1. COMMUNITY ACCOUNTABILITY PLANNING SUBMISSIONS (CAPS) & MULTI-SECTOR SERVICE ACCOUNTABILITY AGREEMENTS (MSAA) CAPS And Schedule Refresh
(October 2017)

2. Agenda Structure Context Why a Schedule Refresh?
Planning for a Schedule Refresh - CAPS
MSAA Schedule Refresh Content
CAPS Submission & Timelines
Additional Resources
Completing the CAPS for
Next Steps & Discussion

3. MSAA Advisory Committee MSAA Planning & Schedules
MSAA Schedule Refresh Structure Comprehensive Consultation through Multiple Tables
MSAA Advisory Committee
MSAA Indicators
Work Group
MSAA Planning & Schedules
SRI Forms
MSAA INDICATOR SUPPORT: HEALTH SYSTEM INDICATOR INITIATIVE
MSAA LEGAL COUNSEL SUPPORT: LHIN LEGAL SERVICES BRANCH
MSAA SECRETARIAT SUPPORT: Health Shared Services Ontario
LOCAL MSAA IMPLEMENTATION: LHIN MSAA LEADS

4. Context CAPS Submission & Timelines – Main differences Main differences between and
In light of on-going LHIN renewal activity across the province and the potential for legislative changes in the fall, there is pan-LHIN agreement to minimize changes to MSAA agreement this year.
In order to retain the integrity of the existing MSAA agreements and Schedules, all HSPs must complete a CAPS.
Board approval is not required for CAPS at the time of submission.
The submission is due on November 17,
The LHIN does not consider the submission on November 17, 2017 to be final as changes usually occur post submission up to January through the LHIN review process.
The Final CAPS is approved by the HSP Boards by January 31, HSPs are not required to provide the LHIN with copies of Board motions approving the CAPS. It will be expected that the required approvals have been obtained by January 31st unless the LHIN is notified of any issues.

5. Context Why a 2018-2019 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 agreement was extended last year for one year to March 31, 2018; and this year the LHINs have agreed to extend the current agreement for an additional year to March 31, 2019.
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 5 ( ) of the current Agreement.
In order to facilitate the refresh of MSAA Schedules:
B1 (Funding)
B2 (Clinical Activity Summary)
C (Reports)
D (Directive Guidelines and Policies)
E1 (Core Indicators)
E2a (Clinical Activity Detail)
E3 (Local Performance Obligations – Optional)
All HSPs are 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 and/or the Quarterly Reports in SRI.

6. MSAA Schedule Refresh 2018-2019
Title
Description A
1. Description of Services
*OPTIONAL Schedule refresh for
Describes the services delivered by the HSP.
2. Population & Geography
Describes the HSP client populations and geography served B
*Total LHIN Funding Service Plan
*Clinical Activity – Summary
*If making changes to
CAPS, Schedule refresh required
Describes the financial and statistical status of the HSP. C
Reports
*Mandatory Schedule refresh for
Identifies and sets due dates for HSP reporting D
Directives, Guidelines, Policies & Standards
*To be confirm by Ministry
Identifies applicable MOHLTC policies. Changes for will include :
To be confirmed

7. MSAA Schedule Refresh 2018-2019 (cont’d)
Title
Description E
Core Indicators
*If making changes to CAPS, Schedule refresh required
Identifies indicators, standards and local performance requirements
2a. Clinical Activity Detail
2b. CHC Sector Specific Indicators
2c. CMH&A Sector Specific Indicators
2d. CSS Sector Specific Indicators
3a. Local Indicators & Obligations
*OPTIONAL Schedule refresh for F
Project Funding Agreement Template
Template used for funding special projects G
Compliance
*Update for new time period
Form completed by the HSPs Board of Directors to declare that the HSP has complied with the terms of the Agreement

8. CAPS Submission & Timelines (cont’d) Completing the 2018-2019 CAPS & MSAA Schedule refresh
Activity
Target Dates
CAPS 60 Day Issuance Notice to HSP’s
September 30, 2017
CAPS Launch in SRI for HSPs
October 2, 2017
HSPs Review CAPS Education Materials
October 2-6, 2017
Completed CAPS refresh submitted through SRI to LHINs
October 9 – November 17, (6 Weeks)
LHIN review of CAPS refresh, consultations on MSAA refresh indicators, population of Schedules, and final MSAA Schedule amendments
November 20, 2017 – January 31, (10 Weeks - Incl. Holidays)
HSP Board approves CAPS
January 1 – 31, 2018
Final MSAA extension and Schedules sent to Community HSPs for Board approval (Target)
February 1-28, 2018
HSP-signed MSAAs returned to the LHIN by
March 15, 2018
Year 5 of the current MSAA comes into effect
April 1, 2018

