2. Stage 4: Implementation and Settlement

3. Implementation and Settlement: Implementation 2 StepsLead Org Activity (LO) Endorsing Org (EO) Activity Ministry Activity Lead Organization Consultants will construct project LO will ensure project remains on schedule and within approved scope and cost No ActionMonitor progress and fund construction based on projected and actual progress within each fiscal year Review requests for change in scope Funding of construction will be managed by the Branch managing the project Each branch will be responsible for managing their portfolio of projects within their annual notional allocation Any change orders that constitute a change to approved scope will require ministry approval and amendments to and re-approval of the Business Case, Cost Estimate and Agreements

4. Implementation and Settlement: Settlement 3 StepsLead Org Activity (LO) Endorsing Org (EO) Activity Ministry Activity Lead Organization proceeds to settlement LO will fulfill information requirements as defined by the ministry No ActionAdministrate the settlement process Checkpoint IX: Finalize and Approve the settlement (payment or recovery) Settlement of the project will be managed by the Branch managing the project Cost share calculations per eligibility will be defined by the Community Health Service Provider Cost Share Guide Cost share proportion of cost will be defined by the approved Business Case and Agreement Where additional funding is required, additional funding requests/approval packages will be the responsibility of the branch managing the project

5. Checkpoints and Endorsements/Approvals Required The Table in the next slide shows where: Endorsements are required from the Endorsing Organization Funding or Process/Administrative Approvals are required from the ministry 4

6. Checkpoint Endorsements and Approvals 5 Check- point ActionEndorsementAdmin. Approval of Stage/Step completion (ministry) Funding Approval (ministry) IApplicationFormal letter of Endorsement required prior to ministry review Letter -Application compete and eligible for funding grant Required for Planning Grant IIApproval of P&S Composition/Space Eligibility Yes, within Toolkit workbook IIIApproval of Space RequestsYes, within Toolkit workbook IVApproval of SiteYes, within Toolkit workbook VApproval of Business CaseFormal letter Endorsing any operational cost implications Letter – Business Case complete and eligible for Implementation Grant VIApproval of Implementation Grant Required for Implementation Grant VIIApproval to TenderYes, if no grant increase required Yes, if grant increase required VIIIApproval of Award of Contract Yes, if no grant increase required Yes, if grant increase required IXApproval of SettlementYes, if no grant increase required Yes, if grant increase required

7. Roles: LHINs in Stage 1: Application Support the consistent application of the CHCP policy and Operational Framework Be the first point of contact for Applications from HSPs for capital projects Provide Endorsement for the Application Confirm any own funded/partner funded space can be financially managed by the HSP/partners 6

8. Roles: LHINs in Stage 2: Business Case Provide review and/or input at several key Checkpoints in the CHCP Business Case process  Program and Service composition: HSP and Partners  Ensure Alignment with IHSP  Space Allocation:  Confirm any own funded/partner funded space can be financially managed  Site search geographic parameters/site selection  Set search boundaries with HSP  Confirm any own funded/partner funded space can be financially managed 7

9. Roles: LHINs in Stage 3: Design, Tender and Award of Contract Work with ministry to hold projects to scope endorsed and approved at end of Business Case Where scope changes are not avoidable:  Endorsement of revisions to Business Case including: Confirmation that any additional “own funds” financial costs identified in this stage can be managed by the Lead and/or Partner Organizations 8

10. Roles: LHINs in Stage 4: Implementation and Settlement Work with ministry to hold projects to scope endorsed and approved at end of Business Case Where scope changes are not avoidable: Endorsement of revisions to Business Case including: Confirmation that any additional “own funds” financial costs identified in this stage can be managed by the Lead and/or Partner Organizations 9

11. Roles: Ministry HCIB Project Teams First point of contact with Lead Organization and Endorsing Organization (LHINs) Review Applications and Business Case to inform funding decisions Continue to manage projects: Intake Submissions – review for completeness Stakeholder engagement/issues management Approval Packages Briefing notes Support the consistent application of the CHCP policy and Operational Framework 10

12. Ministry Role in CHCP Implementation Support the consistent application of the CHCP policy and Operational Framework Provide education and support for implementation 11

13. Conclusion At the conclusion of this session all participants now understand: How to navigate the Stages and Steps in the CHCP Operational Framework The review and approval points in the CHCP Operational Framework The ministry and the LHIN’s role in the CHCP Operational Framework 12

14. Next Steps For LHIN Staff: Participation in the HCIB Orientation to the Community Health Capital Programs Policy Operational Framework – Part 1I In Part II we will walk through an example of how to complete the Business Case portion of the Toolkit Workbook 13

15. Health Capital Technical Topics Thank you for your participation!