COMMUNITY ACCOUNTABILITY PLANNING SUBMISSIONS (CAPS) & MULTI-SECTOR SERVICE ACCOUNTABILITY AGREEMENTS (MSAA) 2015/16 Schedule Refresh Education Session (October 2014)

Agenda: 1.Structure 2.Context  Why a Schedule refresh?  Planning for a Schedule refresh - CAPS  MSAA Schedule Refresh Content 3.Timelines 4.Additional Resources 5.Completing the CAPS for 2015/16 6.Next Steps & Discussion 2

MSAA Schedule Refresh Structure Comprehensive Consultation through Multiple Tables 3 MSAA Advisory Committee MSAA Indicators Work Group MSAA Planning & Schedules Work Group MSAA INDICATOR SUPPORT: HEALTH SYSTEM INDICATOR INITIATIVE MSAA LEGAL COUNSEL SUPPORT: LHIN LEGAL SERVICES BRANCH MSAA SECRETARIAT SUPPORT: LHIN COLLABORATIVE LOCAL MSAA IMPLEMENTATION: LHIN M-SAA LEADS

Context Why a 2015/16 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,  The LHINs now need to review the MSAA Schedules and may need to update or confirm the budgeted financial data, service activities and performance expectations for Year 2 (2015/16) of the current Agreement.  In order to facilitate the refresh of MSAA Schedules B1, B2 and E2a, HSPs may be required to submit a planning document known as the Community Accountability Planning Submission (CAPS).  The information provided in the CAPS by the HSP will be used to populate the MSAA Schedules for 2015/16 and/or the Quarterly Reports in SRI. 4

Context Local Variation across the LHINs…  It is recognized that LHINs may have completed the CAPS/MSAA processes based on the following 3 approaches: Schedules negotiated for first year only Schedules negotiated for first year only and simply replicated for 2015/16 and 2016/17 based on the 2014/15 CAPS information submitted Schedules were negotiated for all 3 years of the agreement  Regardless of how the LHINs approached the CAPS process during the MSAA, there is a NEW CAPS form within SRI for 2015/16 (and 2016/17) that must be filled out.  This new CAPS form serves as the source document for the quarterly reports in SRI, and as such needs to be opened and populated to capture data for 2015/16. 5

MSAA Schedule Refresh 2015/16 6 ScheduleTitleDescription A1. Description of Services *OPTIONAL Schedule refresh for 2015/16 Describes the services delivered by the HSP 2. Population & Geography *OPTIONAL Schedule refresh for 2015/16 Describes the HSP client populations and geography served B1. Total LHIN Funding Service Plan *If making changes to 15/16 or 16/17 data, CAPS & Schedule refresh required Describes the financial and statistical status of the HSP. 2. Clinical Activity – Summary *If making changes to 15/16 or 16/17 data, CAPS & Schedule refresh required CReports Identifies and sets due dates for HSP reporting DDirectives, Guidelines, Policies & Standards *Mandatory Schedule refresh for 2015/16 Identifies applicable MOHLTC policies. Changes for 2015/16 will include addition of the Personal Support Services Wage Enhancement Directive (2014)

MSAA Schedule Refresh 2015/16 7 ScheduleTitleDescription E1. Core Indicators *Mandatory Schedule refresh for 2015/16 Identifies indicators, standards and local performance requirements 2a. Clinical Activity Detail *If making changes to 15/16 or 16/17 data, CAPS & Schedule refresh required 2b. CHC Sector Specific Indicators *Mandatory Schedule refresh for 2015/16 2c. CMH&A Sector Specific Indicators 2d. CSS Sector Specific Indicators 2e. CCAC Sector Specific Indicators *Mandatory Schedule refresh for 2015/16 3a. Local Indicators & Obligations *OPTIONAL Schedule refresh for 2015/16 FProject Funding Agreement TemplateTemplate used for funding special projects GComplianceForm completed by the HSPs Board of Directors to declare that the HSP has complied with the terms of the Agreement

