1. Tetley Reads the Tea Leaves: Government Directions & Enablers for our Members Presentation to Member Boards October 2014

2. Outline Part I: What we are Hearing from Government Part II: Enablers for Strong Member Centres Association of Ontario Health Centres2

3. The Premier’s commitments Primary Care Guarantee Ensure everyone has PC provider by 2018 o Focus on rural, northern and growing communities o Improve retention & recruitment of PHC teams o Allocated $20M to the Guarantee Association of Ontario Health Centres3

4. The Premier’s commitments Culture of Health & Wellness Appointed an Associate Minister for LTC & Wellness o Develop a strategy on wellness o Healthy Kids Strategy Develop Community Hubs Association of Ontario Health Centres4

5. Minister of Health and LTC Mandate Letter: 3 priority goals: Right care, right time, right place Efficient and transparent system Healthier lifestyles for Ontarians 3 priority areas: Putting patients at the center Moving forward on accountability/transparency Collaborate on shared responsibilities across gov’t Association of Ontario Health Centres5

6. Lead on Mental Health and Addictions Next phase of Mental Health & Addictions Strategy will focus on adults Announcement expected in November $16M over 3 years announced for Supportive Housing so far Association of Ontario Health Centres6

7. Other Mandate Letters Long Term Care and Wellness – LTC facilities – Health and wellness: healthy kids; smoke free Ontario – Health and Wellness Strategy Francophone Affairs – Enhance health related services in French Aboriginal Affairs – Urban Aboriginal Action Plan Community and Social Services – Drive transformation of social assistance Association of Ontario Health Centres7

8. Other Mandate Letters Poverty Reduction – Reduce child poverty – Employment and income security – Plan to end homelessness – Use evidence-based social policy Children and Youth – Lead Aboriginal and Youth Strategy – Youth Suicide Prevention Initiative Housing and Municipal Affairs – Expand supportive housing for MH&A – Set housing need metrics with goal to end homelessness Association of Ontario Health Centres8

9. Insights to Minister Hoskins Medical Tourism Pharmacare Transparency re inspections and investigations for clinics Move from specialty clinics to ambulatory care Association of Ontario Health Centres9

10. New Deputy Minister’s vision for Ontario health care system A fully integrated and cost effective system. By 2019 Ontario will have the highest quality and most cost effective health system, as measured against international performance metrics. Association of Ontario Health Centres10

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19. What else is happening? Rural Health Strategy Community Health Ontario (CHO) develop a Rural Health Strategy Paper Participated in OMA/OHA process – “Rural Health Hubs Framework for Ontario” paper is being released by end of October Association of Ontario Health Centres19

20. What’s missing from our perspective: Commitment to address persistent health disparities and inequities Explicit recognition of the determinants of health No plan for population health No vision and strategy for primary health care Association of Ontario Health Centres20

21. ENABLERS FOR STRONG MEMBER CENTRES MOHLTC must take action Association of Ontario Health Centres21

22. 1. Compensation Goal: To address serious retention/recruitment issues, compensation packages must be funded equitably and competitively relative to other providers in the health system. Includes benefits (pension) and wages Strategy for all Staff AOHC actions: Advocacy work at political level with AFHTO, NPAO Supporting members to hold MPP meetings, with webinar and lobby materials. For more information: http://www.screencast.com/t/4cAH9yPP2bPhttp://www.screencast.com/t/4cAH9yPP2bP Association of Ontario Health Centres22

23. Minister on Retention and Recruitment …..Primary care faces challenges – “including recruitment and retention of staff” … “this is very much front of mind for me … You need the flexibility to grow and change with your communities. ….I value the work you do and I know it’s not easy ….I know gov’t has a bigger role to play with you …. To make sure you have resources and talent to do this work. AFHTO Conference, Oct 15 2014 Association of Ontario Health Centres23

24. 2. Capital Goal: To enable integrated programs and services, community capital policies and processes must be changed so that allocations of funding enable building specifications that match program and service needs and targets for growth, and progress in a timely manner. MOHLTC has agreed that there is a misalignment with capital policies and MOHLTC integration vision. AOHC actions: Advocacy with MOHLTC staff and political staff For assistance: leah.stephenson@aohc.org Association of Ontario Health Centres24

25. 3. Base Funding Increases Goal: To support increased costs for operations and increased programs and services mandated by the MOHLTC and the LHINs, the Ministry must increase base funding including allocation for information management related expenses. LHINs are not approving across board base funding increases Current 5-6% community fund going to community support AOHC Actions: Focus in 2014-15 = IM/IT Please complete survey Association of Ontario Health Centres25

26. 4. Right Mix of Providers Goal: To ensure our Model of Health and Wellbeing can employ the most appropriate mix of providers, policy changes must be made so administrators have increased flexibility for hiring the right mix of providers to match community and regional needs. What AOHC is doing: Need to develop strategy with members. Association of Ontario Health Centres26

27. 5. Rostering to the Centre Goal: To strengthen interprofessional teams, prevent complex and time-consuming administrative challenges, improve the accuracy of provincial databases and avoid double-counting, all insured and non-insured clients must be rostered to the Centre, not a provider. What AOHC is doing: CHC & AHAC ED Network strongly endorsed a position on “no rostering to the provider” at Oct meeting. Working group of AHACs, CHCs, CFHTs and NPLCs will be established Association of Ontario Health Centres27

28. Enablers where AOHC members must reconfirm our commitment Information Management Strategy V2 To continue to connect to system Costing methodology So we understand value, cost and appropriateness of our services and impact on health outcomes Association of Ontario Health Centres28

29. QUESTIONS Association of Ontario Health Centres29