Community Accountability Planning Submissions (CAPS) & Multi-Sector Service Accountability Agreements (M-SAA) 2013/14 Refresh Education Session October 2012
Agenda: 1. Context 2. Timelines 3. CAPS Guidelines I. Principles Guiding the 2013/14 CAPS & M-SAA Refresh II. Planning for the 2013/14 CAPS & M-SAA Refresh 4. CAPS Components 5. Performance Indicators 6. M-SAA Refresh Content - Schedules 7. Health Service Providers Responsibilities 8. Next Steps 9. Discussion 2
Context Why a 2013/14 CAPS and M-SAA Refresh? • The LHINs and community based Health Service Providers (HSPs) entered into an M-SAA for a three year period effective April 1 st 2011 to March 31 st 2014. • At that time, the year three (2013/14) financial, service activity and performance indicator Schedules were indicated as “to be determined (TBD)”. • Community Health Centre (CHC), Community Care Access Centre (CCAC), Mental Health and Addiction (MH & A) and Community Support Service (CSS) sectors need to complete a refresh of the 2013/14 Community Annual Planning Submission (CAPS) for the final year of the 2011-14 M-SAA . 3
2013/14 CAPS & M-SAA Refresh Development Structure LHIN representation CCAC CSS representation representation M-SAA Steering MH&A CHC representation representation Committee LHIN Legal MOHLTC representation representation Health System Indicator CAPS / M-SAA Refresh Working Group Steering Committee 4
Context Additional Resources for the 2013/14 CAPS The 2013/14 CAPS & M- SAA Refresh Guidelines (“Guidelines”) • contains important background and sector specific information to assist HSPs in completing the CAPS process. • The 2013/14 CAPS Technical User Guide (“User Guide”) contains step-by-step instructions on how to complete the CAPS excel based reporting tool. • All HSPs will be provided with the CAPS forms (excel based reporting tool), Guidelines and Technical User Guide on or before October 15, 2012. • ***HSPs should refer to both the Guidelines and User Guide when completing the 2013/14 CAPS.*** 5
Timelines Completing the 2013/14 CAPS & M-SAA refresh Projected Timelines Oct 1-14 HSP 2013 CAPS & M-SAA refresh webinar/education session Oct 15 LHINs to email 2013/14 CAPS file to HSPs Completed HSP Board approved 2013/14 CAPS submitted to Nov 30 the LHIN LHIN review of the 2013/14 CAPS & LHIN/HSP consultations on Dec - Jan 2013/14 M-SAA indicators Jan 31 HSP approval of M-SAA refresh April 1 Year 3 of the current 2011-14 M-SAA comes into effect 6
CAPS Guidelines Principles Guiding the 2013/14 CAPS & M-SAA Refresh Demonstrate Accountability between the HSP and the LHIN • The CAPS refresh will inform the ongoing M-SAA between the LHIN and the HSP. • The HSP will be accountable to the LHIN for the achievement of the performance obligations in the M-SAA . Funding and Allocation • HSPs are expected to plan to achieve a balanced operating position for the program and total organization for each year of the M-SAA . Integration and Service Coordination • HSP planning must reflect the HSP’s ongoing responsibility to operate in an efficient manner in both administrative and direct service areas which may include consultation with other HSPs . Local Health System Planning • HSP planning must be in alignment with the LHIN/Ministry priorities, reflect best practices and based on evidence-informed decisions. 7
Minister’s Action Plan • Keeps people healthy • Focused on prevention, promotion, and self-management • Developed strategies for priority populations • Faster access to family health care • Have built a strong primary care foundation, with broad access to specialty and community services • Right care, right time, right place • Focused on patient-centric delivery • Implemented standardized system-wide approach to quality management and improvement • Have governance models that engage clinicians and the public in decision-making, enabling informed service provision that meets community needs in a timely way • Developed a system structure to integrate services along the continuum of care, optimize coordination, and foster effective partnerships • Utilized shared electronic medical records 8
