Contract Monitoring

Continuing Care

Facilitated by:

Lynn Redford, Provincial Director, Special Initiatives and Resource Development, Community, Seniors, Addiction & Mental Health

Chair, AHS Continuing Care Interdepartmental Working Group

Jennifer Elalmi,

Compliance Specialist, Contract Monitoring, Risk & Internal Controls, CPSM

• Background of Continuing Care Reporting Initiative

• Overview of Objectives & Roles

• Questions

Agenda / Purpose

• Established in response to HQCA & OAG Recommendations on CC Reporting

• Who is Involved?

o AHS Continuing Care Interdepartmental Working Group (IWG) formed in 2014

o CPSM Contract Monitoring

o CPSM Contract Sourcing

o Zone Operations

o Provincial Continuing Care

Background

• AHS Members and Participants include:

• The IWG is tasked with:

Who is the IWG?

• Zone Operations

• Seniors Health

• Business Advisory Services

• Internal Audit

• CPSM (Sourcing & Contract Monitoring Teams)

• Workforce Development

• Patient Care Based Funding

• Legal

Assessing current-state Developing future-state reporting

Accountability reporting Creating standardized provincial reporting

Aligning reports to eliminate duplication

Issues Identified in AHS Reporting:

• Multiple AHS contacts

• Inefficient / Hardcopy report to various addresses

• Different AHS departments request same info

• No information provided to Zone Operations

• Inconsistent across zones

Current State

Solution: Let’s Simplify

• Central Report System via Contract Monitoring

• User-Friendly

• Standardized report templates

• Improve Access to Information

• Consistent reporting across zones

Future Desired State

• Contract Monitoring is a division within Risk & Internal Controls under Contracting, Procurement & Supply Management (CPSM)

o Lead: Ian Thomson – Executive Director, Risk & Internal Controls

• Our CPSM Contract Monitoring Team consists of: o David Lee – Provincial Director

o Jennifer Elalmi – Compliance Specialist

o Georgiana Gilchrist – Compliance Specialist

• Email Contact: contractmonitoring@ahs.ca

Who is CPSM Contract Monitoring?

• Electronic Report sent via secure link

• Scheduled Reminders

• Live help Monday-Friday

• System Available 24/7

• Automatic Submissions

• Immediate Receipt & Data Storage

• Operator summaries provided to Zone Operations for review and distribution

Features of Contract Monitoring

How Does it Work?

1. Secure Link to Electronic Reporting Program sent to Provider

2. Provider completes Online Template and hits “Submit”

3. Contract Monitoring downloads Submission Data

4. Individual Provider Summaries generated & sent to Zone Operations

(Note: Sampling of Current Contract Reporting Accountabilities – see Reporting Elements Chart for full listing)

• Hours Utilization

• Patient Concerns

• Insurance

• Business Continuity Plans

• Staffing Plans

• Accreditation Status/Certificate

• Missed Visits

• Infection Outbreaks

What will be collected in new system?

This system will not replace:

• Financial reporting to FIRMS (LTC, SL,

PCH only) or HomeFirst (Urban Zones using

HomeFirst)

• CC Health Services Standards on-site

audits

• Reportable Incidents to Alberta Health

Post Data Submission

Zone Operations initiates

Follow-up & Discussion

with Provider

• Provider Summaries to be distributed to Zone Operations

• Data is provided to QIPE for CCQARM Dashboard

Report Completed &

Data Submitted by

Provider

Provider Summaries

generated & sent to

Zone Operations

Contract Monitoring Care Provider

Zone Operations

QIPE

QIPE utilizes data for

CCQARM

• CPSM Contract Monitoring aims to provide the following value-added support

services to Zone Operations:

o Data Collection,

o Reminders,

o Tracking,

o Compilation of Data,

o Individual Provider Summaries

Value Added Services

Questions?