9. CAPS Submission & Timelines (cont’d)
Financial:
Additional line added to all Financial tabs.
Row 68 - Other administrative expense
This row is used to capture administrative expenses that do not fit in the other 4 administrative categories. However, this is not an M-SAA indicator. It is suggested to report expense under this line only if necessary.

10. Additional Resources & Education for the 2018-2019 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 CAPS.

11. Completing the CAPS for 2018-2019

12. Improving the CAPS Incorporating feedback from previous CAPS processes
Stakeholder feedback identified the following high level themes:
Simplify forms.
Reduce errors through early testing.
Updated OHRS functional centres.
Additional reporting lines under Administrative Expenses as per MSAA indicators.

13. Completing the CAPS Community Accountability Planning Submission Tool
Go to
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 for a new account”

14. Checking Out your CAPS
Click “Submissions” in the top left, and then from that drop down menu click “Create New Submission”

15. Checking Out your CAPS (cont’d)
Select the applicable report then click the “create” button”

16. Checking Out your CAPS (cont’d)
The report now should be listed under “In Progress”. It may take a few minutes to appear, so please be patient. It should be noted that when traffic is at its highest (for instance, closest to the due dates), it will take longer to appear. If it is taking a very long time, you can select “refresh,” however, doing so will slow down the system.

17. Checking Out your CAPS (cont’d)
Select the report that you want to prepare by clicking the blue hyperlink.

18. Checking Out your CAPS (cont’d)
Click “Check Out and Download”
Now the file is stored in your local drive. The file is ready to be edited.

19. 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.
First, when opening the report, if the yellow bar appears, make sure you enable editing and content.

20. Main Page (cont’d)
Note: Please go to the Identification tab to select your respective LHIN.
Column B is added in CAPS to check for changes from the previous CAPS. As part of the audit process to understand changes, the icon in the example beside will help LHINs identify which sheets of the CAPS submission has any difference between the budget column and the column.

21. Refreshing the Information
All data from the CAPS has been carried over to the new CAPS. The Budget column will show the Financial/Service data from the previous CAPS.
The column will be pre-populated based on the “ Updated Budget” column.
A column is added to show by an “x” if there is a change to a budget/target line.
If there are no changes to make for HSPs from the updated budget, the file simply needs to be checked out and checked in (with no additional changes made).

22. 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.

23. Additional Reporting Lines under Administration
In , four new explanatory indicators were added to your MSAA. These are the four main areas that make up “Administration & Support Services”. In , a new line was added to the Administration & Support Services that is not an explanatory indicator. Please enter your information into each of the following lines to populate “Administration & Support Services”:
Plant Operations;
Volunteer Services;
Information Systems Support;
General Administration and
Other Administrative Expense (Added in )

24. Indicate TPBE in the “Service Selection Screen”
To select the functional centres for your programs, please go to the “Service Selection Screen.” Just put an “x” next to the functional centres you provide. Then, next to that functional centre (in the column titled “TPBE”) select what Transfer Payment Business Entity that functional centre belongs to.

25. Checking In your CAPS
After entering all information, and passing the edit checks, the CAPS file is ready to upload to SRI again.
Checking In the CAPS into SRI is similar to Checking Out the CAPS from SRI. Select the file that you would like to upload. Click the “Check In” button. Find the report in your local drive, and it will be uploaded. Afterward, click on the button “Submit For Approval.”

26. Next Steps 2018-2019 CAPS available on SRI October 2, 2017.
Between October 2 - 6, 2017 HSPs are expected to review the CAPS education materials and seek answers to any questions about completing the CAPS refresh process.
HSPs given 6 weeks to submit CAPS (October 9 – November 17, 2017).
HSP board approved CAPS are due January 31, 2018.
LHINs are expected to review CAPS submissions, conduct consultations on Performance Indicators/Targets, and make final MSAA Schedule Amendments between November 20, 2017 and January 31, 2018.

27. Main Contact
If you have any questions about the CAPS that you have “Checked Out” from SRI, please Barry Lajeunesse at