LHINs’ Provincial Priorities Pan-LHIN imperatives • Enhancing Access to Primary Care – focused on advancing strategies to ensure people have timely access to a primary care provider and creating enabling structures and processes to align primary care more effectively within the overall continuum Enhancing Coordination & Transitions of Care for Targeted Populations – e.g. • Seniors Strategy: focus on seniors have individualized plans of care that allow them to receive the care they need, when and where they need it; and the transitions post-acute are smooth and coordinated • Implementing Evidence Based Practice to Drive Safety - focused on high priority safety issues that require consistent, coordinated responses to ensure that patents are safe and that adverse events are minimized/eliminated • Holding the Gains – focused on ensuring that new initiatives will not cause previous gains to be eroded (e.g., ER/ALC, ER Wait Times, and access to care, coordination amongst providers, enhanced focus on accountability) 9
CAPS Guidelines Planning for the 2013/14 CAPS & M-SAA Refresh The 2013-14 Refresh will require the HSP to prepare (and consult with the LHIN on) the following Schedules: • Schedule A1. Description of Services and A2. Population and Geography Served; • Schedule B1. Summary of Revenue and Expenses and B2. Activity Summary; • Schedule E. Performance Indicator targets and corridors; and • LHIN specific performance requirements (where applicable). 10
CAPS Guidelines Planning for the 2013/14 CAPS & M-SAA Refresh • Note: The MOHLTC has not announced an annual incremental funding allocation adjustment for 2012/13 or 2013/14. HSPs are required to plan and submit a budget based on a 0% funding adjustment. An HSP must consider this planning assumption when developing its forecasts on service volume and indicator performance. • All AAH funding whether base or one time recurring should be included in the CAPS refresh. • CAPS Refresh budget 2013-14 should not include any new funding for projects recently approved under the 4% Community Funding Allocation. 11
M-SAA Refresh Content - Schedules Schedule Title Description Describes the services delivered by the HSP, client A Description of Services populations and geography served Describes the financial and statistical status of the B Service Plan HSP Identifies, describes and sets due dates for HSP C Reports reporting D Directives, Guidelines, Policies Identifies applicable MOHLTC policies Identifies indicators, standards and local E Performance performance requirements F Template for Project Funding Permits funding for special projects Form to be completed by the HSPs Board of Directors to declare that the HSP has complied G Declaration of Compliance with the terms of the Agreement (Due to the LHIN at Q2 and Year End) 12
CAPS Components All users must complete the instructions for Excel provided in the User Guide in order to Identification begin working in the file. • In Step 1 HSPs are required to complete the Identification screen. LHINs will use this information during review to send inquiries about the submission. 13
CAPS Components Service Plan – 2013/14 Financial & Service Activity • To update the 2013/14 financial and service activity, HSPs are required to complete Steps 2, 3 and 4 in the CAPS excel based reporting tool. • The HSP should prepare the financial budget and service activity budget based on the historical activity for the organization, adjusted for planned changes in service activity and/or changes recently implemented. 14
CAPS Components Service Plan – 2013/14 Financial & Service Activity STEP 2 – Financial & FTE Program Plans Note: HSP’s will have to manually enter their “adjusted budget” for 2012 -13 and their 2012-13 forecast taken from their 2012-13 Q2 report. 15
CAPS Components Service Plan – 2013/14 Financial & Service Activity • STEP 3 – Service Selection Page 16
CAPS Components Service Plan – 2013/14 Financial & Service Activity • STEP 4 – Activity Planning Page Note: If the HSP are experiencing a variance of any kind the HSP should include an explanation in the comments section to alert the LHIN to the potential changes in 2013-14. 17
CAPS Components Service Plan – 2013/14 Financial & Service Activity • The data provided in steps 2,3 and 4 as outlined above will automatically generate Schedule B1 (Summary of Revenue & Expenses) & Schedule B2 (Activity Summary) *Shown for information only under Step 5.* 18
CAPS Components Detailed Description of Services • To update the detailed description of services for 2013/14, HSPs are required to complete Step 5 in the CAPS excel based reporting tool. 19
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