Overview of Legislations Overview of Legislations Governance to - PowerPoint PPT Presentation

Overview of Legislations Overview of Legislations Governance to Governance Sessions May 11 to 20, 2011 y , Juanita Gledhill, Chair

Key Legislations There are four key legislations that are common to • Governors of all Health Service Providers: • Local Health System Integration Act, 2006 • Excellent Care For All Act, 2010 Excellent Care For All Act, 2010 • Broader Public Sector Accountability Act, 2010 • Public Sector Compensation Restraint to Protect Public Services Act, 2010.

Local Health System Integration Act, 2006 (LHSIA) Section 16 (6) of LHSIA outlines the Health Service • Providers responsibility for Community Engagement. Section 27 of LHSIA outlines the process and • responsibilities of a Voluntary Integration by Health Service Providers.

LHSIA – Impact on Health Service Provider Accountability • Integration and Service Coordination Integration and Service Coordination • • Funding and Allocation • Local Health System Planning • Local Community Engagement •

Efficient and Responsible Responsible S Sustainable t i bl Decision Making Collaboration Systemic Issues Engagement Responsibility Role of the Accountability Health Service Creativity and Innovation Provider Provider Co-operation Influence of the Public being Acknowledgement g served served and Acceptance of Cultural Differences Best eHealth Practices

Excellent Care for All Act, 2010 (ECFAA) ECFAA became law on June 8, 2010 • Establishes a number of requirements for health Establishes a number of requirements for health • care organizations, starting first with hospitals and moving out to other sectors

ECFAA continued ECFAA continued Months Years Many Years ilestones Excellent Care for All Act Excellent Care for All Act expanded beyond hospitals implemented by all hospitals Initial roll-out of patient-based Funding for patient episode payment policy across the care continuum Client- Actions/M Centered Care Expanded OHQC operational Encourage Providers to form Across networks to organize and Continuum Launch of provincial initiatives deliver care across to improve transitions in care continuum Culture of A Q Quality and Its lit d It Continuous Compliance with ECFAA Measureable improvements Improvement across a range of sults Initial set of system enablers in quality/safety indicators place Sustainable Res H Healthcare lth Quality counts – strong System business case for quality within organizations / across organizations

ECFAA continued What can you do to help: • • Engage in dialogue Engage in dialogue • Support new and challenging roles • Work together as one system W k t th t • Identify opportunities to consolidate and rationale reporting and processes ti l ti d

Broader Public Service Accountability Act, 2010 (BPSAA) The Broader Public Sector Accountability Act, 2010 provides • the authority for the Management Board of Cabinet to issue directives governing the procurement of goods and services by designated broader public sector organizations. The Broader Public Sector (BPS) Procurement Directive • provides consistent procurement practices for BPS organizations to: • improve accountability and transparency for procurement decisions and processes and decisions and processes, and • maximize the value that BPS organizations receive from the use of public funds.

Hospitals Local Organizationr Health eceiving i i Integration greater than Networks $10M in (LHIN’s) public funding BPSAA BPSAA Impacts School Boards, Community y Colleges Colleges Care and Access Universities Centres Children’s Aid Society

BPSAA continued Chart of Effective Dates Organization Organization Lobbyist Rules Lobbyist Rules Expense Rules Expense Rules Procurement Procurement Consultant Consultant Public Posting Public Posting Compliance Compliance Freedom of Freedom of Rules Reporting of Expenses Attestations Information and Protection of Privacy Act (FIPPA) Applies Designated broader Effective Effective Effective Possible in future Possible in future Possible in future No, unless the public sector January 1, 2011 April 1, 2011 April 1, 2011 by regulation. by regulation. by regulation. organization was organizations already subject to ( (Named in BPSAA) ) FIPPA. Hospitals (private Effective Effective Effective Effective Effective Effective January 1, 2012 and public) January 1, 2011 April 1, 2011 April 1, 2011 April 1, 2011 April 1, 2011 April 1, 2011 Classified Agencies Effective Existing OPS rules Existing OPS None None None Many agencies are January 1, 2011 apply rules apply already covered under FIPPA. FIPPA was not amended to make any new agencies subject to the act. Local Health Effective Existing OPS Existing OPS Effective Effective Effective Already covered Integration Networks January 1, 2011 Rules apply rules apply April 1, 2011 April 1, 2011 April 1, 2011 under FIPPA. the Government of Effective Effective Effective Possible in future Possible in future Possible in future No, unless the Ontario January 1, 2011 April 1, 2011 January 1, 2012 by regulation. by regulation. by regulation. organization was already subject to FIPPA. Publicly funded Possible in future Non ‐ mandatory None at this time. None Possible in future Possible in future No, unless the organizations organizations by regulation by regulation. Guidelines may Guidelines may by regulation by regulation. by regulation by regulation. organization was organization was guidelines will be guidelines will be receiving under be issued at a already subject to issued on April 1, $10M later date. FIPPA. 2011

Public Sector Compensation Restraint to Protect Public Services Act , 2010 (PSCRPPSA) The Public Sector Compensation Restraint to Protect Public • Services Act, 2010, sets out measures which are part of the government’s plan to protect services for the public. The Act received Royal Assent on May 18, 2010. Health Service Providers are included in the PSCRPPSA if: • • they receive at least $1,000,000 in funding from the $ Government of Ontario in 2009, as determined for the purposes of the Public Sector Salary Disclosure Act, 1996; and 1996; and • it does not carry on its activities for the purpose of gain or profit to its members or shareholders .

PSCRPPSA continued The legislation prohibits increases to rates of pay, pay ranges, The legislation prohibits increases to rates of pay, pay ranges, • benefits, perquisites and other payments that were in effect on March 24, 2010 before the beginning of April 2012, except in specified circumstances. Under the legislation, there are certain conditions specified which • will allow for salary increases for employees, within an existing pay range, providing these were part of an organization’s compensation plan as it existed on March 24, 2010. These conditions include: • the employee’s length of time in employment or office • assessment of performance • the employee’s successful completion of a program or course of professional or technical education.

PSCRPPSA continued Compliance Reporting • • The PSCRPPSA requires that each employer subject to the Act must provide the Minister of subject to the Act must provide the Minister of Finance with a compliance report which includes a signed statement from the highest ranking administrative person (ED or CEO) concerning compliance with the Act .

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