q t f Q lit W k h N b & M h• Quest for Quality Workshops – November & March with over 85 participants

51

Accreditation StatusAccreditation Status

May 11 – May 27 SurveyMay 11  May 27 Survey

• All HSP’s that participated in 2010‐11 accreditation support services have scheduled sitesupport services have scheduled site visits/review/survey completed by March 31, 2012

• Feedback and input used to determine 11‐12Feedback and input used to determine 11 12 support activities to build capacity for all HSP’s to achieve accreditation by Sept 30, 2013y p

52

Accreditation Journey ContinuesAccreditation Journey Continues

Metamorphosis/OCSA Capacity Builders Training Partnership

2011 – 12 MH LHIN approves $79,780

Year III of a Multi‐Year Plan

53

Performance DeliverablesPerformance Deliverables

• Accreditation Learning • November 17/18 andAccreditation Learning Circles

CARF 2

November 17/18 and March Symposium on Quality & Safety –

CARF – 2

COHI – 1

Board, Management and Front Line Staff

Accreditation Canada ‐ 1 • On‐Site Preparedness Review & Planningg

• Coaching Subsidy

54

Common Client Satisfaction Survey CSSCommon Client Satisfaction Survey CSS

Metamorphosis facilitating Common Client SatisfactionMetamorphosis facilitating Common Client Satisfaction Survey for CSS providers in MH LHIN in collaboration with OCSA/Capacity Builders

• Literature review including MH&A 2010 SIGMA Quality Team ReportQua ty ea epo t

• Goal – improved quality of service and common approachapproach

55

Common Client Satisfaction Survey CSSCommon Client Satisfaction Survey CSS

• Research best practicesResearch best practices

• Provider Steering Committee

• Beta Version Test

• Implement 2012‐2013 

56

“6 Minute Updates”6 Minute UpdatesSelected HSPs

Aging at Home and Aging at Home and Community Meeting

Theresa GreerExecutive Director

Heart House Hospice

“6 Minute Updates”

Hope Place Centres Deborah Gatenby

Executive DirectorHope Place Centres

“6 Minute Updates”

New Initiative atNew Initiative atPAARC

Karen ParsonsExecutive Director

Peel Addiction Assessment and Referral Centre

“6 Minute Updates”

Regional CHA ImplementationRegional CHA ImplementationLisa Gammage, Nucleus

QUESTIONS?

• Next Meeting – December 14, 2011

• 9:00 a.m. at the Holiday Inn (Registration starts at 8:30 a.m.)

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