Timelines Completing the 2015/16 CAPS & MSAA Schedule refresh 8 ActivityTarget Dates CAPS 60 Day Issuance Notice to HSP’sOctober 17, 2014 Pan LHIN Community Lead EducationOct 31, 2014 CAPS Launch onto SRI for HSPsNov 4, 2014 HSP Training Materials AvailableNov 4, 2014 LHINs Complete Local HSP Q&A SessionNov 10, 2014 Completed HSP Board approved CAPS refresh submitted through SRI to LHINs by January 9 th 2015 Nov 4, Jan 9, 2015 (9 WEEKS) LHIN review of CAPS refresh, consultations on MSAA refresh indicators, population of Schedules, and final MSAA Schedule amendments Jan 9– Feb16, 2015 (5 WEEKS) 2015/16 MSAA Schedule amendment letters provided to HSPsFeb 16, 2015 HSP Board Approval of 2015/16 MSAA Schedule amendmentsMarch 9, 2015 LHIN Board Approval of 2015/16 MSAA Schedule amendmentsMarch 9 – April 1, 2015 Year 2 of the current MSAA comes into effectApril 1, 2015

Additional Resources & Education Additional Resources & Education for the 2015/16 Refresh  The CAPS User Guide contains important information to assist HSPs in completing the CAPS process. HSPs should refer to the User Guide when completing the 2015/16 and 2016/17 CAPS. 9

Completing the CAPS for 2015/16 10

Improving the CAPS Incorporating feedback from previous CAPS processes HSP and LHIN feedback identified the following high level themes: Simplify forms. Reduce errors through early testing. Updated OHRS functional centres. New Transfer Payment Business Entities (TPBE) for Sessional Fees. Additional lines to report physiotherapists and chiropractors. Updated mandatory stats to comply with OHRS. Updated edit checks. 11

Enhancements for Future Consideration Continuous CAPS improvement  The CAPS file may be redeveloped for a 2016/17 refresh to allow LHINs and HSPs to refresh planning targets, if the LHIN chooses to do so or if it is required.  In the effort of continuous improvement of tools and processes, a further evaluation will be conducted following the completion of the 2015/16 CAPS & MSAA Schedule refresh process. 12

Completing the CAPS Community Accountability Planning Submission Tool  Go to p p  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 Here” 13

Checking Out your CAPS  Following the instructions and steps in the CAPS User Guide will eventually lead you to the opportunity to “Check Out” and start completing your CAPS (picture shows 2014/15, but the year will be 15/16)  ex.jsp 14

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.  Note: The ID Edit Check will fail if you do not “Select a LHIN” on this Main Page 15

Refreshing the Information  All data from the 14/17 CAPS has been carried over in SRI. The first three columns will show the 14/15, 15/16 and 16/17 Financial/Service data from the last CAPS. The next two columns in yellow will allow you to refresh the information for 15/16 and 16/17 if required.  The yellow columns will be pre-populated based on the blue columns.  If there are no changes to make for HSPs that have already submitted a 3-year CAPS, the file simply needs to be checked out and checked in (with no additional changes made). 16

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. 17

Verifying the Edit Checks  Green happy faces indicate successful edit checks. Red sad faces  indicate failed edit checks, which must be corrected before submitting the CAPS  If you see a red sad face, a description of the problem to be resolved will appear in the Message Area of the row. 18

Checking In your CAPS  After you have entered all information and passed the edit checks you are ready to upload your CAPS to SRI again.  Checking In your CAPS into SRI is similar to when you Checked Out your CAPS from SRI 19

Submitting CAPS to SRI  You can now submit the report. To do so, right click and select “Submission Status” and then “Submit”. If it does not work, you may need to wait a few minutes so that the upload will take 20

Main Contacts  If you have any questions about the CAPS that you have “Checked Out” from SRI, please call or your LHIN contact  Main Contacts at each of the LHINs is available within the User Guide (pg. 27) 21

Release of Documents from LHIN  Prior to November 12, 2014 it is recommended the LHIN release the following documents to their HSPs 2015/16 Schedule Refresh Education Session – slide deck CAPS User Guide (also available on:  On November 4, 2014 the CAPS File will be posted on SRI, making it available to the HSPs. 22

Next Steps  Between November 4– 10th 2014, LHINs will be responsible for holding their own engagement sessions with their HSPs and seek any questions about completing the CAPS refresh process.  2015/16 CAPS available on SRI Nov 4,  HSPs given 9 weeks to submit Board approved CAPS (Nov 4 – Jan 9)  Further education for LHINs regarding eForms and MSAA Schedule Amendments will be provided in early January  LHINs given 5 weeks to review 2015/16 CAPS submissions, conduct consultations on performance expectations, and make final MSAA Schedule Amendments (Jan 9-Feb 16)  LHIN Communication  Agencies should expect frequent s from the LHIN regarding FAQs and provincial communiques 23

LHIN Contact Information  Barry Lajeunesse, Senior Advisor at 24